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Child morbidity as described by hospital admissions for primary school aged children in Tonga 2009-2013.

Child morbidity as described by hospital admissions for primary school aged children in Tonga 2009-2013.
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Langridge FC, Hufanga SV, 'Ofanoa MM, Fakakovikaetau T, Percival TM, Grant CC,


Langridge FC, Hufanga SV, 'Ofanoa MM, Fakakovikaetau T, Percival TM, Grant CC, (click to view)

Langridge FC, Hufanga SV, 'Ofanoa MM, Fakakovikaetau T, Percival TM, Grant CC,

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The New Zealand medical journal 2017 11 10130(1465) 29-43
Abstract
AIMS
To describe inpatient utilisation patterns for primary school aged children in Tonga.

METHODS
We described admissions for children aged 5-11 years to the main hospital in Tonga from January 2009 to December 2013. Rates with 95% confidence intervals (CI) were compared using rate ratios (RR).

RESULTS
There were 1,816 admissions. The average annual admission rate was 20.2/1,000 (95% CI 19.3-21.1). Hospital admission rates were higher in younger than older children (5-7 versus 8-11 years, RR=1.28, 95% CI 1.18-1.41) and in boys than girls (RR=1.52, 95% CI 1.38-1.68). Injury and poisoning (28%), non-respiratory infectious diseases (19%), respiratory conditions (16%), abdominal/surgical conditions (13%) and dental (9%) were the most frequent admission reasons. A larger proportion of younger versus older children were hospitalised for dental (16% vs 1%, P<0.001) or respiratory conditions (18% vs 14%, P=0.02). A larger proportion of older children were hospitalised for abdominal/surgical conditions (15% vs 11%, P=0.008), other infectious diseases (21% vs 17%, P=0.04), other conditions (10% vs 6%, P<0.001) and cardiac conditions (2% vs 1%, P<0.001). CONCLUSIONS
In children 5-11 years in Tonga, 85% of admissions were for five groups of conditions. These data inform priority areas for healthcare spending and enable comparisons over time and between different Pacific countries.

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