Pediatric chronic patients at outpatient clinics: a study in a Latin American University Hospital

Imagem de Miniatura
Arquivos
art_ALVENO_Pediatric_chronic_patients_at_outpatient_clinics_a_study_2018.PDF (558.72 KB)
Citações na Scopus
15
Tipo de produção
article
Data de publicação
2018
DOI
SciELO
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SOC BRASIL PEDIATRIA
Autores
Citação
JORNAL DE PEDIATRIA, v.94, n.5, p.539-545, 2018
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objective: To describe the characteristics of children and adotescentes with chronic diseases of outpatient clinics at a tertiary university hospital. Methods: A cross-sectional study was performed with 16,237 patients with chronic diseases followed-up in one year. The data were collected through the electronic system, according to the number of physician appointments in 23 pediatric specialties. Patients were divided in two groups: children (0-9 years) and adolescents (10-19 years). Early (10-14 years) and late (15-19 years) adolescent groups were also analyzed. Results: Of the total sample, 56% were children and 46% were adolescents. The frequencies of following pediatric specialties were significantly higher in adolescents when compared with children: cardiology, endocrinology, hematology, nephrology/renal transplantation, neurology, nutrology, oncology, palliative and pain care, psychiatry, and rheumatology (p< 0.05). The frequencies of emergency service visits (30% vs. 17%, p < 0.001), hospitalizations (23% vs. 11%, p < 0.001), intensive care unit admissions (6% vs. 2%, p< 0.001), and deaths (1% vs. 0.6%, p=0.002) were significantly lower in adolescents than in children. However, the number of physician appointments (>= 13) per patient was also higher in the adolescent group (5% vs. 6%, p = 0.018). Further analysis comparison between early and late adolescents revealed that the first group had significantly more physician appointments (35% vs. 32%, p= 0.025), and required more than two pediatric specialties (22% vs. 21%, p = 0.047). Likewise, the frequencies of emergency service visits (19% vs. 14%, p<0.001) and hospitalizations (12% vs. 10%, p= 0.035) were higher in early adolescents. Conclusions: This study evaluated a large population in a Latin American hospital and suggested that early adolescents with chronic diseases required many appointments, multiple specialties and hospital admissions. (C) 2017 Sociedade Brasileira de Pediatria.
Palavras-chave
Adolescents, Chronic diseases, Emergency department, Hospitalization
URI
https://observatorio.fm.usp.br/handle/OPI/30008
Referências
  1. Tannuri ACA, 2016, LIVER TRANSPLANT, V22, P1006, DOI 10.1002/lt.24435
  2. Araújo Priscila, 2016, Rev. paul. pediatr., V34, P323, DOI [10.1016/j.rpped.2015.10.008, 10.1016/j.rppede.2015.10.008]
  3. Babloyan A, 2012, REPORT SURVEY HLTH B
  4. Batra S, 2016, EMERG MED AUSTRALAS, V28, P419, DOI 10.1111/1742-6723.12608
  5. Carneiro-Sampaio M, 2013, J CLIN IMMUNOL, V33, P716, DOI 10.1007/s10875-013-9865-6
  6. de Souza CMC, 2015, EINSTEIN-SAO PAULO, V13, P492, DOI 10.1590/S1679-45082015AO3231
  7. Choe Seung Ah, 2014, J Prev Med Public Health, V47, P336, DOI 10.3961/jpmph.14.024
  8. Cominato L, 2014, HORM RES PAEDIAT, V82, P319, DOI 10.1159/000367895
  9. Crocetti E, 2013, J YOUTH ADOLESCENCE, V42, P1745, DOI 10.1007/s10964-013-9924-6
  10. Crow SS, 2017, PEDIATR CRIT CARE ME, V18, pE137, DOI 10.1097/PCC.0000000000001084
  11. Fagundes SN, 2017, PEDIATR NEPHROL, V32, P843, DOI 10.1007/s00467-016-3510-6
  12. Fairweather-Schmidt AK, 2015, PSYCHOL MED, V45, P3249, DOI 10.1017/S0033291715001257
  13. Goldhaber-Fiebert JD, 2010, PLOS ONE, V5, DOI 10.1371/journal.pone.0013842
  14. Halle MP, 2015, BMC NEPHROL, V16, DOI 10.1186/s12882-015-0044-2
  15. Heijnen T, 2016, SCAND J RHEUMATOL, V45, P146, DOI 10.3109/03009742.2015.1067329
  16. Hernandez C, 2009, QJM-INT J MED, V102, P193, DOI 10.1093/qjmed/hcn172
  17. Lopes SRM, 2017, LUPUS, V26, P996, DOI 10.1177/0961203317690616
  18. Mokkink LB, 2008, EUR J PEDIATR, V167, P1441, DOI 10.1007/s00431-008-0697-y
  19. Murray CJL, 2015, LANCET, V386, P2145, DOI 10.1016/S0140-6736(15)61340-X
  20. Neder L, 2014, J PEDIAT-BRAZIL, V90, P457, DOI 10.1016/j.jped.2014.01.007
  21. Payne D, 2005, ARCH DIS CHILD, V90, P1133, DOI 10.1136/adc.2005.080747
  22. Ramsoomar L, 2013, GLOBAL HEALTH ACTION, V6, P57, DOI 10.3402/gha.v6i0.19274
  23. Sargsyan S, 2016, J PEDIATR-US, V177, pS21, DOI 10.1016/j.jpeds.2016.04.038
  24. Silva CA, 2013, NAT REV RHEUMATOL, V9, P532, DOI 10.1038/nrrheum.2013.95
  25. Silva CA, 2016, EXPERT REV CLIN IMMU, V12, P301, DOI 10.1586/1744666X.2016.1123621
  26. Tasneem AA, 2015, J PAK MED ASSOC, V65, P120
  27. Tomikawa SO, 2014, ORPHANET J RARE DIS, V9, DOI 10.1186/s13023-014-0128-2
  28. van Weelden M, 2016, REV BRAS REUMATOL, V56, P323, DOI [10.1016/j.rbr.2015.10.004, 10.1016/j.rbre.2016.02.007]
  29. Yu JW, 2008, J ADOLESCENT HEALTH, V43, P268, DOI 10.1016/j.jadohealth.2008.01.009

Coleções
Artigos e Materiais de Revistas Científicas - FM/MPE
Artigos e Materiais de Revistas Científicas - HC/ICr
Artigos e Materiais de Revistas Científicas - LIM/05
Artigos e Materiais de Revistas Científicas - LIM/30
Artigos e Materiais de Revistas Científicas - LIM/36