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Fugulin scale for classifying pediatric patients in a respiratory inpatient unit: experience report
Mitzy Tannia Reichembach Danski1, Letícia Pontes1, Izabela Linha Secco1,2
1Universidade Federal do Paraná, Programa de Pós-Graduação em Enfermagem, Curitiba, PR, Brazil.
Insights
The Fugulin scale effectively classified pediatric respiratory patients, revealing increased care complexity and highlighting the need for adequate nursing staff. This study aids resource allocation during surges in severe acute respiratory syndrome.
Area of Science:
- Pediatric Respiratory Medicine
- Healthcare Management
- Epidemiology
Background:
- Rising cases of Severe Acute Respiratory Syndrome (SARS) in pediatric populations.
- Increased demand for specialized respiratory care in children.
- Challenges in human resource allocation for pediatric respiratory units.
Purpose of the Study:
- To evaluate the Fugulin scale for classifying pediatric patients in a respiratory unit.
- To inform human resource allocation strategies based on patient acuity.
- To address the impact of increased SARS cases on respiratory unit management.
Main Methods:
- An experience report detailing the application of the Fugulin scale.
- Data collection from medical records of pediatric patients.
- Study conducted in a children's hospital and approved by ethics committees.
Main Results:
- Significant increase in patients requiring high dependency (31.2%) and semi-intensive care (84.2%).
- Decrease in patients needing minimal (53%) and intermediate care (11.4%).
- Marked rise in positive virology results, indicating increased susceptibility to severe respiratory infections.
Conclusions:
- Pediatric respiratory units are experiencing a rise in patient complexity.
- The Fugulin scale aids in assessing patient acuity for resource allocation.
- Adequate nursing staffing is crucial to meet the evolving care needs of pediatric respiratory patients.
Objective:
To describe the use of the Fugulin scale to classify pediatric patients hospitalized in a respiratory unit as a subsidy for the allocation of human resources given the increase in cases of Severe Acute Respiratory Syndrome.
Method:
Experience report conducted in a children's hospital in the Metropolitan Region of Curitiba with data collection from medical records and approved by the Institution and by the Research Ethics Committee.
Results:
Between February and May 2022, the percentage of patients categorized in minimal and intermediate care decreased by 53 and 11.4%, respectively, while those in high dependency and semi-intensive care expanded by 31.2 and 84.2%. In addition, in just four months, there was a considerable increase in the positivity of virologies compared to the twelve months of 2021. The susceptibility of children to the development of severe respiratory infection was proven through the decrease in virologies with undetectable results.
Conclusion:
The results obtained allowed us to conclude there was a significant increase in the complexity of patients admitted to the respiratory unit, showing it is essential to provide a nursing team compatible with the care needs.
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