Pattern of children diseases : a hospital BPJS claim based study

Abstract

The children are vulnerable to get many diseases caused by viruses, bacteria, fungi and parasites although the innate or adaptive immune systems begin to mature. This study aims to assess the pattern of diseases in children hospitalized with BPJS Kesehatan. This observational study was conducted on purposively selected samples in one type A hospital in Jakarta. The data were obtained from all claim data of BPJS patients who admitted into the hospital ward between the period of  January  to December 2017. The patients in the pediatric age group (below 18 years) were included in the analysis descriptively. There were a total of 3689  pediatric patients with BPJS insurance presented into hospital wards. Of which, 995 were readmission, resulting in 4684 admissions within the one-year period.  The male to female ratio of 1.4:1, with mean (SD) age was 4.8 (5.8) years. The most frequent child admitted was infants (42.2%). Certain conditions originating in the perinatal period system category was the leading cause of admissions (P00-P96). The fetus and newborn affected by Caesarean delivery (P03.4) and bacterial sepsis of newborn, unspecified (P36.9) as the common cause in these category. The overall mortality rate was 7,3% with the majority cause of death was also certain conditions originating in the perinatal period accounted for 33.6%. Of this category, bacterial sepsis of newborn, unspecified was the leading cause of death. Furthermore, diseases of  the circulatory system had greatest case fatality rate as many as 22.6%. Conclusion: Infants age had high morbidity and mortality due to condition originating in the perinatal period.