Epidemiological trends and disease burden of lower gastrointestinal bleeding in children within 10 years
10.3969/j.issn.1006-2483.2024.01.023
- VernacularTitle:2012—2021年儿童下消化道出血流行病学特征及疾病负担分析
- Author:
Guoying TANG
1
,
2
;
Qing LIU
1
,
2
;
Mingyue ZHU
1
,
2
;
Yongping ZHAO
1
,
2
;
Pingying JIANG
1
,
2
;
Linyun YANG
1
,
2
Author Information
1. Chongqing Kaizhou District People'
2. s Hospital (Chongqing Institute of Clinical Prevention and Control of Natural Epidemic Source Diseases in the Three Gorges Reservoir Area) , Pediatrics , Chongqing 405400 , China
- Publication Type:Journal Article
- Keywords:
Children;
Lower gastrointestinal hemorrhage;
Change trend;
Disease burden
- From:
Journal of Public Health and Preventive Medicine
2024;35(1):100-103
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrospectively analyze the epidemiological trend of children with lower gastrointestinal bleeding in recent 10 years,and investigate the change of their disease burden,so as to provide a theoretical basis for the accurate prevention and control of children's lower gastrointestinal bleeding. Methods A total of 671 children with "lower gastrointestinal bleeding" who were diagnosed in our hospital from 2012 to 2021 were collected as research subjects. To analyze the microscopic examination rate and common etiology of lower gastrointestinal bleeding in children in the past 10 years,as well as the epidemiological characteristics of different age groups, different regions and different basic diseases; Calculate and compare the rate of disability life lost (YLD), early death life lost (YLL) and disability adjusted life year (DALY) of children with lower gastrointestinal bleeding within 10 years, and calculate the annual change percentage (AAPC) to analyze the change trend of disease burden. Results The microscopic examination rate of children with lower gastrointestinal bleeding showed a trend of increasing in the past 10 years (P<0.001). Among them, the most common causes are Crohn's disease, ulcerative colitis and chronic colitis. The proportion of children with lower gastrointestinal bleeding was higher in boys, >18 years old, hypertension and gastroenteritis. The DALY rate, YLL rate and YLD rate caused by lower gastrointestinal bleeding in the past 10 years showed an upward trend (P<0.05). Conclusion The microscopic examination rate of lower gastrointestinal bleeding in children was graduallyincreasing,and the prevalence rate of basic diseases such as boys,hypertension and gastroenteritis was increasing;in addition,the disease burden caused by children's lower gastrointestinal bleeding was also increasing year by year and should be protected.
