Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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A nationwide study of children and adolescents with pneumonia who visited Emergency De­partment in South Korea in 2012

  • Lee, Chang Hyu (Department of Pediatrics, National Medical Center) ;
  • Won, Youn Kyoung (Department of Pediatrics, National Medical Center) ;
  • Roh, Eui-Jung (Department of Pediatrics, Sun General Hospital) ;
  • Suh, Dong In (Department of Pediatrics, Seoul National University College of Medicine) ;
  • Chung, Eun Hee (Department of Pediatrics, National Medical Center)
  • 투고 : 2015.07.04
  • 심사 : 2015.10.29
  • 발행 : 2016.03.15
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초록

Purpose: Acute respiratory infection, particularly pneumonia, is the most common cause of hospitalization and death among children in developing nations. This study aimed to investigate the characteristics of children and adolescents with pneumonia who visited Emergency Department (ED) in South Korea in 2012. Methods: We analyzed National Emergency Department Information System (NEDIS) records from 146 EDs in South Korea for all pediatric patients aged ${\leq}18years$ who were diagnosed with pneumonia between January and December 2012. Results: Among 38,415 subjects, the male-to-female ratio was 1:0.8. Patients aged <12 months comprised 18.0% of the study population; those aged 1 to 3 years, 54.4%; those aged 4 to 6 years, 16.8%; those aged 7 to 12 years, 7.4%; and those aged 13 to 18 years, 3.4%. Presentation rates were highest in April, followed by January, March, and May. The hospital admission rate was 43.5%, of which 2.6% were in intensive care units. The mortality rate was 0.02%. Based on the International Classification of Diseases, 10th Revision, diagnostic codes, the types of pneumonia according to cause were viral pneumonia (29.0%), bacterial pneumonia (5.3%), Mycoplasmal pneumonia (4.5%), aspiration pneumonia (1.3%), and pneumonia of unknown origin (59.3%). Conclusion: Despite the limited data due to the ED data from the NEDIS lacking laboratory results and treatment information, this study reflects well the outbreak patterns among children and adolescents with pneumonia. Our results provide a basis for future studies regarding ED treatment for children and adolescents with pneumonia.

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참고문헌

  1. Ryu JM, Yoon CH, Chio SH, Cho KG. The statistical studies on the emergency room patients under the 15 years of age. J Korean Pediatr Soc 1985;28:372-7.
  2. Lee HJ, Park SY, Lee YH, Do BS, Lee SB. Clinical analysis of the pediatric patients seen in the emergency medical center. Korean J Pediatr 2005;48:1061-7.
  3. Rudan I, Boschi-Pinto C, Biloglav Z, Mulholland K, Campbell H. Epidemiology and etiology of childhood pneumonia. Bull World Health Organ 2008;86:408-16. https://doi.org/10.2471/BLT.07.048769
  4. Park SE. Childhood community-acquired pneumonia. J Korean Pediatr Soc 2002;45:685-90.
  5. National Medical Center, National Emergency Medical Center. 2012 Statistics of emergency medical. Seoul: National Medical Center, National Emergency Medical Center; 2012:50-1.
  6. Jain S, Williams DJ, Arnold SR, Ampofo K, Bramley AM, Reed C, et al. Community-acquired pneumonia requiring hospitalization among U.S. children. N Engl J Med 2015;372:835-45. https://doi.org/10.1056/NEJMoa1405870
  7. Health Insurance Review & Assessment Service. Press Release November 21, 2014. Seoul: Health Insurance Review & Assessment Service; 2014.
  8. Neuman MI, Shah SS, Shapiro DJ, Hersh AL. Emergency department management of childhood pneumonia in the United States prior to publication of national guidelines. Acad Emerg Med 2013;20:240-6. https://doi.org/10.1111/acem.12088
  9. Neuman MI, Monuteaux MC, Scully KJ, Bachur RG. Prediction of pneumonia in a pediatric emergency department. Pediatrics 2011;128:246-53. https://doi.org/10.1542/peds.2010-3367
  10. Korea National Statistical Office. Estimated future population [Internet]. Daejeon: Statistics Korea; c2008 [cited 2015 May 20]. Available from: http://www.index.go.kr/potal/stts/idxMain/selectPoSttsIdxSearch.do?idx_cd=2917&clas_div=&idx_sys_cd=544&idx_clas_cd=1.
  11. Hong DY, Lee KM, Kim JH, Kim JS, Han SB, Lim DH, et al. Database study for clinical guidelines of children with pneumonia who visited an emergency department. Korean J Pediatr 2006;49:757-62. https://doi.org/10.3345/kjp.2006.49.7.757
  12. Brogan TV, Hall M, Williams DJ, Neuman MI, Grijalva CG, Farris RW, et al. Variability in processes of care and outcomes among children hospitalized with community-acquired pneumonia. Pediatr Infect Dis J 2012;31:1036-41.
  13. Nascimento-Carvalho CM, Rocha H, Santos-Jesus R, Benguigui Y. Childhood pneumonia: clinical aspects associated with hospitalization or death. Braz J Infect Dis 2002;6:22-8.
  14. Leyenaar JK, Shieh MS, Lagu T, Pekow PS, Lindenauer PK. Variation and outcomes associated with direct hospital admission among children with pneumonia in the United States. JAMA Pediatr 2014;168:829-36. https://doi.org/10.1001/jamapediatrics.2014.339
  15. Pati S, Lorch SA, Lee GE, Sheffler-Collins S, Shah SS. Health insurance and length of stay for children hospitalized with community- acquired pneumonia. J Hosp Med 2012;7:304-10. https://doi.org/10.1002/jhm.959
  16. Kim HY, Kim KM, Kim SH, Son SK, Park HJ. Clinical manifestations of respiratory viruses in hospitalized children with acute viral lower respiratory tract infections from 2010 to 2011 in Busan and Gyeongsangnam-do, Korea. Pediatr Allergy Respir Dis 2012;22:265-72. https://doi.org/10.7581/pard.2012.22.3.265
  17. Shin YS, Kang DS, Lee KS, Kim JK, Chung EH. Clinical characteristics of respiratory virus infection in children admitted to an intensive care unit. Allergy Asthma Respir Dis 2013;1:370-6. https://doi.org/10.4168/aard.2013.1.4.370
  18. Moon JH, Suh KJ, Chung EH, Shin MY, Lee JS, Park YM, et al. Epidemiology of acute viral lower respiratory tract infection in hospitalized children in two different areas of Korea. Korean J Pediatr Infect Dis 2002;9:193-200.
  19. Kim YN, Park CH, Kim SH, Yoo SJ, Kim HB. Factors associated with various clinical manifestations of Mycoplasma pneumonia in children. Allergy Asthma Respir Dis 2013;1:357-61. https://doi.org/10.4168/aard.2013.1.4.357
  20. Eun BW, Kim NH, Choi EH, Lee HJ. Mycoplasma pneumoniae in Korean children: the epidemiology of pneumonia over an 18-year period. J Infect 2008;56:326-31. https://doi.org/10.1016/j.jinf.2008.02.018
  21. Kim JW, Seo HK, Yoo EG, Park SJ, Yoon SH, Jung HY, et al. Mycoplasma pneumoniae pneumonia in Korean children, from 1979 to 2006-a meta-analysis. Korean J Pediatr 2009;52:315-23. https://doi.org/10.3345/kjp.2009.52.3.315
  22. Lee K, Kim WJ, Kim DL, Kim JH, Chong MS. Seroprevalences of Mycoplasma pneumoniae IgM antibodies among children living in Jeju island, Korea. Lab Med Online 2014;4:146-51. https://doi.org/10.3343/lmo.2014.4.3.146
  23. Kim HJ, Lee GY, Jang PS, Kim DU, Kim YH, Kim JI, et al. A case of jejunostomy for cerebral palsy with recurrent aspiration pneumonia. Pediatr Allergy Respir Dis 2005;15:180-5.
  24. Seo JW. Recent advances in gastroesopahageal reflux disease of children. Korean J Pediatr 2000;43;599-604.
  25. World Health Organization. Global tuberculosis report 2015 [Internet]. Geneva: World Health Organization; c2016 [cited 2015 Aug 25]. Available from: http://www.who.int/tb/publications/global_report/en/.
  26. Korea Centers for Disease Control and Prevention. Annual report on the notified tuberculosis in Korea 2012. Cheongju: Korea Centers for Disease Control and Prevention; c2012 [cited 2015 May 25]. Available from: http://tbfree.cdc.go.kr/tbfree/cmm/BoardView. do?boardType=REPORT&no=365&id=4500.
  27. Yang MA, Choi EH, Lee JA, Lee HJ, Kim SH, Sung JY, et al. Trends of hospitalized tuberculosis at a children’s hospital during a 20- year period (1988-2007). Korean J Pediatr Infect Dis 2008;15:59-67.
  28. Korean Centers for Disease Control and Prevention. Weekly respiratory virus occurrence in 2012. Cheongju: Korea Centers for Disease Control and Prevention; c2012 [cited 2015 Aug 16]. Available from: http://cdc.go.kr/CDC/info/CdcKrInfo0502.jsp?menuIds=HOME001-MNU1175-MNU0048-MNU0050.

피인용 문헌

  1. Treatment of community-acquired pneumonia in Korean children vol.5, pp.4, 2016, https://doi.org/10.4168/aard.2017.5.4.177
  2. Literature review and future strategies of childhood respiratory diseases in Korea vol.6, pp.suppl1, 2018, https://doi.org/10.4168/aard.2018.6.s1.s66
  3. The changes of prevalence and etiology of pediatric pneumonia from National Emergency Department Information System in Korea, between 2007 and 2014 vol.61, pp.9, 2016, https://doi.org/10.3345/kjp.2017.06100