Evidence map›Paper›PMID 32236383›Full record

Observational studyRevista de saude publica2020

Characteristics of primary care and rates of pediatric hospitalizations in Brazil.

Lívia Anniele Sousa Lisboa, Rejane Christine de Sousa Queiroz, Erika Bárbara Abreu Fonseca Thomaz, Núbia Cristina da Silva, Thiago Augusto Hernandes Rocha, João Ricardo Nickenig Vissoci, Catherine Ann Staton, Adriana Lein, Vanda Maria Ferreira Simões, Elaine Thumé and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Revista de saude publica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Lívia Anniele Sousa LisboaUniversidade Federal do Maranhão. Programa de Pos graduação em Saúde Pública. São Luís, Maranhão, Brasil.ORCID http://orcid.org/0000-0002-5835-9038
Rejane Christine de Sousa QueirozUniversidade Federal do Maranhão. Programa de Pos graduação em Saúde Pública. Departamento de Saúde Pública. São Luís, Maranhão, Brasil.ORCID http://orcid.org/0000-0003-4019-2011
Erika Bárbara Abreu Fonseca ThomazUniversidade Federal do Maranhão. Programa de Pos graduação em Saúde Pública. São Luís, Maranhão, Brasil.ORCID http://orcid.org/0000-0003-4156-4067
Núbia Cristina da SilvaUniversidade Federal de Minas Gerais. Observatório de Recursos Humanos em Saúde. Belo Horizonte, Minas Gerais, Brasil.ORCID http://orcid.org/0000-0002-0809-2152
Thiago Augusto Hernandes RochaOrganização Pan Americana de Saúde: OPAS/WHO - Brasília, Distrito Federal, Brasil.ORCID http://orcid.org/0000-0002-6262-3276
João Ricardo Nickenig VissociDuke University. Duke Global Health Institute. Durham, North Carolina. U.S.ORCID http://orcid.org/0000-0001-7276-0402
Catherine Ann StatonDuke University. Duke Global Health Institute. Durham, North Carolina. U.S.ORCID http://orcid.org/0000-0002-6468-2894
Adriana LeinDuke University. Duke Global Health Institute. Durham, North Carolina. U.S.ORCID http://orcid.org/0000-0002-9230-8605
Vanda Maria Ferreira SimõesUniversidade Federal do Maranhão. Programa de Pos graduação em Saúde Pública. Departamento de Saúde Pública. São Luís, Maranhão, Brasil.ORCID http://orcid.org/0000-0001-8351-1348
Elaine ThuméUniversidade Federal de Pelotas. Programa de Pós-graduação em Enfermagem. Departmento de Enfermagem. Pelotas, Rio Grande do Sul, Brasil.ORCID http://orcid.org/0000-0002-1169-8884
Luiz Augusto FacchiniUniversidade Federal de Pelotas. Programas de Pós-graduação em Epidemiologia e Enfermagem. Departmento de Medicina Social. Pelotas, Rio Grande do Sul, Brasil.ORCID http://orcid.org/0000-0002-5746-5170

Funding

Addressing High Risk Alcohol Use Amongst Injury Patients in an Emergency Department in TanzaniaK01TW010000 · FIC · DUKE UNIVERSITY · PI STATON, CATHERINE ANN · 2015 to 2018
$477k
FIC NIH HHS K01 TW010000
6 · The paper itself

Abstract

objectiveTo evaluate the association among characteristics of primary health care center (PHCC) with hospitalizations for primary care sensitive conditions (PCSC) in Brazil.

methodIn this study, a cross-sectional ecological study was performed. This study analyzed the 27 capitals of Brazil's federative units. Data were aggregated from the following open access databases: National Program for Access and Quality Improvement in Primary Care, the Hospital Information System of Brazilian Unified Health System and Annual Population Census conducted by the Brazilian Institute of Geography and Statistics. Associations were estimated among characteristics of primary care with the number of three PCSC as the leading causes of hospitalization in children under-5 population in Brazil: asthma, diarrhea, and pneumonia.

resultsIn general, PHCC showed limited structural adequacy (37.3%) for pediatric care in Brazil. The capitals in South and Southeast regions had the best structure whereas the North and Northeast had the worst. Fewer PCSC hospitalizations were significantly associated with PHCC which presented appropriate equipment (RR: 0.98; 95%CI: 0.97-0.99), structural conditions (RR: 0.98; 95%CI: 0.97-0.99), and signage/identification of professionals and facilities (RR: 0.98; 95%CI: 0.97-0.99). Higher PCSC hospitalizations were significantly associated with PHCC with more physicians (RR: 1.23, 95%CI: 1.02-1.48), it forms (RR: 1.01, 95%CI: 1.01-1.02), and more medications (RR: 1.02, 95%CI: 1.01-1.03).

conclusionInfrastructural adequacy of PHCC was associated with less PCSC hospitalizations, while availability medical professional and medications were associated with higher PCSC hospitalizations.

Indexed as

AsthmaBrazilChild, PreschoolCross-Sectional StudiesDelivery of Health CareDiarrheaFemaleHospitalizationHumansInfantInfant, NewbornMalePneumoniaPrimary Health CareSocioeconomic Factors

Identifiers

PMID32236383
PMCPMC7100948

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.