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)
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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.