SENSITIVE CAUSE IN PRIMARY CARE: ADOLESCENT ADMISSIONS IN A UNIVERSITY HOSPITAL (2017-2018)

Abstract

Introduction: Hospitalizations due to primary care-sensitive causes (PCSC) represent preventable conditions and serve as an indicator of the quality of primary care. Objective: to describe the clinical and epidemiological profile of PCSC among adolescents at the Júlio Bandeira University Hospital, located in the upper backlands of Paraíba, between 2017 and 2018. Method: documentary and descriptive research, carried out with electronic medical records of hospitalized adolescents. The research was submitted to and approved by the Research Ethics Committee. The Jeffrey’s Amazing Statistics Program software was used to perform the statistical analyses. Results: of the 737 hospitalizations during the period, 48 corresponded to the Brazilian list of PCSC. Kidney and urinary tract infections were the main diagnostic group, and the most affected age was 14 years. Females were slightly prevalent (p=0.471). 97.9% of PCSC were urgent. Laboratory tests were requested for 64.6% of patients; imaging tests for 31.25%; and procedures for 33.4%. The need for oxygen therapy was observed in 6.25% of the ICSAP. The average hospital stay was 6.1 days. The main antibiotic used was ceftriaxone (52.08%). Conclusion: the municipalities with the highest hospitalizations were related to shorter driving distances and higher populations. The prevalent diagnostic groups partially converge with studies conducted in the South and Southeast. Despite the satisfactory results suggesting timely health care in the region, actions to promote the health of adolescents should be continued in order to eliminate preventable hospitalizations.