{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T07:35:36Z","timestamp":1764401736469},"reference-count":40,"publisher":"FapUNIFESP (SciELO)","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"published-print":{"date-parts":[[2017,11,6]]},"abstract":"<jats:p>Resumo: A hospitaliza\u00e7\u00e3o \u00e9 um evento frequente nos primeiros anos de vida. No Brasil, a Pesquisa Nacional por Amostra de Domic\u00edlios de 2008 registrou uma taxa de hospitaliza\u00e7\u00e3o de 9% entre crian\u00e7as menores de quatro anos. O estudo objetivou descrever as caracter\u00edsticas da hospitaliza\u00e7\u00e3o nos seis primeiros anos de vida e analisar os fatores precoces associados \u00e0 hospitaliza\u00e7\u00e3o em uma coorte de nascimentos no sul do Brasil. Foi usado o modelo de Poisson Inflacionado de Zeros para examinar os efeitos de covari\u00e1veis simultaneamente para a ocorr\u00eancia ou n\u00e3o de algum evento e para a contagem de eventos. A frequ\u00eancia de pelo menos um epis\u00f3dio de hospitaliza\u00e7\u00e3o no per\u00edodo foi de 33,4% (IC95%: 31,8-34,9), sendo mais elevada durante o primeiro ano (19,1%; IC95%: 17,9-20,4), permanecendo est\u00e1vel em aproximadamente 10% entre o primeiro e o quarto anos, reduzindo para 8,4% (IC95%: 7,6-9,4) entre os quatro e seis anos. As doen\u00e7as do aparelho respirat\u00f3rio estiveram entre as principais causas de hospitaliza\u00e7\u00e3o, seguidas pelas doen\u00e7as infecciosas e parasit\u00e1rias. A hist\u00f3ria de hospitaliza\u00e7\u00e3o pr\u00e9via foi um dos preditores mais importantes para a chance de hospitaliza\u00e7\u00e3o e para o risco de m\u00faltiplas hospitaliza\u00e7\u00f5es. Nos primeiros anos de vida o peso ao nascer, idade gestacional, Apgar, sexo e tipo de gesta\u00e7\u00e3o mostraram-se inversamente associados \u00e0 hospitaliza\u00e7\u00e3o, e as caracter\u00edsticas ambientais como fumo materno na gesta\u00e7\u00e3o, cor da m\u00e3e e baixa renda familiar apresentaram associa\u00e7\u00e3o com o n\u00famero de hospitaliza\u00e7\u00f5es. Os resultados apontam para a import\u00e2ncia em destinar esfor\u00e7os para a redu\u00e7\u00e3o das hospitaliza\u00e7\u00f5es por doen\u00e7as do aparelho respirat\u00f3rio principalmente em crian\u00e7as menores de um ano.<\/jats:p>","DOI":"10.1590\/0102-311x00035716","type":"journal-article","created":{"date-parts":[[2017,11,1]],"date-time":"2017-11-01T14:06:59Z","timestamp":1509545219000},"source":"Crossref","is-referenced-by-count":2,"title":["Caracter\u00edsticas e fatores associados \u00e0 hospitaliza\u00e7\u00e3o nos primeiros anos de vida: coorte de nascimentos de Pelotas de 2004, Rio Grande do Sul, Brasil"],"prefix":"10.1590","volume":"33","author":[{"given":"Vera Lucia Schmidt da","family":"Silva","sequence":"first","affiliation":[{"name":"Universidade Federal de Pelotas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanny Vin\u00edcius Ara\u00fajo de","family":"Fran\u00e7a","sequence":"additional","affiliation":[{"name":"Universidade Federal de Pelotas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In\u00e1 S.","family":"Santos","sequence":"additional","affiliation":[{"name":"Universidade Federal de Pelotas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando C.","family":"Barros","sequence":"additional","affiliation":[{"name":"Universidade Cat\u00f3lica de Pelotas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Al\u00edcia","family":"Matijasevich","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","series-title":"Padroniza\u00e7\u00e3o da nomenclatura do censo hospitalar","year":"2002","edition":"2\u00aa"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1542\/peds.2006-2386","article-title":"Cost of hospitalization for preterm and low birth weight infants in the United States","volume":"120","author":"Russell RB","year":"2007","journal-title":"Pediatrics"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1542\/peds.2007-1392","article-title":"Infectious disease hospitalizations among infants in the United States","volume":"121","author":"Yorita KL","year":"2008","journal-title":"Pediatrics"},{"key":"ref4","series-title":"O perfil et\u00e1rio dos custos de interna\u00e7\u00e3o na sa\u00fade p\u00fablica no Brasil: uma an\u00e1lise para as capitais das regi\u00f5es metropolitanas do Brasil em 2000","author":"Berenstein CK","year":"2005"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1590\/S1807-59322010000100007","article-title":"Causes of hospitalization among children ages zero to nine years old in the city of S\u00e3o Paulo, Brazil","volume":"65","author":"Ferrer AP","year":"2010","journal-title":"Clinics"},{"key":"ref6","series-title":"Pesquisa Nacional por Amostra de Domic\u00edlios - PNAD 2008. 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