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<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2d1 20170631//EN" "JATS-journalpublishing1.dtd">
<article xlink="http://www.w3.org/1999/xlink" dtd-version="1.0" article-type="pediatrics" lang="en">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher">JOHS</journal-id>
      <journal-id journal-id-type="nlm-ta">Journ of Health Scien</journal-id>
      <journal-title-group>
        <journal-title>Journal of HealthCare Sciences</journal-title>
        <abbrev-journal-title abbrev-type="pubmed">Journ of Health Scien</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="ppub">2231-2196</issn>
      <issn pub-type="opub">0975-5241</issn>
      <publisher>
        <publisher-name>Radiance Research Academy</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">40</article-id>
      <article-id pub-id-type="doi">http://dx.doi.org/10.52533/JOHS.2021.1704</article-id>
      <article-id pub-id-type="doi-url"/>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Pediatrics</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>The Leading Causes of Recurrent Hospitalization of Neurologically Impaired and Disabled Pediatric Patients in King Abdulaziz Medical City- Jeddah from 2013 to 2017&#13;
</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Baloush</surname>
            <given-names>Sahar</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Althobaiti</surname>
            <given-names>Hatoon</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Alawfi</surname>
            <given-names>Raghad</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Abed</surname>
            <given-names>Sara</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Khan</surname>
            <given-names>Muhammed</given-names>
          </name>
        </contrib>
      </contrib-group>
      <pub-date pub-type="ppub">
        <day>30</day>
        <month>11</month>
        <year>-0001</year>
      </pub-date>
      <volume>1</volume>
      <issue>7</issue>
      <fpage>186</fpage>
      <lpage>199</lpage>
      <permissions>
        <copyright-statement>This article is copyright of Popeye Publishing, 2009</copyright-statement>
        <copyright-year>2009</copyright-year>
        <license license-type="open-access" href="http://creativecommons.org/licenses/by/4.0/">
          <license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.</license-p>
        </license>
      </permissions>
      <abstract>
        <p>Background &#13;
&#13;
Disabilities are a major issue, affecting 15% of the world’s population. They are mostly caused by NI such as GDD, CP, hydrocephalus, and HIE. Patients of such conditions, especially children, are more likely to require admission and healthcare. Therefore, it is necessary to investigate the causes that may lead these children to have multiple admissions&#13;
&#13;
Methods &#13;
&#13;
A cross-sectional study was conducted by reviewing medical records of patients who were admitted to the pediatric ward of King Khalid National Guard Hospital, Jeddah, Saudi Arabia from 2013-2017 with any underlying NI. These impairments included any previous diagnosis of GD, CP, HIE, encephalitis, hydrocephalus, or corpus callosum agenesis. A non-probability convenience sampling technique was used to recruit patients who were under 15 years of age with the mentioned diagnoses, and all of the identified 265 patients were included in this study.&#13;
&#13;
Results&#13;
&#13;
Analysis of a total of 635 admissions reports that the most common causes of admission in of patients with the mentioned included underlying conditions are other neurological conditions with (n=222, 35%) admissions, mainly due to seizures (n= 64, 10%), hydrocephalus (n=39, 6.1%), and delayed milestones (n=29, 4.6%). The second top category was respiratory conditions and infections (n=164, 25%). Aspiration pneumonia was documented (n=66, 10.4%), making it the top diagnosis in all admission, followed by seizures. The second top documented infection was pneumonia (n=40, 6.3%). The third top category was gastrointestinal infections and conditions. Leading that category is gastroenteritis (n=22, 3.4%) and GER (n=15, 2.4%). There was no There was a statistically significant relationship between NI and the gender of patients (p = 0.170). There was, however, a statistically significant relationship with the age group, feeding rout, home oxygen, documented disability, admission cause, and patient management (p &lt; 0.001).&#13;
&#13;
Conclusion&#13;
&#13;
Specific NI are more associated with certain conditions that are more likely to lead to hospitalization. Recognition of these conditions can be of future help in early detection and prevention of serious complications and morbidity.&#13;
</p>
      </abstract>
      <kwd-group>
        <kwd>children</kwd>
        <kwd> neurological impairment</kwd>
        <kwd> disability</kwd>
        <kwd> global developmental delay</kwd>
        <kwd> hydrocephalus</kwd>
        <kwd> cerebral palsy</kwd>
        <kwd> admission</kwd>
        <kwd> causes</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>