T-Ping Cheng, Weckx Luc Louis Maurice
UNIFESP-EPM.
Braz J Otorhinolaryngol. 2008 Jul-Aug;74(4):571-8. doi: 10.1016/s1808-8694(15)30605-4.
The data base of ENT care in the Brazilian public health system (Sistema Unico de Saude - SUS) will help organize public health programs.
The following items were investigated in patients aged up to 17 years attended in public health system outpatient units in the city of Mariana, in the ENT screening unit, UNIFESP-EPM, and in CISMISEL: 1) The main otorhinolaryngological diagnoses; 2) The most frequently required exams, drugs, and surgical procedures and their indications; 3) The jobs of parents; the number of siblings; and 4) A statistical analysis and comparison of data in each location.
We undertook a prospective study and a statistical analysis of variables that were gathered during the first visit.
The age, the parents' salary, the number of siblings aged below 18 years, the presence of rhinitis, ears diseases, the exams, drugs and otological surgeries that were indicated were all statistically significant.
The most common diagnosis was mouth breathing. The most common surgery was adenotonsillectomy. The most frequently requested exam was a lateral cranial radiograph. The number of unemployed parents, their poor salaries, and the number of siblings make it difficult for these patients to be treated in any facility other than the public heath system.
巴西公共卫生系统（单一卫生系统 - SUS）中的耳鼻喉科护理数据库将有助于组织公共卫生项目。
对在马里亚纳市公共卫生系统门诊单位、圣保罗联邦大学 - 埃皮达鲁斯医学院耳鼻喉科筛查单位以及CISMISEL接受治疗的17岁及以下患者调查了以下项目：1）主要的耳鼻喉科诊断；2）最常需要的检查、药物和外科手术及其适应症；3）父母的职业；兄弟姐妹的数量；4）对每个地点的数据进行统计分析和比较。
我们对首次就诊时收集的变量进行了前瞻性研究和统计分析。
年龄、父母的工资、18岁以下兄弟姐妹的数量、鼻炎、耳部疾病的存在、所指示的检查、药物和耳科手术在统计学上均具有显著意义。
最常见的诊断是口呼吸。最常见的手术是腺样体扁桃体切除术。最常要求的检查是头颅侧位X线片。父母失业、工资低以及兄弟姐妹的数量使得这些患者除了在公共卫生系统外很难在其他机构接受治疗。
