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Previous issue date: 2012-08-31 / Background: Acute respiratory infection is the most frequent reason for children s use of emergency medical service. Chest radiography is widely used as a diagnostic method for the management of respiratory infections in children although its benefits are unknown. Aims: The aims of this study are to describe the clinical diagnostics, radiographic reports and the main indications for chest radiography in children attended at an emergency service of a Hospital in the South of Brazil. Methods: Medical records of 466 children with respiratory infection attended at the emergency service of S?o Lucas Hospital (Pontif?cia Universidade Cat?lica do Rio Grande do Sul) were analyzed. Data regarding the reasons for attendance, clinical findings, radiographic report were also collected and analyzed by three trained examiner. Results: From the total of the patients, 233 were boys (50%) and the mean age was 5.7 years-old. Cough (73.6%) and fever (73.0%) were the most frequent reasons for request chest radiography, followed by rhinorrhea (18%), respiratory difflculty (7.9%) and asthma / asthma attacks (5.6%). The most frequent clinical diagnosis was pneumonia (47.4%) and upper airway infection (39.9%). Pulmonary infiltrates (44.4%) and normal reports (43.1%) were the most prevalent findings seen in the radiological evaluation, followed by consolidation (11.2%). Conclusion: The majority of the children had cough and fever as the most common clinical manifestation. Pulmonary infiltrates and normal results were the most common radiological findings. The clinical diagnosis of pneumonia was approximately four times higher than that found in chest x-ray evaluation. / Introdu??o: A infec??o respirat?ria aguda de via a?rea ? a causa mais frequente para a busca de servi?os de emerg?ncia em pediatria. Nesse contexto, a radiografia de t?rax ? um m?todo diagn?stico amplamente utilizado para o manejo das infec??es respirat?rias em crian?as, apesar dos seus benef?cios n?o estarem completamente estabelecidos na literatura. Objetivos: Os objetivos deste estudo s?o descrever as principais indica??es cl?nicas de solicita??o de radiografias, diagn?sticos cl?nicos e os resultados dos exames radiol?gicos de crian?as atendidas na emerg?ncia de nosso hospital, com infec??o respirat?ria aguda. Material e M?todos: Foram revisados 466 prontu?rios de crian?as atendidas no setor de emerg?ncia do Hospital S?o Lucas da Pontif?cia Universidade Cat?lica do Rio Grande do Sul (HSL-PUCRS). No estudo, foram inclu?das crian?as com infec??o respirat?ria. Coletaram-se dados referentes a motivos de atendimento, achados do exame f?sico, diagn?sticos cl?nicos, laudos radiol?gicos de t?rax e de seios da face. Resultados: Do total de pacientes, 233 eram do sexo masculino (50%) e a m?dia de idade foi de 5,7 anos (1-17 anos). Tosse (73,6%) e febre (73,0%) foram os motivos mais frequentes de atendimento, seguidos de coriza (18%), dificuldade respirat?ria (7,9%) e crise asm?tica (5,6%). Dentre os achados do exame f?sico, febre (75%) e tosse (73%) tamb?m foram mais comuns. O diagn?stico cl?nico mais frequente foi pneumonia (47,4%) e infec??o de via a?rea superior (39,9%). Os resultados dos exames de imagem demonstraram que infiltrado pulmonar (44,4%) e laudos normais (43,1%), foram mais frequentes, seguidos de consolida??o (11,2%). Conclus?es: A maioria das crian?as apresentou tosse e febre como manifesta??o cl?nica mais comum. O diagn?stico cl?nico de pneumonia ocorreu aproximadamente quatro vezes mais do que o encontrado em exames de raios-x de t?rax. Infiltrado pulmonar e exames normais foram os achados radiol?gicos mais frequentes.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/1402 |
| Date | 31 August 2012 |
| Creators | Ardenghi, Rodrigo Machado |
| Contributors | Baldisserotto, Matteo |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Medicina/Pediatria e Sa?de da Crian?a, PUCRS, BR, Faculdade de Medicina |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 3098206005268432148, 500, 600, -8624664729441623247 |
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