A nationwide study of children and adolescents with pneumonia who visited Emergency Department in South Korea in 2012

다국어 초록 (Multilingual Abstract)

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 ≤18 years 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.

참고문헌 (Reference)

1 김효진, "흡인성 폐렴이 반복된 뇌성마비 환자에서의공장창냄술(Jejunostomy) 시행 1례" 대한 소아알레르기 호흡기학회 15 (15): 180-185, 2005

2 이규택, "제주 지역 소아에서 폐렴미코플라스마(Mycoplasma pneumoniae) IgM 항체의 혈청빈도" 대한진단검사의학회 4 (4): 146-151, 2014

3 홍대영, "응급의료센터에 내원한 소아 폐렴의 진료 지침을 위한 기초 자료 연구" 대한소아과학회 49 (49): 757-762, 2006

4 이희정, "응급의료센터 소아 환자들의 경향 분석" 대한소아과학회 48 (48): 1061-1067, 2005

5 박수은, "소아의 지역 사회 획득 폐렴" 대한소아과학회 45 (45): 1-690, 2002

6 서정완, "소아 위식도 역류질환의 최신지견" 대한소아과학회 43 (43): 599-604, 2000

7 김유나, "소아 마이코플라스마 폐렴의 다양한 임상 양상에 연관된 요인들" 대한 소아알레르기 호흡기학회 1 (1): 357-361, 2013

8 신연심, "급성 호흡기 증상으로 중환자실에 입원한 소아에서 호흡기 바이러스 감염의 임상적 특징" 대한 소아알레르기 호흡기학회 1 (1): 370-376, 2013

9 김진우, "국내소아에서 발생한 마이코플라스마 폐렴 메타분석" 대한소아과학회 52 (52): 315-323, 2009

10 Korean Centers for Disease Control and Prevention, "Weekly respiratory virus occurrence in 2012" Korea Centers for Disease Control and Prevention

11 Leyenaar JK, "Variation and outcomes associated with direct hospital admission among children with pneumonia in the United States" 168 : 829-836, 2014

12 Brogan TV, "Variability in processes of care and outcomes among children hospitalized with community-acquired pneumonia" 31 : 1036-1041, 2012

13 Ryu JM, "The statistical studies on the emergency room patients under the 15 years of age" 28 : 372-377, 1985

14 Health Insurance Review & Assessment Service, "Press Release November 21, 2014"

15 Neuman MI, "Prediction of pneumonia in a pediatric emergency department" 128 : 246-253, 2011

16 Eun BW, "Mycoplasma pneumoniae in Korean children: the epidemiology of pneumonia over an 18-year period" 56 : 326-331, 2008

17 Pati S, "Health insurance and length of stay for children hospitalized with community-acquired pneumonia" 7 : 304-310, 2012

18 World Health Organization, "Global tuberculosis report 2015" World Health Organization

19 Korea National Statistical Office, "Estimated future population" Statistics Korea

20 Rudan I, "Epidemiology and etiology of childhood pneumonia" 86 : 408-416, 2008

21 Neuman MI, "Emergency department management of childhood pneumonia in the United States prior to publication of national guidelines" 20 : 240-246, 2013

22 Jain S, "Community-acquired pneumonia requiring hospitalization among U.S. children" 372 : 835-845, 2015

23 Nascimento-Carvalho CM, "Childhood pneumonia: clinical aspects associated with hospitalization or death" 6 : 22-28, 2002

24 Korea Centers for Disease Control and Prevention, "Annual report on the notified tuberculosis in Korea 2012" Korea Centers for Disease Control and Prevention

25 문정희, "2개 지역에서 소아의 급성 바이러스성 하기도염의 유행성에 관한 역학조사" 대한소아감염학회 9 (9): 193-200, 2002

26 양미애, "20년간(1988-2007) 1개 대학병원에 입원한 소아결핵 환자의 동향" 대한소아감염학회 15 (15): 58-66, 2008

27 National Medical Center, "2012 Statistics of emergency medical"

28 김혜영, "2010-2011년 부산 경남 지역에서 급성 하기도 감염으로 입원한 소아의 호흡기 바이러스 임상 양상" 대한 소아알레르기 호흡기학회 22 (22): 265-272, 2012