Authors
Grechukhin I. V.
MD PhD, Associated Professor, Chair for Topographic Anatomy and Operative Surgery1
Kulkov V. N.
MD PhD, Associated Professor, Chair for Public Health and Health Protection with Postgraduate Course1
Fomichyov V. V.
MD PhD, Associated Professor, Chair for Topographic Anatomy and Operative Surgery1
1 - Astrakhan State Medical University, Astrakhan, Russia
Remarks
Corresponding author: Grechukhin Igor Vladimirovich; e-mail: iggrech@mail.ru. Financing: the study had no sponsorship.
Conflict of interest: none declared.
Abstract
The aim of the study is to evaluate the principal indicators for morbidity rate of the musculoskeletal system illnesses in children due to traumas, poisonings and some other external causes in the period 2011-2017 to improve the statistical recording of abovementioned pathologies. Material and methods. Authors performed analysis of primary and general morbidity (per 100000 of the population) of the musculoskeletal system and connective tissue diseases due to traumas, poisonings and some other external causes in 0-14- and 15-17-years old children based on the data from the Ministry of Health of the Russian Federation for the period 2011-2017. Results and discussion. A positive trend in morbidity rate decrease of the musculoskeletal system diseases in child population of Russian Federation in 2011-2017 was identified. Primary morbidity in 0-14 years old children decreased by 19,2% and general morbidity – by 2,4%. In 15-17 years old adolescents primary morbidity decreased by 7,0% and general morbidity – by 0,8%. In Astrakhan region authors observed increase in primary morbidity by 4,0% in 0-14 years old children and by 49,2% in 15-17 years old adolescents. General morbidity increased by 18,2% in 0-14 years old children and by 25,8% in 15-17 years old adolescents. Discrepancy between primary morbidity and general morbidity dynamics indicates drawbacks in the statistics on the pathology. Sufficiently high number (up to 30%) of «other» illnesses, especially in Astrakhan region, indicates drawbacks in official medical statistics. The increase of nationwide primary and general morbidity rates due to traumas and poisonings in 15-17 years old adolescents necessitates further development of the prevention activities and provision of traumatological aid. Statistics on the pathology needs improvement, applying state of the art information technologies.
Key words
analysis, morbidity, children, traumas, diseases, musculoskeletal system
DOI
References
1. Baindurashvili A.G., Shapiro K.I., Kagan A.V., Vishniakov A.N., Fedorov S.V., Drozhzhina L.A. Sostoyanie i nekotorye problemy organizacii stacionarnoj medicinskoj pomoshchi detyam pri travmah kostno-myshechnoj sistemy v Sankt-Peterburge. [The characteristics of patients and hospital procedures for pediatric trauma in Saint Petersburg] Ortopediya, travmatologiya i vosstanovitel'naya hirurgiya detskogo vozrasta. [Pediatric Traumatology, Orthopaedics and Reconstructive Surgery] 2016;4(2):45-53. (In Russ.)
2. Baranov A.A., Albitskiy V.Yu. Sostoyanie zdorov'ya detej Rossii, prioritety ego sohraneniya i ukrepleniya. [State of health of children in Russia, priorities of its preservation and improving]. Kazanskij medicinskij zhurnal. [Kazan medical journal] 2018; 99 (4): 698-705. (In Russ.)
3. Balabanova R.M., Kuzmina N.N., Erdes Sh.F. Revmaticheskie zabolevaniya u detej i podrostkov Rossijskoj Federacii (2009–2010). [Rheumatic diseases in children and adolescents in the Russian Federation (2009–2010)] Nauchno-prakticheskaya revmatologiya. [Rheumatology Science and Practice] 2013; 51(4): 446-450. (In Russ.)
4. Es’kin N.A., Andreeva T.M. Zabolevaemost' detej i podrostkov boleznyami kostno-myshechnoj sistemy v 2010-2014 gg. [Morbidity of Musculoskeletal Diseases among Children and Adolescents in 2010-2014]. Vestnik travmatologii i ortopedii im. N.N. Priorova [Central Institute of Traumatology and Orthopaedics named after N.N. Priorov] 2016; 1: 5-14. (In Russ.)
5. Kalinina O.I., Miroshnikov E.V., Krasnorutsk Î.N. Mediko-social'noe znachenie boleznej kostno-myshechnoj sistemy i soedinitel'noj tkani na ambulatorno-poliklinicheskom ehtape i kompleksnaya programma svoevremennoj profilaktiki dorsopatij [Medico-social significance of diseases of the bone-muscular system and connecting fabric at the ambulatory-polyclinic stage and complex program of timely preventive drugs prevention]. Central'nyj nauchnyj vestnik [Central scientific Bulletin] 2017; 7 (24): 13-15. (In Russ.)
6. Mirskaya N. B., Kolomenskaya A. N., Sinyakina A. D. Mediko-social'naya znachimost' narushenij i zabolevanij kostno-myshechnoj sistemy detej i podrostkov (Obzor literatury) [Prevalence and medical and social importance of disorders and diseases of the musculoskeletal systems in children and adolescents (review of literature)]. Gigiena i sanitariya [Hygiene and sanitation] 2015; 94 (1): 97-104. (In Russ.)
7. Ursova N.I., Gurov A.N. Analiz zabolevaemosti, gospitalizacii, letal'nosti i smertnosti detskogo naseleniya Moskovskoj oblasti v 2014 g. i sovershenstvovanie sistemy okazaniya medicinskoj pomoshchi detyam [The analysis of morbidity, hospitalizations, lethality and mortality among pediatric population of the Moscow Region in 2014 and upgrading of the system of medical care for children]. Al'manah klinicheskoj mediciny [Almanac of Clinical Medicine] 2015 42: 6-11. (In Russ.)
8. Federal'nyj zakon Rossijskoj Federatsii ot 21 noyabrya 2011 g. ¹ 323-FZ "Ob osnovakh okhrany zdorov'ya grazhdan v Rossijskoj Federatsii". [Federal Law of the Russian Federation of November 21, 2011 ¹. 323-FZ "On the Basics of health protection in the Russian Federation"]. Available at: http://www.consultant.ru/document/cons_doc_LAW_121895/ Cited: 03.09.2018. (In Russ.)