Perfil de morbidade de crianças hospitalizadas em um hospital público: implicações para a Enfermagem

Oliveira, Beatriz Rosana Gonçalves de; Viera, Cláudia Silveira; Furtado, Maria Cândida de Carvalho; Mello, Débora Falleiros de; Lima, Regina Aparecida Garcia de

doi:10.1590/s0034-71672012000400006

Cited by 26 publications

(45 citation statements)

References 20 publications

(19 reference statements)

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“…Bacterial pneumonia, gastroenteritis and kidney and urinary tract infection were the three most prevalent conditions among all age groups throughout the entire study period. These results corroborate the findings of a study which analysed the patient forms of children under five years of age admitted to a university hospital in the Northwest of the State of Paraná between 2004 and 2009 (19) .…”

Section: Discussionsupporting

confidence: 88%

“…Gastroenteritis, pneumonia and kidney and urinary tract infection are typical diseases in this age group, particularly among children aged under three years who are most vulnerable to these conditions (19) . Primary health care professionals should promote and monitor prevention measures of diseases which are prevalent among children, such as recommending breastfeeding as a protective factor against respiratory problems (20) .…”

Section: Discussionmentioning

confidence: 99%

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Hospital admissions due to ambulatory care sensitive conditions among children by age group and health region

Prezotto

Chaves

Mathias

2015

Rev. esc. enferm. USP

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Objective: to describe hospital admissions for ambulatory care sensitive conditions in children under five years of age in the State of Paraná, Brazil by condition type, age group and health region. Method: a temporal ecological study was conducted using data from the Unified Health System Hospital Information System for the period 2000 to 2011. Conditions were grouped in accordance with the list of ambulatory care sensitive conditions in Brazil. Results: there was an increase in the rate of admissions for ambulatory care sensitive conditions in all age groups in 50% of the health regions, with a marked increase in children under the age of one. Pneumonia, gastroenteritis and asthma were the main causes of admissions. There was an increase in the proportion of overall admissions accounted for by pneumonia and gastroenteritis. Conclusion: the increase in admissions reveals the need for actions to improve access to primary healthcare and provide effective treatment of the main ambulatory care sensitive conditions in order to prevent hospital admissions among children.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Hospital admissions due to ambulatory care sensitive conditions among children by age group and health region

Prezotto

Chaves

Mathias

2015

Rev. esc. enferm. USP

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“…This finding is similar to the findings of Molina et al 8 and Oliveira et al, 15 who identified between 41.3% and 49.6% of hospitalisations for respiratory diseases. On the other hand, Costa et al 6 reported a involvement of the respiratory tract in 27.5% of the cases and in 15.9% there were surgical causes, in São Luis, Maranhão, Brazil.…”

Section: Resultssupporting

confidence: 92%

Clinical-Epidemiological Profile of Hospitalised Patients in Paediatric Intensive Care Unit

Batista

Coelho

Trugilho

et al. 2015

J. Hum. Growth Dev.

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Introduction: Paediatric intensive care units have made important advances in technology and assistance since the 1980s, which have made more favourable the prognosis of critically ill children all over the world. Objective: Identify the epidemiological profile and clinical outcomes of hospitalised children and adolescents in the Paediatric Intensive Care Unit of Hospital Vitória, Espirito Santo, Brazil. Methods: A descriptive and retrospective study carried out in the Paediatric Intensive Care Unit of Hospital Infantil Nossa Senhora da Glória in the city of Vitória, Espirito Santo, Brazil. Age, sex, hospitalisation diagnosis, progression to discharge/death, and length of hospital admission were obtained from the Sector of Medical and Hospital Statistics Files between 2011 and 2012. For the descriptive analysis, categorical variables were expressed as absolute and percentage, and the continuous variables in average and standard deviation. For comparison, Pearson's chi-squared tests, Fisher's test, and Student's t test were used and p values <0.05 with confidence interval of 95% were considered statistically significant. Results: Of the 609 patients analysed, 342 (56.2%) were male (mean age: 72.7 ± 71.3 months). Respiratory disease, postoperative processes, and trauma were the main causes of hospitalisation. The average duration of hospitalization was 6.9 ± 5.5 days; 514 (84.4%) patients were discharged, 95 (15.6%) died, and of those, 53 (55.7%) died in less than 72 hours of hospitalisation. Conclusion: Most of the patients were less than 2 years of age. The leading causes of hospitalisation were respiratory disease (pneumonia, bronchiolitis, and asthma), sepsis, and head injury, which was the major cause of the trauma motivated by violence. The average hospital admission in the unit was one week and the mortality rate was 15.6%, with one third of the deaths recorded in the first 72 hours of hospitalisation.

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“…In several localities, secondary data sources have been used to study hospitalizations in large populations, (24,25) including children. (2,4) …”

Section: Discussionmentioning

confidence: 99%

“…(1)(2)(3) In the field of child health, hospitalizations for ACSC indicate poor attention in primary care, especially since children are considered a priority due to their susceptibility to illness. (4) The importance of primary care for the prevention of hospitalizations is emphasized in several studies, such as one conducted in the United States, which concluded that children who were attended by ambulatory care teams with preventive actions and early detection of health problems had a significant reduction in hospitalization. (5) In Brazil, hospitalizations of children for ACSC still have a high incidence.…”

Section: Introductionmentioning

confidence: 99%

Hospitalizações de crianças por condições evitáveis no Estado do Paraná: causas e tendência

et al. 2017

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Objective: To analyze the trends of hospitalizations for ambulatory care-sensitive conditions, according to the main causes among children under five years old. Method: Ecological time-series study carried out with data from the Hospital Information System of the State of Parana. The analysis was based on hospitalization rates and polynomial regression models according to age and cause. Results: The most frequent causes were pneumonia, gastroenteritis, asthma, kidney and urinary tract infection and nutritional disorders. Hospitalizations for pneumonia, asthma and nutritional deficiencies decreased among children under five and hospitalizations rates for gastroenteritis remained stable. There was an increase in hospitalization rates for kidney and urinary tract infection in all ages. Conclusion: Hospitalization for care-sensitive conditions among children under five years presented an increasing trend only for children under one year old. Hospitalizations for pneumonia, gastroenteritis, asthma and nutritional deficiencies showed a decreasing trend. ResumoObjetivo: Analisar a tendência das hospitalizações por condições sensíveis à atenção primária, segundo principais causas em menores de cinco anos. Métodos: Estudo de séries temporais do tipo ecológico realizado com dados do Sistema de Informação Hospitalar do Estado do Paraná. A análise ocorreu a partir das taxas de hospitalização e de modelos de regressão polinomial segundo idade e causa. Resultados: As causas mais frequentes foram pneumonias, gastrenterites, asma, infeção no rim e trato urinário e deficiências nutricionais. As hospitalizações por pneumonia, asma e deficiências nutricionais em menores de cinco anos reduziram e por gastroenterites mantiveram-se estáveis. Houve aumento nas taxas de hospitalização por infecção no rim e trato urinário em todas as idades. Conclusão: A tendência de hospitalização por condições sensíveis em menores de cinco anos foi crescente apenas para as crianças menores de um ano. As hospitalizações por pneumonias, gastroenterites, asma e deficiências nutricionais apresentaram tendência decrescente.

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Perfil de morbidade de crianças hospitalizadas em um hospital público: implicações para a Enfermagem

Cited by 26 publications

References 20 publications

Hospital admissions due to ambulatory care sensitive conditions among children by age group and health region

Hospital admissions due to ambulatory care sensitive conditions among children by age group and health region

Clinical-Epidemiological Profile of Hospitalised Patients in Paediatric Intensive Care Unit

Hospitalizações de crianças por condições evitáveis no Estado do Paraná: causas e tendência

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