Hospitalizations of adolescents due to sensitive conditions in primary health care in the perspective of integrality

Freitas, Jéssyca Slompo; Chaves, Maria Marta Nolasco; Lourenço, Rafaela Gessner

doi:10.1590/2177-9465-EAN-2022-0138en

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RESEARCH • Esc. Anna. Nery 27 • 2023 • https://doi.org/10.1590/2177-9465-EAN-2022-0138en copy

Hospitalizations of adolescents due to sensitive conditions in primary health care in the perspective of integrality^a a Article extracted from the doctoral thesis “A Determinação Social das Internações de adolescentes por Condições Sensíveis à Atenção Primária.” Author: Jéssyca Slompo Freitas. Advisor: Prof. Dr. Maria Marta Nolasco Chaves. Graduate Program in Nursing. Universidade Federal do Paraná. Year of defense: 2021.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

to analyze, from the perspective of integrality, the hospitalizations of adolescents due to conditions sensitive to primary care in a Regional Health unit in Paraná State.

Method

a quantitative retrospective study was carried out from January to July 2018. Public data were collected from hospitalizations of adolescents aged 10 to 19 years available in the database of the hospital information system of the Ministry of Health using the Official Tabulator (Tabwin, version 3.2). Data analysis was performed using descriptive statistics according to the absolute number and frequency per year investigated.

Results

out of the 82,016 admissions, 9,029 (11.00%) were due to conditions sensitive to primary care. Among the main causes, infection of the kidney and urinary tract (24.96%), epilepsies (19.27%), infectious gastroenteritis, and complications (11.91%) stood out, which are diseases related to prenatal care and childbirth (8.88%) and asthma (7.39%). Female hospitalizations accounted for 57.52%, prevalent in the 15- to 19-year-old subgroup (66.64%).

Conclusion and implications for practice

it is necessary to advance in the construction of integrality in adolescent health care to respond to the health needs of this population segment and reduce hospitalizations for causes sensitive to primary care.

Keywords:
Primary Health Care; Integrality in Health; Hospitalization; Public Health; Adolescent Health

Municipality in the Second Regional Health Office of Paraná	Estimate of general population covered by Family Health Strategy		Existing hospital beds (SUS and non-SUS)		HCSPC (2013-2017)
	N	%	N	%	N	%
Adrianópolis	6,281	100	3	0.03	3	0.04
Agudos do Sul	8,429	100	0	0	19	0.24
Almirante Tamandaré	24,150	22.9	0	0	271	3.44
Araucária	55,200	44.92	91	1.05	272	3.45
Balsa Nova	11,539	100	0	0	27	0.34
Bocaíuva do Sul	10,350	91.76	11	0.12	25	0.32
Campina Grande do Sul	24,150	61.29	356	4.11	149	1.89
Campo do Tenente	7,245	100	0	0	28	0.36
Campo Largo	79,350	68.80	923	10.66	483	6.13
Campo Magro	24,150	94.66	0	0	66	0.84
Cerro Azul	17,027	100	26	0.30	2	0.03
Colombo	144,900	66.64	119	1.37	671	8.52
Contenda	13,800	84.70	16	0.18	60	0.76
Curitiba	783,150	44.08	5,514	63.71	2,723	34.56
Doutor Ulysses	5,686	100	0	0	8	0.10
Fazenda Rio Grande	62,100	73.48	48	0.55	294	3.73
Itaperuçu	17,250	70.20	49	0.56	336	4.26
Lapa	24,150	53.27	147	1.69	146	1.85
Mandirituba	17,250	75.24	50	0.57	141	1.79
Piên	11,454	100	49	0.56	104	1.32
Pinhais	72,450	60.69	287	3.31	425	5.39
Piraquara	48,300	50.30	622	7.18	502	6.37
Quatro Barras	20,409	100	0	0	70	0.89
Quitandinha	13,800	79.47	25	0.28	109	1.38
Rio Branco do Sul	24,150	78.29	30	0.34	149	1.89
Rio Negro	24,150	76.27	30	0.34	67	0.85
São José dos Pinhais	134,550	49.24	236	2.72	637	8.08
Tijucas do Sul	13,800	92.74	16	0.18	65	0.82
Tunas do Paraná	6,656	100	6	0.06	28	0.36
Total	1,705,876^* * The sum of the estimated population covered by FHS in 2016. The census population of the Second Regional Health unit of Paraná is 3,223,836 inhabitants.	51.91	8.654	100	9029	100

Groups of Conditions Sensitive To Primary Care	Male		Female		Total
(CSPC)	N	%	N	%	N	%
1. Diseases prevented by immunization and sensitive conditions	34	0.38	32	0.35	66	0.73
2. Infectious gastroenteritis and complications	490	5.43	585	6.48	1.075	11.91
3. Anemia	3	0.03	15	0.17	18	0.20
4. Nutritional deficiencies	47	0.52	40	0.44	87	0.96
5. Ear, nose, and throat infections	101	1.12	85	0.94	186	2.06
6. Bacterial pneumonia	66	0.73	67	0.74	133	1.47
7. Asthma	315	3.49	352	3.90	667	7.39
8. Lung diseases	61	0.68	75	0.83	136	1.51
9. Hypertension	23	0.25	19	0.21	42	0.47
10. Angina	44	0.49	26	0.29	70	0.78
11. Heart Failure	203	2.25	213	2.36	416	4.61
12. Cerebrovascular diseases	62	0.69	68	0.75	130	1.44
13. Diabetes mellitus	256	2.84	367	4.06	623	6.90
14. Epilepsies	875	9.69	865	9.58	1740	19.27
15. Kidney and urinary tract infection	225	2.49	2029	22.47	2254	24.96
16. Infection of the skin and subcutaneous tissue	189	2.09	152	1.68	341	3.78
17. Inflammatory disease in female pelvic organs	0	0.00	119	1.32	119	1.32
18. Gastrointestinal ulcer	61	49.19	63	50.81	124	1.37
19. Diseases related to prenatal care and childbirth	0	0.00	802	100.00	802	8.88
Total CSPC	3055	33.84	5974	66,16	9029	100

Groups of Conditions Sensitive To Primary Care	10-14 years old		15-19 years old		Total
(CSPC)	N	%	N	%	N	%
1. Diseases prevented by immunization and sensitive conditions	17	0.19	49	0.54	66	0.73
2. Infectious gastroenteritis and complications	603	6.68	472	5.23	1075	11.91
3. Anemia	5	0.06	13	0.14	18	0.20
4. Nutritional deficiencies	49	0.54	38	0.42	87	0.96
5. Ear, nose, and throat infections	90	1.00	96	1.06	186	2.06
6. Bacterial pneumonia	54	0.60	79	0.87	133	1.47
7. Asthma	435	4.82	232	2.57	667	7.39
8. Lung diseases	61	0.68	75	0.83	136	1.51
9. Hypertension	24	0.27	18	0.20	42	0.47
10. Angina	5	0.06	65	0.72	70	0.78
11. Heart Failure	258	2.86	158	1.75	416	4.61
12. Cerebrovascular diseases	32	0.35	98	1.09	130	1.44
13. Diabetes mellitus	384	4.25	239	2.65	623	6.90
14. Epilepsies	975	10.80	765	8.47	1740	19.27
15. Kidney and urinary tract infection	359	3.98	1895	20.99	2254	24.96
16. Infection of the skin and subcutaneous tissue	177	1.96	164	1.82	341	3.78
17. Inflammatory disease in female pelvic organs	12	0.13	107	1.19	119	1.32
18. Gastrointestinal ulcer	35	0.39	89	0.99	124	1.37
19. Diseases related to prenatal care and childbirth	46	0.51	756	8.37	802	8.88
Total CSPC	3,621	40.10	5,408	59.90	9,029	100

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[1] Corresponding author:
Jéssyca Slompo Freitas. E-mail: jessyca_sfreitas@hotmail.com