Reduction in hospitalizations of children
Article first published online: 30 JUL 2008
©2008 The Author(s)/Journal Compilation ©2008 Foundation Acta Pædiatrica/Acta Pædiatrica
Volume 97, Issue 12, pages 1712–1716, December 2008
How to Cite
Santos, E., Gonçalves de Sousa, A., Marques, A. P. L., Bussamra, M. H. C., Zukerman, E. and Schvartsman, C. (2008), Reduction in hospitalizations of children. Acta Paediatrica, 97: 1712–1716. doi: 10.1111/j.1651-2227.2008.00961.x
- Issue published online: 6 NOV 2008
- Article first published online: 30 JUL 2008
- Received 23 March 2008; revised 20 May 2008; accepted 1 July 2008.
- Respiratory diseases;
Aim: The aim of the study was to reduce the number of hospitalizations in a population of children enrolled in the Einstein Program of the Paraisópolis Community, in São Paulo, Brazil, particularly hospitalizations caused by respiratory diseases.
Methods: All hospitalizations of this paediatric population enrolled in the Einstein Program of the Paraisópolis Community Outpatient Clinic were followed up between 2002 and 2004. The following four strategies to reduce or control respiratory diseases with an impact on hospitalizations were established: specific protocol, educational activities, vaccination against pneumococci and vaccination against influenza.
Results: In 2002, 1025 hospitalizations due to all causes were recorded. This number significantly decreased to 862 hospitalizations in 2004 after implementation of the program, corresponding to a reduction of 15.9% (p < 0.0001). Hospitalizations due to respiratory diseases decreased by 23.37% (p < 0.02), and those due to cases of wheezing bronchitis fell by 51.61% (p < 0.001).
Conclusion: The strategies chosen and implemented in the Einstein Program of the Paraisópolis Community Outpatient Clinic over the first 6 months of 2003 were effective in reducing the number of children's hospital admissions due to respiratory disease.