Population health protection is the primary concern of health care service. It is important to pay attention to the health of younger generation. It is necessary to optimize preventive medical examinations considering the increase of borderline health disorders in adolescents.
OBJECTIVE
To substantiate the effectiveness of preventive before-doctor examination of school students using automatic analytical systems on the example of the analytical software and hardware complex (ASHC) application designed for monitoring the health status of population.
MATERIAL AND METHODS
The number of children equal 128 (study group) was examined by ASHC and 54 children (comparative group) — by routine method. Application of anthropometric methods for physical state estimation (sigma deviation method), functional state assessment method (lung life capacity determination), statistical methods of processing the obtained information (calculation of confidence interval (CI), odds ratio (OR) and χ2 test) were used.
RESULTS
The time spent on 1 patient reduces by 1.23 minutes during medical examination using ASHC system, that significantly facilitates the doctor’s work during mass screening. In the assessment of physical development, 54.8% of children were found to have disabilities. It has been revealed using automatic system, that 16.4% of adolescents had growth disorders while children from comparative group didn’t have these deviations. Arterial hypertension syndrome has been found in 4.6% of children in the study group, and arterial hypotension has been determined in 12.4% of children in study group and in 5% of children in comparative group. OR 0.42 (CI 0.13—1.36) was for arterial hypertension, OR for arterial hypotension — 2.25 (CI 0.63—8.03). Children with growth disorder in 71.4% of cases had decreased level of arterial hypertension (χ2=9.49, with a critical value of 6.64, p=0.003).
CONCLUSION
The obtained data allow to substantiate the application of automated software and hardware complexes with data transmission functions for children’s outpatient service during medical examinations of school students.
