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2026, Número 3

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Acta Med 2026; 24 (3)


Influencia de la pandemia por COVID-19 en el tiempo de atención en urgencias pediátricas en comparación con el periodo prepandemia en un hospital privado de la Ciudad de México

Landa PAB, Silva RH, Rendón MME

Idioma: Español
Referencias bibliográficas: 26
Paginas: 222-230
Archivo PDF: 866.40 Kb.


RESUMEN

Introducción: la pandemia por COVID-19 generó cambios relevantes de organización y funcionamiento de los servicios de urgencias a nivel mundial. En México, pocos estudios han evaluado el impacto respecto a tiempos de atención y consulta en urgencias pediátricas, especialmente en hospitales privados. Objetivo: comparar los tiempos de atención en urgencias pediátricas durante la pandemia de COVID-19 (2020) frente al periodo prepandémico (2019) en un hospital privado de la Ciudad de México. Material y métodos: estudio observacional, retrospectivo y comparativo basado en registros electrónicos de 8,323 pacientes pediátricos (0-18 años) atendidos en urgencias durante 2019 y 2020. Se analizaron variables demográficas, diagnósticos, categorías de triaje y tiempos de atención (enfermería, médica, entre ambos y estancia total), con análisis mensual. Resultados: disminución del 59.9% en el total de consultas (5,943 vs. 2,380). Incremento en la atención a adolescentes y bajaron las enfermedades respiratorias (21.5 a 11.9%). Incremento en diagnósticos neurológicos y oncológicos. El tiempo de atención en enfermería incrementó (2.12 vs. 4.65 min); el tiempo entre atenciones disminuyó (6.68 vs. 4.73 min) y la estancia total aumentó (142.57 vs. 152.92 min). Conclusión: la pandemia por COVID-19 produjo cambios en los patrones de consulta y tiempos de atención en urgencias pediátricas. Aunque se requirieron acciones para la protección del personal de salud, se mantuvo la priorización de la atención médica oportuna.


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