Physiotherapist on the move: where babies at risk are referred for follow-up after hospital discharge
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Fisioterapia em Movimento |
Texto Completo: | https://periodicos.pucpr.br/fisio/article/view/29574 |
Resumo: | Introduction: Two facts may influence a newborn’s development. One is to be a newborn at risk and the other is to be hospitalized in Intensive Care Unit. Objective: To examine where at-risk infants are being referred for longitudinal follow-up after hospital discharge, and to carry out an analysis of the epidemiological and care profile of these babies. Methods: Documentary, descriptive and retrospective study, comprising the medical records of 479 newborns (NBs) hospitalized Hospital Materno Infantil Presidente Vargas from January 2019 to May 2020. The variables studied were: gender, baby's race/color, type of delivery, prenatal consultations, classification according to gestational age, weight, Apgar of the 1st, 5th, 10th minute, hospitalization diagnosis, main diagnosis, outcomes, length of stay, multidisciplinary follow-up during hospitalization, post-discharge referrals (specialized and non-specialized). Social and environmental data were: maternal age and race/color, maternal and paternal education. Results: Higher prevalence of full-term male babies born by cesarean delivery, declared as white, with high Apgar scores, with varied diagnoses, with prematurity prevailing. Maternal mean was 26.2 years, (SD ± 7.3), the most reported race/color was also white, the mean of mothers' studies was 8.1 years (SD ± 2.4). Only 14% (n = 67) performed motor physical therapy at the hospital and 2.1% (n = 10) were referred for evaluation and early intervention for post-discharge physical therapy. The specialized service with the highest referral was the hospital's neuropediatrics graduates' outpatient clinic (17.3%, n = 83) and, for the non-specialized, it was the Basic Health Unit/BHU (39.7%, n = 190). Conclusion: Most NBs are referred to the specific medical team or post-discharge BHU. The physiotherapist was the professional little remembered for monitoring this public in the hospital and after discharge. |
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Fisioterapia em Movimento |
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Physiotherapist on the move: where babies at risk are referred for follow-up after hospital dischargeFisioterapeuta em movimento: para onde os bebês de risco são encaminhados para acompanhamento após a alta hospitalarIntroduction: Two facts may influence a newborn’s development. One is to be a newborn at risk and the other is to be hospitalized in Intensive Care Unit. Objective: To examine where at-risk infants are being referred for longitudinal follow-up after hospital discharge, and to carry out an analysis of the epidemiological and care profile of these babies. Methods: Documentary, descriptive and retrospective study, comprising the medical records of 479 newborns (NBs) hospitalized Hospital Materno Infantil Presidente Vargas from January 2019 to May 2020. The variables studied were: gender, baby's race/color, type of delivery, prenatal consultations, classification according to gestational age, weight, Apgar of the 1st, 5th, 10th minute, hospitalization diagnosis, main diagnosis, outcomes, length of stay, multidisciplinary follow-up during hospitalization, post-discharge referrals (specialized and non-specialized). Social and environmental data were: maternal age and race/color, maternal and paternal education. Results: Higher prevalence of full-term male babies born by cesarean delivery, declared as white, with high Apgar scores, with varied diagnoses, with prematurity prevailing. Maternal mean was 26.2 years, (SD ± 7.3), the most reported race/color was also white, the mean of mothers' studies was 8.1 years (SD ± 2.4). Only 14% (n = 67) performed motor physical therapy at the hospital and 2.1% (n = 10) were referred for evaluation and early intervention for post-discharge physical therapy. The specialized service with the highest referral was the hospital's neuropediatrics graduates' outpatient clinic (17.3%, n = 83) and, for the non-specialized, it was the Basic Health Unit/BHU (39.7%, n = 190). Conclusion: Most NBs are referred to the specific medical team or post-discharge BHU. The physiotherapist was the professional little remembered for monitoring this public in the hospital and after discharge.Introdução: Dois fatos podem influenciar o desenvolvimento do recém-nascido. Um é ser um recém-nascido de risco e o outro é ser internado em Unidade de Terapia Intensiva. Objetivo: Examinar para onde os bebês de risco estão sendo encaminhados para acompanhamento longitudinal após a alta hospitalar e realizar uma análise do perfil epidemiológico e assistencial desses bebês. Métodos: Estudo documental, descritivo e retrospectivo, composto pelos prontuários de 479 recém-nascidos (RNs) internados no Hospital Materno Infantil Presidente Vargas no período de janeiro de 2019 a maio de 2020. As variáveis estudadas foram: sexo, raça/cor do bebê, tipo de parto, consultas de pré-natal, classificação de acordo com a idade gestacional idade, peso, Apgar do 1º, 5º, 10º minuto, diagnóstico de internação, diagnóstico principal, desfechos, tempo de internação, acompanhamento multidisciplinar durante a internação, encaminhamentos pós-alta (especializados e não especializados). Os dados socioambientais foram: idade materna e raça/cor, escolaridade materna e paterna. Resultados: Maior prevalência de bebês a termo do sexo masculino, nascidos de parto cesáreo, declarados como brancos, com escores de Apgar elevados, com diagnósticos variados, prevalecendo a pre-maturidade. A média materna foi de 26,2 anos (DP ± 7,3), a raça/cor mais relatada foi branca, a média de estudos das mães foi de 8,1 anos (DP ± 2,4). Apenas 14% (n = 67) realizaram fisioterapia motora no hospital e 2,1% (n = 10) foram encaminhados para avaliação e intervenção precoce para fisioterapia pós-alta. O serviço especializado de maior referência foi o ambulatório de egressos de neuropediatria do hospital (17,3%, n = 83) e, para os não especializados, foi a Unidade Básica de Saúde/UBS (39,7%, n = 190). Conclusão: A maioria dos RNs são encaminhados para equipe médica específica ou UBS pós-alta. O fisioterapeuta foi o profissional pouco lembrado pelo acompanhamento desse público no hospital e após a alta.Editora PUCPRESS2022-08-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.pucpr.br/fisio/article/view/2957410.1590/fm.2022.35134Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 35 (2022): n. cont.Fisioterapia em Movimento; v. 35 (2022): n. cont.1980-5918reponame:Fisioterapia em Movimentoinstname:Pontifícia Universidade Católica do Paraná (PUC-PR)instacron:PUC_PRenghttps://periodicos.pucpr.br/fisio/article/view/29574/25756Mendelski, Alexandra Quines Lucas, Taís Queiroz Campos de Almeida, Carla Skilhan Gerzson, Laís Rodrigues info:eu-repo/semantics/openAccess2022-10-07T13:31:55Zoai:ojs.periodicos.pucpr.br:article/29574Revistahttps://periodicos.pucpr.br/fisioPRIhttps://periodicos.pucpr.br/fisio/oairubia.farias@pucpr.br||revista.fisioterapia@pucpr.br1980-59180103-5150opendoar:2022-10-07T13:31:55Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)false |
dc.title.none.fl_str_mv |
Physiotherapist on the move: where babies at risk are referred for follow-up after hospital discharge Fisioterapeuta em movimento: para onde os bebês de risco são encaminhados para acompanhamento após a alta hospitalar |
title |
Physiotherapist on the move: where babies at risk are referred for follow-up after hospital discharge |
spellingShingle |
Physiotherapist on the move: where babies at risk are referred for follow-up after hospital discharge Mendelski, Alexandra Quines |
title_short |
Physiotherapist on the move: where babies at risk are referred for follow-up after hospital discharge |
title_full |
Physiotherapist on the move: where babies at risk are referred for follow-up after hospital discharge |
title_fullStr |
Physiotherapist on the move: where babies at risk are referred for follow-up after hospital discharge |
title_full_unstemmed |
Physiotherapist on the move: where babies at risk are referred for follow-up after hospital discharge |
title_sort |
Physiotherapist on the move: where babies at risk are referred for follow-up after hospital discharge |
author |
Mendelski, Alexandra Quines |
author_facet |
Mendelski, Alexandra Quines Lucas, Taís Queiroz Campos de Almeida, Carla Skilhan Gerzson, Laís Rodrigues |
author_role |
author |
author2 |
Lucas, Taís Queiroz Campos de Almeida, Carla Skilhan Gerzson, Laís Rodrigues |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Mendelski, Alexandra Quines Lucas, Taís Queiroz Campos de Almeida, Carla Skilhan Gerzson, Laís Rodrigues |
description |
Introduction: Two facts may influence a newborn’s development. One is to be a newborn at risk and the other is to be hospitalized in Intensive Care Unit. Objective: To examine where at-risk infants are being referred for longitudinal follow-up after hospital discharge, and to carry out an analysis of the epidemiological and care profile of these babies. Methods: Documentary, descriptive and retrospective study, comprising the medical records of 479 newborns (NBs) hospitalized Hospital Materno Infantil Presidente Vargas from January 2019 to May 2020. The variables studied were: gender, baby's race/color, type of delivery, prenatal consultations, classification according to gestational age, weight, Apgar of the 1st, 5th, 10th minute, hospitalization diagnosis, main diagnosis, outcomes, length of stay, multidisciplinary follow-up during hospitalization, post-discharge referrals (specialized and non-specialized). Social and environmental data were: maternal age and race/color, maternal and paternal education. Results: Higher prevalence of full-term male babies born by cesarean delivery, declared as white, with high Apgar scores, with varied diagnoses, with prematurity prevailing. Maternal mean was 26.2 years, (SD ± 7.3), the most reported race/color was also white, the mean of mothers' studies was 8.1 years (SD ± 2.4). Only 14% (n = 67) performed motor physical therapy at the hospital and 2.1% (n = 10) were referred for evaluation and early intervention for post-discharge physical therapy. The specialized service with the highest referral was the hospital's neuropediatrics graduates' outpatient clinic (17.3%, n = 83) and, for the non-specialized, it was the Basic Health Unit/BHU (39.7%, n = 190). Conclusion: Most NBs are referred to the specific medical team or post-discharge BHU. The physiotherapist was the professional little remembered for monitoring this public in the hospital and after discharge. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-08-03 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/29574 10.1590/fm.2022.35134 |
url |
https://periodicos.pucpr.br/fisio/article/view/29574 |
identifier_str_mv |
10.1590/fm.2022.35134 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/29574/25756 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora PUCPRESS |
publisher.none.fl_str_mv |
Editora PUCPRESS |
dc.source.none.fl_str_mv |
Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 35 (2022): n. cont. Fisioterapia em Movimento; v. 35 (2022): n. cont. 1980-5918 reponame:Fisioterapia em Movimento instname:Pontifícia Universidade Católica do Paraná (PUC-PR) instacron:PUC_PR |
instname_str |
Pontifícia Universidade Católica do Paraná (PUC-PR) |
instacron_str |
PUC_PR |
institution |
PUC_PR |
reponame_str |
Fisioterapia em Movimento |
collection |
Fisioterapia em Movimento |
repository.name.fl_str_mv |
Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR) |
repository.mail.fl_str_mv |
rubia.farias@pucpr.br||revista.fisioterapia@pucpr.br |
_version_ |
1799138749924245504 |