{
    "abstract": "Primary care for pediatric patients focuses on providing comprehensive, accessible, and coordinated healthcare from the neonatal period to adolescence. The implementation and use of electronic medical records (EMR) in pediatric primary care facilities is an efficient strategy to gather necessary information on the epidemiology of common pediatric diseases in the Philippines.\nThis study aimed to determine the frequency distribution of pediatric diseases in a rural primary healthcare facility in the Philippines.\nThis cross-sectional study reviewed the EMR of all pediatric patients who consulted in a primary care facility in Samal, Bataan from April 2019 to March 2021. Data gathered include sex, age in years, chief complaint, diagnosis, and month of consultation. Data was summarized using descriptive statistics.\nA total of 14,462 pediatric consults were recorded from April 2019 to March 2021. There were slightly more male patients (52.1%). The mean age of the patients was 6.5 years (standard deviation 5.22). The highest number of consults came from the 1- to 4-year-old age group (41.5%). The most common chief complaints were cough (45.9%), fever (25.5%), and colds (24.9%). The most frequent diagnoses were upper respiratory tract infections (47.4%), followed by lower respiratory tract infections (6.9%), and skin and soft tissue infections (5.3%). Majority of the consults for respiratory tract infections, skin and soft tissue infections, gastroenteritis, asthma, and dermatitis were in the 1- to 4-year-old age group. Urinary tract infections and otitis media or externa were recorded more frequently in the 5- to 9-year-old age group.\nRespiratory tract infections, followed by skin and soft tissue infections, were the most frequently identified diseases in children consulting a primary care facility at a rural site in the Philippines. The most common chief complaints, defined as the primary reason for seeking consult, were cough, fever, and colds. Data was gathered through EMR review, which may aid in the planning of programs and policies to improve primary care service delivery.",
    "authors": [
        {
            "affiliation": "Department of Pediatrics, Philippine General Hospital, University of the Philippines Manila.",
            "firstname": "Jonah Mikka B",
            "initials": "JMB",
            "lastname": "Dorado"
        },
        {
            "affiliation": "Department of Pediatrics, Philippine General Hospital, University of the Philippines Manila.\nPhilippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.",
            "firstname": "Leonila F",
            "initials": "LF",
            "lastname": "Dans"
        },
        {
            "affiliation": "Department of Clinical Epidemiology, College of Medicine, University of the Philippines Manila.",
            "firstname": "Carol Stephanie C",
            "initials": "CSC",
            "lastname": "Tan-Lim"
        },
        {
            "affiliation": "Philippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.",
            "firstname": "Cara Lois T",
            "initials": "CLT",
            "lastname": "Galingana"
        },
        {
            "affiliation": "Philippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.",
            "firstname": "Janelle Micaela S",
            "initials": "JMS",
            "lastname": "Panganiban"
        },
        {
            "affiliation": "Philippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.",
            "firstname": "Mia P",
            "initials": "MP",
            "lastname": "Rey"
        },
        {
            "affiliation": "Philippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.",
            "firstname": "Josephine T",
            "initials": "JT",
            "lastname": "Sanchez"
        },
        {
            "affiliation": "Philippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.",
            "firstname": "Herbert S",
            "initials": "HS",
            "lastname": "Zabala"
        },
        {
            "affiliation": "Philippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.",
            "firstname": "Maria Rhodora N",
            "initials": "MRN",
            "lastname": "Aquino"
        },
        {
            "affiliation": "Philippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman.\nInstitute of Clinical Epidemiology, National Institutes of Health, University of the Philippines Manila.",
            "firstname": "Antonio L",
            "initials": "AL",
            "lastname": "Dans"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2024 Acta Medica Philippina.",
    "doi": "10.47895/amp.vi0.8551\n10.1093/milmed/usx179\n10.1016/s1526-0542(03)00024-1\n10.1017/S095026881600203X\n10.1542/peds.2021-055553\n10.1136/jamia.2010.004135\n10.1542/peds.2015-3673\n10.1197/jamia.m1097\n10.1136/amiajnl-2010-000019\n10.1016/j.ijregi.2022.02.002\n10.3389/fneur.2016.00096\n10.1016/j.jdin.2022.01.007\n10.1542/peds.2012-0055I\n10.1111/j.1553-2712.2009.00635.x\n10.1093/fampra/cmi035\n10.1017/S146342361000040X\n10.3390/children9111743\n10.1186/s12913-022-07880-z\n10.1097/PEC.0b013e31826c6dde\n10.1016/j.pcl.2016.11.007\n10.1093/clinids/13.supplement_6.s454\n10.1371/journal.pntd.0003027\n10.1016/j.lanwpc.2021.100334\n10.1016/j.ijid.2018.08.001\n10.1142/S2424835519500255",
    "journal": "Acta medica Philippina",
    "keywords": [
        "electronic medical record",
        "pediatric primary care cases",
        "rural site"
    ],
    "methods": null,
    "publication_date": "2024-11-04",
    "pubmed_id": "39483303\n29635585\n12758047\n1658949\n27608858\n35104359\n16454128\n21134975\n26933205\n12509352\n21659445\n35721425\n27445963\n35128486\n22661762\n20370751\n15897210\n21457597\n36421192\n35421968\n23023461\n28292453\n1862276\n25375119\n34977832\n30118916\n31035876\n12269538",
    "results": "A total of 14,462 pediatric consults were recorded from April 2019 to March 2021. There were slightly more male patients (52.1%). The mean age of the patients was 6.5 years (standard deviation 5.22). The highest number of consults came from the 1- to 4-year-old age group (41.5%). The most common chief complaints were cough (45.9%), fever (25.5%), and colds (24.9%). The most frequent diagnoses were upper respiratory tract infections (47.4%), followed by lower respiratory tract infections (6.9%), and skin and soft tissue infections (5.3%). Majority of the consults for respiratory tract infections, skin and soft tissue infections, gastroenteritis, asthma, and dermatitis were in the 1- to 4-year-old age group. Urinary tract infections and otitis media or externa were recorded more frequently in the 5- to 9-year-old age group.",
    "title": "Frequency Distribution of Pediatric Primary Care Cases in a Rural Site in The Philippines: A Cross-Sectional Study.",
    "xml": "<Element 'PubmedArticle' at 0x788502a68f90>"
}