Evidence map›Paper›PMID 31117997›Full record

ArticleBMC health services research2019

Analyses of the effectiveness of a Brazilian pediatric home care service: a preliminary study.

Antônio José Lana de Carvalho, Hyster Martins Ferreira, Eliza Fernanda Borges, Laerte Honorato Borges Junior, Ana Laura Teodoro de Paula, Wallisen Tadashi Hattori, E Vivian Mara Gonçalves de Oliveira Azevedo

Abstract readComparative Study
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. FACTORS ASSOCIATED WITH DE-HOSPITALIZATION OF CHILDREN AND ADOLESCENTS WITH COMPLEX CHRONIC CONDITION.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Antônio José Lana de CarvalhoGraduate Program in Health Science, Faculty of Medicine, Federal University of Uberlândia, 1720 - Pará Ave., Umuarama, Uberlândia, 38405-320, Brazil.
Hyster Martins FerreiraGraduate Program in Health Science, Faculty of Medicine, Federal University of Uberlândia, 1720 - Pará Ave., Umuarama, Uberlândia, 38405-320, Brazil.
Eliza Fernanda BorgesGraduate Program in Health Science, Faculty of Medicine, Federal University of Uberlândia, 1720 - Pará Ave., Umuarama, Uberlândia, 38405-320, Brazil.
Laerte Honorato Borges JuniorHome Care Service, Hospital of Clinics of Uberlândia, Federal University of Uberlândia, 1720 - Pará Ave, Umuarama, Uberlândia, 38405-320, Brazil.
Ana Laura Teodoro de PaulaInstitutional Program for Voluntary Scientific Initiation, Medical School, Federal University of Uberlândia, 1720 - Pará Ave., Bloco 2U, Umuarama, Uberlândia, 38402-022, Brazil.
Wallisen Tadashi HattoriDepartment of Public Health, Faculty of Medicine, Federal University of Uberlândia, 1720 - Pará Ave., Umuarama, Uberlândia, 38405-320, Brazil.
E Vivian Mara Gonçalves de Oliveira AzevedoFaculty of Physical Education and Physical Therapy, Federal University of Uberlândia, 1286 - Benjamin Constant St., Nossa Sra. Aparecida, Uberlândia, 38400-678, Brazil. viviangazevedo1@gmail.com.ORCID http://orcid.org/0000-0002-7514-1508

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTechnological advances in health care currently provide better care conditions and have increased survival rates of premature infants, along with increasing the life expectancy of chronically ill children. In this context, the home care service has emerged as an effective tool for the treatment of this group of children. Thus, this preliminary study aimed at evaluating the effectiveness of the Home Care Service (HCS) with regard to pediatric care.

methodsA cross-sectional study was performed through a medical record analysis of a tertiary hospital in Minas Gerais/Brazil. Two groups were compared: 36 patients from the HCS (home group) and 13 patients hospitalized with an indication for home care (hospital group). To analyze the effectiveness of HCS, we evaluated the number of readmissions, infection rate, number of procedures, and optimization of beds.

resultsThe hospital group presented 6.04 times more infections and was submitted to 6.43 times more procedures. The home group presented lower readmission rates; with 41.66% of children studied not being readmitted and 76.19% of those who needed readmissions did so after more than 30 days from hospital discharge. HCS optimized hospital beds and allowed, over five (5) years, the hospitalization of around 102 patients in the hospital studied.

conclusionIn this preliminary study, HCS reduced the number of procedures and infections compared to hospitalized patients. Moreover, HCS presented lower readmission rates and optimized hospital beds, which could be considered an indication of effectiveness.

Indexed as

BrazilChildChild Health ServicesChronic DiseaseCross-Sectional StudiesDiagnostic Tests, RoutineFemaleHome Care ServicesHospitalizationHumansInfantInfectionsMalePatient DischargePatient ReadmissionChronic diseaseHealth service effectivenessHome care

Identifiers

PMID31117997
PMCPMC6532231

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.