O impacto das variações climáticas na demanda de crianças e adolescentes aos serviços de emergência

OBJECTIVE: To assess the impact of climatic variations on the demand of children and adolescents in emergency services. METHODS: Ecological study conducted in a city countryside of São Paulo, which analysis of 39,336 emergency room visits in 2018 and correlation with meteorological data obtained fro...

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Main Authors: Letícia Bergo Veronesi, Joelma Gonçalves Martin, Guilherme Penaforte da Silva, Maria Luisa Rua Prieto, Adriana Polachini do Valle, Paulo José Fortes VillasBoas, José Eduardo Corrente
Format: Article
Language:English
Published: Sociedade Brasileira de Pediatria 2023-09-01
Series:Residência Pediátrica
Subjects:
Online Access:https://doaj.org/article/7cc0747623cf420d83649a098c4352f8
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author Letícia Bergo Veronesi
Joelma Gonçalves Martin
Guilherme Penaforte da Silva
Maria Luisa Rua Prieto
Adriana Polachini do Valle
Paulo José Fortes VillasBoas
José Eduardo Corrente
author_facet Letícia Bergo Veronesi
Joelma Gonçalves Martin
Guilherme Penaforte da Silva
Maria Luisa Rua Prieto
Adriana Polachini do Valle
Paulo José Fortes VillasBoas
José Eduardo Corrente
author_sort Letícia Bergo Veronesi
collection DOAJ
description OBJECTIVE: To assess the impact of climatic variations on the demand of children and adolescents in emergency services. METHODS: Ecological study conducted in a city countryside of São Paulo, which analysis of 39,336 emergency room visits in 2018 and correlation with meteorological data obtained from the meteorological station of the College of Agronomic Sciences of the municipality. Poisson regression models were fitted considering the season, temperature, relative humidity and precipitation. RESULTS: The greatest demand for care was in the age group between 0 and 5 years (65.2%) with acute nasopharyngitis (8.7%) being the most frequent morbidity, followed by unspecified fever (6.1%); acute upper airway infection: 5.5%; acute tonsillitis: 5.2%; nausea and vomiting: 5%; diarrhea and gastroenteritis: 4.8%; cough: 4.6%; asthma: 4.2%; bronchopneumonia: 2.9% and acute pain: 2.4%. In summer, the most frequent morbidities were fever and diarrhea; in autumn: acute nasopharyngitis; in winter: IVA and fever; in spring: fever, acute nasopharyngitis. Acute nasopharyngitis, acute upper airway infection and bronchopneumonia mainly affect younger children and these diseases are more likely to occur at lower temperatures and in low air humidity. CONCLUSIONS: There is a different frequency of morbidities in the different seasons of the year, as the chance of occurrence change depending on age, average temperature, average humidity and has no correlation with precipitation. Therefore, from the analysis of the climate, health services can anticipate to promote preventive measures and meet a greater or lesser demand of patients.
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spelling doaj.art-7cc0747623cf420d83649a098c4352f82023-11-27T16:22:04ZengSociedade Brasileira de PediatriaResidência Pediátrica2236-68142023-09-0113310.25060/residpediatr-2023.v13n3-807O impacto das variações climáticas na demanda de crianças e adolescentes aos serviços de emergênciaLetícia Bergo Veronesi0Joelma Gonçalves Martin1Guilherme Penaforte da Silva2 Maria Luisa Rua Prieto3Adriana Polachini do Valle4Paulo José Fortes VillasBoas5José Eduardo Corrente6https://doi.org/10.25060/residpediatr-2023.v13n3-807Universidade Estadual Paulista (Unesp), Faculdade de Medicina, Pediatria - Botucatu - São Paulo - BrasilUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Medicina - Botucatu - São Paulo - BrasilUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Medicina - Botucatu - São Paulo - BrasilUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Patologia - Botucatu - São Paulo - BrasilUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Geriatria - Botucatu - São Paulo - BrasilUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Estatística - Botucatu - São Paulo - BrasilOBJECTIVE: To assess the impact of climatic variations on the demand of children and adolescents in emergency services. METHODS: Ecological study conducted in a city countryside of São Paulo, which analysis of 39,336 emergency room visits in 2018 and correlation with meteorological data obtained from the meteorological station of the College of Agronomic Sciences of the municipality. Poisson regression models were fitted considering the season, temperature, relative humidity and precipitation. RESULTS: The greatest demand for care was in the age group between 0 and 5 years (65.2%) with acute nasopharyngitis (8.7%) being the most frequent morbidity, followed by unspecified fever (6.1%); acute upper airway infection: 5.5%; acute tonsillitis: 5.2%; nausea and vomiting: 5%; diarrhea and gastroenteritis: 4.8%; cough: 4.6%; asthma: 4.2%; bronchopneumonia: 2.9% and acute pain: 2.4%. In summer, the most frequent morbidities were fever and diarrhea; in autumn: acute nasopharyngitis; in winter: IVA and fever; in spring: fever, acute nasopharyngitis. Acute nasopharyngitis, acute upper airway infection and bronchopneumonia mainly affect younger children and these diseases are more likely to occur at lower temperatures and in low air humidity. CONCLUSIONS: There is a different frequency of morbidities in the different seasons of the year, as the chance of occurrence change depending on age, average temperature, average humidity and has no correlation with precipitation. Therefore, from the analysis of the climate, health services can anticipate to promote preventive measures and meet a greater or lesser demand of patients.https://doaj.org/article/7cc0747623cf420d83649a098c4352f8climate changeemergency medical serviceschild care
spellingShingle Letícia Bergo Veronesi
Joelma Gonçalves Martin
Guilherme Penaforte da Silva
Maria Luisa Rua Prieto
Adriana Polachini do Valle
Paulo José Fortes VillasBoas
José Eduardo Corrente
O impacto das variações climáticas na demanda de crianças e adolescentes aos serviços de emergência
Residência Pediátrica
climate change
emergency medical services
child care
title O impacto das variações climáticas na demanda de crianças e adolescentes aos serviços de emergência
title_full O impacto das variações climáticas na demanda de crianças e adolescentes aos serviços de emergência
title_fullStr O impacto das variações climáticas na demanda de crianças e adolescentes aos serviços de emergência
title_full_unstemmed O impacto das variações climáticas na demanda de crianças e adolescentes aos serviços de emergência
title_short O impacto das variações climáticas na demanda de crianças e adolescentes aos serviços de emergência
title_sort o impacto das variacoes climaticas na demanda de criancas e adolescentes aos servicos de emergencia
topic climate change
emergency medical services
child care
url https://doaj.org/article/7cc0747623cf420d83649a098c4352f8
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