<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-0628</journal-id>
<journal-title><![CDATA[Gazeta Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Gaz Med]]></abbrev-journal-title>
<issn>2184-0628</issn>
<publisher>
<publisher-name><![CDATA[Círculo Médico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-06282021000300179</article-id>
<article-id pub-id-type="doi">10.29315/gm.v1i1.425</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Referenciação dos Cuidados de Saúde Primários ao Serviço de Urgência de Pediatria de um Hospital Nível II: Que Realidade?]]></article-title>
<article-title xml:lang="en"><![CDATA[Reference of Primary Health Care to the Pediatric Emergency Department at a Level II Hospital: What Reality?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vale]]></surname>
<given-names><![CDATA[Filipa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinto]]></surname>
<given-names><![CDATA[Filipa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[Rui]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martins]]></surname>
<given-names><![CDATA[Cecília]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lopes]]></surname>
<given-names><![CDATA[Susana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidade de Saúde Familiar Antonina  ]]></institution>
<addr-line><![CDATA[Vila Nova de Famalicão ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalar Médio Ave  ]]></institution>
<addr-line><![CDATA[Santo Tirso ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Unidade de Saúde Familiar Antonina  ]]></institution>
<addr-line><![CDATA[Vila Nova de Famalicão ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Centro Hospitalar Médio Ave  ]]></institution>
<addr-line><![CDATA[Santo Tirso ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Centro Hospitalar Médio Ave  ]]></institution>
<addr-line><![CDATA[Santo Tirso ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>8</volume>
<numero>3</numero>
<fpage>179</fpage>
<lpage>186</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-06282021000300179&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-06282021000300179&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-06282021000300179&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução: O objetivo foi caracterizar os episódios referenciados pelos cuidados de saúde primários (CSP) ao serviço de urgência (SU) do Centro Hospitalar do Médio Ave, assim como classificar a adequabilidade da referenciação.  Material e Métodos: Foi realizado um estudo observacional retrospetivo, incluindo todos os utentes com idade inferior a 18 anos referenciados por parte dos CSP ao SU, durante o ano de 2017. A referenciação foi considerada adequada sempre que foram realizados exames complementares de diagnóstico ou terapêuticas não disponíveis nos CSP. Assim como, a observação por outra especialidade que não a pediatria, a necessidade de internamento e a transferência para outro hospital.  Resultados:  Foram obtidos 406 episódios de urgência, dos quais 25,9% obtiveram como diagnóstico de saída a patologia gastrointestinal e 29,4% a patologia respiratória. Foram consideradas adequadas 65,3% das referenciações, sendo as mais frequentes a patologia gastrointestinal, respiratória e trauma. As patologias genitourinária e infecciológica foram as mais constantes quanto à referenciação inadequada (OR = 11,5 e OR = 3,49, respetivamente, ajustado à idade). Verificou-se concordância entre o motivo de referenciação e o diagnóstico de saída nas patologias gastrointestinal, otorrinolaringológica, trauma e oftalmológica (kappa &gt; 0,7). A grande maioria (92,2%) das crianças teve alta clínica.  Conclusão:  A taxa de referenciação adequada aos serviços hospitalares no presente estudo foi semelhante à descrita na literatura. No entanto, a otimização da comunicação entre os CSP e o SU, a implementação de protocolos, bem como, a formação dos profissionais dos CSP permitirão melhorar a referenciação.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Our objective was to characterize the situations referred to the emergency department by the primary health care as well as assess the pertinence of this referral.  Methods:  A study realized was observational, retrospective and included patients were younger than 18 years old referred to the emergency department by primary health care, over 2017. The referral was considered appropriate when complementary exams or therapeutics were performed, which were not available at the primary health care, as well as observation by other medical speciality but paediatrics, admission necessity or transfer to other hospital were needed.  Results: A total of 406 emergency episodes were obtained. The most frequent diagnoses were respiratory disease (29.4%) and gastrointestinal disease (25.9%). A percentage of 65.3% of referrals were considered adequate and the most common pathologies were gastrointestinal and respiratory disease and trauma. The genitourinary (OR = 11.5) and infectious (OR = 3.49) pathologies were consistent on inadequate referral considering patients&#8217; age. A match between referral&#8217;s reason and final diagnosis regarding gastrointestinal pathologies, otolaryngology pathologies and ophthalmic pathologies, as well as trauma (kappa &gt; 0.7), was observed. The majority (92.2%) of the cases was discharged from the hospital.  Conclusion: The hospital&#8217;s adequate referral rate was similar to the one described in other studies. However, communication&#8217;s optimization between the primary health care units and the emergency department, as well as more professional training, are vital to improve this referral.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Criança]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados de Saúde Primários]]></kwd>
<kwd lng="pt"><![CDATA[Encaminhamento e Consulta]]></kwd>
<kwd lng="pt"><![CDATA[Serviço de Urgência Hospitalar]]></kwd>
<kwd lng="en"><![CDATA[Child]]></kwd>
<kwd lng="en"><![CDATA[Emergency Service, Hospital]]></kwd>
<kwd lng="en"><![CDATA[Primary Health Care]]></kwd>
<kwd lng="en"><![CDATA[Referral and Consultation]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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