Utilización nocturna de una unidad de urgencias pediátrica hospitalaria
Utilisation of a hospital pediatric emergency department during the night
S. Mintegui Raso*, J. Sánchez Echániz, J. Benito Fernández, M.A. Vázquez Ronco, A. García Ribes, N. Trebolazabala Quirante
Urgencias de Pediatría. Departamento de Pediatría. Hospital de Cruces. Barakaldo. Bizkaia.
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Mintegui Raso, J. Sánchez Echániz, J. Benito Fernández, M.A. Vázquez Ronco, A. García Ribes, N. Trebolazabala Quirante" "autores" => array:6 [ 0 => array:3 [ "nombre" => "S." "apellidos" => "Mintegui Raso" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Sánchez Echániz" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Benito Fernández" ] 3 => array:2 [ "nombre" => "M.A." "apellidos" => "Vázquez Ronco" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "García Ribes" ] 5 => array:2 [ "nombre" => "N." "apellidos" => "Trebolazabala Quirante" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Urgencias de Pediatría. Departamento de Pediatría. Hospital de Cruces. Barakaldo. Bizkaia." ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Urgencias de Pediatría. Hospital de Cruces. Plaza de Cruces, s/n. 48903 Barakaldo. Bizkaia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Utilisation of a hospital pediatric emergency department during the night" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1999-09-30" "fechaAceptado" => "2000-01-31" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186255" "palabras" => array:3 [ 0 => "Urgencias pediátricas" 1 => "Variaciones nocturnas" 2 => "Noche" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec186256" "palabras" => array:3 [ 0 => "Pediatric emergency department" 1 => "Night-time variation" 2 => "Night" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Conocer las características de los pacientes que acuden a urgencias de pediatría de las 0 a las 8 h.</p> <span class="elsevierStyleSectionTitle">Metodología</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo de 300 niños atendidos por la noche en urgencias.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Entre el 1 y el 22 de marzo de 1999 se registraron 300 episodios de 0 a 8 h (1,7 pacientes/h) y 2.350 de las 8 a las 24 h (6,6 pacientes/h). De los 300 episodios nocturnos, 132 correspondían a niños que acudieron de entre las 0.00 a las 2.00 h (44%). Los motivos de consulta más frecuentes fueron: síntomas respiratorios, 116 (38,6%); digestivos, 61 (20,3%), y fiebre 61 (20,3%), practicándose alguna exploración complementaria a 111 pacientes (37,0%). Ingresaron 5 niños (1,7%) de los que se presentaron entre las 0 y las 8 h, y 80 (3,4%) de los que acudieron entre las 8 y las 24 h, (p = 0,15), mientras 25 (8,3%) permanecieron unas horas en la unidad de observación (123 de 8 a 24 h, 5,2%; p = 0,04). Los diagnósticos fueron: infección otorrinolaringológica 91 (30,3%); fiebre sin foco, 38 (12,6%); asma, 29 (9,6%); gastroenteritis aguda, 27 (9%); laringitis, 22 (7,3%); vómitos 14 (4,6%); dolor abdominal, 13 (4,3%); convulsión febril, 6 (2%); neumonía, 5 (1,6%); bronquiolitis 5 (1,6%); bacteriemia, 1 (0,3%), y otros, 49 (16,3%).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La presión asistencial en urgencias de pediatría disminuye por la noche, especialmente de 2 a 8 h. La tasa de ingresos nocturna es menor a la diurna, sin que la diferencia sea estadísticamente significativa, existiendo una mayor tendencia a dejar más pacientes en la unidad de evolución. El porcentaje de pacientes con enfermedad respiratoria se incrementa por la noche.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To determine the characteristics of children younger than 14 years visiting our pediatric emergency department between 0:00 and 8:00 hours.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Retrospective review of 300 children visiting our emergency department at night.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Between March 1 and 22 1999 we recorded 300 episodes from 0:00-8:00 hours (1.7 patients/hour) and 2350 episodes from 8:00-24:00 hours (6.6 patients/hour). Of the 300 episodes registered at night, 132 children (44%) came between 0:00 and 2:00. The most common complaints were: respiratory symptoms in 116 patients (38.6%), fever in 61 (20.3%) and digestive symptoms in 61 (20.3%). We carried out at least one complementary test in 111 patients (37.0%). Five children (1.7%) were admitted to the hospital (80 between 8:00 and 24:00, 3.4%, p = 0.15) and 25 (8.3%) were admitted for a few hours to the observation ward (123 of the 2350 who came between 8:00 and 24:00, 5.2%, p = 0.06). Final diagnoses were: ear nose and throat infection in 91 (30.3%), fever without source in 38 (12.6%), asthma in 29 (9.6%), acute gastroenteritis in 27 (9%), croup in 22 (7.3%), vomiting in 14 (4.6%), abdominal pain in 13 (4.3%), febrile convulsion in 6 (2%), pneumonia in 5 (1.6%), bronchiolitis in 5 (1.6%), bacteremia in 1 (0.3%), and other diagnoses in 46 (16.3%).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The number of visits to our emergency department diminished at night, particularly between 0:00 and 2:00. The night-time admission rate was less than the daytime rate, although this difference was not statistically significant. Admission for a few hours to the observation ward was more common at night. 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| 2022 Febrero | 26 | 39 | 65 |
| 2022 Enero | 28 | 50 | 78 |
| 2021 Diciembre | 19 | 37 | 56 |
| 2021 Noviembre | 28 | 42 | 70 |
| 2021 Octubre | 61 | 37 | 98 |
| 2021 Septiembre | 29 | 49 | 78 |
| 2021 Agosto | 28 | 26 | 54 |
| 2021 Julio | 32 | 31 | 63 |
| 2021 Junio | 20 | 29 | 49 |
| 2021 Mayo | 17 | 29 | 46 |
| 2021 Abril | 38 | 70 | 108 |
| 2021 Marzo | 40 | 18 | 58 |
| 2021 Febrero | 46 | 18 | 64 |
| 2021 Enero | 26 | 9 | 35 |
| 2020 Diciembre | 31 | 9 | 40 |
| 2020 Noviembre | 16 | 8 | 24 |
| 2020 Octubre | 18 | 9 | 27 |
| 2020 Septiembre | 25 | 9 | 34 |
| 2020 Agosto | 16 | 10 | 26 |
| 2020 Julio | 18 | 20 | 38 |
| 2020 Junio | 24 | 7 | 31 |
| 2020 Mayo | 26 | 14 | 40 |
| 2020 Abril | 24 | 15 | 39 |
| 2020 Marzo | 32 | 4 | 36 |
| 2020 Febrero | 23 | 12 | 35 |
| 2020 Enero | 19 | 13 | 32 |
| 2019 Diciembre | 38 | 16 | 54 |
| 2019 Noviembre | 19 | 9 | 28 |
| 2019 Octubre | 26 | 11 | 37 |
| 2019 Septiembre | 19 | 10 | 29 |
| 2019 Agosto | 29 | 12 | 41 |
| 2019 Julio | 16 | 20 | 36 |
| 2019 Junio | 57 | 46 | 103 |
| 2019 Mayo | 41 | 27 | 68 |
| 2019 Abril | 36 | 22 | 58 |
| 2019 Marzo | 14 | 9 | 23 |
| 2019 Febrero | 19 | 10 | 29 |
| 2019 Enero | 19 | 13 | 32 |
| 2018 Diciembre | 10 | 15 | 25 |
| 2018 Noviembre | 27 | 16 | 43 |
| 2018 Octubre | 40 | 15 | 55 |
| 2018 Septiembre | 26 | 5 | 31 |
| 2018 Agosto | 1 | 0 | 1 |
| 2018 Mayo | 5 | 0 | 5 |
| 2018 Abril | 7 | 0 | 7 |
| 2018 Marzo | 8 | 0 | 8 |
| 2018 Febrero | 6 | 0 | 6 |
| 2018 Enero | 5 | 0 | 5 |
| 2017 Diciembre | 3 | 0 | 3 |
| 2017 Noviembre | 7 | 0 | 7 |
| 2017 Octubre | 11 | 0 | 11 |
| 2017 Septiembre | 9 | 0 | 9 |
| 2017 Agosto | 6 | 0 | 6 |
| 2017 Julio | 10 | 0 | 10 |
| 2017 Junio | 13 | 5 | 18 |
| 2017 Mayo | 19 | 12 | 31 |
| 2017 Abril | 12 | 28 | 40 |
| 2017 Marzo | 22 | 7 | 29 |
| 2017 Febrero | 7 | 5 | 12 |
| 2017 Enero | 8 | 3 | 11 |
| 2016 Diciembre | 17 | 3 | 20 |
| 2016 Noviembre | 41 | 6 | 47 |
| 2016 Octubre | 32 | 10 | 42 |
| 2016 Septiembre | 32 | 3 | 35 |
| 2016 Agosto | 19 | 7 | 26 |
| 2016 Julio | 14 | 2 | 16 |
| 2016 Febrero | 2 | 0 | 2 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 5 | 0 | 5 |
| 2015 Junio | 6 | 0 | 6 |
| 2015 Mayo | 8 | 0 | 8 |
| 2015 Abril | 9 | 0 | 9 |
| 2015 Marzo | 13 | 0 | 13 |
| 2015 Febrero | 8 | 0 | 8 |
| 2015 Enero | 10 | 0 | 10 |
| 2014 Diciembre | 13 | 1 | 14 |
| 2014 Noviembre | 7 | 0 | 7 |
| 2014 Octubre | 7 | 0 | 7 |
| 2014 Septiembre | 7 | 2 | 9 |
| 2014 Agosto | 12 | 1 | 13 |
| 2014 Julio | 4 | 0 | 4 |
| 2014 Junio | 10 | 2 | 12 |
| 2014 Mayo | 15 | 2 | 17 |
| 2014 Abril | 11 | 2 | 13 |
| 2014 Marzo | 11 | 2 | 13 |
| 2014 Febrero | 9 | 7 | 16 |
| 2014 Enero | 8 | 5 | 13 |
| 2013 Diciembre | 13 | 6 | 19 |
| 2013 Noviembre | 10 | 6 | 16 |
| 2013 Octubre | 13 | 4 | 17 |
| 2013 Septiembre | 12 | 4 | 16 |
| 2013 Agosto | 8 | 4 | 12 |
| 2013 Julio | 4 | 1 | 5 |
| 2013 Junio | 3 | 2 | 5 |
| 2013 Mayo | 3 | 3 | 6 |
| 2013 Abril | 1 | 1 | 2 |
| 2013 Marzo | 7 | 2 | 9 |
| 2013 Febrero | 16 | 1 | 17 |
| 2013 Enero | 9 | 1 | 10 |
| 2012 Diciembre | 5 | 2 | 7 |
| 2012 Noviembre | 6 | 3 | 9 |
| 2012 Octubre | 10 | 2 | 12 |
| 2012 Septiembre | 0 | 1 | 1 |
| 2000 Marzo | 1136 | 0 | 1136 |
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