Hospitalización relacionada con defectos congénitos en el Centro Hospitalario Pereira Rossell
2015
Introduccion: las anomalias congenitas representan una de las principales causas de mortalidad infantil en Uruguay. Son responsables de hasta 25% de las internaciones en centros de alta complejidad. Objetivo: aportar al conocimiento de la carga de enfermedad por anomalias congenitos. La frecuencia de hospitalizaciones, sus caracteristicas clinicas y tipos de defectos congenitos, motivos de hospitalizacion, duracion de estadia hospitalaria, niveles y tipos de cuidados requeridos. Metodo: estudio descriptivo, prospectivo, se incluyeron todos los menores de 15 anos portadores de defectos congenitos hospitalizados en areas de cuidados moderados del Hospital de Ninos del CHPR en un periodo de 6 meses independientemente del motivo de ingreso. Se excluyeron los servicios de neonatologia y los pisos quirurgicos. Resultados: del total de ninos ingresados, 5,1% presentaban defectos congenitos. El diagnostico fue prenatal en 13,6%. El defecto fue unico en 75%. El ingreso fue por patologia vinculada con el defecto congenito en el 80%. La media de estadia hospitalaria de estos ninos fue 9,5 dias, superior a la media de la estadia hospitalaria general de 4,6 dias (p Introduction: congenital anomalies represent one of the main causes of child mortality in Uruguay. Up to 25% of hospitalizations in high-complexity centers are due to pathologies related with congenital defects. Objective: to contribute to the knowledge of disease burden due to congenital anomalies. The frequency of hospitalizations, their clinical characteristics, and the types of congenital defects, the reasons for hospitalization, the duration of hospital stay, and the levels and types of caring required are explored. Method: descriptive, prospective study, in which all patients under 15 years of age, carriers of congenital defects, hospitalized in intermediate care areas of the CHPR Children’s Hospital for a period of 6 months, were included, regardless of the reason for admission. Neonatology services and surgical wards were excluded. Results: out of the total of admitted children, 5.1% presented congenital defects. Diagnosis was prenatal in 13.6%. The defect was single in 75%. The reasons for admission were pathologies related to the congenital defects in 80%. The average hospital stay of these children was 9.5 days, higher than the general average hospital stay which was 4.6 days (p
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