Relação da pandemia de Covid-19 com o perfil epidemiológico dos pacientes pediátricos queimados no hospital universitário Evangélico Mackenzie
Tipo
TCC
Data de publicação
2024-05-23
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Citações (Scopus)
Autores
Castro, Alexandre Marochi de
Schenato, Luísa Fernandes
Schenato, Luísa Fernandes
Orientador
Ribas, Maurício Marcondes
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Resumo
Introdução: As queimaduras têm uma incidência anual no Brasil de aproximadamente 1 milhão de casos, sendo que a maioria das ocorrências estão no ambiente domiciliar, atingindo em grande parte as crianças. Somado a isso, o isolamento social da pandemia de COVID-19 contribuiu para que as crianças ficassem mais em casa, sendo um dos fatores que poderia aumentar a incidência de queimaduras. Objetivo: Comparar o perfil epidemiológico dos pacientes pediátricos queimados durante o período de isolamento social e após a flexibilização das medidas sanitárias, avaliando assim o impacto do isolamento social nessa população. Metodologia: Estudo observacional transversal retrospectivo, com a análise de 410 prontuários eletrônicos dos pacientes pediátricos queimados no período de março de 2020 a dezembro de 2022 tratados no Hospital Universitário Evangélico Mackenzie (HUEM). Foram analisadas de forma qualitativa as variáveis de idade, sexo, etiologia da queimadura, local do acidente, grau de profundidade da queimadura, gravidade da lesão, tipo de tratamento, tempo de internamento e prognóstico, a fim de traçar um perfil epidemiológico dos pacientes pediátricos queimados no HUEM, no período analisado. Para análise do perfil epidemiológico, foram excluídos 10 prontuários de janeiro e fevereiro de 2020, e o restante da amostra foi dividia em dois grupos 252 atendidos durante o isolamento social e 148 após a liberação das medidas sanitárias. Resultados: Dentre os 410 pacientes atendidos de janeiro de 2020 a dezembro de 2022, 133 foram no ano de 2020, 129 em 2021 e 148 em 2022, não havendo diferença significativa na incidência anual durante e após a pandemia. Não houve diferença significativa no perfil epidemiológico dos pacientes, no tipo de tratamento e no prognóstico, apenas no grau de queimadura e na gravidade da queimadura. Conclusão: A pandemia não impactou no número de atendimentos realizados à população pediátrica queimada, apenas na gravidade das lesões que os pacientes apresentavam, mas sem interferir em seu tratamento e prognóstico.
Introduction: Burns have an annual incidence in Brazil of approximately 1 million cases, most of occurrences happening in the home environment, predominantly affecting children. Additionally, the social isolation measures during the COVID-19 pandemic led to children spending more time at home, potentially increasing the incidence of burns. Objective: To compare the epidemiological profile of pediatric burn patients during the period of social isolation and after the relaxation of sanitary measures, evaluating the impact of social isolation on this population. Methodology: A retrospective cross-sectional observational study was conducted, analyzing 410 electronic medical records of pediatric burn patients treated at the Evangelical Mackenzie University Hospital (HUEM) from March 2020 to December 2022. Qualitative analysis was performed on variables such as age, gender, burn etiology, accident location, burn depth, injury severity, treatment type, length of hospital stay, and prognosis to outline an epidemiological profile of pediatric burn patients at HUEM during the study period. For the epidemiological profile analysis, 10 records from January and February 2020 were excluded, and the remaining sample was divided into two groups: 252 treated during social isolation and 148 after the relaxation of sanitary measures. Results: Among the 410 patients treated from January 2020 to December 2022, 133 were in 2020, 129 in 2021, and 148 in 2022, with no significant difference in annual incidence during and after the pandemic. There were no significant differences in the epidemiological profile of patients, treatment type, or prognosis, only in the degree and severity of burns. Conclusion: The pandemic did not impact the number of pediatric burn patient visits, only the severity of the injuries presented by the patients, without affecting their treatment and prognosis.
Introduction: Burns have an annual incidence in Brazil of approximately 1 million cases, most of occurrences happening in the home environment, predominantly affecting children. Additionally, the social isolation measures during the COVID-19 pandemic led to children spending more time at home, potentially increasing the incidence of burns. Objective: To compare the epidemiological profile of pediatric burn patients during the period of social isolation and after the relaxation of sanitary measures, evaluating the impact of social isolation on this population. Methodology: A retrospective cross-sectional observational study was conducted, analyzing 410 electronic medical records of pediatric burn patients treated at the Evangelical Mackenzie University Hospital (HUEM) from March 2020 to December 2022. Qualitative analysis was performed on variables such as age, gender, burn etiology, accident location, burn depth, injury severity, treatment type, length of hospital stay, and prognosis to outline an epidemiological profile of pediatric burn patients at HUEM during the study period. For the epidemiological profile analysis, 10 records from January and February 2020 were excluded, and the remaining sample was divided into two groups: 252 treated during social isolation and 148 after the relaxation of sanitary measures. Results: Among the 410 patients treated from January 2020 to December 2022, 133 were in 2020, 129 in 2021, and 148 in 2022, with no significant difference in annual incidence during and after the pandemic. There were no significant differences in the epidemiological profile of patients, treatment type, or prognosis, only in the degree and severity of burns. Conclusion: The pandemic did not impact the number of pediatric burn patient visits, only the severity of the injuries presented by the patients, without affecting their treatment and prognosis.
Descrição
Palavras-chave
queimaduras , pediatria , perfil epidemiológico , pandemia , COVID-19 , burns , pediatrics , epidemiological profile , pandemic