Predictores de estancia prolongada en niños entre los 5 y 18 años hospitalizados con diagnóstico de asma en la Fundación Hospital de la Misericordia (HOMI)
Autores
Barraza Arredondo, Maria Fernanda
Director
Villamil Osorio, Nidia Milena (Thesis advisor)
Restrepo Gualteros, Sonia Maria (Thesis advisor)
Tipo de contenido
Trabajo de grado - Pregrado
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EspañolFecha de publicación
2018
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Resumen
El asma es la enfermedad crónica más prevalente de la infancia, con un promedio de hospitalizaciones por año de aproximadamente 373.000. Objetivo: Determinar los factores asociados a estancia prolongada en pacientes con asma entre los 5 y 18 años en la Fundación Hospital de la Misericordia HOMI durante los años 2015 a 2016. Metodología: Estudio observacional, analítico, retrospectivo de corte transversal. Se analizaron variables sociodemográficas, clínicas, antecedentes, laboratorios e imágenes y se excluyeron pacientes con comorbilidades asociadas. Resultados: Se incluyeron 360 pacientes, huboligera predominanciadel sexo masculino (55.6%), lamediana de edad fue de 9 años (7.0-10.0), procedentes en más del 95% de los casos del área urbana. La mediana de estancia prolongada para asma en este estudio fue de 3 días (RIC 5). La exposición al tabaco y el tener crisis asmática severa fueron factores predictores independientes para estancia prolongada. Conclusión: En la población pediátrica colombiana estudiada con asma, el 25% presentan criterios de estancia prolongada y existen factores independientes de la misma tales como el estar expuesto a tabaquismo y el tener crisis severa.
Abstract: Introduction:Asthma is the most prevalent chronic disease of childhood, with an average of 373,000 hospitalizations per year. Objective:To determine the factors associated with prolonged stay in patients with asthma between the ages of 5 and 18 at the Fundación Hospital de la Misericordia HOMIduring the years 2015 to 2016. Methods:Observational, analytical, retrospective cross-sectional study. Sociodemographic, clinical, background, laboratory and imaging variables were analyzed and patients with associated comorbidities were excluded.Results:360 patients were included, there was slight predominance of males (55.6%), the median age was 9 years (7.0-10.0), coming from more than 95% of the cases in the urban area. The median prolonged stay for asthma in this study was 3 days (IQR 5).Tobacco exposure and having severe asthma attack were independent predictors for prolonged stay. Conclusions: In the Colombian pediatric population studied with asthma, 25% have criteria for prolonged stay and there are independent factors such as being exposed to smoking and having a severe attack.
Abstract: Introduction:Asthma is the most prevalent chronic disease of childhood, with an average of 373,000 hospitalizations per year. Objective:To determine the factors associated with prolonged stay in patients with asthma between the ages of 5 and 18 at the Fundación Hospital de la Misericordia HOMIduring the years 2015 to 2016. Methods:Observational, analytical, retrospective cross-sectional study. Sociodemographic, clinical, background, laboratory and imaging variables were analyzed and patients with associated comorbidities were excluded.Results:360 patients were included, there was slight predominance of males (55.6%), the median age was 9 years (7.0-10.0), coming from more than 95% of the cases in the urban area. The median prolonged stay for asthma in this study was 3 days (IQR 5).Tobacco exposure and having severe asthma attack were independent predictors for prolonged stay. Conclusions: In the Colombian pediatric population studied with asthma, 25% have criteria for prolonged stay and there are independent factors such as being exposed to smoking and having a severe attack.