[Clinical and epidemiological analysis of 1,451 pediatric surgery consultations in a third level hospital referred from the primary health care sector]. / Analisis clínico-epidemiológico de 1.451 primeras consultas de cirugía pediátrica derivadas de la Atención Primaria a un hospital de tercer nivel.
An Esp Pediatr
; 49(2): 129-34, 1998 Aug.
Article
en Es
| MEDLINE
| ID: mdl-9773546
OBJECTIVE: The aim of this study was to determine the pediatric surgery demands in a third level hospital due to referrals from the primary health care sector in order to better plan the work and continuing education programs. PATIENTS AND METHODS: The total number of patients (1,451) consulting a service of pediatric surgery for the first time and referred from the primary care sector during a twelve month period were studied. RESULTS: A total number of 1,451 children, with a maximum age of 14 years consulted. The assistential pressure was 22.01 consultations/pediatrician/day in one year. Consultations by children older than 7 years of age comprised 31.42% of the total. As for the distribution of these consultations, 61.26% were with a previous appointment, 38.74% were remitted to the second level. The most frequent reasons for consultations were inguinal hernia and hydrocele (30.46% of the cases), followed by phimosis (28.8%), undescended testis (8.2%) and skin neoplasms (5.78%). CONCLUSIONS: The demands of pediatric surgery consultations referred from the primary health care sector is very important. It is necessary to adapt the continuing education programs so that pediatric residents and primary medicine physicians are more aware of the surgical pathologies that are most frequently found in primary care centers and to decrease the assistential pressure of the pediatric surgery consultations in the hospital.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Pediatría
/
Atención Primaria de Salud
/
Derivación y Consulta
/
Cirugía General
Límite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
/
Newborn
País/Región como asunto:
Europa
Idioma:
Es
Revista:
An Esp Pediatr
Año:
1998
Tipo del documento:
Article
Pais de publicación:
España