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[Health problems detected in check-ups for the healthy child]
M Sánchez de Dios1, T del Castillo Sanz, M Alonso Fraile
1Centro de Salud Soria Norte.
Insights
Routine check-ups for healthy children identify numerous issues, particularly in infants. Early screening during these pediatric visits aids in the early detection of potential health problems in children.
Area of Science:
- Pediatric primary care
- Child health surveillance
- Preventive medicine
Context:
- Study conducted in primary care pediatric clinics.
- Utilized data from healthy children's check-ups over one year.
- Employed a crossover, descriptive study design.
Purpose:
- To evaluate the outcomes of child health check-ups and screening programs.
- To identify the types and frequency of problems detected in healthy children.
- To assess the effectiveness of early illness identification through screenings.
Summary:
- Check-ups identified an average of 0.78 problems per child.
- Most issues were found at the 15-day check-up (perinatal), followed by 3 and 6-year-old visits.
- Problem detection rates were higher in children over 2 years old.
- Specific screenings correlated with the detection of particular problem groups (e.g., V, VI).
Impact:
- Routine pediatric check-ups reveal a significant number of health issues in children.
- Early screening procedures are crucial for the timely identification of illnesses.
- Findings support the integration of comprehensive screening into well-child visits.
Objective:
To assess the results of check-ups carried out on children when putting into practice the Programme for Healthy Children and various screenings.
Design:
Crossover, descriptive study of the check-ups of healthy children carried out over a year (January to December, 1991).
Setting:
Primary Care: the Pediatric Clinics of Soria Norte Health Centre, Soria.
Patients:
All the children who had one or more check-ups during the study period.
Measurements And Main Results:
The check-ups identified 0.78 problems per child. The greatest number of problems were found in the 15 day check-up, due to perinatal pathologies, followed by those at ages 3 and 6. The number of problems/number of check-ups relationship is 0.79 in children under 2 and 1.42 in those over 2. The problems occurring most often correspond to groups XV1, X1V and X11 (WONCA CIPSAP 11 Code). Groups V and V1 problems occurred most often at the ages when specific screenings were carried out.
Conclusions:
A high percentage of problems are found when checking healthy children, although many of them have very little clinical implication. The introduction of screening procedures at these check-ups assists the early identification of illnesses among this sector of the population.
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