Epidemiology and conduct carried out during the internment of children with respiratory disorders in a reference hospital of Recife / Epidemiologia e condutas realizadas durante o internamento das crianças com afecções respiratórias em hospital de referência do Recife”

• Autor(a) principal: Zirpoli, Bianca Berardo Pessoa
• Data de Publicação: 2022
• Outros Autores: Sena, Daniel Cavalcanti, Neto, João Batista Guerra Barretto, Andrade, Mariana Soares Barros de, Pontes, Patryck Andrew Ribeiro de Melo, Costa, Erideise Gurgel da
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Veras
• Texto Completo: https://ojs.brazilianjournals.com.br/ojs/index.php/BRJD/article/view/50374
• topic: pediatrics; pediatrics; respiratory tract infections; respiratory tract infections; internment.; internment.

INTRODUCTION: Airway infections correspond to more than a third of medical consultations, representing 20% of the causes of pediatric death.  OBJECTIVES: To identify the length of hospital stay;  Report the drugs utilized, complementary tests and interventions performed during hospitalization;  describe mean ICU stay, type of discharge and incidence of death;  To report the presence of factors predisposing to the occurrence of Respiratory Infections.  METHODS: This was a retrospective cross-sectional, documentational study of the medical records of children between 0 and 10 years of age hospitalized with respiratory diseases at the Hospital Infantil Maria Lucinda, Recife, Pernambuco, Brazil in 2016. RESULTS: Of the 489, 182 medical records were analyzed.  The mean age was 1.96 years.  The frequency of hospitalizations was 6.7% for neonates, 60.89% for infants, 24.58% for preschool children and 7.82% for schoolchildren.  It was more prevalent among male children (53.8%).  The mean hospitalization by age group of the Neonates was 27.75 days, Infants 5.87, Pre-school children 5.57 and Schoolchildren 7,14.  The major cause of hospitalization was pneumonia (48.9%).  Among the patients who were discharged, the mean hospitalization was 6.95 days and those who died 14.33 days.  The main antibiotics used were Ampicillin (30.8%) and Cephalosporin of the 3rd generation (18.7%).  24 cases reported use of pre-hospital antibiotics, with a mean hospitalization of 6.75 days.  Hospital nebulization was performed in 74.7% of cases and corticosteroids in 59.3%.  23.1% of the cases performed some surgical procedure.  The most frequent exams were Hemogram and Chest X-ray.  6% progressed to ICU and 1.6% died.  Intubation was performed in 7.1%, re-intubations in 53.8% of these and high recumbency was not performed in 25.8%.  CONCLUSIONS: The majority of the children evolved well, but it is important to improve the filling in of medical records, since the lack of information makes it difficult to construct the medical knowledge and to exert proper management of the patients.