ABSTRACT
Introduction: Fever and pain, which are very common in ear, nose, and throat pathologies, are among the most frequent complaints recorded during emergency room pediatric patient treatment. Most of time, the pediatricians are called on to evaluate otorhinolaryngology disorders that requires specialist assessment. Aim: To determine the prevalence of otorhinolaryngologic diagnoses in a pediatric population in a reference hospital in the city of Itatiba, São Paulo. Methods: We evaluated 2,054 pediatric patients (age range, 0-12 years, 11 months) in this descriptive, transversal observational (survey) study. Data collection was performed by a single observer during 103 night shifts (07:00 p.m. to 07:00 a.m.) between January and December 2011, and included documentation of the main diagnosis, and patient age and sex. The ethics committee and research institution approved study. Patients were divided into 2 groups based on diagnosis: Group A otorhinolaryngology disease and Group B included diagnoses not contained in Group A. Results: Of the total enrolled patients, 52.2% corresponded to Group A and 47.8% to Group B; 51.9% were male and 48.1% were female. The average age was 4.5 years (Group A, 3.93 years; Group B, 5.03 years). We compared the prevalence of the diagnostic hypotheses of the 2 groups. Conclusion: A large number of patients sought treatment at pediatric emergency rooms for otorhinolaryngologic diagnoses...
Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Pain/etiology , Emergency Medical Services , Fever/etiology , Otorhinolaryngologic Diseases/diagnosis , Otorhinolaryngologic Diseases/epidemiology , PediatricsABSTRACT
Este estudo tem como objetivos: Comparar espirometria de pacientes portadores de polipose nasossinusal (PNS) com grupo controle; correlacionar achados clínicos e de espirometria nos pacientes com PNS; avaliar evolução pulmonar dos pacientes com PNS após tratamento cirúrgico. Foram avaliados prospectivamente 31 pacientes com PNS e 26 do gupo-controle. Encontramos que 45,2 por cento dos pacientes com PNS apresentaram asma enquanto 87 por cento apresentaram alteração espirométrica. Pacientes com PNS apresentaram alteração do VEF1/CVF significativamente maior do que os do grupo controle; pacientes com PNS apresentaram alterações significativas à espirometria; após cirurgia houve melhora clínica em pacientes asmáticos e espirometria inalterada / Controversy existsin the literature regarding the prognosis of asthma and pulmonary function in response to sinonasal polyposis (SNP) surgery. Objectives: To compare spirometry between patients with SNP and a control group, to correlate the clinical findings and spirometry in patients with SNP after surgical treatment. Methods: Thirty-one patients with SNP were prospectively studied. The control gropu consisted of 26 adult volunteers without a history of asthma and SNP. The Student t-test, chi-square test, ANOVA and Wilcoxon test were used for statistical analysis. Results: Asthma was present in 45.2 per cent of the patients, where as 87 per cent showed spirometric alterations. Significantly greater changes in the FEV1 / FVC ratio were observed in patients with SNP compared to the control group. Patients with asthma and altered spirometry showed clinical improvement after surgery. Conclusions: àtients with SNP show significant alterations upon spirometry, asthma is common and spirometry alterations are frequent. Clinical improvement was greater than improvement of pulmonary function...