variações climáticas e uso de serviços de saúde em crianças asmáticas menores de cinco anos de idade: um estudo ecológico climate variations and health services use for the treatment of asthmatic children under five years of age: an ecological study

التغيرات المناخية واستخدام الخدمات الصحية لعلاج الأطفال المصابين بالربو دون سن الخامسة: دراسة بيئية

Clicks: 386
ID: 228990
2005
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Abstract
OBJETIVO: Analisar a variação dos períodos climáticos (seco ou chuvoso) e o uso de serviços de saúde para a asma em crianças menores de cinco anos de idade. MÉTODOS: Estudo ecológico, com coleta de dados secundários, através de análise dos prontuários das crianças com até cinco anos de idade e diagnóstico de asma, atendidas no Pronto-Socorro Municipal de Cuiabá. Obedecendo às características geográficas de Cuiabá (MT), foram considerados dois períodos climáticos: o período seco (maio a outubro) e o chuvoso (novembro a abril). RESULTADOS: O percentual de atendimentos das crianças consideradas com diagnóstico de asma foi de 12,2% (3.140/25.802), sem diferença entre os sexos. A faixa etária mais acometida foi a de três a cinco anos de idade. A taxa de hospitalização por asma foi de 1,3% (336/25.802), sendo de 10,7% (336/3.140) entre as crianças asmáticas atendidas no pronto-socorro. No período chuvoso o percentual de atendimento ambulatorial por asma foi maior que no período seco: 39,1% (1.228/3.140) versus 60,9% (1.912/3.140). Entretanto, no período seco houve maior percentual de hospitalização: 52,3% (176/336) versus 47,7% (160/336). As diferenças foram significativas (p < 0,05). CONCLUSÃO: O período climático seco, associado à maior taxa de hospitalização, parece estar relacionado aos casos mais graves de asma em crianças menores de cinco anos.
OBJECTIVE: To study variations in climate (dry or rainy periods) and health services use for the treatment of asthma in children under five years of age. METHODS: An ecological study was conducted and involved analysis of the medical charts of all children under the age of five that were diagnosed with asthma and treated in the Municipal Emergency Room of the city of Cuiabá, located in the state of Mato Grosso, Brazil. In accordance with the geographic location of Cuiabá, two climatic periods were identified: a dry season (from May to October) and a rainy season (from November to April). RESULTS: The percentage of children treated that were diagnosed with asthma was 12.2% (3140/25,802), with no gender-based difference. Children from 3 to 5 years of age were most often affected. The overall asthma hospitalization rate was 1.3% (336/25,802), rising to 10.7% (336/3140) among the asthmatic children treated in the emergency room. In the rainy season, the percentage of outpatients seeking treatment for asthma was higher than in the dry season: 39.1% (1228/3140) versus 60.9% (1912/3140). However, during the dry season, a greater proportion of such patients were hospitalized: 52.3% (176/336) versus 47.7% (160/336). These differences were statistically significant (p < 0.05). CONCLUSIONS: The dry season, which was correlated with higher asthma hospitalization rates, seems to be related to more severe cases of asthma in children under five years of age.
الهدف: تحليل التباين في الفترات المناخية (الجافة أو الممطرة) واستخدام خدمات الرعاية الصحية لعلاج الربو لدى الأطفال دون سن الخامسة. المنهجية: دراسة بيئية اعتمدت على جمع بيانات ثانوية، من خلال تحليل السجلات الطبية للأطفال حتى سن الخامسة المشخصين بالربو، والذين تلقوا الرعاية في قسم طوارئ بلدية كويابا. وتماشياً مع الخصائص الجغرافية لمدينة كويابا (ولاية ماتو غروسو)، رُوعيت فترتان مناخيتان: الفترة الجافة (من مايو إلى أكتوبر) والممطرة (من نوفمبر إلى أبريل). النتائج: بلغت نسبة مراجعات الأطفال المشخصين بالربو 12.2% (3,140/25,802)، دون وجود فرق بين الجنسين. وكانت الفئة العمرية الأكثر تأثراً هي من ثلاث إلى خمس سنوات. وبلغ معدل الاستشفاء الناجم عن الربو 1.3% (336/25,802)، في حين بلغت نسبته 10.7% (336/3,140) بين الأطفال المصابين بالربو الذين راجعوا قسم الطوارئ. وخلال الفترة الممطرة، كانت نسبة مراجعي العيادات الخارجية بسبب الربو أعلى مقارنة بالفترة الجافة: 39.1% (1,228/3,140) مقابل 60.9% (1,912/3,140). غير أنه سُجلت نسبة استشفاء أعلى خلال الفترة الجافة: 52.3% (176/336) مقابل 47.7% (160/336). وكانت هذه الفروق ذات دلالة إحصائية (p < 0.05). الاستنتاج: يبدو أن الفترة المناخية الجافة، المقترنة بارتفاع معدل
Reference Key
saldanha2005jornalvariaes Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Celso Taques Saldanha;Ageo Mário Cândido da Silva;Clovis Botelho
Journal cryobiology
Year 2005
DOI
10.1590/S1806-37132005000600006
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132005000600006
Keywords
asthma climate environmental monitoring allergens

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