| Status of Pediatric Disease in Korea. |
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H J Oh, J H Lee, S B Lee, S I Lee, J Y Choi, S J Lee, K S Jung, Y C Tockgo |
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The Statistics Committee of Korean Pediatric Association |
| 소아질병에 관한 통계적관찰 一제 1 차 계통별 질환 통계보고一
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오호진, 이정화, 이상범, 이상일, 최정연, 이승주, 정기섭, 독고영창 |
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고려의대 ,경북의대,인제의대,서울의대,이화의대,연세의대 소아과학교실 |
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| Abstract |
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It is the purpose of this study to help understand the disease pattern in the pediatric f
The survey was made mostly by the Korean Pediatric Association during the period o
1983 to 1984 with the help from 43 pediatric training hospitals throughout Korea.
The studies were made from the total of 67,550 pediatric inpatients under 15 years of s
the distribution of the disease by age and sex according to system.
The frequency of disease by system was as follows;
disease of gastrointestinal tract: 28.42%
disease of genitourinary tract: 8.06%
congenital heart disease: 4.8%
disease of the blood: 2.68%
neoplastic and neoplasm like lesion: 1.86%
1. Disease of gastrointestinal tract;
The number of disease of gastrointestinal tract were 1,197 (28.42%) out of 67,550 inp£
sex ratio was 1.79:1 in favor of the male. The most frequent age group was between 1 r
year of age as 32% and the least group was under 1 month of age as 6.26%.
The frequency of diseases was as follows respectively;
1) acute gastroenteritis: 52.84%
a) viral infection: 29.93%
b) bacterial infection: 20.57%
2) hepatobiliary tract disease: 20.44%
acute hepatitis: 15.8%
a) type A: 9.75%
b) type B: 6.05%
3) intussusception: 7.73%
4) inguinal hernia: 5.07%
5) congenital anomalies: 3.28%
6) anaphylactoid purpura: 2.80%
7) motility disorders: 1.65%
8) intestinal obstruction: 1.08%
9) acute appendicitis: 1.06%
2. Disease of the blood
The number of hematologic disorder patients were 1,788 (2.68%) out of 66,825 inpatients and the
male outnumbered the female group as 1.86:1.
The age between 1 and 5 years old group had the most of 30.82%. The percentage of the diseases
was as follows in order of frequency:
1) iron deficiency anemia: 38.93%
2) ITP: 13.09%
3) physiologic anemia: 10.07%
4) acquired aplastic anemia: 7.21%
5) hemorrhagic disease of the newborn: 5.03%
6) hemophilia: 4.36%
7) DIC: 3.64%
3. Neoplastic and neoplasm like lesion
The number of neoplastic and neoplasm like patients were 1,246 (1.86%) out of 66,825 and sex ratio
1.7:1 the male outnumbering the female. The most frequent age group was between 1 and 5 years old as 40.77%.
The frequency of the diseases was shown below respectively;
1) leukemia: 45.99%
a) acute leukemia: 43.74%
b) chronic myelocytic leukemia: 2.24%
2) hemangioma: 12.2%
3) lymphoma: 8.59%
4) neuroblastoma: 6.7%
5) Wilm’s tumor: 6.18%
6) lymphangioma: 3.85%
7) neoplasm of Liver: 3.45%
4. Congenital heart disease
The frequency of CHD (congenital heart disease) was 4.8%, 3,541 out of 73,801, and sex ratio was
male:female, 1.29:1. One and five years of age group showed the most of 34.17%.
The order of frequency of the diseases was as follows;
1) ventricular septal defect: 42.33%
2) tetralogy of Fallot: 11.97%
3) patent ductus arteriosus: 11.18%
4) atrial septal defect: 8.3%
5) transposition of great arteries: 3.81%
6) pulmonary stenosis: 3.22%
7) double outlet of right ventricle: 2.32%
8) pulmonary atresia: 1.24%
9) abnormal position of heart: 1.16%
10) tricuspid atresia: 0.9%
5. Disease of genitourinary system
The number of urinary system diseases were 4,087 (8.06%) among 50,712 inpatients and the sex ratio
was 1.54:1, male over female group. The most frequent age group was between 5 and 10 years of age as 33.96%.
The frequency of diseases was as follows;
1) urinary tract infection: 33.86%
2) acute glomerulonephritis: 27.53%
3) nephrotic syndrome: 12.63%
4) henoch-Schonlein nephritis: 5.9%
5) benign recurrent hematuria: 5.78%
6) renal failure: 3.16%
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