Pediatric chronic patients at outpatient clinics: a study in a Latin American University Hospital

Renata A. Alveno, Caroline V. Miranda, Caroline G. Passone, Aurora R. Waetge, Elza S. Hojo, Sylvia C.L. Farhat, Vicente Odone‐Filho, Uenis Tannuri, Werther B. Carvalho, Magda Carneiro‐Sampaio, Clovis A. Silva
2018 Jornal de Pediatria (Versão em Português)  
Objective: To describe the characteristics of children and adolescentes with chronic diseases of outpatient clinics at a tertiary university hospital. Methods: A cross-sectional study was performed with 16,237 patients with chronic diseases followed-up in one year. The data were collected through the electronic system, according to the number of physician appointments in 23 pediatric specialties. Patients were divided in two groups: children (0---9 years) and adolescents (10---19 years). Early
more » ... --19 years). Early (10---14 years) and late (15---19 years) adolescent groups were also analyzed. Results: Of the total sample, 56% were children and 46% were adolescents. The frequencies of following pediatric specialties were significantly higher in adolescents when compared with children: cardiology, endocrinology, hematology, nephrology/renal transplantation, neurology, nutrology, oncology, palliative and pain care, psychiatry, and rheumatology (p < 0.05). The frequencies of emergency service visits (30% vs. 17%, p < 0.001), hospitalizations (23% vs. 11%, p < 0.001), intensive care unit admissions (6% vs. 2%, p < 0.001), and deaths (1% vs. 0.6%, p = 0.002) were significantly lower in adolescents than in children. However, the number of physician appointments (≥13) per patient was also higher in the adolescent group (5% vs. 6%, p = 0.018). Further analysis comparison between early and late adolescents revealed that the first group had significantly more physician appointments (35% vs. 32%, p = 0.025), and required more than two pediatric specialties (22% vs. 21%, p = 0.047). Likewise, the frequencies of emergency service visits (19% vs. 14%, p < 0.001) and hospitalizations (12% vs. 10%, p = 0.035) were higher in early adolescents. ଝ Please cite this article as: Alveno RA, Miranda CV, Passone CG, Waetge AR, Hojo ES, Farhat SC, et al. Pediatric chronic patients at outpatient clinics: a study in a Latin American University Hospital. J Pediatr (Rio J). 2018;94:539---45.
doi:10.1016/j.jpedp.2017.10.005 fatcat:s32bdwr33vevfgbre33tjamupu