| Full text | |
| Author(s): Show less - |
Alveno, Renata A.
[1]
;
Miranda, V, Caroline
;
Passone, Caroline G.
[2]
;
Waetge, Aurora R.
[3]
;
Hojo, Elza S.
[3]
;
Farhat, Sylvia C. L.
[3]
;
Odone-Filho, Vicente
[3, 2]
;
Tannuri, Uenis
[3, 2]
;
Carvalho, Werther B.
[3, 2]
;
Carneiro-Sampaio, Magda
[3, 2]
;
Silva, Clovis A.
[3, 2]
Total Authors: 11
|
| Affiliation: | [1] Univ Sao Paulo, Fac Med, Hosp Clin, Dept Pediat, Sao Paulo, SP - Brazil
[2] Miranda, Caroline, V, Univ Sao Paulo, Fac Med, Hosp Clin, Dept Pediat, Sao Paulo, SP - Brazil
[3] Univ Sao Paulo, Fac Med, Hosp Clin, Inst Crianca, Sao Paulo, SP - Brazil
Total Affiliations: 3
|
| Document type: | Journal article |
| Source: | Jornal de Pediatria; v. 94, n. 5, p. 539-545, SEP-OCT 2018. |
| Web of Science Citations: | 1 |
| Abstract | |
Abstract Objective: To describe the characteristics of children and adolescentes 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. (AU) | |
| FAPESP's process: | 15/03756-4 - Assessment of relevance of blood levels of drugs in the monitoring rheumatic autoimmune diseases: safety, effectiveness and adherence to therapy |
| Grantee: | Eloisa Silva Dutra de Oliveira Bonfá |
| Support Opportunities: | Research Projects - Thematic Grants |