Hospitalized child: characterization of surgical procedures in a hospital public school

Abstract

This study aimed to characterize the surgical procedures performed in children hospitalized in the pediatric unit of a hospital public school. It is a quantitative, descriptive and cross-sectional study conducted in the city of Londrina, Paraná, from January 2007 to December 2009. Data were collected from the hospital's statistical department database record, assessing medical records of patients. During the three years of study, 2360 procedures were performed, of these 56.7% were in children who lived in the city itself. There were predominance of males (62.0%) and age group between 1 and 3 years old (30.0%). The larger amount of procedures was performed by the pediatric surgery clinic (54.6%), followed by orthopedics (14.8%) and hematology (12.1%). The most frequent procedures were appendectomy, liquor puncture and orthopedic fracture correction. Congenital malformations correction amounted 10.8% and procedures resulting from external causes 16%. Only one death occurred during the intraoperative period in three years of study. The results allowed to characterize the performed surgeries' profile, providing subsidies for improving specific techniques for management and pre-and postoperative preparation to ensure better care for child and family and reduction of possible traumas during hospitalization