Niños y adolescentes con necesidades especiales de atención en salud: prevalencia hospitalaria y riesgos asociados

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dc.contributor.authorCarlos Flores, Juan
dc.contributor.authorCarrillo, Daniela
dc.contributor.authorKarzulovic, Lorena
dc.contributor.authorCerda, Jaime
dc.contributor.authorAraya, Gabriela
dc.contributor.authorSoledad Matus, Maria
dc.contributor.authorLlevenes, Guillermo
dc.contributor.authorMenchaca, Gonzalo
dc.contributor.authorVargas, Nelson A.
dc.date.accessioned2024-01-10T13:46:45Z
dc.date.available2024-01-10T13:46:45Z
dc.date.issued2012
dc.description.abstractBackground: "Children with special health care needs" (CSHCN) is a novel definition for pediatric patients with chronic diseases, adopted by the Chilean Pediatric Society in 2008. As life expectancy in Chile increases, prevalence of CSHCN is progressively growing, leading to higher health costs. Aim: To describe the epidemiological profile and clinical characteristics of hospitalized CSHCN, and compare the risk assessment of adverse events during hospitalization using two definitions for CSHCN. Patients and Methods: A cohort of hospitalized CSHCN in a Pediatric Center at Santiago, Chile, was followed from September to December 2009. Clinical and demographic data were registered in a database, including admission to intensive care unit (ICU), nosocomial infections and prolonged hospitalization (> 7 days). Incidence ratios for these events were compared between CSHCN and non-CSHCN, and between children attended by three or more health care professionals (CSHCN-3) and non-CSHCN. Results: Nine hundred twenty patients were included (54% male), with a median age 14 months (0-221) and median days of hospitalization 4 days (1-229). Prevalence of CSHCN was 60.8% of hospitalized children. When using CSHCN definition and comparing with non-CSHCN, no excess of risk was documented. On the other hand, prevalence of CSHCN-3 was 19.9%. Compared to non-CSHCN, these patients had a higher risk of ICU admission (relative risk (RR) 1.58; 95% confidence intervals (CI) = 1.22-2.05; p < 0.01), nosocomial infections (RR 2.28; 95% CI = 1.54-3.39; p < 0.001) and prolonged hospitalization (RR 1.99; 95% CI = 1.52-2.60; p < 0.001). Conclusions: One in five hospitalized children met CSHCN-3 definition. These patients had an increased risk of adverse events during their hospitalization compared to non-CSHCN. (Rev Med Chile 2012; 140: 458-465).
dc.fechaingreso.objetodigital2024-05-31
dc.format.extent8 páginas
dc.fuente.origenWOS
dc.identifier.doi10.4067/S0034-98872012000400006
dc.identifier.eissn0717-6163
dc.identifier.issn0034-9887
dc.identifier.pubmedidMEDLINE:22854691
dc.identifier.urihttps://doi.org/10.4067/S0034-98872012000400006
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/79197
dc.identifier.wosidWOS:000304582200006
dc.information.autorucMedicina;Araya G;S/I;149902
dc.information.autorucMedicina;Carrillo D ;S/I;175124
dc.information.autorucMedicina;Cerda J ;S/I;3935
dc.information.autorucMedicina;Karzulovic L;S/I;132805
dc.information.autorucMedicina;Matus M;S/I;149912
dc.information.autorucMedicina;Menchaca G;S/I;69308
dc.issue.numero4
dc.language.isoes
dc.nota.accesoContenido parcial
dc.pagina.final465
dc.pagina.inicio458
dc.publisherSOC MEDICA SANTIAGO
dc.revistaREVISTA MEDICA DE CHILE
dc.rightsacceso restringido
dc.subjectChronic disease
dc.subjectDelivery of health care
dc.subjectDisability evaluation
dc.subjectPrevalence
dc.subjectMEDICAL HOME
dc.subjectASTHMA
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleNiños y adolescentes con necesidades especiales de atención en salud: prevalencia hospitalaria y riesgos asociados
dc.title.alternativeChildren with special health care needs: prevalence in a pediatric hospital and associated risks
dc.typeartículo
dc.volumen140
sipa.codpersvinculados149902
sipa.codpersvinculados175124
sipa.codpersvinculados3935
sipa.codpersvinculados132805
sipa.codpersvinculados149912
sipa.codpersvinculados69308
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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