Asthma consultations in emergency departments of Peruvian health facilities during the second year of the COVID-19 pandemic
DOI:
https://doi.org/10.24265/horizmed.2024.v24n4.09Keywords:
Emergency Medical Services , Asthma , Medical Care Statistics , Epidemiology, Descriptive , PeruAbstract
Objective: To describe the characteristics of asthma consultations provided in Peruvian emergency departments during 2021. Materials and methods: A descriptive study using secondary sources was conducted. The source of information was the open-access dataset “Morbilidad en Emergencia Hospitalaria” (Morbidity in Hospital Emergency Departments), prepared by the Ministry of Health (MINSA) and available on the Plataforma Nacional de Datos Abiertos (National Open Data Platform). A total of 4,338 consultations for patients with a definitive diagnosis of asthma treated in MINSA emergency departments were included. The evaluated characteristics were age, sex, diagnosis according to the International Classification of Diseases, Tenth Revision (ICD-10), level of care and month of consultation. In addition, patients with five or more consultations were identified to describe their emergency department use pattern, and the intensity of use for the entire sample was calculated. Descriptive statistics were performed using the free spreadsheet Jamovi 2.3.26, with absolute frequencies and percentages for the variables. Results: The consultations were predominantly concentrated in the 27 to 59 age group (56.71 %), female patients (61.80 %), the diagnosis “Asthma, unspecified” (84.21 %) and severity level I (59.78 %). An upward trend was observed from February, resulting in 560 consultations by the end of the year in December. A total of 2,988 patients had one consultation, while 41 patients had five or more consultations, with the maximum number of consultations for a single patient reaching 32. The overall intensity of use accounted for 1.25. Conclusions: In 2021, starting in February, there was an increase in the number of consultations for patients with a definitive diagnosis of asthma in MINSA emergency departments. The highest concentration of consultations was observed in the 27 to 59 age group and among female patients.
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References
Vos T, Lim SS, Abbafati C, Abbas KM, Abbasi KM, Abbasifard M, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet [Internet]. 2020;396(10258):1204–22.
Centro Nacional de Epidemiología, Prevención y Control de Enfermedades. Boletín Epidemiológico del Perú. Semana Epidemiológica (del 28 de julio al 3 de agosto de 2024) [Internet]. Perú: MINSA; 2023. Disponible en: https://www.dge.gob.pe/epipublic/uploads/boletin/ boletin_202431_10_111710.pdf
Ye D, Gates A, Radhakrishnan L, Mirabelli MC, Flanders WD, Sircar K. Changes in asthma emergency department visits in the United States during the COVID-19 pandemic. J Asthma [Internet]. 2023;60(8):1601-07.
Kim JH, Kwon MJ, Choi HG, Lee SJ, Hwang S, Lee J. Changes in the mean incidence and variance of orthopedic diseases before and during the COVID-19 pandemic in Korea: a retrospective study. J Clin Med [Internet]. 2023;24:540.
Onay ZR, Mavi D, Ayhan Y, Can Oksay S, Bilgin G, Girit S. Did hospital admissions caused by respiratory infections and asthma decrease during the COVID-19 Pandemic? Medeni Med J [Internet]. 2022;37(1):92-8.
Robinson CL, Baumann LM, Gilman RH, Romero K, Combe JM, Cabrera L, et al. The Peru urban versus rural Asthma (PURA) Study: methods and baseline quality control data from a cross-sectional investigation into the prevalence, severity, genetics, immunology and environmental factors affecting asthma in adolescence in Peru. BMJ Open [Internet]. 2012;2(1):e000421.
Munayco CV, Aran J, Torres-Chang J, Saravia L, Soto-Cabezas M. Prevalencia y factores asociados al asma en niños de 5 a 14 años de un área rural del sur del Perú. Rev Peru Med Exp Salud Publica [Internet]. 2009;26(3):307–13.
Stramandinoli A, Alvarado-Zúñiga J, Alvarado GF, Egúsquiza-Zuzunaga G, Carreazo NY. Cambios comparativos en la asistencia de pacientes al servicio de emergencia durante la primera ola en el Hospital de Emergencias Pediátricas entre el 2019 y 2020. Rev Peru Med Exp Salud Pública [Internet]. 2022;39(3):345–51.
MINSA. Resolución Ministerial N.° 004-2021-MINSA [Internet]. Perú: MINSA; 2021. Disponible en: https://www.gob.pe/institucion/minsa/ normas-legales/1467302-004-2021-minsa
MINSA. Resolución Ministerial N.° 183-2021-MINSA [Internet]. Perú; 2021. Disponible en: https://www.gob.pe/institucion/minsa/normaslegales/1650082-183-2021-minsa
MINSA. Resolución Ministerial N.° 488-2021-MINSA [Internet]. Perú: MINSA; 2021. Disponible en: https://www.gob.pe/institucion/minsa/ normas-legales/1838025-488-2021-minsa
MINSA. Resolución Ministerial N.° 843-2021-MINSA [Internet]. Perú: MINSA; 2021. Disponible en: https://www.gob.pe/institucion/minsa/ normas-legales/2017062-843-2021-minsa
MINSALUD. Ciclo de Vida. [Internet]. Colombia: MINSALUD; 2023. Disponible en: https://www.minsalud.gov.co/proteccionsocial/Paginas/ cicloVida.aspx#:~:text=La%20siguiente%20clasificaci%C3%B3n%20es%20 un,(60%20a%C3%B1os%20y%20m%C3%A1s)
Gobierno del Perú. Plataforma Nacional de Datos Abiertos [Internet]. Perú: Gobierno del Perú; 2023. Disponible en: https://www. datosabiertos.gob.pe/search/type/dataset#{query:{q:!7052}}
Susalud. Registro Nacional de IPRESS-RENIPRESS [Internet]. Perú: SuSalud; 2023. Disponible en: http://app12.susalud.gob.pe/
Seguro Integral de Salud. Guía Técnica para el cálculo del cápita N°002-2012-SIS/GNF [Internet]. Perú: SIS; 2012. Disponible en: https://cdn.www.gob.pe/uploads/document/file/1667118/RJ%201492012/SIS.pdf
Roldi R, Borges N, Leão S, Mendes T, Fernandes F, Andrade M. Fatores relacionados a múltiplas consultas de urgência e internação hospitalar devido à descompensação asmática em pacientes adultos. Arq Asma Alerg Inmunol [Internet]. 2021;5(2):151-9.
Centro Nacional de Epidemiologia, Prevención y Control de Enfermedades. Número de episodios de SOB/asma, Perú 2017 – 2022 [Internet]. Perú: Centro Nacional de Epidemiología, Prevención y Control de Enfermedades; 2022. Disponible en: https://www.dge.gob.pe/portal/ docs/vigilancia/sala/2022/SE11/sob-asma.pdf
Presidencia del Consejo de Ministros. Normas legales: Decreto Supremo No 008-2021-PCM [Internet]. Perú: El Peruano; 2021. Disponible en: https://cdn.www.gob.pe/uploads/document/file/1586392/ Decreto%20Supremo%20N%C2%BA%20008-2021-PCM.pdf
La Contraloría General de la República del Perú. Informe de Hito de Control N°5656-2021-CG/GRLICA-SCC [Internet]. Perú: La Contraloría General de la República del Perú; 2021. Disponible en: https://apps8.contraloria.gob.pe/SPIC/srvDownload/ViewPDF?CRES_CODIGO =2021CSIL40100132&TIPOARCHIVO=ADJUNTO
Ministerio de Salud. Memoria Institucional Vacunar es Vida [Internet]. Perú: MINSA; 2021. Disponible en: https://www.incn.gob.pe/wpcontent/uploads/2021/08/MINSA-Vacunar-es-Vida.pdf
Presidencia del Consejo de Ministros. Normas Legales: Decreto Supremo No 131-2021-PCM [Internet]. Perú: El Peruano; 2021. Disponible en: https://cdn.www.gob.pe/uploads/document/file/2009989/Decreto%20 Supremo%20N%C2%BA%20131-2021-PCM.pdf?v=1626025980
Parlamento Andino. Principales medidas adoptadas por el gobierno peruano frente a la emergencia provocada por la COVID-19 [Internet]. Perú: Parlamento Andino; 2022. Disponible en: https://cdn.www.gob.pe/uploads/document/file/2009989/Decreto%20 Supremo%20N%C2%BA%20131-2021-PCM.pdf?v=1626025980
Radhakrishnan L, Leeb RT, Bitsko RH, Carey K, Gates A, Holland KM, et al. Pediatric Emergency Department Visits Associated with Mental Health Conditions Before and During the COVID-19 Pandemic - United States, January 2019-January 2022. MMWR Morb Mortal Wkly Rep [Internet]. 2022;71(8):319-24.
Hospital de Emergencias “José Casimiro Ulloa”. Guía de práctica clínica para manejo de exacerbaciones de asma y sibilancias en pediatría [Internet]. Perú: Hospital de Emergencias “José Casimiro Ulloa”; 2021. Disponible en: https://www.hejcu.gob.pe/PortalTransparencia/Archivos/Contenido/1301/ GUIA_DE_PRACTICA_CLINICA_PARA_MANEJO_DE_EXACERBACIONES_DE_ ASMA_Y_SIBILANCIAS_EN_PEDIATRIA_-_1.pdf
Vargas MH, Becerril-Ángeles M, Medina-Reyes IS, Rascón-Pacheco RA. Altitude above 1500 m is a major determinant of asthma incidence. An ecological study. Respir Med [Internet]. 2018;135:1–7.
Van Velzen E, van den Bos JW, Benckhuijsen JA, van Essel T, de Bruijn R, Aalbers R. Effect of allergen avoidance at high altitude on direct and indirect bronchial hyperresponsiveness and markers of inflammation in children with allergic asthma. Thorax [Internet]. 1996;51(6):582–4.
Karagiannidis C, Hense G, Rueckert B, Mantel PY, Ichters B, Blaser K, et al. High-Altitude Climate Therapy Reduces Local Airway Inflammation and Modulates Lymphocyte Activation. Scand J Immunol [Internet]. 2006;63(4):304–10.
Taype-Huamaní W, Miranda-Soler D, Castro-Coronado L, Amado-Tineo J. Saturación y hacinamiento del servicio de emergencia de un hospital urbano. Rev Fac Med Hum [Internet]. 2020;20(2):216–21.
Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention, 2023 [Internet]. Estados Unidos; Global Initiative for Asthma; 2023. Disponible en: https://ginasthma.org/reports/
Calvo E, Trigueros JA, López A, Sánchez G. Control del asma en pacientes que acuden a consulta de atención primaria en España (estudio ACTIS). Aten Primaria [Internet]. 2017;49(10):586–92.
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