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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Conocer las enfermedades del adolescente en un servicio de urgencias pedi&#225;trico de tercer nivel&#44; as&#237; como las caracter&#237;sticas diferenciales entre los distintos grupos de &#233;stas&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo mediante revisi&#243;n del informe de urgencias de 170 adolescentes escogidos de forma estratificada entre 1&#46;172 adolescentes atendidos en el Servicio de Urgencias Pedi&#225;tricas del Hospital Sant Joan de D&#233;u de Barcelona&#44; durante el mes de mayo de 1997&#46; Se excluyeron 517 pacientes con traumatismo&#46; El an&#225;lisis estad&#237;stico se realiz&#243; con la prueba de &#967;<span class="elsevierStyleSup">2</span> para variables cualitativas y an&#225;lisis de la variancia para variables cuantitativas y se acept&#243; una significaci&#243;n de p &#60; 0&#44;05&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La distribuci&#243;n por sexos fue 89 mujeres y 81 varones&#46; La mediana de edad era de 13&#44;8 a&#241;os&#46; Los diagn&#243;sticos de salida m&#225;s frecuentes fueron las abdominalgias &#40;26 casos&#41;&#44; virasis &#40;15 casos&#41; y depresi&#243;n-ansiedad &#40;14 casos&#41;&#46; Se realizaron exploraciones complementarias en 60 de los 170 casos&#46; Se remitieron a domicilio 141 del total de pacientes&#46; Entre los pacientes con trastornos psiqui&#225;tricos hab&#237;a mayor proporci&#243;n de mujeres &#40;18&#47;26&#41; que de varones &#40;8&#47;26&#41;&#44; as&#237; como entre los que ten&#237;an s&#237;ntomas abdominales y neurol&#243;gicos&#44; mientras dicha tendencia no se observaba en los pacientes con enfermedad org&#225;nica &#40;p &#61; 0&#44;03&#41;&#46; En la mayor parte de los casos los enfermos con antecedentes psiqui&#225;tricos fueron diagnosticados de trastornos psiqui&#225;tricos&#46; De los pacientes con enfermedad org&#225;nica ingresaron 10 de 85 &#40;11&#44;8 &#37;&#41; frente a 13 de 26 &#40;50 &#37;&#41; de trastornos psiqui&#225;tricos &#40;p &#60; 0&#44;001&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los adolescentes que acuden a un servicio de urgencias hospitalario presentan trastornos diferenciados&#44; con un porcentaje nada insignificante de alteraciones ps&#237;quicas o de s&#237;ntomas inespec&#237;ficos&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To determine the complaints leading adolescents to a third level emergency department&#44; as well as the distinguishing features between the different groups of complaints&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Retrospective study of the emergency department reports of 170 adolescents selected from the 1&#44;172 adolescents who visited the <span class="elsevierStyleItalic">Hospital Sant Joan de D&#233;u</span> pediatric emergency department in May 1997&#46; We excluded 517 patients with trauma&#46; Statistical analysis was carried out with the chi-square test for qualitative variables and analysis of variance for quantitative variables&#59; differences were accepted as significant at p &#60; 0&#46;05&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Eighty-nine patients were female and 81 were male&#46; Median age was 13&#46;8 years&#46; The most frequent discharge diagnoses were abdomen pain in 26 patients&#44; viral illness in 15 and depression-anxiety in 14&#46; Complementary investigations were carried out in 60 patients&#46; One hundred forty-one patients were discharged&#46; Of the 26 patients with psychiatric disorders&#44; 18 were girls and 8 were boys&#46; The proportion of girls was also higher among patients with abdominal and neurological symptoms&#44; although not among patients with organic disorders &#40;p &#61; 0&#46;03&#41;&#46; Most of the patients with psychiatric antecedents were diagnosed with a psychiatric disorder&#46; Ten &#40;11&#46;8 &#37;&#41; of the 85 patients with organic complaints were admitted to hospital compared with 13 &#40;50 &#37;&#41; of the 26 patients with psychiatric disorders &#40;p &#60; 0&#46;001&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Adolescents visit emergency departments for a variety of complains&#46; The proportion of psychiatric disorders and non-specific symptoms is high&#46;</p>"
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                        0 => array:2 [
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                          "autores" => array:1 [
                            0 => "J&#46;S&#46; Seidel"
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                        "fecha" => "1991"
                        "volumen" => "12"
                        "paginaInicial" => "95"
                        "paginaFinal" => "100"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2015247"
                            "web" => "Medline"
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              "referencia" => array:1 [
                0 => array:2 [
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                      "titulo" => "Emergency department utilization by adolescents in United States"
                      "autores" => array:1 [
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                          "autores" => array:3 [
                            0 => "A&#46; Ziv"
                            1 => "J&#46;R&#46; Boulet"
                            2 => "G&#46;B&#46; Slap"
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                    ]
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                    0 => array:1 [
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                        "tituloSerie" => "Pediatrics"
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                        "volumen" => "101"
                        "paginaInicial" => "987"
                        "paginaFinal" => "994"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9606224"
                            "web" => "Medline"
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                            1 => "R&#46; Jones"
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                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arch Dis Child"
                        "fecha" => "1998"
                        "volumen" => "78"
                        "paginaInicial" => "195"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9579174"
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                            3 => "C&#46;M&#46; Forke"
                            4 => "C&#46;M&#46; Basley"
                            5 => "R&#46;M&#46; Dionne"
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                        "paginaInicial" => "1913"
                        "paginaFinal" => "1918"
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                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7783300"
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                      "titulo" => "Access to health care for adolescents&#58; a position paper for the Society for Adolescent Medicine"
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                        "paginaInicial" => "162"
                        "paginaFinal" => "170"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1627584"
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                        "tituloSerie" => "Pediatr Emerg Care"
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                        "paginaInicial" => "173"
                        "paginaFinal" => "179"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8806139"
                            "web" => "Medline"
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                          0 => array:2 [
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Enfermedades del adolescente en el servicio de urgencias
Causes of adolescent visits to the emergency department
A. Ruiz España, J.J. García García, C. Luaces Cubells
Autor para correspondencia
cluaces@hsjdbcn.org

Correspondencia: Servicio de Pediatría. Hospital Sant Joan de Déu. P.° Sant Joan de Déu, 2. Esplugues de Llobregat. 08950 Barcelona.
, R. Garrido Romero, J. Pou Fernández
Sección de Urgencias. Servicio de Pediatría. Unidad Integrada Hospital Sant Joan de Déu-Hospital Clínic. Universidad de Barcelona
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Conocer las enfermedades del adolescente en un servicio de urgencias pedi&#225;trico de tercer nivel&#44; as&#237; como las caracter&#237;sticas diferenciales entre los distintos grupos de &#233;stas&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo mediante revisi&#243;n del informe de urgencias de 170 adolescentes escogidos de forma estratificada entre 1&#46;172 adolescentes atendidos en el Servicio de Urgencias Pedi&#225;tricas del Hospital Sant Joan de D&#233;u de Barcelona&#44; durante el mes de mayo de 1997&#46; Se excluyeron 517 pacientes con traumatismo&#46; El an&#225;lisis estad&#237;stico se realiz&#243; con la prueba de &#967;<span class="elsevierStyleSup">2</span> para variables cualitativas y an&#225;lisis de la variancia para variables cuantitativas y se acept&#243; una significaci&#243;n de p &#60; 0&#44;05&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La distribuci&#243;n por sexos fue 89 mujeres y 81 varones&#46; La mediana de edad era de 13&#44;8 a&#241;os&#46; Los diagn&#243;sticos de salida m&#225;s frecuentes fueron las abdominalgias &#40;26 casos&#41;&#44; virasis &#40;15 casos&#41; y depresi&#243;n-ansiedad &#40;14 casos&#41;&#46; Se realizaron exploraciones complementarias en 60 de los 170 casos&#46; Se remitieron a domicilio 141 del total de pacientes&#46; Entre los pacientes con trastornos psiqui&#225;tricos hab&#237;a mayor proporci&#243;n de mujeres &#40;18&#47;26&#41; que de varones &#40;8&#47;26&#41;&#44; as&#237; como entre los que ten&#237;an s&#237;ntomas abdominales y neurol&#243;gicos&#44; mientras dicha tendencia no se observaba en los pacientes con enfermedad org&#225;nica &#40;p &#61; 0&#44;03&#41;&#46; En la mayor parte de los casos los enfermos con antecedentes psiqui&#225;tricos fueron diagnosticados de trastornos psiqui&#225;tricos&#46; De los pacientes con enfermedad org&#225;nica ingresaron 10 de 85 &#40;11&#44;8 &#37;&#41; frente a 13 de 26 &#40;50 &#37;&#41; de trastornos psiqui&#225;tricos &#40;p &#60; 0&#44;001&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los adolescentes que acuden a un servicio de urgencias hospitalario presentan trastornos diferenciados&#44; con un porcentaje nada insignificante de alteraciones ps&#237;quicas o de s&#237;ntomas inespec&#237;ficos&#46;</p>"
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                        "paginaFinal" => "100"
                        "link" => array:1 [
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                    0 => array:1 [
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                        "paginaInicial" => "987"
                        "paginaFinal" => "994"
                        "link" => array:1 [
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                        "tituloSerie" => "Arch Dis Child"
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                        "volumen" => "78"
                        "paginaInicial" => "195"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9579174"
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                ]
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                      "titulo" => "Adolescents&#39; perceptions of factors affecting their decisions to seek healt care"
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                            0 => "K&#46;R&#46; Ginsburg"
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                    ]
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                        "paginaInicial" => "1913"
                        "paginaFinal" => "1918"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7783300"
                            "web" => "Medline"
                          ]
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                ]
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                          ]
                        ]
                      ]
                    ]
                  ]
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                        "tituloSerie" => "J Adolesc Health"
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                        "paginaInicial" => "162"
                        "paginaFinal" => "170"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1627584"
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                      "titulo" => "Pediatric prehospital care&#58; Epidemiology of use in a predominantly rural state"
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                        0 => array:2 [
                          "etal" => false
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                            0 => "J&#46;E&#46; Svenson"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
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                        "tituloSerie" => "Pediatr Emerg Care"
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                        "paginaInicial" => "173"
                        "paginaFinal" => "179"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8806139"
                            "web" => "Medline"
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                    ]
                  ]
                ]
              ]
            ]
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                    0 => array:2 [
                      "titulo" => "The spectrum and frequency of illness presenting to a pediatric emergency department"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "B&#46;S&#46; Krauss"
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                            2 => "G&#46;R&#46; Fleisher"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
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                        "tituloSerie" => "Pediatr Emerg Care"
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                        "paginaInicial" => "67"
                        "paginaFinal" => "71"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1904578"
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                ]
              ]
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                      "titulo" => "Emergency department utilization by adolescents"
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                        0 => array:2 [
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                            0 => "C&#46;U&#46; Lehmann"
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                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
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                        "paginaInicial" => "485"
                        "paginaFinal" => "490"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7811681"
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                      "titulo" => "Access to medical care for children and adolescents in the United States"
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                          "autores" => array:5 [
                            0 => "D&#46;L&#46; Wood"
                            1 => "R&#46;A&#46; Hayward"
                            2 => "C&#46;R&#46; Corey"
                            3 => "H&#46;E&#46; Freeman"
                            4 => "M&#46;F&#46; Shapiro"
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                        ]
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
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                        "paginaFinal" => "673"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2235219"
                            "web" => "Medline"
                          ]
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                    ]
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                ]
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                        0 => array:2 [
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                          "autores" => array:2 [
                            0 => "M&#46; Melzer-lange"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
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                        "tituloSerie" => "Ann Emerg Med"
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                        "paginaInicial" => "633"
                        "paginaFinal" => "637"
                        "link" => array:1 [
                          0 => array:2 [
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ISSN: 16954033
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