Navegando por Palavras-chave "hospitalização"
Agora exibindo 1 - 5 de 5
Resultados por página
Opções de Ordenação
- ItemAcesso aberto (Open Access)Desnutrição energético-proteica grave durante a hospitalização: aspectos fisiopatológicos e terapêuticos(Sociedade de Pediatria de São Paulo, 2010-09-01) Lima, Adriana Martins de [UNIFESP]; Gamallo, Silvia Maria M. [UNIFESP]; Oliveira, Fernanda Luisa Ceragioli [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To identify the main physiopathological aspects of severe protein-energy malnutrition and its treatment. DATA SOURCE: Based on the World Health Organization guidelines (WHO, 1999), an electronic search for papers on hospital treatment of children with severe malnutrition was performed on Lilacs, Medline and SciELO databases. Studies in English, Spanish and Portuguese published in the last ten years were searched by the following key-words: malnutrition, child, hospitalization, nutrition therapy, practice guidelines, WHO. DATA SYNTHESIS: The main pathological aspects of severe malnutrition and its specific treatment were reviewed. The main clinical and metabolic complications of severe malnutrition were identified such as hypothermia, hypoglycemia, dehydration, usual infections, intestinal malabsorption, as well as stabilization and recovery phases, were defined. Understanding the main concepts of the physiopathology of this condition, associated with appropriate nutrition support planning, can decrease morbidity and mortality risks of children younger than five years old. CONCLUSIONS: The implementation of the 1999 WHO guidelines should take into consideration local economic and cultural aspects, as well as the professional health care training. Due to the complexity of severe malnutrition, adequate knowledge about basic aspects of this condition helps providing adequate diagnosis and treatment.
- ItemAcesso aberto (Open Access)Estado nutricional de crianças e adolescentes hospitalizados em enfermaria de cirurgia pediátrica(Sociedade de Pediatria de São Paulo, 2010-03-01) Simões, Ana Paula B. [UNIFESP]; Palchetti, Cecília Zanin [UNIFESP]; Patin, Rose Vega [UNIFESP]; Mauri, Juliana Ferreira [UNIFESP]; Oliveira, Fernanda Luisa Ceragioli [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To evaluate the nutritional status, duration of hospital stay and clinical specialties of patients hospitalized in the Pediatric Surgery Unit of São Paulo Hospital, UNIFESP-EPM. METHODS: This cross-sectional retrospective study enrolled 749 children and adolescents of both genders admitted to the Pediatric Surgery Unit during the period of August 2007 to July 2008. The following data were collected: anthropometric variables, duration of hospital stay and surgical procedures. For nutritional status classification, the Z score for body mass index (Z BMI) and height-for-age (Z H/A) were used according to the World Health Organization growth chart (WHO, 2007). The children were classified according to the surgical procedures performed. Results were compared by ANOVA followed by Bonferroni multiple comparisons test, being significant p<0.05. Statistical analysis was carried out through STATA 8.0 software. RESULTS: Patients' mean age was seven years old (0 to 18), 59% were males and 18% had ear, neck or throat surgery. Among the hospitalized patients, 66% had appropriated height for age, 43% were eutrophic and 31% obese/overweight. The malnourished patients presented longer hospital stay than the obese/overweight patients (7.2 versus 4.1 days; p=0,035). Infants had prolonged hospital stay (p=0,006) and less Z BMI values in comparison to the other age groups. (p=0,001). Infants that needed cardiac surgery presented lower Z BMI in relation to the others (p=0,002). CONCLUSIONS: The patients profile in the Pediatric Surgery Unit followed the nutritional pattern observed in Brazil, with increasing prevalence of obesity together with malnutrition. However, malnutrition is still an aggravating factor for prolonged hospital stay
- ItemAcesso aberto (Open Access)Evolução nutricional de crianças hospitalizadas e sob acompanhamento nutricional(Pontifícia Universidade Católica de Campinas, 2005-06-01) Oliveira, Ana Flávia de [UNIFESP]; Oliveira, Fernanda Luisa Ceragioli [UNIFESP]; Juliano, Yara; Ancona-Lopez, Fábio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de Santo Amaro Faculdade de MedicinaOBJECTIVE: This study aimed at evaluating the nutritional evolution of hospitalized children with infectious diseases, who were put under nutritional orientation. METHODS: Evaluate the effect of therapeutic nutritional orientation on 125 children between 6 and 36 months of age, who were admitted at the Pediatric Infectology Ward of the Hospital São Paulo, São Paulo, Brazil, between March 2001 and December 2002. The evaluations of nutritional status and energetic intake were based on data obtained from inquiry-forms on feeding-patterns and anthropometric measurements. RESULTS: Of the children being evaluated, 53,6% (67) were male. The mean age was 17 months, and the average period spent in the hospital was 10 days. At admission, 24,8% (31) of the children were undernourished and 10,0% (23) were overweight or obese. The diagnosis of acute diseases affected 69,6% (87) of the children. Nutritional support was provided for 21.6% (27) of the children, out of which, 81.5% (22) received nutritional support orally. The undernourished group presented a significant improvement of the Z-score of Weight over Height - Z W/H (p=0.001); the eutrophic group had no significant change of the Z-score Weight over Height (p=0.651), and the group overweight/obese showed a significant reduction of the Z-score Weight over Height (p=0.026). No significant associations were found between nutritional support therapy and improvement of the nutritional status (p=0.37). The children who had an energy intake higher than the one recommended for their age, had a significant improvement of the Z-score Weight over Height (p<0.001). CONCLUSION: The children followed up in this study had their nutritional condition significantly improved, making it evident that nutritional orientation, or diet therapy, can improve the treatment of hospitalized children.
- ItemAcesso aberto (Open Access)Hospitalização e mortalidade por insuficiência cardíaca em hospitais públicos no município de São Paulo(Sociedade Brasileira de Cardiologia - SBC, 2011-11-01) Godoy, Henrique L. [UNIFESP]; Silveira, José A. [UNIFESP]; Segalla, Eduardo [UNIFESP]; Almeida, Dirceu Rodrigues de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)BACKGROUND: Advances in the treatment of heart failure (HF) have resulted in reduced mortality and hospitalization rates. On the other hand, when hospitalized, patients are at high risk of death. OBJECTIVE: As there are few studies in this group of patients in Brazil, we analyzed the numbers of hospitalization and deaths due to HF in the Brazilian Public Health System (SUS) in the city of São Paulo. METHODS: Historical prospective study carried out between 1992 and 2010. The data were obtained from DATASUS. We used Chi-square and t tests for comparison between the periods 1992-1993 and 2008-2009 and logistic regression models when appropriate. The level of significance was set at 5%. RESULTS: There was a 32% decrease in the number of hospitalizations for HF between 1992-1993 and 2008-2009 (p = 0.002). The in-hospital mortality rate for HF was 15%, with a 15% increase in the period (p = 0.004). Between 1992 and 1993, the mean time of hospitalization for HF was 8.8 days. Between 2008 and 2009, it was 11.3 days (p = 0.001). August was the month with the highest incidence of hospitalizations for HF, 20% higher than in February, the month with the lowest incidence (p = 0.041). CONCLUSION: This study showed changes in trends of hospitalization for HF and mortality over the last two decades. We emphasize important implications: 1: 32% decrease in the number of hospitalizations for HF in SUS hospitals in São Paulo; 2: 25% increase in hospitalization time, and 3: seasonal pattern of hospitalization for HF, with a peak in the third quarter.
- ItemSomente MetadadadosPerfil clínico de crianças com atraso no desenvolvimento acompanhadas em serviço de referência do município de Belém/PA(Universidade Federal de São Paulo (UNIFESP), 2013-04-23) Souza, Isabel Cristina Neves de [UNIFESP]; Puccini, Rosana Fiorini Puccini [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: To describe profile of children aged 0 to 12 years referred for reference service in Belém with suspected developmental delay or developmental delay established regarding the diagnosis and risk factors. Methods: Cross-sectional study of 642 children and analytical Ambulatory Service Development Walk in the period August 1, 2007 to July 31, 2010, whose data were analyzed by the programs Bioestat 5.3 and Statistica 8.0. Results: 78.6% of the children studied was founded in Belém, 34.8% of UBS and PSF forwarded and 60.1% by physician. The main reason for referral was isolated language delay (31.3%). Most children were male (62.6%) aged admission more common in children under 6 years. The maternal age group with the highest prevalence was 20 to 30 years both at birth, on admission, 58.6% and 46.6% respectively. Regarding education of mothers prevailed over 8 years of study with 54.8%, with 52% of family history of developmental delay, 45.4% with divorced parents, 87.6% with mother as primary caregiver, 56 8% with housing density of 5 or more residents and 80% with per capita income less than half the minimum wage. Prenatal care was not performed or was incomplete in 41.9% of mothers with pregnancy complications of 70.6% and 60.7% of peri / neonatal. The delivery was normal, 65.5% of mothers. Urinary tract infection was the most frequent complication pregnancy (39.3%) and perinatal hypoxia was possible in 57.8%, followed by jaundice, prematurity and low birth weight. Were hospitalized in the neonatal period 36.9% and 76.9% of children were hospitalized in the same period by more than 5 days. In assessing the multidisciplinary language disorder was the most frequent with 82.4% Assessment of neuropediatrician occurred in 80% of children, with 98% of the changes and EEG examination was performed more (44.2%) in children. 20.6% of 642 children received a diagnosis of Cerebral Palsy, followed Disorder Joint Development with Mental Disabilities 13.4% and 11.1%. Correspondence analysis of the variables age and functional alteration of perception and risk factors and diagnosis observed association between them. Conclusion: The assessment of children with developmental delay part of the identification of risk factors, involves the verification of functional alterations and etiological investigation, which should be a parallel intervention functional because the institution of early treatment improves performance, provides well -being the child and his family, gives future prospects.