Incidence of prevalent diseases in infants in Primary Health Care: a cohort study.
Luana Bartsch, Veronica Souza Cavalheiro, Keli Verissimo Couto and 4 others
PMID 40456003WHAT IT FOUND
Respiratory problems were the most common recorded health issue in infants in primary care, peaking around month 5.
More than half had at least one treatment, and most care was delivered by family health strategy doctors.
Key findings
01Respiratory problems were the most common recorded health issue in the first year, peaking around month 5.
02More than half of infants had at least one treatment for a prevalent childhood condition; approximately 43% had two and 30% had three.
03Most consultations were provided by family health strategy doctors, almost 60%, followed by nurses and pediatricians.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only problems recorded in primary care were counted, so illnesses treated elsewhere or never registered were missed. Some medical records were incomplete or missing information. The study cannot be generalized to all children in the municipality because conditions not registered through the Family Health Strategy were excluded. Children who stopped attending were not handled as follow-up losses, because the analysis was based only on existing records. More childcare visits were associated with more recorded problems, so the association may reflect more opportunities to record a problem.
Declared interests
Financial support came from CNPq and FAPERGS. The supplied text gives no author conflict-of-interest declaration.
The easy way to misread this
Do not read the 14 times greater risk for infants without a neonatal injury as proof that neonatal illness protects later health. The study counted problems recorded in primary care, and infants already seen in the neonatal period may have been more visible to the team.