Analysis of hospitalizations for mental causes of children and adolescents in córdoba in the period 2009-2019

Summary: In mental health, hospitalization is a highly complex healthcare device and a therapeutic resource to be used with clinical criteria when other therapeutic instances have not been effective. Objective: To analyse hospitalizations for mental causes in children-adolescents in Córdoba, Argenti...

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Autor principal: Bella, M
Formato: Artículo revista
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021
Materias:
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/36048
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id I10-R327-article-36048
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
format Artículo revista
topic Mental Health
suicidal behaviours
aggressive behaviours
gender
Salud Mental
comportamientos suicidas
cocomportamientos agresivos
género
.
spellingShingle Mental Health
suicidal behaviours
aggressive behaviours
gender
Salud Mental
comportamientos suicidas
cocomportamientos agresivos
género
.
Bella, M
Analysis of hospitalizations for mental causes of children and adolescents in córdoba in the period 2009-2019
topic_facet Mental Health
suicidal behaviours
aggressive behaviours
gender
Salud Mental
comportamientos suicidas
cocomportamientos agresivos
género
.
author Bella, M
author_facet Bella, M
author_sort Bella, M
title Analysis of hospitalizations for mental causes of children and adolescents in córdoba in the period 2009-2019
title_short Analysis of hospitalizations for mental causes of children and adolescents in córdoba in the period 2009-2019
title_full Analysis of hospitalizations for mental causes of children and adolescents in córdoba in the period 2009-2019
title_fullStr Analysis of hospitalizations for mental causes of children and adolescents in córdoba in the period 2009-2019
title_full_unstemmed Analysis of hospitalizations for mental causes of children and adolescents in córdoba in the period 2009-2019
title_sort analysis of hospitalizations for mental causes of children and adolescents in córdoba in the period 2009-2019
description Summary: In mental health, hospitalization is a highly complex healthcare device and a therapeutic resource to be used with clinical criteria when other therapeutic instances have not been effective. Objective: To analyse hospitalizations for mental causes in children-adolescents in Córdoba, Argentina. Methodology: Retrospective, descriptive study, based on clinical records of children and adolescents hospitalized at the Hospital de Niños of Córdoba between 2009-2019 (n=770). The variables categorized were sex, age, reason for admission, days of hospitalization and other. The analysis was done using descriptive statistics and bivariate numerical variables for categorical data analysis, chi square test, Mantel-Haenszel or Fisher. Results: There were 770 hospitalizations in the period 2009-2019, with a minimum hospital stay of 1 day, a maximum stay of 465 days, a median of 13 days and a mean of 19.6 ± 29.3 days. 62% were women and 38% men. The minimum age was 4 years and the maximum 16 years, with a mean in females of 12.9 and in males of 11.5 (p<0.0001). 60% came from the city of Córdoba, 38% from the rest of the Province of Cordoba and 2% other. 51% were referred from the health sector and 63% were receiving treatment at the time of hospitalization. 21% required re-hospitalization. The most frequent reasons for hospitalization were suicidal behaviours 42%, hetero-aggressive episode 14.8%, psychomotor excitation episode 11.5%, acute psychotic episode 10.1% and others. The reasons for admission showed a differentiated behaviour by gender: suicidal behaviours were more frequent in women and hetero-aggressive behaviours in men.  Of the men, 75.9% (p<0.0001) were receiving treatment. Conclusions: Hospitalizations for mental causes showed a differentiated behaviour by gender and self and hetero aggressions were the most frequent. Most of the cases were referred from the health sector and were in treatment.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2021
url https://revistas.unc.edu.ar/index.php/med/article/view/36048
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spelling I10-R327-article-360482024-04-15T16:19:09Z Analysis of hospitalizations for mental causes of children and adolescents in córdoba in the period 2009-2019 Analisis de las internaciones por causas mentales de niños y adolescentes en córdoba en el periodo 2009-2019 . Bella, M Mental Health suicidal behaviours aggressive behaviours gender Salud Mental comportamientos suicidas cocomportamientos agresivos género . Summary: In mental health, hospitalization is a highly complex healthcare device and a therapeutic resource to be used with clinical criteria when other therapeutic instances have not been effective. Objective: To analyse hospitalizations for mental causes in children-adolescents in Córdoba, Argentina. Methodology: Retrospective, descriptive study, based on clinical records of children and adolescents hospitalized at the Hospital de Niños of Córdoba between 2009-2019 (n=770). The variables categorized were sex, age, reason for admission, days of hospitalization and other. The analysis was done using descriptive statistics and bivariate numerical variables for categorical data analysis, chi square test, Mantel-Haenszel or Fisher. Results: There were 770 hospitalizations in the period 2009-2019, with a minimum hospital stay of 1 day, a maximum stay of 465 days, a median of 13 days and a mean of 19.6 ± 29.3 days. 62% were women and 38% men. The minimum age was 4 years and the maximum 16 years, with a mean in females of 12.9 and in males of 11.5 (p<0.0001). 60% came from the city of Córdoba, 38% from the rest of the Province of Cordoba and 2% other. 51% were referred from the health sector and 63% were receiving treatment at the time of hospitalization. 21% required re-hospitalization. The most frequent reasons for hospitalization were suicidal behaviours 42%, hetero-aggressive episode 14.8%, psychomotor excitation episode 11.5%, acute psychotic episode 10.1% and others. The reasons for admission showed a differentiated behaviour by gender: suicidal behaviours were more frequent in women and hetero-aggressive behaviours in men.  Of the men, 75.9% (p<0.0001) were receiving treatment. Conclusions: Hospitalizations for mental causes showed a differentiated behaviour by gender and self and hetero aggressions were the most frequent. Most of the cases were referred from the health sector and were in treatment. Resumen: En salud mental la internación es un dispositivo de atención de alta complejidad y un recurso terapéutico a utilizarse con criterios clínicos cuando otras instancias terapéuticas no han sido efectivas. Objetivo: analizar las internaciónes por causas mentales en niños-adolescentes en Córdoba, Argentina. Metodología: Estudio retrospectivo, descriptivo, en base a los registros clínicos de niños y adolescentes hospitalizados en el Hospital de Niños de Córdoba entre los años 2009- 2019 (n=770). Las variables categorizadas fueron sexo, edad, motivo de ingreso, días de internación y otras. El análisis se efectuó con estadística descriptiva en variables numéricas y análisis bivariado para datos categóricos, test de chi cuadrado, de Mantel-Haenszel o de Fisher. Resultados: Se efectuaron 770 hospitalizaciones en el periodo 2009-2019, con una estadía de hospitalización mínima de 1 día, máxima de 465 días, mediana de 13 días y media de 19,6 ± 29,3 días de internación. El 62% fueron mujeres y el 38% hombres. La edad mínima fue 4 años y la máxima 16 años, con una media en mujeres de 12,9 y varones de 11,5 (p<0,0001). El 60% procedía de Córdoba Capital, el 38% del Interior y el 2% otro. El 51% fueron derivados desde el sector salud y el 63% se encontraba recibiendo tratamiento en el momento de internación. El 21% requirieron de una re-hospitalización. Los motivos de internación más frecuentes fueron los comportamientos suicidas 42%, los episodio hetero-agresivos 14,8%, episodio de excitación psicomotriz 11,5%, episodio psicótico agudo 10,1% y otros. Los motivos de ingreso mostraron un comportamiento diferenciado por género, en las mujeres fueron más frecuentes los comportamientos suicidas y en los hombres los comportamientos hetero-agresivos.  El 75,9% (p<0,0001) de los hombres se encontraba recibiendo tratamiento. Conclusiones: las internaciones por causas mentales mostraron un comportamiento diferenciado por género y las auto y hetero-agresiones fueron los más frecuentes. La mayor parte de los casos fueron derivados desde el sector salud y se encontraban en tratamiento. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-10-06 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto https://revistas.unc.edu.ar/index.php/med/article/view/36048 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. Suplemento (2021): Suplemento JIC XXII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. Suplemento (2021): Suplemento JIC XXII Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. Suplemento (2021): Suplemento JIC XXII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0