Araujo Erika Morganna Neves de, Costa Gabriela Maria Cavalcanti, Pedraza Dixis Figueroa
BSc. Master's Student, Postgraduate Program on Public Health, Universidade Estadual da Paraíba (UEPB), Campina Grande (PB), Brazil.
PhD. Professor, Postgraduate Program on Public Health, Universidade Estadual da Paraíba (UEPB), Campina Grande (PB), Brazil.
Sao Paulo Med J. 2017 May-Jun;135(3):270-276. doi: 10.1590/1516-3180.2016.0344250217.
: Hospitalizations due to primary care-sensitive conditions constitute an important indicator for monitoring the quality of primary healthcare. This study aimed to describe hospitalizations due to primary care-sensitive conditions found among children under five years of age (according to their age and sex), in two cities in Paraíba, Brazil.
: Cross-sectional study carried out in the municipalities of Cabedelo and Bayeux, in Paraíba, Brazil.
: Data were collected from four public pediatric hospitals in Paraíba that receive children from these municipalities. Hospital admission authorizations were consulted to gather information on the children's profile and the characteristics of their hospitalizations. Differences in the causes of admissions and the respective lengths of hospital stay length were analyzed according to age group and sex.
: The proportion of hospital admissions due to primary care-sensitive conditions was 82.4%. The most frequent causes were: bacterial pneumonia (59.38%), infectious gastroenteritis and its complications (23.59%) and kidney and urinary tract infection (9.67%). Boys had higher frequency of hospitalizations due to primary care-sensitive conditions than girls. The median hospitalization due to primary care-sensitive conditions was found to be four days. The duration of hospital stays due to primary care-sensitive conditions was significantly longer than those due to conditions that were not sensitive to primary care.
: High rates of hospital admissions due to primary care-sensitive conditions were highlighted, especially among children of male sex, with long periods of hospitalization.
因初级保健敏感疾病导致的住院是监测初级医疗保健质量的一项重要指标。本研究旨在描述巴西帕拉伊巴州两个城市中五岁以下儿童（按年龄和性别划分）因初级保健敏感疾病导致的住院情况。
在巴西帕拉伊巴州的卡贝德罗市和巴约市开展的横断面研究。
从帕拉伊巴州四家接收来自这些城市儿童的公立儿科医院收集数据。查阅医院入院授权书以收集有关儿童概况及其住院特征的信息。根据年龄组和性别分析入院原因及相应住院时间的差异。
因初级保健敏感疾病导致的住院比例为82.4%。最常见的病因是：细菌性肺炎（59.38%）、感染性肠胃炎及其并发症（23.59%）以及肾脏和尿路感染（9.67%）。因初级保健敏感疾病导致住院的男孩比例高于女孩。因初级保健敏感疾病导致的住院中位时间为四天。因初级保健敏感疾病导致的住院时间明显长于因非初级保健敏感疾病导致的住院时间。
强调了因初级保健敏感疾病导致的高住院率，尤其是在男性儿童中，且住院时间较长。
