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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los estudios sobre demanda asistencial neuropedi&#225;trica&#44; escasos en nuestro pa&#237;s&#44; ofrecen informaci&#243;n de enorme valor para el conocimiento de la especialidad&#44; las necesidades de especialistas y su formaci&#243;n&#44; y contribuyen a la correcta planificaci&#243;n y utilizaci&#243;n de los recursos econ&#243;micos y humanos&#46;</p> <span class="elsevierStyleSectionTitle">Objectivo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Conocer la demanda real&#44; patolog&#237;a predominante y utilidad de los ex&#225;menes complementarios y determinar as&#237; las necesidades de actuaci&#243;n neuropedi&#225;trica en la consulta de un hospital general</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo&#44; retrospectivo&#44; de los pacientes vistos en primera consulta y consultas sucesivas de neuro-pediatr&#237;a durante un per&#237;odo de 7 y 4 a&#241;os&#44; respectivamente&#44; seleccionados aleatoriamente</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En este per&#237;odo fueron valorados 1&#46;130 ni&#241;os que generaron 5&#46;033 consultas&#46; El n&#250;mero de visitas representa el 25&#37; de todas las consultas del servicio de pediatr&#237;a&#44; lo que supone el 31&#37;o de ni&#241;os menores de 14 a&#241;os de la poblaci&#243;n infantil de Segovia&#44; con un &#237;ndice global de revisiones&#47;pacientes nuevos de 3&#44;4&#46; El diagn&#243;stico m&#225;s frecuente fue cefalea &#40;32&#37;&#41;&#44; seguido de paroxismo no epil&#233;ptico&#44; convulsi&#243;n febril&#44; y epilepsia&#46; Las patolog&#237;as que requirieron mayor n&#250;mero de consultas sucesivas fueron epilepsia &#40;20&#37;&#41;&#44; cefalea &#40;9&#37;&#41; y convulsi&#243;n febril &#40;5&#37;&#41;&#46; El &#237;ndice revisiones&#47;pacientes nuevos fue significativamente elevado en la par&#225;lisis cerebral infantil y la epilepsia&#46; El EEG fue el examen complementario m&#225;s solicitado&#44; seguido de los estudios neurorradiol&#243;gicos&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La demanda neuropedi&#225;trica est&#225; constituida en su mayor&#237;a por cefaleas&#44; epilepsias&#44; convulsiones&#44; trastornos parox&#237;sticos no epil&#233;pticos y neurolog&#237;a neonatal y de los primeros a&#241;os de la vida&#46;Existe una elevada presi&#243;n asistencial que proviene en gran medida de trastornos funcionales o autolimitados y que podr&#237;a reducirse con una correcta formaci&#243;n neurol&#243;gica en atenci&#243;n primaria&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The few existing studies on the demand for neuropediatric care in Spain offer information of enormous value&#44; contributing to our knowledge of this specialty and of the needs of specialists and their training&#44; as well as to the correct planning and use of economic and human resources&#46;</p> <span class="elsevierStyleSectionTitle">Objective</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">To determine the real demand&#44; predominant disorders and usefulness of complementary examinations with a view to determining the need for neuropediatric care in a general hospital&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Descriptive&#44; retrospective study of patients attending the neuropediatric department for the first time during a 7-year period and for follow-up visits during a 4-year period&#46; The periods were randomly selected&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">During this period 1130 children&#44; generating 5033 consultations&#44; were assessed&#46; The total number of visits amounted to 25&#37; of all consultations in the Pediatric Department&#44; involving 31&#37; of the children under 14 years of age in the pediatric population of Segovia&#46; The overall rate of reexaminations&#47;new patients was 3&#46;4&#46; The most frequent diagnosis was headache &#40;32&#37;&#41;&#44; followed by non-epileptic paroxysms&#44; febrile convulsions and epilepsy&#46;The disorders requiring the greatest number of follow-up consultations were epilepsy &#40;20&#37;&#41;&#44; headache &#40;9&#37;&#41; and febrile convulsions &#40;5&#37;&#41;&#46; The rate of reexamination&#47;new patients was significantly higher in pediatric cerebral palsy and epilepsy&#46; Electroencephalogram was the most frequently requested complementary examination&#44; followed by neuroradiological studies&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Demand for neuropediatric care mainly involves headaches&#44; epilepsy&#44; convulsions&#44; non-epileptic paroxysmal disorders&#44; and neonatal neurology in the first years of life&#46;Pressure on neuropediatric departments is great due to the number of patients attending consulting rooms because of functional or self-limiting disorders&#46;This pressure could be reduced by appropriate neurological training of general pediatricians or family doctors&#46;</p>"
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Vol. 53. Núm. 2.
Páginas 106-111 (agosto 2000)
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Vol. 53. Núm. 2.
Páginas 106-111 (agosto 2000)
Acceso a texto completo
Demanda asistencial neuropediátrica en un hospital general
Demand For Neuropediatric Healthcare In A General Hospital
Visitas
8229
M. Herrera Martín*, R. Gracia Remiro, C. Santana Rodríguez, A. Jiménez Moya, J. Ayala Curiel, P. Cuadrado Bello
Servicio de Pediatría.Hospital General de Segovia
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Estadísticas
Introducción

Los estudios sobre demanda asistencial neuropediátrica, escasos en nuestro país, ofrecen información de enorme valor para el conocimiento de la especialidad, las necesidades de especialistas y su formación, y contribuyen a la correcta planificación y utilización de los recursos económicos y humanos.

Objectivo

Conocer la demanda real, patología predominante y utilidad de los exámenes complementarios y determinar así las necesidades de actuación neuropediátrica en la consulta de un hospital general

Material y métodos

Estudio descriptivo, retrospectivo, de los pacientes vistos en primera consulta y consultas sucesivas de neuro-pediatría durante un período de 7 y 4 años, respectivamente, seleccionados aleatoriamente

Resultados

En este período fueron valorados 1.130 niños que generaron 5.033 consultas. El número de visitas representa el 25% de todas las consultas del servicio de pediatría, lo que supone el 31%o de niños menores de 14 años de la población infantil de Segovia, con un índice global de revisiones/pacientes nuevos de 3,4. El diagnóstico más frecuente fue cefalea (32%), seguido de paroxismo no epiléptico, convulsión febril, y epilepsia. Las patologías que requirieron mayor número de consultas sucesivas fueron epilepsia (20%), cefalea (9%) y convulsión febril (5%). El índice revisiones/pacientes nuevos fue significativamente elevado en la parálisis cerebral infantil y la epilepsia. El EEG fue el examen complementario más solicitado, seguido de los estudios neurorradiológicos.

Conclusiones

La demanda neuropediátrica está constituida en su mayoría por cefaleas, epilepsias, convulsiones, trastornos paroxísticos no epilépticos y neurología neonatal y de los primeros años de la vida.Existe una elevada presión asistencial que proviene en gran medida de trastornos funcionales o autolimitados y que podría reducirse con una correcta formación neurológica en atención primaria.

Palabras clave:
Práctica neuropediàtrica
Demanda asistencial
Registro de enfermedades
Hospital
Consultas
Introduction

The few existing studies on the demand for neuropediatric care in Spain offer information of enormous value, contributing to our knowledge of this specialty and of the needs of specialists and their training, as well as to the correct planning and use of economic and human resources.

Objective

To determine the real demand, predominant disorders and usefulness of complementary examinations with a view to determining the need for neuropediatric care in a general hospital.

Material and methods

Descriptive, retrospective study of patients attending the neuropediatric department for the first time during a 7-year period and for follow-up visits during a 4-year period. The periods were randomly selected.

Results

During this period 1130 children, generating 5033 consultations, were assessed. The total number of visits amounted to 25% of all consultations in the Pediatric Department, involving 31% of the children under 14 years of age in the pediatric population of Segovia. The overall rate of reexaminations/new patients was 3.4. The most frequent diagnosis was headache (32%), followed by non-epileptic paroxysms, febrile convulsions and epilepsy.The disorders requiring the greatest number of follow-up consultations were epilepsy (20%), headache (9%) and febrile convulsions (5%). The rate of reexamination/new patients was significantly higher in pediatric cerebral palsy and epilepsy. Electroencephalogram was the most frequently requested complementary examination, followed by neuroradiological studies.

Conclusions

Demand for neuropediatric care mainly involves headaches, epilepsy, convulsions, non-epileptic paroxysmal disorders, and neonatal neurology in the first years of life.Pressure on neuropediatric departments is great due to the number of patients attending consulting rooms because of functional or self-limiting disorders.This pressure could be reduced by appropriate neurological training of general pediatricians or family doctors.

Keywords:
Neuropediatric practice
Demand for healthcare
Register of illnesses
Hospital
Examinations
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Copyright © 2000. Asociación Española de Pediatría
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