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Pediatría (Asunción)

versión On-line ISSN 1683-9803

Resumen

CRISTALDO, Ingrid; VALDEZ PALACIOS, Lisa Lorena; GODOY SANCHEZ, Laura Evangelina  y  MESQUITA RAMIREZ, Mirta Noemi. Follow-up of patients with Clubfoot during the SARS CoV-2 pandemic: frequency and causes of treatment abandonment. Pediatr. (Asunción) [online]. 2023, vol.50, n.2, pp.95-101.  Epub 18-Ago-2023. ISSN 1683-9803.  https://doi.org/10.31698/ped.50022023005.

Introduction:

Clubfoot is the most frequent foot deformity in pediatrics. The foot is characterized by having an equine ankle, a varus hindfoot, an adducted forefoot, and a dig in the midfoot.

Objectives:

to describe the frequency and reasons for abandoning Clubfoot treatment in a pediatric hospital population in the pandemic (2020-2021).

Materials and Methods:

This was an ambispective, descriptive and observational study. Consecutive case sampling included children from 0 to 6 years of age who were undergoing Clubfoot follow-up in the pediatric trauma service and abandoned treatment. Data were collected from medical records and by telephone interview with parents. The variables were: demographics, characteristics of the deformity, age and education of the mother, family history of Clubfoot and other malformations, recurrence and causes of treatment abandonment. Data were analyzed in SPSS v21. Parental informed consent was requested.

Results:

During the 2020-2021 period, 25% (101/404) of the patients being monitored at the hospital abandoned treatment. 62 patients were enrolled in the study. 95% presented recurrence and received surgical treatment. The most frequent cause of treatment abandonment, according to the parents, was the difficulties caused by the pandemic.

Conclusions:

The frequency of treatment abandonment was 25.2%, with a predominance of males. 95% presented relapse and received surgical treatment (Achilles Tenotomy). The most frequent cause of treatment abandonment was the pandemic.

Palabras clave : Pie Bot; children; treatment; relapse; pandemic.

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