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Hospitalized infant morbidity in the Prospective Cohort Study of Thai Children Project
Vorasith Sornsrivichai1, Virasakdi Chongsuvivatwong, Ladda Mo-suwan
1Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Songkhla, Hat Yai, Thailand. vorasith@msn.com
Insights
Infant morbidity in Thailand is high, with perinatal conditions, respiratory diseases, pneumonia, and diarrhea being major causes. These conditions require further prevention and control efforts to reduce the burden on healthcare resources.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Infant morbidity represents a significant healthcare resource burden.
- The specific patterns and magnitude of infant morbidity in developing countries remain largely uncharacterized.
Purpose of the Study:
- To investigate the incidence and patterns of hospitalized infant morbidity.
- To identify the leading causes of infant illness and their impact on hospital stay in rural Thailand.
Main Methods:
- A prospective cohort study involving 2,739 children over one year in rural Thailand.
- Detection and classification of hospitalized infant morbidity.
Main Results:
- The overall incidence of infant morbidity was 454.9 per 1,000 live births.
- Top morbidities included perinatal conditions (88.7/1,000), respiratory diseases (35.4/1,000), pneumonia (34.3/1,000), and infectious diarrhea (30.3/1,000).
- These conditions accounted for 76.6% of total hospital stay days, with 34.8% occurring in the early neonatal period.
Conclusions:
- Perinatal conditions in the early neonatal period and pneumonia/diarrhea in the post-neonatal period are significant health concerns.
- Effective prevention and control strategies are crucial to mitigate infant morbidity.
- The findings highlight the need for targeted interventions in developing regions.
Background:
Infant morbidity causes a substantial resource burden, however, its magnitude and pattern in developing countries is still unknown.
Material And Method:
The authors prospectively followed a cohort of 2,739 children over a one-year period in three rural areas of Thailand to detect the hospitalized infant morbidity.
Results:
The incidence of morbidity was 454.9/1,000 live births. The top five morbidities were perinatal conditions, respiratory diseases, pneumonia, infectious diarrhea, and disorders related to short gestation/ low birth weight, and had an incidence of 88.7, 35.4, 34.3, 30.3, and 23.0 diagnoses/1,000 live births, respectively. They accounted for 1,973 days (76.6%) of hospital stay Of all morbidities, 34.8% occurred in the early neonatal period and 3.1% occurred in the late neonatal period.
Conclusion:
The present study confirmed that perinatal conditions in the early neonatal period and pneumonia and diarrhea in the post neonatal period are still an important health problem. Further attempts for prevention and control will be needed.
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