Relação das características sociodemográficas e clínicas de crianças e adolescentes com a classificação de risco na emergência

Abstract

The aim of the study was to evaluate the sociodemographic and clinical characteristics of children and adolescents by relating them to their pediatric emergency risk ratings, according to the Pediatric Risk Classification Reception Protocol (ACCR). Cross-sectional study of secondary data collected in the study by Magalhães (2016) on clinical practice validation of the pediatric ACCR protocol in an emergency unit of a municipal pediatric hospital located in Fortaleza-Ceará. We used 429 risk classification forms for children and adolescents treated at this unit in 2016. Data organized and analyzed by the SPSS 20.0, whose analysis occurred through absolute and relative frequencies, mean and standard deviation. As statistical tests to compare sociodemographic and clinical variables with the risk classification, the Chi-Square Test (Linear Linear Association) was used and the means of the quantitative variables were compared by the ANOVA test. As a result, children up to five years old (55.9%), especially infants (30.0%), predominated. The children had the following risk ratings: priority I - red (no case, as children with clinical emergency already go to immediate medical attention in the observation room); priority II - orange (2.0%); priority III - yellow (20%); priority IV - green (31.2%); priority V - blue (46.8%). The predominant discriminators were: respiratory alteration (29.2%) and vital signs alteration (23.5%). Fever was the clinical manifestation of highest incidence (48.7%), especially in priorities IV (41.7%) and III (33.4%). Most of the patients treated at the pediatric emergency were classified as priority V. Therefore, health professionals need to promote educational strategies to guide and sensitize the population regarding the ACCR and the clinical framework of the emergency care child, avoiding overcrowding. emergency units in an improper manner, favoring immediate care for children who are in an emergency or emergency situation.