Variaveis clinicas e sociais em crianças com constipação cronica funcional e suas relações com a resposta clinica / Clinics and social variables in children with chronic constipation functional and its relations with clinical response

AUTOR(ES)
DATA DE PUBLICAÇÃO

2008

RESUMO

In children with constipation, treatment adherence is a challenge for pediatricians. International studies on constipation therapy report higher success rates than those found in a Brazilian pediatric tertiary care unit. A cross-sectional and descriptive study was conducted in patients followed up in an outpatient clinic of pediatric gastroenterology at Hospital de Clínicas da Universidade Estadual de Campinas (UNICAMP), from February 2004 to February 2007. Parents of 75 patients were interviewed regarding on social and clinical variables. Clinical outcome was defined as successful or unsuccessful according patient?s charts during follow up. Patient?s outcome was categorized as successful in 49% of children, 14.7% patients abandoned treatment and 36% were classified as unsuccessful evolution. There was no significant association between patient?s evolution and following social variables: mothers? education level, income by person, patient?s dietary fiber ingestion, family dietary fiber appreciation, age of constipation first symptoms, constipation duration, delay in meconium elimination, and constipation beginning with artificial formula administration. Reference of adherence to all clinical recommendations (p=0.019) and fewer number of relapse episodes (p<0.000) were associated to successful evolution. In this group of patients, most clinical characteristic the number relapse episodes were associated to clinical outcome; social conditions indicated a vulnerable condition that should be considered in functional constipation management

ASSUNTO(S)

constipation social conditions constipação children condições sociais crianças

ACESSO AO ARTIGO

Documentos Relacionados