Jaime Barrio Cortes1, Carmen Suárez Fernández2, Mariana Bandeira de Oliveira3, Cristina Muñoz Lagos3, María Teresa Beca Martínez4, Cristina Lozano Hernández5, Isabel Del Cura González6. 1. Programa de Doctorado en Medicina y Cirugía, Universidad Autónoma de Madrid, Madrid, España; Unidad de Apoyo a la Investigación, Gerencia Asistencial de Atención Primaria, Madrid, España. Electronic address: Jaime.barrio@salud.madrid.org. 2. Servicio de Medicina Interna, Hospital Universitario de la Princesa, Madrid, España; Departamento de Medicina, Universidad Autónoma de Madrid, Madrid, España. 3. Centro de salud Ciudad Jardín, Madrid, España. 4. Servicio de Medicina Preventiva, Hospital Virgen de la Salud, Complejo Hospitalario de Toledo, Toledo, España. 5. Unidad de Apoyo a la Investigación, Gerencia Asistencial de Atención Primaria, Madrid, España; Red de Investigación en Servicios Sanitarios en Enfermedades Crónicas (REDISSEC), Madrid, España. 6. Unidad de Apoyo a la Investigación, Gerencia Asistencial de Atención Primaria, Madrid, España; Red de Investigación en Servicios Sanitarios en Enfermedades Crónicas (REDISSEC), Madrid, España; Área de Medicina Preventiva y Salud Pública, Universidad Rey Juan Carlos, Madrid, España.
Abstract
INTRODUCTION: Adjusted morbidity groups (AMG) are being used in the stratification of chronic patients in Primary Care (PC). The aim of this study was to describe the characteristics, prevalence of comorbidities, and use of PC services by chronic paediatric patients as well as to analyse factors associated with the weight of complexity according to AMG. PATIENTS AND METHODS: A cross-sectional study conducted on patients <18 years-old from a basic health area, classified as chronic according to the AMG of the Madrid Primary Care computerised clinical records. Sociodemographic and clinical-care variables were collected, as well as the use of services in PC. Univariate, bivariate and linear regression analysis were performed. RESULTS: A total of 2,961 patients<18 years were included, of whom 423 (15.7%) were identified as chronic, and 408 (96.5%) were low risk patients. Their mean age was 9.5 (SD=4.7) years, and 54.1% were male. The mean of chronic diseases was 1.1 (SD=0.4) and 11.3% had multiple morbidity. The most prevalent diseases were asthma (6.1%), attention deficit hyperactivity disorder (ADHD) (1.8%), and obesity (1.4%). The mean number of visits to the paediatrician was 4.9 (SD=6.3). Age<5 years-old (Coefficient B [CB]=2.6, 95% CI=2.1, 3.1), number of chronic diseases (CB=1.6, 95% CI=1.1; 2.1), and annual contacts with PC (CB=0.1, 95% CI=0.06; 0.11) were associated with greater complexity weight. CONCLUSIONS: A significant number of patients with chronic diseases were found in the paediatric population. The most prevalent diseases were asthma, ADHD, and obesity. The use of PC services was high. The greatest complexity corresponded to nursing and pre-school age, multiple morbidity, and higher number of contacts with PC.
INTRODUCTION: Adjusted morbidity groups (AMG) are being used in the stratification of chronic patients in Primary Care (PC). The aim of this study was to describe the characteristics, prevalence of comorbidities, and use of PC services by chronic paediatric patients as well as to analyse factors associated with the weight of complexity according to AMG. PATIENTS AND METHODS: A cross-sectional study conducted on patients <18 years-old from a basic health area, classified as chronic according to the AMG of the Madrid Primary Care computerised clinical records. Sociodemographic and clinical-care variables were collected, as well as the use of services in PC. Univariate, bivariate and linear regression analysis were performed. RESULTS: A total of 2,961 patients<18 years were included, of whom 423 (15.7%) were identified as chronic, and 408 (96.5%) were low risk patients. Their mean age was 9.5 (SD=4.7) years, and 54.1% were male. The mean of chronic diseases was 1.1 (SD=0.4) and 11.3% had multiple morbidity. The most prevalent diseases were asthma (6.1%), attention deficit hyperactivity disorder (ADHD) (1.8%), and obesity (1.4%). The mean number of visits to the paediatrician was 4.9 (SD=6.3). Age<5 years-old (Coefficient B [CB]=2.6, 95% CI=2.1, 3.1), number of chronic diseases (CB=1.6, 95% CI=1.1; 2.1), and annual contacts with PC (CB=0.1, 95% CI=0.06; 0.11) were associated with greater complexity weight. CONCLUSIONS: A significant number of patients with chronic diseases were found in the paediatric population. The most prevalent diseases were asthma, ADHD, and obesity. The use of PC services was high. The greatest complexity corresponded to nursing and pre-school age, multiple morbidity, and higher number of contacts with PC.
Keywords:
Agrupador de Morbilidad; Atención primaria de salud; Chronic disease; Enfermedad crónica; Estratificación; Morbidity grouping; Paediatrics; Pediatría; Primary health care; Stratification; Use of services; Uso de servicios
Authors: María de Los Ángeles Núñez-Baila; Anjhara Gómez-Aragón; José Rafael González-López Journal: Int J Environ Res Public Health Date: 2021-02-20 Impact factor: 3.390
Authors: Maria Consuelo Company-Sancho; Víctor M González-Chordá; María Isabel Orts-Cortés Journal: Int J Environ Res Public Health Date: 2022-04-01 Impact factor: 3.390
Authors: Marlene Fabiola Escobedo-Monge; Enrique Barrado; Joaquín Parodi-Román; María Antonieta Escobedo-Monge; María Carmen Torres-Hinojal; José Manuel Marugán-Miguelsanz Journal: Nutrients Date: 2022-07-18 Impact factor: 6.706
Authors: Dorine M Borensztajn; Nienke N Hagedoorn; Enitan D Carrol; Ulrich von Both; Marieke Emonts; Michiel van der Flier; Ronald de Groot; Jethro Herberg; Benno Kohlmaier; Michael Levin; Emma Lim; Ian K Maconochie; Federico Martinon-Torres; Ruud G Nijman; Marko Pokorn; Irene Rivero-Calle; Maria Tsolia; Fabian J S van der Velden; Clementien Vermont; Dace Zavadska; Werner Zenz; Joany M Zachariasse; Henriette A Moll Journal: Eur J Pediatr Date: 2022-07-07 Impact factor: 3.860