A study of paediatric patients with complex chronic conditions admitted to a paediatric department over a 12 month period
Por:
Penela-Sánchez D, Ricart S, Vidiella N and García-García JJ
Publicada:
1 oct 2021
Ahead of Print:
1 oct 2021
Resumen:
Introduction: The number of patients with complex chronic conditions (CCC) has increased in the last 20 years or so. There is limited data as regards the prevalence of CCC in the paediatric population and its impact on hospital admissions. The main objectives of this study are to determine the proportion of CCC in the paediatric hospital population and compare them with other groups of patients admitted (acute and chronic).
Patients and methods: A descriptive, retrospective study was carried out in a tertiary maternity-paediatric hospital (from December 2016 to November 2017). All patients admitted into the Paediatric Department were recruited with a fortnightly frequency. A series of demo-graphic, clinical, and pregnancy data were collected. In order to identify the level of complexity of the patients, the Clinical Risk Group (CRG) was used, with 3 groups being created: acute, chronic, and CCC. Statistics analysis was performed using SPSS v24.
Results: A total of 1,433 patients were included. The proportion of CCC on the Paediatric Ward was 14.4%. The CCC were older patients, mainly admitted due to decompensation or progression of their underlying disease, had a longer admission time, and required support in the Paediatric Intensive Care Unit more often than that of the other sub-groups. Just under half (44.7%) of the CCC were carriers of a technological device. Of the total of long stays (>1 month), 71.3% had CCC.
Conclusions: Patients with CCC require long hospital stays, a greater need of intensive care, and use of technology. New approaches to treatment and follow-up need to be established. They should be cost-effective, and at the same time decrease the impact of the disease on the children and their family. (C) 2021 Asociacion Espanola de Pediatria. Published by Elsevier Espana, S.L.U.
Filiaciones:
:
Servicio de Pediatría, Hospital Sant Joan de Déu, Barcelona, España. Electronic address:
Ricart S:
Servicio de Pediatría, Hospital Sant Joan de Déu, Barcelona, España
Vidiella N:
Servicio de Pediatría, Hospital Verge de la Cinta, Tortosa (Tarragona), España
García-García JJ:
Servicio de Pediatría, Hospital Sant Joan de Déu, Barcelona, España
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