- Сlinical and epidemiological characteristics of the short stature during childhood in Odessa region
Сlinical and epidemiological characteristics of the short stature during childhood in Odessa region
SOVREMENNAYA PEDIATRIYA.2017.6(86):36-40; doi 10.15574/SP.2017.86.36
Aryayev М. L., Senkivska L. I.
Odessa National Medical University, Ukraine
Purpose — to explore the clinical and epidemiological pecularities of the short stature of the Odessa region (Ukraine), analize and summarize the gaps and challenges in diagnosis and treatment of short stature in children in Ukraine.
Patients and methods. Clinical and epidemiological examination of short stature chlldren in pediatric practice.
Results. The pediatric population (0–17 years) in Odessa region at the beginning of 2017 included 450 622. Among them 76 932 children in 2016 were supervised in the Outpatient Dpt. of the Odessa Regional Children's Hospital and 448 were identified as short stature children (0.58%). The main causes of short stature were endocrinopathies (19.2%), cardiac pathology (13.4%), respiratory pathology (13.2%), gastrointestinal pathology (13.1%), renal diseases (1.5%), hereditary diseases (15.9%), psycosocial short stature (2%). The rate of idiopatic short stature was comparatively low — 21.7%. The most important endocrine and treatable cause of short stature is GHD (43 children). The total incidence of GHD in the Odessa region compiled 0.95. The GHD prevalence (ratio of sick children with GHD to the general population of children) was 1 : 10 400. The ratio of sick boys and girls was 2.3 : 1 for the region.
Conclusions. The clinical and epidemiological examination of children in Odessa region demonstrate underdiagnosis of pathologic causes of short stature and other conditions potentially associated with poor growth.
Key words: short stature, growth hormone deficiency, epidemiology, prevalence.
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