Vol. 25 - Num. 98
Elena García-Ochoa Fernándeza, M.ª Elena Cabezas Tapiab, Mireya Orío Hernándezc
aServicio de Pediatría. Hospital Universitario Rey Juan Carlos. Móstoles. Madrid. España.
bPediatra. CS de Villaviciosa de Odón. Villaviciosa de Odón. Villaviciosa de Odón. Madrid. España.
cPediatra. CS Alcalde Bartolomé González. Móstoles. Madrid. España.
Correspondence: ME Cabezas. E-mail: firstname.lastname@example.org
Reference of this article: García-Ochoa Fernández E, Cabezas Tapia ME, Orío Hernández M. Evaluation and follow up of patients with short stature in Primary Care . Rev Pediatr Aten Primaria. 2023;25[en prensa].
Published in Internet: 09-05-2023 - Visits: 415
Introduction: anthropometric assessment is one of the functions of the Primary Care pediatrician. It is important to include it in healthy children check-ups in order to detect those cases of short stature, study them, refer them to Endocrinology if necessary and carry out the corresponding treatment.
Objective: to describe and analyze the management of children with short stature in a primary care health center.
Material and methods: retrospective descriptive study on children with short stature between 2 and 16 years of age, whose Health Center is Villaviciosa de Odón, from January 1, 2020 to January 1, 2022. The medical records were selected in the Consult@web application and reviewed in AP Madrid and Horus. Statistical analysis was performed using SPSS.
Results: 62 patients were studied, of whom 19 met the criteria for short stature. 16% had a family history of short stature and 16% had a history of constitutional delay of growth. Mean height at diagnosis was -2,36 ± 0,49 SD. The most frequently requested complementary tests were bone age (74%) and blood tests (78%). The most frequent diagnosis was idiopathic short stature (58%). 32% received growth hormone treatment. Follow-up was carried out exclusively in primary care in 32%. Given the small sample size, no statistical significance was obtained in the comparisons.
Conclusions: short stature is a frequent reason for consultation in Primary Care, being important to perform a complete evaluation recognizing those alarming data that lead to suspect associated pathology.
Keywords● Familiar short stature ● Growth ● Intrauterine growth retardation ● Stunting
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