Made available in DSpace on 2015-12-06T23:46:25Z (GMT). No. of bitstreams: 0 Previous issue date: 2013 / Introdução. A escassez nacional de dados epidemiologicos da ulcera por pressao (UP) em pediatria dificulta sua prevencao e controle. Objetivo: Identificar a prevalencia e a incidencia da UP em criancas e adolescentes hospitalizados e o perfil epidemiologico. Metodos: Estudo observacional, descritivo, exploratorio, transversal e de coorte prospectiva para incidencia, realizado nas unidades pediatricas de tres hospitais do municipio de São Paulo. Foram incluidos no estudo 543 pacientes internados com idade &#8805; 30 dias e < 18 anos, todos submetidos a inspecao direta da pele e levantamento de dados socio demograficos e clinicos. A prevalencia de UP foi observada em dois momentos, agosto/2011 e novembro/2012. A incidencia cumulativa foi observada durante 3 meses nos pacientes sem UP pre-existente, que apresentaram risco para UP (Escala de Braden Q). Foi utilizada estatistica descritiva e inferencial para analise dos dados obtidos. Resultados. A media de idade dos pacientes com UP foi 5,23 anos (DP = 5,0). A presenca de UP foi associada (p < 0,05) a ausencia de acompanhante, doenca cronica, incontinencia anal, internacao > 30 dias, uso de medicacao vasomotora, anti-hipertensiva, ventilacao mecanica e dieta parenteral/enteral. A UP foi mais prevalente na unidade de terapia intensiva pediatrica e mais incidente na semi-intensiva. A prevalencia de UP media foi de 7,1 % (5,3 % e 8,9 %) e a incidencia cumulativa de 21,8 %. As UPs estavam localizadas com maior frequencia em calcaneos (n = 19), orelhas (n = 17), maleolos (n = 17), vertebras (n = 17), sacro (n = 13) e regiao occipito/temporal (n = 9), sendo 55 % em estagio I. Conclusao. A prevalencia media de UP em criancas e adolescentes foi de 7,1 % e a incidencia cumulativa de 21,8 %. As UPs predominaram em pacientes criticos e doentes cronicos, a maioria no estagio I / Background. In Brazil, the shortage of epidemiological data on PUs in children makes prevention and control difficult. Objective: To identify the incidence and prevalence of PUs in hospitalized children and adolescents, and the epidemiological profile. Methods: Observational, descriptive, exploratory cross-sectional (prevalence) and prospective cohort study of incidence conducted in pediatric units of three hospitals in the city of São Paulo. A total of 543 hospitalized children (30 days to 18 years of age) were included in the study. Prevalence and incidence of PUs were calculated. Patients were examined by direct skin inspection at two time points (August 2011 and November 2012). A 3-month cumulative incidence was calculated. Results: The mean age of children with PUs was 5.23 years (SD = 5.0). Significant associations (p < 0.05) were found between presence of PUs and absence of a companion, chronic disease, use of medication for vasomotor symptoms, antihypertensive medication, sedation, mechanical ventilation combined with anal incontinence, hospital stay >30 days, and parenteral or enteral nutrition. PUs were most prevalent in pediatric intensive care units and most incident in semi-intensive units. The mean prevalence of PUs was 7.1% (range, 5.3%-8.9%) and the cumulative incidence was 21.8%. The most common anatomic regions for PUs were the heels (n = 19), ears (n = 17), ankles (n = 15), vertebrae (n = 17), sacral region (n = 13) and occipital-temporal region (n = 9), with 55% of cases being Stage I. Conclusion: The mean prevalence of PUs in children and adolescents was 7.1% and the cumulative incidence was 21.8%. Patients in all units developed PUs, which were most common in those critically ill, with chronic diseases, mainly caused by immobility or medical devices, usually located in anatomic regions similar to those of adults, and predominantly classified as Stage I. / BV UNIFESP: Teses e dissertações