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Registro de sobrepeso y obesidad como problema de salud por pediatras de cabecera en una historia clínica electrónica / Recording of overweight and obesity as a health problem by primary care pediatricians in an electronic medical record
Silva, Carolina; Mulli, Valeria; Caffulli, Marcela; Busaniche, Julio.
  • Silva, Carolina; Hospital Italiano de Buenos Aires. Instituto Universitario del Hospital Italiano de Buenos Aires. Ciudad Autónoma de Buenos Aires. AR
  • Mulli, Valeria; Hospital Italiano de Buenos Aires. Instituto Universitario del Hospital Italiano de Buenos Aires. Ciudad Autónoma de Buenos Aires. AR
  • Caffulli, Marcela; Hospital Italiano de Buenos Aires. Instituto Universitario del Hospital Italiano de Buenos Aires. Ciudad Autónoma de Buenos Aires. AR
  • Busaniche, Julio; Hospital Italiano de Buenos Aires. Instituto Universitario del Hospital Italiano de Buenos Aires. Ciudad Autónoma de Buenos Aires. AR
Arch. argent. pediatr ; 118(2): 132-135, abr. 2020. ilus
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1100246
RESUMEN
Introducción. El subdiagnóstico y subregistro de sobrepeso y obesidad en pediatría es muy frecuente. El uso de una historia clínica electrónica podría contribuir favorablemente. El objetivo fue conocer el porcentaje de registro de este problema por pediatras de cabecera y analizar si se asociaba con la realización de estudios complementarios.Métodos. Estudio de corte transversal. Se evaluó el registro del problema en pacientes pediátricos con sobrepeso y obesidad, y la presencia de resultados de glucemia, triglicéridos y colesterol de alta densidad en pacientes obesos.Resultados. Se analizaron 7471 pacientes con sobrepeso y obesidad; el registro adecuado del problema fue del 19 %. El 44 % de los obesos (n = 1957) tenía registro adecuado y el 32 %, resultados de laboratorio, con asociación significativa entre variables.Conclusiones. Los porcentajes de registro de sobrepeso y obesidad y realización de estudios complementarios fueron bajos. El registro del problema se asoció a mayor solicitud de estudios
ABSTRACT
Introduction. Under-diagnosis and under-recording of overweight and obesity in pediatrics is very common. Using an electronic medical record may be helpful. The objective was to establish the percentage of recording of this problem by primary care pediatricians and analyze if it was associated with the performance of ancillary tests.Methods. Cross-sectional study. The recording of this problem among overweight and obese pediatric patients and the presence of blood glucose, triglycerides, and high-density lipoprotein cholesterol results in obese patients were assessed.Results. A total of 7471 overweight and obese patients were included; this health problem was adequately recorded in only 19 %. Among all obese patients (n = 1957), 44 % had adequate recording of this health problem; 32 % had lab test results showing a significant association among outcome measures.Conclusions. The percentage of overweight and obesity recording and ancillary test performance was low. Recording was associated with a higher level of test ordering
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Medical Records Systems, Computerized / Overweight / Electronic Health Records / Obesity Type of study: Observational study / Prevalence study / Risk factors Limits: Adolescent / Child / Child, preschool / Female / Humans / Male Language: English / Spanish Journal: Arch. argent. pediatr Journal subject: Pediatrics Year: 2020 Type: Article Affiliation country: Argentina Institution/Affiliation country: Hospital Italiano de Buenos Aires/AR

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Full text: Available Index: LILACS (Americas) Main subject: Medical Records Systems, Computerized / Overweight / Electronic Health Records / Obesity Type of study: Observational study / Prevalence study / Risk factors Limits: Adolescent / Child / Child, preschool / Female / Humans / Male Language: English / Spanish Journal: Arch. argent. pediatr Journal subject: Pediatrics Year: 2020 Type: Article Affiliation country: Argentina Institution/Affiliation country: Hospital Italiano de Buenos Aires/AR