ABSTRACT
El objetivo final de la Unidad es prestar una asistencia sanitaria eficiente dentro de un marco de humanización como parte fundamental de la calidad del servicio prestado. La Urgencia Pediátrica atiende a pacientes menores de 16 años que precisen cualquier tipo de atención y por parte de cualquier especialidad. Se ven alrededor de 54.000 urgencias anuales. Hay un sistema de clasificación que realiza la enfermería. Posteriormente le atienden los pediatras en las consultas. Desde estas, la mayor parte de los niños se pueden dar de alta (88%), otros pasan al área de terapia inhalada (4%) y el resto a la zona de Observación (8%). Se ingresan cada año unos 2.300 pacientes. Periódicamente se valoran los indicadores de calidad marcados por la SEUP. Desde el punto de vista docente, se forma anualmente 10 residentes de Pediatría, 4 de Alergia y 20 de Medicina Familiar y Comunitaria (AU)
The final objective of the Unit is to provide efficient health care within a framework of humanization as a fundamental part of the quality of the service provided. Pediatric Emergency attends to patients under 16 years of age who require any type of attention and by any specialty. Approximately 54,000 emergencies are seen per year. There is a Classification system performed by the nursing service. After, the pediatricians see the patient in their consultation. From these, most of the children can be discharged (88%), others are transferred to area of inhaled therapies area (4%) and the rest go to the Observation area (8%). Every year, about 2,300 patients are hospitalized. Periodically, the quality indicated marked by the SEUP (Spanish Society of Pediatric Emergencies) are evaluated. From the teaching point of view, 10 residence of Pediatrics are trained, 4 in Allergy and 20 in Family and Community Medicine (AU)
Subject(s)
Humans , Male , Female , Child , Emergency Medical Services/methods , Hospitals, University , Triage/organization & administration , Triage/standards , Indicators of Health Services/organization & administration , Indicators of Health Services/standards , Health Services/standardsABSTRACT
Introducción: el traumatismo alvéolo-dentario es muy frecuente en la infancia y supone un motivo habitual de consulta en los Servicios de Urgencias pediátricos. Objetivo: estudiar el manejo de los traumatismos dentales en un hospital terciario. Material y métodos: estudio descriptivo retrospectivo. Se incluyeron todos los menores de 15 años que consultaron por traumatismo dental en la Urgencia Pediátrica del Hospital 12 de Octubre (Madrid, España) entre septiembre de 2008 y agosto de 2010. Durante este periodo se puso en marcha un protocolo de manejo de estos pacientes en nuestro centro. Resultados: en el periodo de estudio fueron atendidos 374 pacientes, el 63% varones, con una media de edad de 4,45 años. En el 84% de los casos, la etiología fue casual, seguido de un 3% relacionado con accidentes deportivos. El 32% de los pacientes fue derivado desde otros centros para valoración por Cirugía Maxilofacial. El 60% fue atendido exclusivamente por pediatras. Las causas más frecuentes de atención por parte de Cirugía Maxilofacial fueron: sutura de laceración gingival (6,4%), extracción dental (3%) y ferulización (1,3%). El 83,4% requirió solamente tratamiento médico. Conclusiones: el trauma dental es una causa frecuente de consulta en los Servicios de Urgencias y de derivación a hospitales de referencia. La mayoría de los pacientes presenta lesiones menores que no precisan la realización de pruebas complementarias ni requieren tratamiento quirúrgico, y pueden ser manejadas por un pediatra siguiendo protocolos consensuados con especialistas en Cirugía Maxilofacial (AU)
Introduction: dental injury is very common in childhood and a frequent reason for consultation in pediatric emergency departments. Objectives: to study the management of dental injury in a tertiary hospital. Material and methods: retrospective descriptive study. All patients under 15 years old consulting for dental injury in the Pediatric Emergency Department of Hospital 12 de Octubre between September 2008 and August 2010 were included. During this period of time a specific management protocol of these patients was started. Results: a total of 374 patients were treated, 63% being males, with a median age of 4.45 years. In 84% of cases the etiology was casual, followed by a 3% sports-related accident. Thirty-two percent of the patients were referred from other centers for Maxillofacial Surgery evaluation. In 60% of cases, children were treated exclusively by pediatricians. The most common reasons for maxillofacial surgery evaluation were: suture of gingival laceration (6.4%), dental extraction (3%) and ferulization (1.3%); 83.4% required only medical treatment. Conclusions: dental injury is a common reason for consultation in the pediatric emergency department and referral to other centers. Most patients have mild lesions so they need neither complementary studies nor surgery treatment and should be managed by pediatricians following agreed protocols (AU)
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Tooth Socket/injuries , Tooth Socket/pathology , Tooth Socket/surgery , Emergencies , Emergency Medicine/methods , Surgery, Oral/instrumentation , Clinical Protocols/standards , Tooth Injuries/diagnosis , Tooth Injuries/therapy , Retrospective Studies , Surgery, Oral/standards , Surgery, Oral , Hospitals, University/organization & administration , Hospitals, University/standards , Hospitals, University , Surgery, Oral/methodsABSTRACT
Objetivos. Estudiar la incidencia del «trastorno por duelo prolongado» desde un año después del fallecimiento de un familiar ingresado en la Unidad de Cuidados Intensivos (UCI). Material y métodos. Estudio de seguimiento longitudinal con corte transversal en una UCI polivalente de un hospital de referencia. Se evaluó a los allegados alrededor de un año después del fallecimiento, usando como herramientas los «criterios de consenso para el diagnóstico del trastorno por duelo prolongado» (CCTDP). Se determinó la prevalencia entre el primero y segundo años. Resultados. Se incluyeron 151 familiares de fallecidos en la UCI. El seguimiento se realizó 22,1±5,3 meses tras el fallecimiento. Once familiares (10,3%) cumplieron los CCTDP. De todos los allegados en duelo, aquellos identificados con trastorno por duelo prolongado son los que con más frecuencia precisaron apoyo psicológico/psiquiátrico. Conclusiones. En una muestra de allegados de pacientes fallecidos tras un ingreso en la UCI, una minoría significativa cumplió los CCTDP al cabo de 1-2 años tras el fallecimiento. Hay que tener en consideración este hecho que es frecuentemente pasado por alto, y que podría precisar algún tipo de intervención psicológica(AU)
Objectives. To determine the incidence of «Prolonged Grief Disorder» from one year after the death of a relative admitted to the Intensive Care Unit. Material and methods. A cross-sectional, longitudinal follow-up study was conducted in a general ICU of a reference hospital. The relatives were evaluated approximately one year after the death using the «Consensus Criteria for Prolonged Grief Disorder» as a tool. The prevalence between the first and second years was determined. Results. A total of 151 relatives of patients who died in ICU were included. The follow-up was carried out 22.1±5.3 months after the death. Eleven relatives (10.3%) fulfilled the «Consensus Criteria for Prolonged Grief Disorder». Of all the grieving relatives, those identified with prolonged grief disorder are the ones who most often require psychological/psychiatric support. Conclusions. In a sample of close relatives of patients who died in ICU, a significant minority fulfilled the criteria for «Prolonged Grief Disorder» 1-2 years after the death. This condition, which is often overlooked, and could require some kind of psychological treatment, should be taken into consideration(AU)
Subject(s)
Humans , Male , Female , Grief , Critical Care/methods , Critical Care , Critical Care/methods , Critical Care , Attitude to Death , Critical Care/organization & administration , Critical Care/trends , Longitudinal Studies/methods , Longitudinal Studies/trends , Longitudinal Studies , Cross-Sectional Studies/methods , Cross-Sectional Studies/trendsABSTRACT
OBJECTIVES: To determine the incidence of «Prolonged Grief Disorder¼ from one year after the death of a relative admitted to the Intensive Care Unit. MATERIAL AND METHODS: A cross-sectional, longitudinal follow-up study was conducted in a general ICU of a reference hospital. The relatives were evaluated approximately one year after the death using the «Consensus Criteria for Prolonged Grief Disorder¼ as a tool. The prevalence between the first and second years was determined. RESULTS: A total of 151 relatives of patients who died in ICU were included. The follow-up was carried out 22.1±5.3 months after the death. Eleven relatives (10.3%) fulfilled the «Consensus Criteria for Prolonged Grief Disorder¼. Of all the grieving relatives, those identified with prolonged grief disorder are the ones who most often require psychological/psychiatric support. CONCLUSIONS: In a sample of close relatives of patients who died in ICU, a significant minority fulfilled the criteria for «Prolonged Grief Disorder¼ 1-2 years after the death. This condition, which is often overlooked, and could require some kind of psychological treatment, should be taken into consideration.
