Niños y adolescentes con necesidades especiales de atención en salud: prevalencia hospitalaria y riesgos asociados
Background: "Children with special health care needs" (CSHCN) is a novel definition for pediatric patients with chronic diseases, adopted by the Chilean Pediatric Society in 2008. As life expectancy in Chile increases, prevalence of CSHCN is progressively growing, leading to higher health...
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| Lenguaje: | Spanish / Castilian |
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Sociedad Médica de Santiago
2012
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oai:scielo:S0034-988720120004000062013-11-06Niños y adolescentes con necesidades especiales de atención en salud: prevalencia hospitalaria y riesgos asociadosFlores,Juan CarlosCarrillo,DanielaKarzulovic,LorenaCerda,JaimeAraya,GabrielaMatus,María SoledadLLévenes,GuillermoMenchaca,GonzaloVargas,Nelson A Chronic disease Delivery of health care Disability evaluation Prevalence Background: "Children with special health care needs" (CSHCN) is a novel definition for pediatric patients with chronic diseases, adopted by the Chilean Pediatric Society in 2008. As life expectancy in Chile increases, prevalence of CSHCN is progressively growing, leading to higher health costs. Aim: To describe the epide-miological profile and clinical characteristics of hospitalized CSHCN, and compare the risk assessment of adverse events during hospitalization using two definitions for CSHCN. Patients and Methods: A cohort of hospitalized CSHCN in a Pediatric Center at Santiago, Chile, was followed from September to December 2009. Clinical and demographic data were registered in a database, including admission to intensive care unit (ICU), nosocomial infections and prolonged hospitalization (> 7 days). Incidence ratios for these events were compared between CSHCN and non-CSHCN, and between children attended by three or more health care professionals (CSHCN-3) and non-CSHCN. Results: Nine hundred twenty patients were included (54% male), with a median age 14 months (0-221) and median days of hospitalization 4 days (1-229). Prevalence of CSHCN was 60.8% of hospitalized children. When using CSHCN definition and comparing with non-CSHCN, no excess of risk was documented. On the other hand, prevalence of CSHCN-3 was 19.9%. Compared to non-CSHCN, these patients had a higher risk of ICU admission (relative risk (RR) 1.58; 95% confidence intervals (CI) = 1.22-2.05; p < 0.01), nosocomial infections (RR 2.28; 95% CI = 1.54-3.39; p < 0.001) and prolonged hospitalization (RR 1.99; 95% CI = 1.52-2.60; p < 0.001). Conclusions: One in five hospitalized children met CSHCN-3 definition. These patients had an increased risk of adverse events during their hospitalization compared to non-CSHCN.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.140 n.4 20122012-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000400006es10.4067/S0034-98872012000400006 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
Spanish / Castilian |
| topic |
Chronic disease Delivery of health care Disability evaluation Prevalence |
| spellingShingle |
Chronic disease Delivery of health care Disability evaluation Prevalence Flores,Juan Carlos Carrillo,Daniela Karzulovic,Lorena Cerda,Jaime Araya,Gabriela Matus,María Soledad LLévenes,Guillermo Menchaca,Gonzalo Vargas,Nelson A Niños y adolescentes con necesidades especiales de atención en salud: prevalencia hospitalaria y riesgos asociados |
| description |
Background: "Children with special health care needs" (CSHCN) is a novel definition for pediatric patients with chronic diseases, adopted by the Chilean Pediatric Society in 2008. As life expectancy in Chile increases, prevalence of CSHCN is progressively growing, leading to higher health costs. Aim: To describe the epide-miological profile and clinical characteristics of hospitalized CSHCN, and compare the risk assessment of adverse events during hospitalization using two definitions for CSHCN. Patients and Methods: A cohort of hospitalized CSHCN in a Pediatric Center at Santiago, Chile, was followed from September to December 2009. Clinical and demographic data were registered in a database, including admission to intensive care unit (ICU), nosocomial infections and prolonged hospitalization (> 7 days). Incidence ratios for these events were compared between CSHCN and non-CSHCN, and between children attended by three or more health care professionals (CSHCN-3) and non-CSHCN. Results: Nine hundred twenty patients were included (54% male), with a median age 14 months (0-221) and median days of hospitalization 4 days (1-229). Prevalence of CSHCN was 60.8% of hospitalized children. When using CSHCN definition and comparing with non-CSHCN, no excess of risk was documented. On the other hand, prevalence of CSHCN-3 was 19.9%. Compared to non-CSHCN, these patients had a higher risk of ICU admission (relative risk (RR) 1.58; 95% confidence intervals (CI) = 1.22-2.05; p < 0.01), nosocomial infections (RR 2.28; 95% CI = 1.54-3.39; p < 0.001) and prolonged hospitalization (RR 1.99; 95% CI = 1.52-2.60; p < 0.001). Conclusions: One in five hospitalized children met CSHCN-3 definition. These patients had an increased risk of adverse events during their hospitalization compared to non-CSHCN. |
| author |
Flores,Juan Carlos Carrillo,Daniela Karzulovic,Lorena Cerda,Jaime Araya,Gabriela Matus,María Soledad LLévenes,Guillermo Menchaca,Gonzalo Vargas,Nelson A |
| author_facet |
Flores,Juan Carlos Carrillo,Daniela Karzulovic,Lorena Cerda,Jaime Araya,Gabriela Matus,María Soledad LLévenes,Guillermo Menchaca,Gonzalo Vargas,Nelson A |
| author_sort |
Flores,Juan Carlos |
| title |
Niños y adolescentes con necesidades especiales de atención en salud: prevalencia hospitalaria y riesgos asociados |
| title_short |
Niños y adolescentes con necesidades especiales de atención en salud: prevalencia hospitalaria y riesgos asociados |
| title_full |
Niños y adolescentes con necesidades especiales de atención en salud: prevalencia hospitalaria y riesgos asociados |
| title_fullStr |
Niños y adolescentes con necesidades especiales de atención en salud: prevalencia hospitalaria y riesgos asociados |
| title_full_unstemmed |
Niños y adolescentes con necesidades especiales de atención en salud: prevalencia hospitalaria y riesgos asociados |
| title_sort |
niños y adolescentes con necesidades especiales de atención en salud: prevalencia hospitalaria y riesgos asociados |
| publisher |
Sociedad Médica de Santiago |
| publishDate |
2012 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000400006 |
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