%0 Journal Article
%T Influencia de la consulta previa con emp¨ªricos sobre la morbilidad y mortalidad de ni£¿os internados
%A Pavlicich
%A Viviana
%A Benitez
%A Carlos
%J Revista chilena de pediatr¨ªa
%D 2006
%I Sociedad Chilena de Pediatr¨ªa
%R 10.4067/S0370-41062006000300013
%X primary objective: to determine whether a previous consultation (pc) with a curandero(***) has an effect on morbidity (days of hospital stay and complications) and mortality in children admitted to hospital for lower respiratory tract infection (lri) or acute diarrhea. secondary objective: to compare the influence of the pc with those of the pediatrician, the general practitiones, nurse and pharmacist. material and methods: analytical, prospective cohort design. one hundred thirty children were included, with age range from 1 month to 5 years, admitted for acute diarrhea or lri between august 2003 and march 2004 at the national hospital of itagu¨¢. frequency calculations were done as univariate analysis, contingency tables as bivariate and logistic regression for independent variables as multivariate. the ?2 and fisher£¿s exact test were used for the difference between nominal variables, the mann-whitney or wilcoxon test for continous or ordinals. results: one hundred seventeen patients went to 176 previous consultations: pediatrician: 63 (35,7%), curandero: 44 (25%), general practitioner: 44 (25%), nurse 16 (9%) and pharmacist 9 (5.1%). many (39,2%) of pc were not with a physician. severity on admission was greater in patients who had consulted with the curandero (p = 0.004) and with the pharmacist (p = 0.001). complications increased when the child had consulted more than twice with the curandero (or 2,6; rr 1,6). sixty eight patients used 49 types of herbs alone or in combination, with no increase in complications (p = 0.2) with 3,8 more days in hospital. the average hospital stay in days was: with no pc: 5,3 days (sd 3,2), curandero 17,2 days (sd 16), general practitioner 13,5 (sd 15,5), pediatrician 11,6 days (sd 14). the number of days in hospital increased when symptoms began 3 or more days before admission. there were more complications in children who had had pc (p = 0.003). six patients died; these had had 26 consultations, 16 of which with an empiricist. mu
%K empiricists
%K consultations
%K acute diarrhea
%K pneumonia.
%U http://www.scielo.cl/scielo.php?script=sci_abstract&pid=S0370-41062006000300013&lng=en&nrm=iso&tlng=en