Analysis of pediatric hospitalizations for primary care sensitive conditions and their outcomes

Authors

DOI:

https://doi.org/10.33448/rsd-v12i3.40575

Keywords:

Primary Health Care; Hospitalization; Pediatrics; Epidemiology; Patient safety.

Abstract

Objective: To analyze pediatrics hospitalizations for primary care sensitive conditions and their outcomes. Methods: This is a retrospective cohort study, the data was collected from the records of hospitalization of children aged between 0 and 14 years admitted for pediatric hospitalization between March 2019 and February 2020, who were admitted to the emergency department, considering the following variables: age, sex, reason for admission, place of admission, discharge outcomes and Hospitalizations for Sensitive Conditions to Primary Care, based on the Brazilian List of Hospitalizations for Sensitive Conditions. Data were recorded and analyzed in Excel®️ 2016 software. Results: It was observed that 172 (18%) hospitalizations were sensitive to Primary Care, with the highest frequency of cases related to problems in the respiratory system (53.19%). The data pointed out that hospitalizations are more recurrent in the first year of life (n=313/32%), with the highest percentage of male patients (n=550/57%) compared to females (n=419/43%), 857 (88.44%) were discharged and all deaths (n=4/0.4%) occurred in the Emergency unit. Conclusion: Results provide support for the management and organization of the health system and highlight the need to strengthen Primary Care.

Author Biographies

José Yuri Silva Santos, Universidade Federal de Seripe

  translator       Double-click   Select to translate

 

  translator       Double-click   Select to translate

 

  translator       Double-click   Select to translate

 

 

Anny Giselly Milhome da Costa Farre , Universidade Federal de Seripe

  translator       Double-click   Select to translate

 

  translator       Double-click   Select to translate

 

  translator       Double-click   Select to translate

 

  translator       Double-click   Select to translate

 

 

Hertaline Menezes do Nascimento Rocha, Universidade Federal de Seripe

  translator       Double-click   Select to translate

 

  translator       Double-click   Select to translate

 

  translator       Double-click   Select to translate

 

 

Marcos Antônio Gois Santana, Universidade Federal de Seripe

  translator       Double-click   Select to translate

 

  translator       Double-click   Select to translate

 

  translator       Double-click   Select to translate

 

 

Thaiane Santana Santos, Universidade Federal de Seripe

  translator       Double-click   Select to translate

 

  translator       Double-click   Select to translate

 

  translator       Double-click   Select to translate

 

 

Ester Batista do Nascimento, Universidade Federal de Seripe

  translator       Double-click   Select to translate

 

  translator       Double-click   Select to translate

 

  translator       Double-click   Select to translate

 

 

Nicoly Gabrielly Brito Nascimento, Universidade Federal de Seripe

  translator       Double-click   Select to translate

 

  translator       Double-click   Select to translate

 

  translator       Double-click   Select to translate

 

 

References

Alves, J. W. dos S., Cavalcanti, C. G. C. S., Alves, R. S. M., & Costa, P. C. da. (2018). Internações por Condições Sensíveis à Atenção Primária no estado do Ceará, 2010-2014. Saúde Em Debate, 42(spe4), 223–235. https://doi.org/10.1590/0103-11042018s418

Bragato, E. E. T. de F. M., Cazola, L. H. de O., & Campos, A. Z. de. (2020). Internações por condições sensíveis à atenção primária em menores de cinco anos, mato grosso do sul, brasil 2008-2017 / Hospitalizations for primary care sensitive conditions in under five years old, mato grosso do sul, brazil 2008-2017. Brazilian Journal of Development, 6(12), 97592–97609. https://www.brazilianjournals.com/index.php/BRJD/article/view/21518

Brasil, M. da S. (2008). Portaria no 221, de 17 de abril de 2008. In Diário da República n.o 29/2011, Série I de 2011-02-10 (pp. 716–723). Diário Oficial da República Federativa do Brasil. https://dre.pt/web/guest/pesquisa/-/search/280268/details/normal?q=decreto-lei+22%2F2011

Caldeira, A. P., Fernandes, V. B. L., Fonseca, W. P., & Faria, A. A. (2011a). Internações pediátricas por condições sensíveis à atenção primária em montes claros, minas gerais, Brasil. Revista Brasileira de Saude Materno Infantil, 11(1), 61–71. https://doi.org/10.1590/S1519-38292011000100007

Caldeira, A. P., Fernandes, V. B. L., Fonseca, W. P., & Faria, A. A. (2011b). Internações pediátricas por condições sensíveis à atenção primária em Montes Claros, Minas Gerais, Brasil. Revista Brasileira de Saúde Materno Infantil, 11(1), 61–71. https://doi.org/10.1590/S1519-38292011000100007

Camargo, L. M. A; Silva, R. P. M; Meneguetti, D. U. O. (2019). Research methodology topics: Cohort studies or prospective and retrospective cohort studies. J Hum Growth Dev., 433-436. https://doi.org/10.7322/jhgd.v29.9543

Carter, E. J., Pouch, S. M., & Larson, E. L. (2014). The relationship between emergency department crowding and patient outcomes: a systematic review. Journal of Nursing Scholarship : An Official Publication of Sigma Theta Tau International Honor Society of Nursing, 46(2), 106–115. https://doi.org/10.1111/jnu.12055

Costa, M. F. L., Barreto, S. M. (2003). Tipos de estudos epidemiológicos: conceitos básicos e aplicações na área do envelhecimento. Epidemiol. Serv. Saúde, 12(4). http://dx.doi.org/10.5123/S1679-49742003000400003

Ferrer, A. P. S., & Grisi, S. J. F. E. (2016). Assessment of access to primary health care among children and adolescents hospitalized due to avoidable conditions. Revista Da Associação Médica Brasileira, 62(6), 513–523. https://doi.org/10.1590/1806-9282.62.06.513

Grunewald, S., Aroeira, I., Paiva, L., & Rossi, M. (2019). Análise do perfil clínico e demográfico da enfermaria pediátrica de um Hospital Universitário. 9(1), 19–22. https://doi.org/10.25060/RESIDPEDIATR-2019.V9N1-04

Kouo, T., Kleinman, K., Fujii-Rios, H., Badaki-Makun, O., Kim, J., Falco, L., & Canares, T. L. (2020). A resident-led QI initiative to improve pediatric emergency department boarding times. Pediatrics, 145(6). https://doi.org/10.1542/peds.2019-1477

Machado, G. V. C., Oliveira, F. L. P. de, Barbosa, H. A. L., Giatti, L., & Bonolo, P. de F. (2015). Fatores associados à utilização de um serviço de urgência/emergência, Ouro Preto, 2012. Cadernos Saúde Coletiva, 23(4), 416–424. https://doi.org/10.1590/1414-462X201500040177

Mistry, R. D., Hoffmann, R. G., Yauck, J. S., & Brousseau, D. C. (2005). Association between parental and childhood emergency department utilization. Pediatrics, 115(2), e147-51. https://doi.org/10.1542/peds.2004-1798

Parente, J. S. M., & Silva, F. R. A. (2017). Revista de Medicina da UFC. Revista de Medicina Da UFC, 57(1), 10–14. https://doi.org/10.20513/2447-6595.2017V57N1P10-14

Pedraza, D. F., & Araujo, E. M. N. de. (2017). Internações das crianças brasileiras menores de cinco anos: revisão sistemática da literatura. In Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil (Vol. 26, Issue 1, pp. 169–182). Secretaria de Vigilância em Saúde - Ministério da Saúde do Brasil. https://doi.org/10.5123/S1679-49742017000100018

Pedraza, D. F., Araujo, E. M. N. de, Pedraza, D. F., & Araujo, E. M. N. de. (2017). Internações das crianças brasileiras menores de cinco anos: revisão sistemática da literatura. Epidemiologia e Serviços de Saúde, 26(1), 169–182. https://doi.org/10.5123/S1679-49742017000100018

Piehl, M. D., Clemens, C. J., & Joines, J. D. (2000). “Narrowing the Gap”: decreasing emergency department use by children enrolled in the Medicaid program by improving access to primary care. Archives of Pediatrics & Adolescent Medicine, 154(8), 791–795. https://doi.org/10.1001/archpedi.154.8.791

Pierce, B. A., & Gormley, D. (2016). Are Split Flow and Provider in Triage Models in the Emergency Department Effective in Reducing Discharge Length of Stay? Journal of Emergency Nursing, 42(6), 487–491. https://doi.org/10.1016/j.jen.2016.01.005

Pinheiro, F. G. de M. S., Nascimento, N. G. B.., Jesus, A. A. de, Santos, T. S., Santana, M. A. G., Silva, W. A., & Rocha, H. M. do N. (2022). Prolonged length of stay in the emergency department associated with delirium in the elderly: a systematic review. Research, Society and Development, 11(1), e32511124966. https://doi.org/10.33448/rsd-v11i1.24966

Ribeiro, L. A., & Scatena, J. H. (2019). The evaluation of primary health care in Brazil: An analysis of the scientific production between 2007 and 2017. Saude e Sociedade, 28(2), 95–110. https://doi.org/10.1590/s0104-12902019180884

Ribeiro, M. G. C., Araujo Filho, A. C. A., & Rocha, S. S. (2019). Hospitalizações por condições sensíveis à atenção primária em crianças do Nordeste Brasileiro. Rev. Bras. Saúde Mater. Infant, 19(2), 499–506. https://doi.org/10.1590/1806-93042019000200013

Rocha, H. M. do N., Oliveira, A. H. de., Azevedo, A. M. dos S., Andrade, I. S., Santana, M. A. G.., Santos, J. M. de J.., Farre, A. G. M. da C., & Santana-Filho, V. J. de. (2022). Nurses’ perception about the quality of care provided to patients in a situation of hospitalization in the emergency rooms. Research, Society and Development, 11(5), e46211528461. https://doi.org/10.33448/rsd-v11i5.28461

Santos, D. A. da S., Azevedo, P. V. de, Olinda, R. A. de, Santos, C. A. C. dos, Souza, A. de, Sette, D. M., & Souza, P. M. de. (2017). A relação das variáveis climáticas na prevalência de infecção respiratória aguda em crianças menores de dois anos em Rondonópolis-MT, Brasil. Ciência & Saúde Coletiva, 22(11), 3711–3722. https://doi.org/10.1590/1413-812320172211.28322015

Shenoi, R., Ma, L., Syblik, D., & Yusuf, S. (2011). Emergency department crowding and analgesic delay in pediatric sickle cell pain crises. Pediatric Emergency Care, 27(10), 911–917. https://doi.org/10.1097/PEC.0b013e3182302871

Sills, M. R., Fairclough, D., Ranade, D., & Kahn, M. G. (2011). Emergency department crowding is associated with decreased quality of care for children with acute asthma. Annals of Emergency Medicine, 57(3), 191–197. https://doi.org/10.1016/j.annemergmed.2010.08.027

Silva, S. M., Lima, S. S., Andrade, M. C. de, Neves, C. M. A. das, & Avila, P. E. S. (2016). Caracterização dos Pacientes Internados em umaEnfermaria Pediátrica de um Hospital deReferência de Belém-PA. Revista Brasileira de Ciências Da Saúde, 213–218. https://doi.org/10.4034/RBCS.2016.20.03.06

Singer, A. J., Thode, H. C. J., Viccellio, P., & Pines, J. M. (2011). The association between length of emergency department boarding and mortality. Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine, 18(12), 1324–1329. https://doi.org/10.1111/j.1553-2712.2011.01236.x

Sri-On, J., Chang, Y., Curley, D. P., Camargo, C. A. J., Weissman, J. S., Singer, S. J., & Liu, S. W. (2014). Boarding is associated with higher rates of medication delays and adverse events but fewer laboratory-related delays. The American Journal of Emergency Medicine, 32(9), 1033–1036. https://doi.org/10.1016/j.ajem.2014.06.001

Vogel, J. A., Rising, K. L., Jones, J., Bowden, M. L., Ginde, A. A., & Havranek, E. P. (2019). Reasons Patients Choose the Emergency Department over Primary Care: a Qualitative Metasynthesis. Journal of General Internal Medicine, 34(11), 2610–2619. https://doi.org/10.1007/s11606-019-05128-x

Zucco, R., Pileggi, C., Vancheri, M., Papadopoli, R., Nobile, C. G. A., & Pavia, M. (2019). Preventable pediatric hospitalizations and access to primary health care in Italy. PLOS ONE, 14(10), e0221852. https://doi.org/10.1371/journal.pone.0221852

Published

14/03/2023

How to Cite

SANTOS, J. Y. S.; FARRE , A. G. M. da C. .; ROCHA, H. M. do N. .; SANTANA, M. A. G. .; SANTOS, T. S. .; NASCIMENTO, E. B. do .; NASCIMENTO, N. G. B. . Analysis of pediatric hospitalizations for primary care sensitive conditions and their outcomes. Research, Society and Development, [S. l.], v. 12, n. 3, p. e22312340575, 2023. DOI: 10.33448/rsd-v12i3.40575. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/40575. Acesso em: 4 nov. 2024.

Issue

Section

Health Sciences