P24 The main violations of the functions in the state of health of children with disabilities in the city children’s polyclinic

• Published in: Archives of disease in childhood 2019-06, Vol.104 (Suppl 3), p.A165
• Main Authors: Shapjvalov, Konstantin, Shapovalova, Larisa, Makarova, Nina, Pokhodyaeva, Galina, Zaboeva, Marina, Markova, Olga
• Format: Article
• Language: English
• Subjects: Adolescents; Aphasia; Blood circulation; Body size; Child Health; Children; Children with disabilities; Childrens health; Deformities; Disabilities; Dyslexia; Energy metabolism; Excretion; Growth rate; Intelligence; Language; Limbs; Pain; Patients; Pediatrics; Rehabilitation; Respiratory tract; Speech; Speech perception; State budgets; Violations; Voice Disorders
• ISSN: 0003-9888; 1468-2044
• DOI: 10.1136/archdischild-2019-epa.380

Indicators of major impairments in the health status of children with disabilities are used as a daily statistical tool for objectifying the process of rehabilitating patients and identifying the strengths and facilities of a medical institution for the successful implementation of an individual program of rehabilitation/habilitation of a disabled person.The analysis of the main violations of functions in the state of 1611 disabled children of the State Budget Agency of Health of Republic of Komi ‘ Syktyvkar children`s clinic №3’ was conducted on the basis of medical documentation in 2011–2018.Seven major violations of functions in the state of health of children with disabilities were identified: 1) Mental, of which perception, attention, memory, thinking, intelligence, consciousness, behavior, psychomotor functions, and other functions; 2) Language and speech, of which speech disorders (rhinolalia, dysarthria, alalia, aphasia), writing disorders (dysgraphy, dyslexia), disorders of verbal and non-verbal speech, voice disorders, and other violations of language and speech functions; 3) Sensory, of which sight, hearing, smell, touch, tactile, pain, temperature and other types of sensitivity; 4) Statodynamic, including violations of the motor functions of the head, motor functions of the body, motor functions of the limbs, statics, coordination of movements; 5) Organs and systems, including blood circulation, respiration, digestion, excretion, blood formation, metabolism and energy, internal secretion, immunity; 6) Violations caused by physical deformity, of which lead to external deformity (deformation of the face, head, torso, limbs), abnormal digestive, urinary, respiratory tracts, violation of body size; 7) General and generalized.The number of disabled children in the city children’s clinic in 2011–2018 increased in absolute terms by 95 people with a growth rate of 157.23%; the incidence of patients with disabilities increased 1.34 times to 159.92 per 10,000 contingent of children and adolescents.According to the specific weight, among the main disorders in the state of children’s health were: statodynamic - 35.34±3.11% over the pathology of organs and systems 28.47±2.93%, mental 16.62±2.41%, sensory 13.10±2.19%, language and speech 5.49 ± 1.48% (all p