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| An analysis of diseases composition and cis position of 65952 disabled children who applied for medical authentication between 2004 and 2015 in Sichuan province |
| 1.National Research Institute for Family Planning, Beijing, 100081; 2.Chengdu University of Traditional Chinese Medicine, Sichuan Family Planning Research Institute; 3. Health and Family Planning Commission of Sichuan Province; 4. West China Second University Hospital, Sichuan University |
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Abstract To analysis diseases composition and cis position of disabled children who applied for medical authentication, and to provide evidence for making priority preventing and cure strategies. Methods: Based on an utomatic classification process of standard ICD 10 diseases, 76726 diagnosed diseases corresponding to 65952 disabled children who applied for medical authentication at prefectural city level in Sichuan province were coded between 2004 and 2015. And the identification situation of approval disabled children, basic demographic characteristics, diseases classification, as well as overall cis position of these disabled children during 12 years were analyzed by SPSS statistics software. Results: Average approval ratio of medical authentication of 20 prefectural city of Sichuan province between 2004 and 015 was 74.11%, average age of disabled children when applied for medical authentication was 8.82 years old, male accounted for 56.77%, children from rural area accounted for 73.34%, sex ratio of rural area disabled children (14629) was higher than those of disabled children from urban area (98.29). 849 types of diseases were diagnosed by the authentication. Congenital malformations, deformations and chromosomal abnormalities (24.84%), diseases of the nervous system (17.87%), diseases of the eye and adnexa (11.01%), mental and behavioural disorders (1096%) were four major diseases categories. In congenital malformations, deformations and chromosomal abnormalities category, congenital malformation of circulatory system (30.56%), musculoskeletal system (23.57%), and genitourinary organs (10.58%) were major diseases. The top ten diseases were epilepsy (10.32%), unspecified mental retardation (6.61%), cerebral palsy (4.47%), disorders of refraction and accommodation (4.30%), other congenital malformations of heart (3.86%), visual disturbances (3.80%), congenital malformations of heart septum (2.70%), other hearing loss (2.13%), other congenital malformations of brain (1.84%), and sequelae of injuries of head (1.26%). Conclusion: Congenital malformations, deformations and chromosomal abnormalities were the most common reasons caused disabled children from the data of medical authentication of Sichuan province. In which, Epilepsy, mental retardation, cerebral palsy, disorders of refraction and accommodation, congenital malformations of heart were high incidence diseases. Effective prevention and cure strategies should be worked out for preventing these diseases. The registration and follow up service system should be built for families with disabled children, as to effectively control reproductive risk of high risk families and to improve the quality of birth population.
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