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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Conocer las caracter&#237;sticas de los pacientes que acuden a urgencias de pediatr&#237;a de las 0 a las 8 h&#46;</p> <span class="elsevierStyleSectionTitle">Metodolog&#237;a</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo de 300 ni&#241;os atendidos por la noche en urgencias&#46;</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 &#40;1&#44;7 pacientes&#47;h&#41; y 2&#46;350 de las 8 a las 24 h &#40;6&#44;6 pacientes&#47;h&#41;&#46; De los 300 episodios nocturnos&#44; 132 correspond&#237;an a ni&#241;os que acudieron de entre las 0&#46;00 a las 2&#46;00 h &#40;44&#37;&#41;&#46; Los motivos de consulta m&#225;s frecuentes fueron&#58; s&#237;ntomas respiratorios&#44; 116 &#40;38&#44;6&#37;&#41;&#59; digestivos&#44; 61 &#40;20&#44;3&#37;&#41;&#44; y fiebre 61 &#40;20&#44;3&#37;&#41;&#44; practic&#225;ndose alguna exploraci&#243;n complementaria a 111 pacientes &#40;37&#44;0&#37;&#41;&#46; Ingresaron 5 ni&#241;os &#40;1&#44;7&#37;&#41; de los que se presentaron entre las 0 y las 8 h&#44; y 80 &#40;3&#44;4&#37;&#41; de los que acudieron entre las 8 y las 24 h&#44; &#40;p &#61; 0&#44;15&#41;&#44; mientras 25 &#40;8&#44;3&#37;&#41; permanecieron unas horas en la unidad de observaci&#243;n &#40;123 de 8 a 24 h&#44; 5&#44;2&#37;&#59; p &#61; 0&#44;04&#41;&#46; Los diagn&#243;sticos fueron&#58; infecci&#243;n otorrinolaringol&#243;gica 91 &#40;30&#44;3&#37;&#41;&#59; fiebre sin foco&#44; 38 &#40;12&#44;6&#37;&#41;&#59; asma&#44; 29 &#40;9&#44;6&#37;&#41;&#59; gastroenteritis aguda&#44; 27 &#40;9&#37;&#41;&#59; laringitis&#44; 22 &#40;7&#44;3&#37;&#41;&#59; v&#243;mitos 14 &#40;4&#44;6&#37;&#41;&#59; dolor abdominal&#44; 13 &#40;4&#44;3&#37;&#41;&#59; convulsi&#243;n febril&#44; 6 &#40;2&#37;&#41;&#59; neumon&#237;a&#44; 5 &#40;1&#44;6&#37;&#41;&#59; bronquiolitis 5 &#40;1&#44;6&#37;&#41;&#59; bacteriemia&#44; 1 &#40;0&#44;3&#37;&#41;&#44; y otros&#44; 49 &#40;16&#44;3&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La presi&#243;n asistencial en urgencias de pediatr&#237;a disminuye por la noche&#44; especialmente de 2 a 8 h&#46; La tasa de ingresos nocturna es menor a la diurna&#44; sin que la diferencia sea estad&#237;sticamente significativa&#44; existiendo una mayor tendencia a dejar m&#225;s pacientes en la unidad de evoluci&#243;n&#46; El porcentaje de pacientes con enfermedad respiratoria se incrementa por la noche&#46;</p>"
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        "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&#58;00 and 8&#58;00 hours&#46;</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&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Between March 1 and 22 1999 we recorded 300 episodes from 0&#58;00-8&#58;00 hours &#40;1&#46;7 patients&#47;hour&#41; and 2350 episodes from 8&#58;00-24&#58;00 hours &#40;6&#46;6 patients&#47;hour&#41;&#46; Of the 300 episodes registered at night&#44; 132 children &#40;44&#37;&#41; came between 0&#58;00 and 2&#58;00&#46; The most common complaints were&#58; respiratory symptoms in 116 patients &#40;38&#46;6&#37;&#41;&#44; fever in 61 &#40;20&#46;3&#37;&#41; and digestive symptoms in 61 &#40;20&#46;3&#37;&#41;&#46; We carried out at least one complementary test in 111 patients &#40;37&#46;0&#37;&#41;&#46; Five children &#40;1&#46;7&#37;&#41; were admitted to the hospital &#40;80 between 8&#58;00 and 24&#58;00&#44; 3&#46;4&#37;&#44; p &#61; 0&#46;15&#41; and 25 &#40;8&#46;3&#37;&#41; were admitted for a few hours to the observation ward &#40;123 of the 2350 who came between 8&#58;00 and 24&#58;00&#44; 5&#46;2&#37;&#44; p &#61; 0&#46;06&#41;&#46; Final diagnoses were&#58; ear nose and throat infection in 91 &#40;30&#46;3&#37;&#41;&#44; fever without source in 38 &#40;12&#46;6&#37;&#41;&#44; asthma in 29 &#40;9&#46;6&#37;&#41;&#44; acute gastroenteritis in 27 &#40;9&#37;&#41;&#44; croup in 22 &#40;7&#46;3&#37;&#41;&#44; vomiting in 14 &#40;4&#46;6&#37;&#41;&#44; abdominal pain in 13 &#40;4&#46;3&#37;&#41;&#44; febrile convulsion in 6 &#40;2&#37;&#41;&#44; pneumonia in 5 &#40;1&#46;6&#37;&#41;&#44; bronchiolitis in 5 &#40;1&#46;6&#37;&#41;&#44; bacteremia in 1 &#40;0&#46;3&#37;&#41;&#44; and other diagnoses in 46 &#40;16&#46;3&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The number of visits to our emergency department diminished at night&#44; particularly between 0&#58;00 and 2&#58;00&#46; The night-time admission rate was less than the daytime rate&#44; although this difference was not statistically significant&#46; Admission for a few hours to the observation ward was more common at night&#46; The percentage of patients with respiratory illnesses was higher during the night&#46;</p>"
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Vol. 52. Núm. 4.
Páginas 346-350 (abril 2000)
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Vol. 52. Núm. 4.
Páginas 346-350 (abril 2000)
Acceso a texto completo
Utilización nocturna de una unidad de urgencias pediátrica hospitalaria
Utilisation of a hospital pediatric emergency department during the night
Visitas
6143
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.
Contenido relacionado
An Pediatr (Barc). 2001;54:42610.1016/S1695-4033(01)77560-1
Este artículo ha recibido
Información del artículo
Objetivo

Conocer las características de los pacientes que acuden a urgencias de pediatría de las 0 a las 8 h.

Metodología

Estudio retrospectivo de 300 niños atendidos por la noche en urgencias.

Resultados

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%).

Conclusiones

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.

Palabras clave:
Urgencias pediátricas
Variaciones nocturnas
Noche
Objective

To determine the characteristics of children younger than 14 years visiting our pediatric emergency department between 0:00 and 8:00 hours.

Patients and methods

Retrospective review of 300 children visiting our emergency department at night.

Results

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%).

Conclusions

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. The percentage of patients with respiratory illnesses was higher during the night.

Key words:
Pediatric emergency department
Night-time variation
Night
El Texto completo está disponible en PDF
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Copyright © 2000. Asociación Española de Pediatría
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