Short Stature in Children Admitted to Hasan Sadikin Hospital Bandung, West Java, Indonesia
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Date
2023-02-20
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Abstract
Background: In normal conditions, growth in children follows a predictable pattern. Abnormalities in the growth period can be caused by various factors and have various underlying diseases. Therefore, short stature is a symptom of a pathological disorder or a physiological condition. Recognition and evaluation of short stature is paramount due to the multitude of factors involved in growth failure. The importance of recognizing and evaluating short stature is because the causes of growth failure are multifactorial. Furthermore, Accurate monitoring and assessment of growth is important for early recognition of inadequacy of growth.
Methods: This cross-sectional study was obtained from Dr. Hasan Sadikin Hospital medical records, a total of 6,370 children were admitted in 2020 and 6,248 children in 2021. This study included 323 pediatric patients who were diagnosed with short stature from January 2020-December 2021 that have been selected based on the exclusion and inclusion indicator of this study.
Results: Demography of patients with short stature showed that the majority of samples 71 (21,98%) are from Bandung city. Gender distribution showed a majority of 164 (50.77%) males with the predominant age group being adolescents at 114 (35.29%) samples.
Anthropometric measurement for patients aged 0-18 years showed that 163 (50.46%) patients had length/height for age z-score that is categorized as stunted, followed by 160 (49.53%) is categorized as severely stunted. Furthermore, the wasted category at 28 (8.66%) patients and the severely wasted at 52 (16.09%) patients.
Patients with short stature revealed a predominant underlying disease that is from hematologic origin at 72 (22,29%) patients, followed by infection origin at 57 (17.64%). Birth history of short stature patients showed that 12 (3,71%) were born with low birthweight.
Conclusion: Demography of patients with short stature showed that the majority of samples are from Bandung city, predominantly males with normal BMI. Hematology disorders and infection are the most common underlying diseases.
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Short stature, children, west java