코로나19 유행에 따른 한방소아청소년과 외래 환자의 진단명 변화
A Change in the Diagnosis of a Korean Pediatric Outpatients following the COVID-19 Pandemic
0
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Objectives This study aims to provide directions for future Korean pediatric medicine treatment and researches by analyzing the characteristics of diseases of Korean pediatric outpatients before and after the COVID-19 epidemic. Methods We analyzed the medical records of 10,868 new patients aged 0-18 who visited the Korean pediatrics at Kyung Hee university hospital from January 1, 2019 to June 30, 2021. All patients were divided into 2 groups; patients who visited from January 1, 2019 to December 31, 2019, before the coronavirus epidemic, and patients who visited from January 1, 2020 to June 30, 2021, after the coronavirus epidemic. Within the two groups, the diagnosis distribution was performed for the entire population, by gender and by age group. Diagnoses were classified as allergy, growth, gastrointestinal, respiratory, general body supplementation, neuropsychiatric, skin, urogenital, musculoskeletal, and other systems. Results According to the comparative analysis results of before and after the COVID epidemic, there was a decreasing trend of diagnoses in relates to allergy, respiratory, urogenital, musculoskeletal system. On the other side, there was an increasing trend in gastrointestinal, general body supplementation, growth, neuropsychiatric, skin and other system. Changes in diagnosis based on gender and age group will be described below. Conclusions This study analyzed the characteristics of diseases of Korean pediatric outpatients before and after the COVID-19 epidemic, and suggested the direction of future Korean medicine treatment and researches for pediatrics. Also, this study aimed to propose proper treatments for children by showing the role of Korean pediatric medicine related to growth and development of children during the epidemic. However, this study has limitations such as failure to track the long-term impact of COVID-19. Thus, long term follow-up studies are needed to show the effect of COVID-19 on Korean pediatric medicine.
Abstract
Objectives This study aims to provide directions for future Korean pediatric medicine treatment and researches by analyzing the characteristics of diseases of Korean pediatric outpatients before and after the COVID-19 epidemic. Methods We analyzed the medical records of 10,868 new patients aged 0-18 who visited the Korean pediatrics at Kyung Hee university hospital from January 1, 2019 to June 30, 2021. All patients were divided into 2 groups; patients who visited from January 1, 2019 to December 31, 2019, before the coronavirus epidemic, and patients who visited from January 1, 2020 to June 30, 2021, after the coronavirus epidemic. Within the two groups, the diagnosis distribution was performed for the entire population, by gender and by age group. Diagnoses were classified as allergy, growth, gastrointestinal, respiratory, general body supplementation, neuropsychiatric, skin, urogenital, musculoskeletal, and other systems. Results According to the comparative analysis results of before and after the COVID epidemic, there was a decreasing trend of diagnoses in relates to allergy, respiratory, urogenital, musculoskeletal system. On the other side, there was an increasing trend in gastrointestinal, general body supplementation, growth, neuropsychiatric, skin and other system. Changes in diagnosis based on gender and age group will be described below. Conclusions This study analyzed the characteristics of diseases of Korean pediatric outpatients before and after the COVID-19 epidemic, and suggested the direction of future Korean medicine treatment and researches for pediatrics. Also, this study aimed to propose proper treatments for children by showing the role of Korean pediatric medicine related to growth and development of children during the epidemic. However, this study has limitations such as failure to track the long-term impact of COVID-19. Thus, long term follow-up studies are needed to show the effect of COVID-19 on Korean pediatric medicine.
참고문헌 (22)
- 김기환, "소아청소년 코로나바이러스감염증-19 대응지침", Pediatric Infection and Vaccine, 27(1), pp.24~34 (2020), 대한소아감염학회[DOI]
- 최지욱, "코로나19가 성인 및 소아청소년에 미치는 영향과 지원 방안", 신경정신의학, 60(1), pp.2~10 (2021), 대한신경정신의학회[DOI]
- "COVID-19youth mental health survey" (2015)[URL]
- Yun GJ, "Changes and tasks in Korea’s healthcare system in times of the Covid-19 pandemic", Health and Welfare Policy Forum, 2020(12), pp.34~49 (2020)
- Shin JW, "Covid-19 and health care utilization", Health and Welfare Issue&Focus, 400, pp.1~8 (2021)
- 임형호, "한의 의료기관 최근 외래 이용 현황 분석: 외래 다빈도 상병을 중심으로(2016-2020)", 척추신경추나의학회지, 16(1), pp.67~72 (2021), 척추신경추나의학회[DOI]
- 이은주, "한방소아·청소년과 외래 환자 주소증의 최근 경향에 대한 연구", 대한한방소아과학회지, 30(1), pp.45~58 (2016), 대한한방소아과학회
- Jones N, "How COVID-19 is changing the cold and flu season", Nature, 588(7838), pp.388~390 (2020)
- Han JA, "Impact of the COVID-19 pandemic on seasonal variations in childhood and adolescent growth : Experience of pediatric endocrine clinics", Children, 8(5), pp.404~ (2021)
- Choi JH, "Daily life changes and life satisfaction among Korean school-aged children in the COVID-19 pandemic", Int J Environ Res Public Health, 18(6), pp.3324~ (2021)
- 김선주, "경남도민의 COVID-19 감염예방행위에 미치는 영향요인: 불안, 건강신념을 중심으로", 한국보건간호학회지, 35(1), pp.19~32 (2021), 한국보건간호학회
- 서부덕, "코로나19 팬데믹 상황에서 국내 지역사회 노인들의 우울감 영향 요인", 보건정보통계학회지, 46(1), pp.54~63 (2021), 한국보건정보통계학회[DOI]
- Jo MK, "Factors associated with the use of complementary and alternative medicine among hospital outpatients during the COVID-19 pandemic in Korea", Master's, pp.2021
- 박정훈, "코로나19로 인한 의원급 의료기관의 재정적 손실", 대한의사협회지, 63(12), pp.798~805 (2020), 대한의사협회
- 이영록, "COVID-19 전후 한방병원 침구의학과 내원 환자들에 대한 비교 분석 - 일개 대학병원을 중심으로 -", 대한한의학회지, 42(2), pp.31~49 (2021), 대한한의학회
- Department of Pediatrics, Nationwide Korean Medicine College., "Pediatrics of Korean medicine" (2020), Ui Sung Dang Publishing Co
- 최선화, "Analyzing the effects of social distancing on the COVID-19 pandemic in Korea using mathematical modeling", Epidemiology and Health, 42, pp.1~6 (2020), 한국역학회[DOI]
- 반건호, "Coronavirus Disease 2019, School Closures, and Children’s Mental Health", Journal of the Korean Academy of Child and Adolescent Psychiatry, 31(2), pp.74~79 (2020), 대한소아청소년 정신의학회[DOI]
- Lee PH, "The effect of COVID-19 on outpatient treatment use", Health Insurance Review & Assessment Service HIRA ISSUE, 17, pp.1~7 (2021)
- Kyriakopoulos C, "Reduction in hospitalizations for respiratory diseases during the first COVID-19 wave in Greece", Respiration, 100(7), pp.588~593 (2021)
- Brooks C, "Pediatric BMI changes during COVID-19 pandemic : An electronic health record-based retrospective cohort study", E Clinical Medicine, 38, pp.1~7 (2021)
- Jenssen B, "COVID-19 and changes in child obesity", Pediatrics, 147(5), pp.1~5 (2021)