Abstract

MONTANO ARRIETA, Daniela Y.  and  MEJIA SALAS, Héctor. IMPACT OF CHILD DEATH ON PEDIATRIC TRAINEES. Rev. Méd. La Paz [online]. 2019, vol.25, n.1, pp.29-35. ISSN 1726-8958.

Objective.- Establish the prevalence of Acute Stress Reaction and Post Traumatic Stress Disorder (ASR/PTSD) in pediatric residents exposed to infant death. Design.- Cross-section. Place.- La Paz: Ovidio Aliaga Uría Children's Hospital, CNS Maternal and Child Hospital, North El Alto Hospital, Hospital de la Banca Privada, and Bolivian Dutch Hospital. Santa Cruz: Hospital Mario Ortiz and Japanese Hospital. Cochabamba: Albina Patiño Hospital and Viedma Hospital. Participants.- Residents of Pediatrics of First, Second and Third year of hospitals of La Paz, Santa Cruz and Cochabamba Measurement.- Through a survey designed based on the ICD-10 (International Classification of Diseases 10th Revision) and DSM-V (Diagnostic and Statistical Manual of Mental Disorders, 5th edition). Results.- Of 181 residents surveyed, 67% female and 33% male, 85/181 (46.9%) residents had been exposed with the death of a child, none had received training on infant death. Overall prevalence of ASR was n = 58/181 (32%) and of PTSD n = 27/181 (14.9%). The prevalence was higher in second-year residents ASR (39.66%), PTSD (12.90%) and in women ASR (43.68%) and PTSD (20.69%). The observed alterations were: Problems of Concentration 20.44%, Sleep Disorders 19.89%, Irritability and Access of Anger 14.92% and Hypervigilia 9.39%. Conclusion.- The presence of ASR and PTSD is high in the Hospital Pediatrics Residency of the trunk axis of Bolivia. Therefore, there is a greater risk of developing ASR and PTSD after the death of a child. Alterations of Vigil and Behavior should be identified and recognized to allow early signaling for further support, including psychological evaluation or intervention if necessary.

Keywords : Acute stress reaction; Post-traumatic stress disorder; Child death.

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