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Advisor(s)
Abstract(s)
Em resposta à pandemia causada pelo vírus SARS-CoV2 várias medidas de controlo foram implementadas em Portugal, com vista a controlar a sua transmissão e, assim, diminuir o número de hospitalizações causado pela doença. Para isso foram impostas duas quarentenas: de 18/03/2020 a 02/05/2020 e de 15/01/2021 a 15/03/2021. Este trabalho assenta num estudo retrospetivo, com o objetivo de analisar as admissões na Urgência Pediátrica do Departamento de Pediatria do Centro Hospitalar Universitário Lisboa Norte durante a quarentena, comparando os primeiros 6 meses do ano (01/01 a 30/06) de 2020 e 2021, com o mesmo período de 2018 e 2019. Todas as admissões foram divididas por categorias de diagnóstico, com base nos códigos ICD-10, faixas etárias, sexo, duração, origem dos doentes (domicílio, transferidos de outros hospitais) e os seus outcomes (alta, transferência interna).
Os resultados mostraram que o número de admissões teve uma diminuição estatisticamente significativa de 943 para 607 admissões entre 2019 e 2020 (p-value 0,0479). A faixa etária dos 10-17 anos teve um aumento percentual, de 29,7% em 2019 para 34% em 2020. A maioria dos diagnósticos identificados concentrou-se em 4 categorias: acidentes, patologia respiratória, casos cirúrgicos e patologia gastrointestinal. Destes, os diagnósticos respiratórios mostraram uma diminuição estatisticamente significativa nos anos analisados (p-value 0,0341). Ainda, as doenças gastrointestinais tiveram uma diminuição significativa de 19,1% em 2019 para 12,2% em 2020 (p-value 0,0146). Em conclusão, a primeira quarentena em 2020 traduziu-se num maior impacto nas admissões hospitalares do Departamento de Pediatria do Centro Hospitalar Universitário Lisboa Norte (CHULN), em termos de número de doentes admitidos ao Serviço de Urgência e dos seus diagnósticos.
As a respond to the global pandemic caused by SARS-CoV2 virus, Portugal took several measures to control its transmission in order to minimize hospital admissions caused by the disease. Two major lockdowns were implemented: from 18th of March to 2nd of May 2020, and from the 15th of January to 15th of March 2021. This investigation aims to study how the pattern of Paediatric emergency room admissions in North Lisbon University Hospital Centre (CHULN) changed, by comparing the first 6 months of 2020 and 2021 (1st of January to 30th of June) with the same period of 2018 and 2019, using a retrospective observational cohort study. For this, admissions were categorized in diagnoses, based on ICD-10 codes, age stratification, sex, hospitalization duration, outcomes and patients origin (home or transferred from other hospitals). The results showed a significant decrease from 943 to 607 of admissions from 2019 to 2020 (p-value 0.0479). The group age of 10 to 17 years-old had an increase in admission percentage during COVID (29,7% in 2019 to 34% and 33% in 2020), in the other groups the number didn’t changed. The majority of diagnoses were distributed in 4 subcategories: Accidents, Respiratory pathology, Surgical cases and Gastrointestinal Pathology. From those, respiratory pathology showed a significantly decrease with ANOVA test (p-value 0.0341) and no significance was found among years in Tukey comparison test. Moreover, gastrointestinal pathology decreased from 19.1% in 2019 to 12.2% in 2020 (p-value 0.0146). In conclusion, the first lockdown in 2020 had a greater effect on paediatric admissions in CHULN, in terms of absolute number and pattern of its diagnoses.
As a respond to the global pandemic caused by SARS-CoV2 virus, Portugal took several measures to control its transmission in order to minimize hospital admissions caused by the disease. Two major lockdowns were implemented: from 18th of March to 2nd of May 2020, and from the 15th of January to 15th of March 2021. This investigation aims to study how the pattern of Paediatric emergency room admissions in North Lisbon University Hospital Centre (CHULN) changed, by comparing the first 6 months of 2020 and 2021 (1st of January to 30th of June) with the same period of 2018 and 2019, using a retrospective observational cohort study. For this, admissions were categorized in diagnoses, based on ICD-10 codes, age stratification, sex, hospitalization duration, outcomes and patients origin (home or transferred from other hospitals). The results showed a significant decrease from 943 to 607 of admissions from 2019 to 2020 (p-value 0.0479). The group age of 10 to 17 years-old had an increase in admission percentage during COVID (29,7% in 2019 to 34% and 33% in 2020), in the other groups the number didn’t changed. The majority of diagnoses were distributed in 4 subcategories: Accidents, Respiratory pathology, Surgical cases and Gastrointestinal Pathology. From those, respiratory pathology showed a significantly decrease with ANOVA test (p-value 0.0341) and no significance was found among years in Tukey comparison test. Moreover, gastrointestinal pathology decreased from 19.1% in 2019 to 12.2% in 2020 (p-value 0.0146). In conclusion, the first lockdown in 2020 had a greater effect on paediatric admissions in CHULN, in terms of absolute number and pattern of its diagnoses.
Description
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2023
Keywords
COVID-19 Crianças Quarentena Pediatria