Niños asistidos en la Unidad de Cuidados Paliativos Pediátricos del Centro Hospitalario Pereira Rossell por lesiones de "causas externas". Años 2008-2016 / Children assisted at the Pediatric Palliative Care Unit of Pereira Rossell Hospital for injuries due to external causes. 2008-2016
Arch. pediatr. Urug
; 88(3): 149-156, jun. 2017. tab
Article
in Spanish
| LILACS
| ID: biblio-887776
Responsible library:
UY1.1
RESUMEN
Resumen Introducción:
las lesiones por "causas externas" son un problema de salud pública. En Uruguay, después del primer año, durante toda la infancia y adolescencia representan la primera causa de muerte. Entre ellas, los traumatismos encefalocraneanos (TEC) son la principal causa de muerte, lesiones graves y discapacidades.Objetivos:
describir las características epidemiológicas y clínicas de los niños asistidos en la Unidad de Cuidados Paliativos Pediátricos del Centro Hospitalario Pereira Rossell (UCPP-CHPR), como consecuencia de lesiones por "causas externas".Metodología:
estudio descriptivo, retrospectivo. Se incluyeron los niños menores de 18 años asistidos por la UCPP- CHPR, entre 1/10/2008-30/11/2016.Resultados:
en el período estudiado se asistieron 5,4% (38/703) niños como consecuencia de lesiones por "causas externas". Mediana de edad 4 años 11 meses (rango 3 meses - 15 años); sexo masculino (23/38). Entre las "causas externas" que condicionaron ser pasibles de CP, lo más frecuente fueron los siniestros de tránsito (17/38), seguidos por maltrato infantil (11/38). La mayoría presentaron TEC grave (27/38). Al egreso hospitalario permanecían con secuela neurológica motora (33/38); trastorno severo del lenguaje (19/38). Utilizaron en algún momento prótesis y/o dispositivos de tecnología médica (36/38); más de una (26/36). Se registraron siete fallecimientos.Conclusiones:
de los niños asistidos por la UCPP-CHPR, 5% lo fue como consecuencia de lesiones por "causas externas", en su mayoría evitables. Estos determinaron importantes secuelas permanentes, discapacidad y dependencia que requieren cuidados complejos en la hospitalización y al egreso y una mirada y atención transdisciplinaria e interinstitucional de calidad.ABSTRACT
Summary:
Introduction:
injuries due to "external causes" are a public health problem. In Uruguay they are the leading cause of death throughout childhood and adolescence, after the first year of life. Traumatic brain injury (TBI), among others, is the leading cause of death, serious injury and disability.Objectives:
to describe the epidemiological and clinical features of children assisted at the Pediatric Palliative Care Unit of the Pereira Rossell Hospital Center (UCPP-CHPR), as a consequence of injuries due to "external causes".Method:
descriptive, retrospective study. Children under 18 years old who were assisted at UCPP-CHPR between 1/10/2008 and 11/30/2016 were included in the study.Results:
in the period studied, 5.4% (38/703) children were seen as a result of "external causes" injuries. Median age 4 years, 11 months (range 3 months - 15 years); Male 23/38. Among the "external causes" that resulted in the patient's need of pediatric palliative care, the following were the most frequent traffic accidents (17/38), battered child (11/38). Most patients in the study evidenced severe TBI (27/38). Upon hospital discharge they still presented motor neurological sequela (33/38); severe language disorder (19/38). 36/38 of them used prosthesis and/ or medical technology devices at some point (36/38); 26/36 of them needing more than one. Seven deaths were recorded.Conclusions:
five percent of the children assisted at the UCPP-CHPR were seen as a consequence of injuries due to "external causes", most of which are avoidable. These determined important permanent sequelae, disability and dependence that required complex care during hospitalization and after discharge, as well as a transdisciplinary and interinstitutional approach and quality care.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Health and Well-Being
/
SDG3 - Target 3.2 Reduce avoidable death in newborns and children under 5
Health problem:
Target 3.6: Reduce deaths and the trauma caused by road accidents
/
Target 3.2: Reduce avoidable death in newborns and children under 5
/
Neonatal Healthcare
Database:
LILACS
Type of study:
Etiology study
/
Observational study
Language:
Spanish
Journal:
Arch. pediatr. Urug
Journal subject:
Pediatrics
Year:
2017
Document type:
Article
Affiliation country:
Uruguay
Institution/Affiliation country:
UDELAR/UY