Perfil das internações de crianças em um hospital infantil do alto sertão paraibano.

Abstract

Introduction: The health of the child was neglected for years by health professionals, who applied on their children the same adult treatments, including keeping them admitted to the same hospital, there was no children's hospitals and pediatric wards in general hospitals. With the advent of pediatrics, actions in this area began to be discussed, planned and policy attention to maternal and child health were created. All these actions were designed to reduce the high infant mortality rates that Brazil was facing at the time. Evaluate the profile of children seen at the hospital and causes of hospitalization it is necessary to guide actions by managers and health professionals in an attempt to minimize the hospitalization rate of the number of children and the cost of these hospitalizations. Objectives: To know the profile of children attending hospital in a children's hospital high backlands of Paraiba in 2015; characterize hospitalizations by age and sex; identify the source of hospitalized children and duration of hospitalization; check the main diagnoses of admissions; identify the fate of the children after leaving the children's hospital. Methodology: This is a descriptive epidemiological study, document and quantitative approach, using secondary data sources. Conducted at the University Hospital Júlio Maria Bandeira de Melo located in Cajazeiras, Paraíba and responsible for the care of children and adolescents of the cities that make up the 9th health region of Paraiba. The study population consisted of 417 inpatient records for the year 2015 and the sample consisted of 348 records that were in accordance with the inclusion criteria used in this study. Results and Discussion: The children served by Children's Hospital, were most 53.4% male, 46.6% of children were at the age between 29 days and 2 years of age, and fit in the infant stage, 68.4 % were from urban areas and sickened mainly for respiratory diseases accounting for 45.1% of total admissions in 2015, and the main cause was pneumonia. Final Thoughts: With the obtained results it is possible to know the profile of the children treated at Children's Hospital and major diseases that cause their stay by building this profile, managers and professionals will have subsidies to work with health policies for these diseases. We have found some limitations to this study, social and demographic data in the medical records were insufficient to formulate a complete profile of children, another point that has restricted the research was the reduction of the sample due to the fact that some records were not filled in correctly. We suggest conducting further research focused on the causes of hospitalization in children's hospital, with greater coverage evaluated years, enabling a comparative analysis to better assess the health situation of children in the 9th health region.