medigraphic.com
ISSN 1561-3119 (Electronic)

2021, Number 3

<< Back Next >>

Rev Cubana Pediatr 2021; 93 (3)

Adequacy of adolescent patients´ use of emergency medical services

Robledo DL, Duro FMÁ, Carvajal RE, Fornes VR

Language: Spanish
References: 15
Page: 1-15
PDF size: 366.05 Kb.


ABSTRACT

Objective: Compare the adequacy of emergency consultations of the adolescent patients being cared by the pediatricians (12 to 14 years) and those who are not (15 to 18 years).
Method: Cross-sectional study with patients in the ages from 12 to 18 years who attended the Emergency Service of La Salud Hospital in Valencia during 2018. The adequacy criteria were based on the Adequacy Protocol of Hospital Emergencies. Adequacy variables were described by frequencies and Fisher's exact test and odds ratio were used as a comparison method. In all cases, the hypothesis contrasts were bilateral, with a confidence level of 95% and the null hypothesis (Ho) was rejected with p<0.05 value.
Results: Of the total episodes, 64.9% (n= 226) were suitable for emergency services. This distribution was similar within each of the age groups and no significant difference could be made between the two (p= 0.283). Significant differences were found in the criteria of diagnostic intensity and attention time by gender.
Conclusions: The figures are indicative of misuse of the emergency service by a part of the adolescent patients, whether or not they are being followed up by the pediatrician. This may be a sign of the healthcare gap in which these patients are located.


REFERENCES

  1. Hall G. Adolescencia: su psicología y su relación con la fisiología, la antropología, la sociología, el sexo, el crimen, la religión y la educación. Nueva Jersey: Prentice Hall; 1904.

  2. Healthy Children.org. Etapas de la adolescencia. EE. UU.: American Academy of Pediatrics; 2019. Disponible en: https://www.healthychildren.org/Spanish/ages-stages/teen/Paginas/Stages-of-Adolescence.aspx

  3. Pineda S, Aliño M. El concepto de Adolescencia. Manual de Prácticas Clínicas para la Atención Integral en la Adolescencia. 2002:15–23.

  4. Awuapara-Flores S. Características bio-psicosociales del adolescente. Rev Odontol Pediátr. 2018;12(2):119-218.

  5. Castro Clemente C, Ponce de León Romero L. Educación y medios de comunicación Beneficios y riesgos que proporcionan las Tecnologías de Información y Comunicación en los adolescentes españoles. Rev Sociol Educ. 2018;11(3): 433-47.

  6. Reisinger HS. Counting apples as oranges: Epidemiology and ethnography in adolescent substance abuse treatment. Qual Health Res. 2004;14(2):241–58.

  7. Herrera AM, Corvalán MP. Tabaquismo en el adolescente. Rev Chil Enfermedades Respir. 2017;33(3):236-8.

  8. Tascón LAM, Benítez DIC, Ospina CBP. Addressing early sexual activity and teenage pregnancy: State of the art. Rev Chil Obstet Ginecol. 2016;81(3):243–53.

  9. Rivera Flores DG, Proaño López EL. La influencia de los pares y la familia en el inicio de la actividad sexual en adolescentes. Augusto Guzzo. 2017;1(19):39–53.

  10. Selva TS, Peiro S, Pina PS, Espín CM, Aguilera IL. Validez del protocolo de adecuación de urgencias hospitalarias. Rev Esp Salud Publica. 1999 [14/01/2019];73:461–75. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1135-57271999000400004&nrm=iso

  11. Hidalgo Vicario MI. Situación de la medicina de la adolescencia en España. Adolesere. 2014 [acceso 20/07/2019];II:3–7. Disponible en: https://www.adolescenciasema.org/usuario/documentos/03-07 Editorial.pdf

  12. Docal-Millán MDC, Cabrera-García VE, Manrique Mora LM, Cortés Piraquive JM, Tobón Aguilar CM. Familia y escuela: contextos asociados al inicio de la actividad sexual de los adolescentes colombianos. Rev Salud Pública. 2018;20(3):279–85.

  13. Rivas García A, Manrique Martín G, Butragueño Laiseca L, Mesa García S, Campos Segura A, Fernández Iglesia V, et al. Hiperfrecuentadores en urgencias. ¿Quiénes son? ¿Por qué consultan? An Pediatr. 2017;86(2):67–75.

  14. Aranaz Andrés JM, Martínez Nogueras R, Rodrigo Bartual V, Gómez Pajares F, Antón García P. Adecuación de la demanda de atención sanitaria en servicios de urgencias hospitalarios. Med Clin (Barc). 2004;123(16):615–8.

  15. Maurente L. Consulta adolescente en servicios de emergencia pediátrica. Rev Médica Urugay. 2017;33(4):232-241.




2020     |     www.medigraphic.com