<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902019000200058</article-id>
<article-id pub-id-type="doi">10.29193/rmu.35.2.3</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Análisis de las reconsultas en un servicio de emergencia pediátrica]]></article-title>
<article-title xml:lang="en"><![CDATA[Analysis of reconsultations in a pediatric emergency service]]></article-title>
<article-title xml:lang="pt"><![CDATA[Análise das reconsultas em um serviço de emergência pediátrica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mas]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Casuriaga]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cassanello]]></surname>
<given-names><![CDATA[Paola]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salvo]]></surname>
<given-names><![CDATA[Fernanda]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Giachetto]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez]]></surname>
<given-names><![CDATA[Yelenna]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Grunbaum]]></surname>
<given-names><![CDATA[Susana]]></given-names>
</name>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Departamento de Emergencia Pediátrica Facultad de Medicina]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República Clínica Pediátrica Facultad de Medicina]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de la República Clínica Pediátrica Facultad de Medicina]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>35</volume>
<numero>2</numero>
<fpage>58</fpage>
<lpage>75</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902019000200058&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902019000200058&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902019000200058&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Las reconsultas constituyen un indicador de calidad asistencial. Conocer sus características permite planificar estrategias para la mejora asistencial continua.  Objetivo:  describir las características de las reconsultas en las primeras 72 horas en un servicio de emergencia pediátrica (SE) durante enero, abril, julio y octubre 2017.  Metodología:  estudio descriptivo, retrospectivo, mediante revisión de historias clínicas electrónicas del SE de la Asociación Española. Variables: frecuencia, edad, sexo, momento, motivo de la reconsulta y evolución.  Resultados:  en el período analizado ocurrieron 8.299 consultas y 476 reconsultas, 54 fueron excluidas por haber sido motivadas por patologías diferentes a la primera consulta. Se incluyeron 422, representando el 5,1%. Media de edad: 4 años. Motivos de las reconsultas: persistencia de los síntomas 204 (48%), evolución de la enfermedad 73 (17%), control 59 (14%), exámenes pendientes 51 (12%), peoría 30 (7%), diagnóstico diferente al planteado inicialmente 5 (1%). Luego de la segunda consulta, el 88% fue dado de alta a domicilio y 11,5% hospitalizado. Ninguno de los niños ingresó a unidad de cuidado intensivo ni falleció.  Conclusiones:  en este servicio la frecuencia de reconsultas es similar a la comunicada en otras series. Analizando los motivos de reconsulta, es necesario mejorar la gestión clínica desarrollando estrategias de comunicación con los padres y cuidadores y reforzando las consultas ambulatorias y la contrarreferencia al primer nivel de atención. Resulta importante reiterar el estudio luego de implementar planes de mejora de la gestión clínica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Reconsultations are an indicator of the quality of care. Learning about their characteristics allows planning strategies for continuous quality of care improvement.  Objective: to describe the characteristics of reconsultations within the first 72 hours in a Pediatric Emergency (PE) service during January, April, July and October of 2017.  Methods: descriptive, retrospective study through the review of electronic medical records of the PE service of a private health care provider in Montevideo. Variables: frequency, age, sex, time, reason for consultation and evolution.  Results: During the time analyzed, there were 8299 visits and 476 reconsultations. 54 reconsultations were excluded because they were due to conditions other than the one in the initial visit. 422 were included in the study, representing 5.1%. Median age was 4 years. Reasons for reconsultations: persistence of symptoms 204 (48%), disease evolution 73 (17%), control 59 (14%), tests pending 51 (12%), worsening 30 (7%), a different diagnosis 5 (14%). After the second visit 88% were discharged to their homes and 11.5% were admitted. No child was referred to the intensive care unit, and none of them died.  Conclusions: The rate of reconsultations in this service is similar to that reported in other series. Upon analyzing the reason for reconsultations, it is necessary to improve clinical management, developing communication strategies with parents and carers and strengthening outpatient visits and counter-referral to the first level of care. It is important to repeat the study after the implementation of plans to improve clinical management.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: As reconsultas constituem um indicador da qualidade do atendimento. Conhecer suas características permite planejar estratégias para melhoria contínua do cuidado.  Objetivo:  descrever as características de reconsultas dentro das 72 horas em um Serviço de Emergência Pediátrica (EP) em Janeiro, Abril, Julho e Outubro de 2017.  Metodologia: estudo descritivo, retrospectivo, através da revisão de registros clínicos da EP de um provedor de saúde privada em Montevidéu. Variáveis: frequência, idade, sexo, momento, motivo da reconsulta e evolução.  Resultados: no período analisado houve 8299 consultas e 476 reconsultas, sendo 54 excluídas por motivarem-se por patologias diferentes da primeira consulta. 422 foram incluídos, representando 5,1%. Mediana de idade 4 anos. Razões para reconsultas: sintomas persistentes 204 (48%), progressão da doença 73 (17%), controle 59 (14%), estudos pendentes 51 (12%), peoria 30 (7%), um outro diagnóstico 5 (1%). Após a segunda consulta, 88% receberam alta hospitalar e 11,5% foram hospitalizados. Nenhuma das crianças entrou na unidade de terapia intensiva ou morreu.  Conclusões:  neste serviço, a frequência de reconsultas é semelhante à relatada em outras séries. Analisando as razões da reconsulta, é necessário melhorar o manejo clínico, desenvolvendo estratégias de comunicação com pais e cuidadores e reforçando as consultas ambulatoriais e contrarreferência para o primeiro nível de atenção. É importante reiterar o estudo após a implementação de planos para melhorar o manejo clínico.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Indicadores de calidad de la atención de salud]]></kwd>
<kwd lng="es"><![CDATA[Readmisión del paciente]]></kwd>
<kwd lng="es"><![CDATA[Medicina de Urgencia Pediátrica]]></kwd>
<kwd lng="es"><![CDATA[Reconsulta]]></kwd>
<kwd lng="en"><![CDATA[Quality indicators]]></kwd>
<kwd lng="en"><![CDATA[Health care]]></kwd>
<kwd lng="en"><![CDATA[Patient readmission]]></kwd>
<kwd lng="en"><![CDATA[Pediatric Emergency Medicine]]></kwd>
<kwd lng="en"><![CDATA[Reconsultation]]></kwd>
<kwd lng="pt"><![CDATA[Indicadores de qualidade em assistência à saúde]]></kwd>
<kwd lng="pt"><![CDATA[Readmissão do paciente]]></kwd>
<kwd lng="pt"><![CDATA[Medicina de Emergência Pediátrica]]></kwd>
<kwd lng="pt"><![CDATA[Reconsulta]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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