<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1683-9803</journal-id>
<journal-title><![CDATA[Pediatría (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[Pediatr. (Asunción)]]></abbrev-journal-title>
<issn>1683-9803</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1683-98032024000300166</article-id>
<article-id pub-id-type="doi">10.31698/ped.51032024003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Influencia de la pandemia COVID 19 en las consultas relacionadas a la salud mental en un departamento de emergencias pediátricas (DEP)]]></article-title>
<article-title xml:lang="en"><![CDATA[Influence of the COVID 19 pandemic on mental health-related consultations in a pediatric emergency department (PED)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Iramain]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz Rolón]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jara]]></surname>
<given-names><![CDATA[Alfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cardozo]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morinigo]]></surname>
<given-names><![CDATA[Rocío]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barreto]]></surname>
<given-names><![CDATA[Marcelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arce]]></surname>
<given-names><![CDATA[Diana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escobar]]></surname>
<given-names><![CDATA[Christian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Departamento de Emergentología Pediátrica]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>51</volume>
<numero>3</numero>
<fpage>166</fpage>
<lpage>172</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1683-98032024000300166&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1683-98032024000300166&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1683-98032024000300166&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Las consultas relacionadas con la salud mental han aumentado en los últimos años, especialmente después de la pandemia de COVID-19. Es importante describir el perfil de los pacientes que acuden al DEP e identificar las variaciones inherentes al período posterior a la pandemia.  Materiales y Métodos:  Estudio observacional, descriptivo, de corte retrospectivo y comparativo de niños y adolescentes que acudieron al DEP de la FCM UNA (Facultad de Ciencias Médicas de la Universidad Nacional de Asunción) por motivos relacionados a la salud mental en dos periodos de tiempo, considerando la cuarentena por COVID-19. Se describieron variables demográficas y clínicas y se analizaron las diferencias encontradas.  Resultados:  Se observó un aumento de 3 veces en las tasas de consulta, el sexo predominante fue femenino, más frecuente en adolescentes. Como motivo de consulta se observó descenso de las crisis de ansiedad (25% y 15%, p: 0,007, OR: 0,5) y un aumento de las alucinaciones (2% y 6%, p: 0,04. OR 3,4). Hubo aumento en los diagnósticos de trastornos depresivos (29% y 45%, p: 0,0007, OR: 2) y descenso en los trastornos de ansiedad (27% y 18,5%, p: 0,04, OR: 0,6) y de personalidad (8,5% y 4%, p: 0,02, OR: 0,4). No hubo diferencia significativa en la frecuencia de intentos suicidas, el mecanismo más frecuente fue la ingestión de medicamentos o tóxicos.  Conclusión:  Las consultas relacionadas con la salud mental presentaron un aumento en el periodo post cuarentena, más frecuente en adolescentes del sexo femenino. Se constató un aumento en la frecuencia de trastornos depresivos y un descenso en los trastornos de ansiedad. La frecuencia de intentos e ideaciones suicidas no tuvieron variación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Mental health-related consultations have increased in recent years, especially after the COVID-19 pandemic. It is important to describe the profile of patients who come to the PED and identify the variations inherent to the post-pandemic period.  Materials and Methods: This was an observational, descriptive, retrospective and comparative study of children and adolescents who came to the PED of the FCM UNA (School of Medical Sciences of Asuncion National University) for mental health-related reasons in two time periods, considering the COVID-19 quarantine. Demographic and clinical variables were described and the differences found were analyzed.  Results:  A 3-fold increase in consultation rates was observed, the predominant sex was female, adolescents consulted more frequently. Anxiety attacks were the predominant chief complaint (25% and 15%, p: 0.007, OR: 0.5) followed by an increase in hallucinations (2% and 6%, p: 0.04. OR 3.4). There was an increase in the diagnosis of depressive disorders (29% and 45%, p: 0.0007, OR: 2) and a decrease in anxiety disorders (27% and 18.5%, p: 0.04, OR: 0.6) and personality disorders (8.5% and 4%, p: 0.02, OR: 0.4). There was no significant difference in the frequency of suicide attempts, the most frequent mechanism was the ingestion of medications or toxic substances.  Conclusion:  Consultations related to mental health showed an increase in the post-quarantine period, and were more frequent in female adolescents. An increase in the frequency of depressive disorders and a decrease in anxiety disorders was observed. The frequency of suicidal attempts and thoughts did not vary.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Salud mental]]></kwd>
<kwd lng="es"><![CDATA[medicina de emergencia pediátrica]]></kwd>
<kwd lng="es"><![CDATA[intento de suicidio]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[Mental health]]></kwd>
<kwd lng="en"><![CDATA[pediatric emergency medicine]]></kwd>
<kwd lng="en"><![CDATA[suicide attempt]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
</kwd-group>
</article-meta>
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