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首页> 外文期刊>Sao Paulo Medical Journal >Hospitalizations due to primary care-sensitive conditions among children under five years of age: cross-sectional study
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Hospitalizations due to primary care-sensitive conditions among children under five years of age: cross-sectional study

机译：横断面研究：五岁以下儿童由于对初级保健敏感的原因而住院：横断面研究

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CONTEXT AND OBJECTIVE: Hospitalizations due to primary care-sensitive conditions constitute an important indicator for monitoring the quality of primary healthcare. This study aimed to describe hospitalizations due to primary care-sensitive conditions found among children under five years of age (according to their age and sex), in two cities in Para?-ba, Brazil. DESIGN AND SETTING: Cross-sectional study carried out in the municipalities of Cabedelo and Bayeux, in Para?-ba, Brazil. METHODS: Data were collected from four public pediatric hospitals in Para?-ba that receive children from these municipalities. Hospital admission authorizations were consulted to gather information on the childrena??s profile and the characteristics of their hospitalizations. Differences in the causes of admissions and the respective lengths of hospital stay length were analyzed according to age group and sex. RESULTS: The proportion of hospital admissions due to primary care-sensitive conditions was 82.4%. The most frequent causes were: bacterial pneumonia (59.38%), infectious gastroenteritis and its complications (23.59%) and kidney and urinary tract infection (9.67%). Boys had higher frequency of hospitalizations due to primary care-sensitive conditions than girls. The median hospitalization due to primary care-sensitive conditions was found to be four days. The duration of hospital stays due to primary care-sensitive conditions was significantly longer than those due to conditions that were not sensitive to primary care. CONCLUSIONS: High rates of hospital admissions due to primary care-sensitive conditions were highlighted, especially among children of male sex, with long periods of hospitalization.
机译：背景与目的：因对初级保健敏感的条件而住院治疗是监测初级保健质量的重要指标。这项研究的目的是描述在巴西帕拉伊巴州的两个城市，由于五岁以下儿童（根据年龄和性别）而对初级保健敏感的条件导致的住院治疗。设计与环境：横断面研究在巴西帕拉伊巴州的卡贝德洛和巴约市进行。方法：数据是从帕拉巴州的四所公立儿科医院收集的，这些医院收治了来自这些城市的儿童。咨询了医院的入院许可，以收集有关孩子的概况和住院特征的信息。根据年龄组和性别，分析了入院原因和住院时间的长短的差异。结果：由于对初级保健敏感的病情而住院的比例为82.4％。最常见的原因是：细菌性肺炎（59.38％），传染性胃肠炎及其并发症（23.59％）和肾及尿路感染（9.67％）。由于对初级保健敏感的原因，男孩的住院率高于女孩。发现由于对主要护理敏感的疾病而导致的中位住院时间为四天。由于对基层医疗敏感的病情，住院时间明显长于对基层医疗不敏感的病情。结论：强调了由于对初级保健敏感的条件而导致的高住院率，尤其是在长期住院的男性儿童中。

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