Impacto de brote por Covid-19 en las causas de egresos hospitalarios a nivel nacional por enfermedades del sistema nervioso central en población pediátrica durante el primer año de pandemia en Chile / Impact of Covid-19 outbreak in the causes of hospital discharges at national level due to central nervous system diseases in pediatric population during the first year of pandemic in Chile
Rev. chil. psiquiatr. neurol. infanc. adolesc. (Impr.)
;
32(3): 13-19, dic. 2021. tab, graf
Article
in Spanish
| LILACS
| ID: biblio-1369231
RESUMEN
INTRODUCCIÓN:
La pandemia por Covid-19 ha generado cambios en la atención de salud nacional, observándose en este período cambios en las causas de egresos hospitalarios (EH).OBJETIVO:
Analizar el impacto del brote de Covid-19 en las causas de EH por enfermedades del Sistema Nervioso Central (ESNC) en población pediátrica durante el primer año de pandemia.MÉTODO:
Estudio transversal. Análisis de base de datos del Departamento de Estadística e Información en Salud en pacientes de 0 a 18 años, comparando años 2019 y 2020.RESULTADOS:
En 2020 se redujeron EH por ESNC en un 39% comparado con 2019. Disminuyeron principalmente los EH por secuelas de enfermedades inflamatorias SNC, parálisis cerebral, migraña y paraplejia/cuadriplejia, aumentando los EH por isquemia cerebral transitoria, enfermedades desmielinizantes SNC y polineuropatía inflamatoria. El número EH por ESNC mensual se correlacionó con el número de casos Covid-19 (rho -0.774, p0.003) y con la movilidad mensual del país (rho 0.928, p 0.001).CONCLUSIONES:
El impacto del brote Covid-19 se asoció con reducción de EH por ESNC, disminuyeron EH por patologías crónicas y aumentaron causas agudas.ABSTRACT
INTRODUCTION:
The Covid-19 pandemic has been associated with modifications in national health care, with changes in causes of hospital discharges (HD) in this period.OBJECTIVE:
To analyze the impact of the Covid-19 outbreak on causes of HD due to Central Nervous System Diseases (CNSD) in pediatric population during the first year of pandemic.METHOD:
Cross-sectional study. Analysis of database of the Department of Statistics and Health Information in patients aged 0 to 18 years, comparing 2019 and 2020.RESULTS:
In 2020, HD due to CNSD were reduced in 39% compared to 2019. HD causes that mainly decreased were inflammatory CNS disease sequelae, cerebral palsy, migraine and paraplegia/cuadriplegia. The HD that increased were transient cerebral ischemia, CNS demyelinating diseases and inflammatory polyneuropathy. The monthly HD due to CNSD number was correlated with the number of Covid-19 cases (rho -0.774, p0.003) and with the country's monthly mobility (rho 0.928, p 0.001).CONCLUSIONS:
Covid-19 pandemic was associated with a reduction in HD due to CNSD, with decrease of EH due to chronic pathologies and increase of acute diseases
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Patient Discharge
/
Central Nervous System Diseases
/
COVID-19
Type of study:
Etiology study
/
Observational study
/
Prevalence study
/
Risk factors
/
Screening study
Limits:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Infant, Newborn
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. chil. psiquiatr. neurol. infanc. adolesc. (Impr.)
Journal subject:
Medicina Cl¡nica
/
Neurologia
/
Patologia
/
Pediatria
/
Psiquiatria
Year:
2021
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Clínico San Borja Arriarán/CL
/
Hospital Clínico San Borja Arriarán. Facultad Medicina/CL
Similar
MEDLINE
...
LILACS
LIS