Acta Medica PhilippinaPub Date : 2026-06-30eCollection Date: 2026-01-01DOI: 10.47895/amp.v60i12.14425
Utami Wahyuningsih
{"title":"Enhancing Multidisciplinary Collaboration in Healthcare to Achieve SDGs during the COVID-19 Pandemic.","authors":"Utami Wahyuningsih","doi":"10.47895/amp.v60i12.14425","DOIUrl":"10.47895/amp.v60i12.14425","url":null,"abstract":"","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"60 12","pages":"6-7"},"PeriodicalIF":0.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148653003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risk Factors for Rapid Growth in Undernourished Children: Analysis of Indonesian Family Life Survey.","authors":"Firlia Ayu Arini, Endang Laksminingsih, Besral Skm, Fasli Jalal","doi":"10.47895/amp.v60i12.4579","DOIUrl":"10.47895/amp.v60i12.4579","url":null,"abstract":"<p><strong>Background: </strong>Children who suffer from undernutrition would grow rapidly to catch-up-growth after improvement in nutrition intake. However, this rapid growth during early life might have harmful effects on children's long-term health. Rapid growth, which is too fast, increases the risk of cardiovascular disease and obesity.</p><p><strong>Objective: </strong>To determine the prevalence and analyze the risk of rapid growth in children, particularly who experienced undernutrition in 1000 first days of life, compared to well-nourished children.</p><p><strong>Methods: </strong>This cohort study used data from the second and third waves of the Indonesia Family Life Survey (1997 and 2000). A total of 671 children aged 0 to 23 months in 1997 and 3 to 5 years in 2000 were included in this study. Rapid growth was determined as a change in length- or height-per-age and weight-per-age z-score greater than 0.67, based on WHO Child Growth Standard between years of follow-up. The anthropometric measurements were conducted by trained health workers. Children with history of low birth weight, stunting, underweight, and/or wasting were categorized as undernourished children. We used a logistic regression model to identify the risk of rapid growth in children among undernourished and well-nourished children, adjusted by characteristics of children, parents, and the household socioeconomic status.</p><p><strong>Results: </strong>The prevalence of rapid growth in length/height and weight in undernourished children was 44.56% and 35.2%, respectively. The odds of undernourished children to grow rapidly in length/height compared to well-nourished children was 6.36 (95% CI 3.94,10.26; <i>p</i> = 0.000) after being controlled by socio-demographic characteristics. There was a higher odd 5.7 (95% CI 3.4, 9.5; <i>p</i> = 0.000) of rapid growth in weight in undernourished children. The odds of rapid growth in height increased significantly in children aged 12 to 23 months and children with mothers who had lower education levels. Furthermore, the odds of rapid growth in weight-for-age increased significantly in all children whose fathers had lower education levels.</p><p><strong>Conclusion: </strong>This study adds to the evidence that there is an increased risk for rapid growth in length/height and weight in undernourished children and the risk was higher among older children aged 12 to 23 months. The study also found that maternal education was related to the risk of rapid growth in height and paternal education was strongly related to the risk for rapid growth in weight.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"60 12","pages":"51-57"},"PeriodicalIF":0.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148653067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Medica PhilippinaPub Date : 2026-06-15eCollection Date: 2026-01-01DOI: 10.47895/amp.vi0.13536
Martin Francis K Jacinto, Philip B Fullante, Rentor Y Cafino, Miguel Sandino O Aljibe
{"title":"A Case Report on the Application of a 3D Printed Patient-specific Zygomatic Implant for a Post-traumatic Facial Deformity.","authors":"Martin Francis K Jacinto, Philip B Fullante, Rentor Y Cafino, Miguel Sandino O Aljibe","doi":"10.47895/amp.vi0.13536","DOIUrl":"10.47895/amp.vi0.13536","url":null,"abstract":"<p><p>We present the case of a 47-year-old male with a post-traumatic facial deformity after electrocution injury and a fall that occurred two years prior to consultation. The patient presented with ectropion on the left, hypoglobus, and step-off deformities on the left malar area owing to the loss of a large portion of the inferior orbital rim, orbital floor, and the zygomatic bone. House-Brackmann IV facial palsy was also present on the left hemiface since the injury. A 3D-printed biocompatible zygomatic implant was fabricated using Polyetheretherketone (PEEK). This case highlights the versatility of PEEK for facial implants and the importance of virtual surgical planning and 3-D printing in the management of post-traumatic facial defects.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"60 11","pages":"124-128"},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13426373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148652740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Medica PhilippinaPub Date : 2026-06-15eCollection Date: 2026-01-01DOI: 10.47895/amp.v60i11.14392
Angela G Sison-Aguilar
{"title":"Critical Adoption of Disruptive Health Technology.","authors":"Angela G Sison-Aguilar","doi":"10.47895/amp.v60i11.14392","DOIUrl":"10.47895/amp.v60i11.14392","url":null,"abstract":"","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"60 11","pages":"5-6"},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13426374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148652847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Medica PhilippinaPub Date : 2026-06-15eCollection Date: 2026-01-01DOI: 10.47895/amp.vi0.11158
Carl Austin T Lacanlale, Cherylina G Dalilis, Breanna Stefanie S Gayagay, Sarah May D Da-O, Tiziana M Bilog, Francesca Anne D Bacsa, Dominique Anne P Lauzon, Abigail Mariano, Shevawn T Rabara, Ron Andrei A Reyes, Jessica Loren M Torio
{"title":"Use of ChatGPT among Student Nurses in Baguio City, Philippines: A Cross-sectional Study.","authors":"Carl Austin T Lacanlale, Cherylina G Dalilis, Breanna Stefanie S Gayagay, Sarah May D Da-O, Tiziana M Bilog, Francesca Anne D Bacsa, Dominique Anne P Lauzon, Abigail Mariano, Shevawn T Rabara, Ron Andrei A Reyes, Jessica Loren M Torio","doi":"10.47895/amp.vi0.11158","DOIUrl":"10.47895/amp.vi0.11158","url":null,"abstract":"<p><strong>Background and objectives: </strong>ChatGPT, an advanced artificial intelligence (AI) platform developed by OpenAI, is increasingly used in nursing education and practice. However, limited studies have explored its use among student nurses and how factors such as sex and year level affect its adoption. Addressing this gap is essential to ensure the responsible integration of AI and preserve nursing competencies, such as critical thinking and problem-solving. This study aimed to determine the extent of ChatGPT use among student nurses, including differences between sexes and year level, as well as the factors that facilitate or hinder its use.</p><p><strong>Methods: </strong>This quantitative descriptive study involved student nurses from Saint Louis University, Baguio City, selected through proportionate random sampling in February 2024. Participants were aged 18 years or older, enrolled in the 2023-2024 academic year, and had prior experience using ChatGPT. The researchers administered a 30-item self-developed questionnaire, which demonstrated strong content validity (CVI = 0.92) and reliability (Cronbach's α = 0.85). Researchers used weighted mean to measure the extent of ChatGPT use, two-sample t-tests, and ANOVA to evaluate significant differences by sex and year level, and frequency and percentage to identify the most common factors that facilitate and hinder its use. All analyses were conducted using Jamovi version 2.4.</p><p><strong>Results: </strong>Student nurses (N = 300) reported a slightly extensive use of ChatGPT (x̄w = 2.40), with quick response time (x̄ = 2.85) and concise summarization of key concepts (x̄ = 2.85) as the main reasons for use. There were no significant differences in use between sexes (<i>p</i> = 0.761) or year levels (<i>p =</i> 0.062). The most frequently reported facilitating factors were ease of use (66.67%) and ability to generate useful answers (50.33%), while the main hindrances were long user queues (45.33%) and lack of references (45%).</p><p><strong>Conclusion: </strong>The adoption of ChatGPT among student nurses is driven by its ease of use, perceived usefulness, and quality of responses, as reflected in participants' moderate to slightly extensive use for summarizing concepts, generating ideas, and obtaining explanations. In light of these findings, nursing programs should incorporate ChatGPT as a supportive learning resource while guiding its responsible use. Future research should ensure balanced gender representation, consider demographic factors such as age and technological proficiency, and explore ChatGPT's applications across disciplines using qualitative or mixed-methods approaches.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"60 11","pages":"56-64"},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13426376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148652898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Medica PhilippinaPub Date : 2026-06-15eCollection Date: 2026-01-01DOI: 10.47895/amp.vi0.13830
Catherine Lynn T Silao, Ma Carmina C Manuel, Ronnette Anne E Davila, Terence Diane F Fabella, Rita P Laude, Thomas Gabriel H Desengaño, Carl Angelo S Estrada, Mayceemae M Barnuevo, Josept Mari S Poblete, Carmencita D Padilla, Maria Liza T Naranjo, Ernesto dJ Yuson
{"title":"Genetic Heterogeneity of β-thalassemia Variants in Affected Filipinos.","authors":"Catherine Lynn T Silao, Ma Carmina C Manuel, Ronnette Anne E Davila, Terence Diane F Fabella, Rita P Laude, Thomas Gabriel H Desengaño, Carl Angelo S Estrada, Mayceemae M Barnuevo, Josept Mari S Poblete, Carmencita D Padilla, Maria Liza T Naranjo, Ernesto dJ Yuson","doi":"10.47895/amp.vi0.13830","DOIUrl":"10.47895/amp.vi0.13830","url":null,"abstract":"<p><strong>Background: </strong>β-thalassemia, a hereditary blood disorder, is characterized by the reduction or absence of β-globin chain synthesis, with disease severity depending on population-specific HBB variants. This is the first report to present the molecular profile of Filipino β-thalassemia patients.</p><p><strong>Methods: </strong>Deletion analysis, β-globin StripAssay analysis, and HBB gene sequencing were performed in 237 patients with β-thalassemia.</p><p><strong>Results: </strong>Twenty-one (21) previously published β-thalassemia variants - ten (10) pathogenic point mutations [c.79G>A (HbE) (48.52%), c.92+2T>C (1.47%), c.52A>T (0.84%), c.92+5G>C (0.63%), c.-50A>C (cap+1) (0.42%), c.79G>T (0.21%), c.59A>G (Malay) (0.21%), c.47G>A (0.21%), c.20A>T (HbS) (0.21%), and c.2T>G (initiation codon) (0.21%)]; five (5) pathogenic deletions [<i>HBB</i> Filipino deletion (23.42%), c.203_204delTG (5.49%), c.126_129delCTTT (codon 41/42) (1.68%), c.155delC (0.63%), and c.110delC (0.21%)]; two (2) conflicting patterns of pathogenicity [c.27dup (0.42%) and c.170G>A Hb J-Bangkok (0.21%)]; and four (4) polymorphisms [c.9T>C (codon 2) (40.93%), c.315+16G>C (36.92%), c.316-185C>T (25.74%), and c.-92C>G (0.21%) - were identified.</p><p><strong>Conclusion: </strong>The genetic heterogeneity of β-thalassemia in affected Filipinos emphasizes the value of mutation-based confirmation for diagnosis, carrier screening, genetic counseling, disease management, and formulation of nationwide health policies.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"60 11","pages":"49-55"},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13426378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148652905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Medica PhilippinaPub Date : 2026-06-15eCollection Date: 2026-01-01DOI: 10.47895/amp.vi0.12073
Eric Emmanuel T Aragon, Ena Lauren F Farillas, Katrina Anne T Cordova, Marimel G Reyes-Pagcatipunan, Lourdes Paula R Resontoc
{"title":"The Spectrum of Kidney Disorders in Children Infected with COVID-19: A Retrospective Cohort Study.","authors":"Eric Emmanuel T Aragon, Ena Lauren F Farillas, Katrina Anne T Cordova, Marimel G Reyes-Pagcatipunan, Lourdes Paula R Resontoc","doi":"10.47895/amp.vi0.12073","DOIUrl":"10.47895/amp.vi0.12073","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic, caused by the SARS-CoV-2 virus, has impacted various organ systems, including the kidneys, in adults and children. While acute kidney injury (AKI) is well-documented in adults with COVID-19, there is limited data on kidney involvement in pediatric patients, especially in resource-limited settings like the Philippines. This study explores the spectrum of kidney diseases in children infected with COVID-19.</p><p><strong>Objective: </strong>The study aims to characterize the incidence and types of kidney dysfunction in pediatric COVID-19 patients, identify associated risk factors, and evaluate patient outcomes, including the need for renal replacement therapy (RRT) and mortality rates.</p><p><strong>Methods: </strong>This retrospective cohort study analyzed pediatric patients diagnosed with SARS-CoV-2 infection via RT-PCR, admitted to the Philippine General Hospital from March 2020 to April 2023. Patients with prior kidney disease were excluded. Data on demographic characteristics, clinical status, comorbidities, and laboratory findings were collected. Kidney dysfunction was defined as AKI, proteinuria, hematuria, or glucosuria. Associations between kidney dysfunction, COVID-19 severity, and patient outcomes were analyzed using logistic regression.</p><p><strong>Results: </strong>Of the 316 pediatric COVID-19 patients included, 47.78% (151) had kidney involvement, most commonly hematuria (28.48%), proteinuria (26.27%), and AKI (14.60%). Severe and critical COVID-19 were significantly associated with kidney dysfunction, while comorbidities such as oncologic/hematologic conditions decreased the odds of proteinuria and glucosuria. AKI was associated with hypertension, fever, and severe COVID-19. Mortality was 12.03%, with AKI and critical COVID-19 being significant risk factors.</p><p><strong>Conclusion: </strong>Kidney dysfunction is common in pediatric COVID-19 cases, particularly in severe disease. AKI was strongly associated with worse outcomes, including mortality. Early detection and management of kidney involvement are essential to improving prognosis in pediatric COVID-19 patients.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"60 11","pages":"99-114"},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13426382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148652838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Medica PhilippinaPub Date : 2026-06-15eCollection Date: 2026-01-01DOI: 10.47895/amp.vi0.13189
Pilarica I Caguiat-Jo, Germana Emerita V Gregorio
{"title":"Features and Outcomes of Inflammatory Bowel Disease among Filipino Children in a Tertiary Hospital: An Eleven-year Review.","authors":"Pilarica I Caguiat-Jo, Germana Emerita V Gregorio","doi":"10.47895/amp.vi0.13189","DOIUrl":"10.47895/amp.vi0.13189","url":null,"abstract":"<p><strong>Background: </strong>Inflammatory bowel disease (IBD), comprising Crohn's disease, ulcerative colitis, and IBD-unclassified, is a chronic relapsing inflammatory disorder of the gastrointestinal tract, with up to 25% of cases presenting in childhood or adolescence. Although historically uncommon in Asia, the incidence of pediatric IBD in the region has been increasing, and disease phenotype appears to differ from Western populations. In the Philippines, data on pediatric IBD remain limited, with no comprehensive local studies describing its clinical features, subtypes, and outcomes.</p><p><strong>Objectives: </strong>To describe the clinico-demographic factors that are associated with remission and relapse rates in Filipino pediatric patients with IBD.</p><p><strong>Methods: </strong>Retrospective review of records of patients <19 years old with IBD from January 2013 to December 2023 in a tertiary government hospital. The clinical, biochemical, imaging, endoscopic, and histologic features, treatment, and outcomes were obtained. Chi-square and T-tests were done to compare the variables and odds ratios to check for associations; significance level set at <i>p</i> <0.05.</p><p><strong>Results: </strong>Forty-seven (47) children (mean age 11 ± 5.46 years; 64% males) had IBD. Median age at diagnosis was 13 (IQR 8years). Twelve (25%) were very early onset IBD (VEO-IBD). Median duration of symptoms was 9 (IQR 4-20) months. Bloody stools were more common in UC and IBDU than in CD. Active perianal disease was seen in 30% of CD patients. For induction, UC and IBDU patients used mostly steroids and 5-ASA, while CD patients used mostly exclusive enteral nutrition and steroids. Only 30 patients had at least a 1-year follow-up. Twenty-seven (57%) went into remission within one year. Five CD patients underwent surgery. There was no difference in the 1-year steroid-free remission among the subtypes. One-year relapse rate was significantly higher in UC than in CD. VEO-IBD was associated with not achieving 1-year steroid-free remission (OR 20.8; <i>p</i> value 0.045). One-year relapse rate was associated with diagnostic delay (OR 13.6; <i>p</i> value 0.034), presence of wasting (OR 12.6; <i>p</i> value 0.029), and pancolitis in UC (OR 75; <i>p</i> value 0.043).</p><p><strong>Conclusion: </strong>The majority of pediatric IBD has CD, with 25% VEO-IBD. 30% of CD had active perianal disease. All subtypes responded similarly to steroids. A higher relapse rate was associated with diagnostic delay, wasting, and pancolitis in UC patients.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"60 11","pages":"23-37"},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13426384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148652863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Medica PhilippinaPub Date : 2026-06-15eCollection Date: 2026-01-01DOI: 10.47895/amp.vi0.14242
Maria Epifania V Collantes, Mykha Marie B Tabuzo
{"title":"Stroke and Methamphetamine Use: A Systematic Review.","authors":"Maria Epifania V Collantes, Mykha Marie B Tabuzo","doi":"10.47895/amp.vi0.14242","DOIUrl":"10.47895/amp.vi0.14242","url":null,"abstract":"<p><strong>Background: </strong>Methamphetamine (MAP) use has been increasingly recognized as a potential risk factor for cerebrovascular disease; however, its association with different stroke subtypes and underlying mechanisms remains incompletely characterized.</p><p><strong>Objective: </strong>This study aims to systematically review the recent literature on the association between MAP use and stroke, including ischemic and hemorrhagic subtypes, as well as related vascular and cardiac pathology.</p><p><strong>Methods: </strong>A systematic search of studies published between 2020 and March 2026 was conducted following PRISMA guidelines. Data on study characteristics, participant demographics, MAP use, and outcomes were extracted, and risk of bias was assessed using the Newcastle-Ottawa Scale. Findings were summarized descriptively and synthesized narratively.</p><p><strong>Results: </strong>Eight (8) studies were included, primarily retrospective cohort studies. MAP-associated stroke patients were mostly males that are younger than non-users with fewer vascular risk factors and comorbidities. MAP use was associated with increased risk of intracerebral hemorrhage, subarachnoid hemorrhage, and ischemic stroke. Aneurysm-related studies demonstrated higher aspect ratios and rupture at smaller sizes, suggesting increased vascular instability. MAP use was also linked to cardiomyopathy and reduced left ventricular ejection fraction, contributing to cardioembolic stroke risk, as well as a higher burden of cerebral small vessel disease. Despite these differences, clinical outcomes in some cohorts were comparable to those of non-MAP stroke populations.</p><p><strong>Conclusion: </strong>MAP use is associated with both hemorrhagic and ischemic stroke and is linked to alterations in vascular and cardiac pathology. These findings highlight a distinct clinical phenotype and underscore the need for prospective studies better to define risk, mechanisms, and long-term outcomes.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"60 11","pages":"115-123"},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13426380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148652904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Acta Medica PhilippinaPub Date : 2026-06-15eCollection Date: 2026-01-01DOI: 10.47895/amp.vi0.13192
Lyra C Ceblano, Benilda C Sanchez-Gan, Patricia C Orduña
{"title":"Caregiver Burden and Well-being of Caregivers to Hospitalized Filipino Children with Neurological Conditions: A Cross-sectional Study.","authors":"Lyra C Ceblano, Benilda C Sanchez-Gan, Patricia C Orduña","doi":"10.47895/amp.vi0.13192","DOIUrl":"10.47895/amp.vi0.13192","url":null,"abstract":"<p><strong>Background: </strong>Taking care of pediatric patients with neurological conditions in prolonged hospital stays can affect caregivers' health due to the demands of caregiving beyond daily parenting.</p><p><strong>Objectives: </strong>The study aimed to determine the association between caregiver burden and well-being among caregivers of hospitalized Filipino children with neurological conditions, and the prevalence rate of caregiver burden, and assess the subjective perception of well-being of caregivers attending to these patients.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 95 primary caregivers of pediatric patients with neurological conditions admitted to the Pediatric Neurology ward of the Philippine General Hospital from December 2024 to January 2025. Eligible participants were selected through purposive sampling. Data were collected using a structured questionnaire covering sociodemographic and clinical information, the Modified Caregiver Strain Index-Filipino (MCSI-F) to assess caregiver burden, and the World Health Organization-Five Well-being Index (WHO-5) to assess subjective well-being. Descriptive statistics, Pearson correlation, and univariable logistic regression were used for data analysis at a 0.05 level of significance.</p><p><strong>Results: </strong>The mean age of participants was 35 years, with most being mothers (79%), female (87%), and unemployed (48%). The prevalence of caregiver burden was 59%, with 23% reporting severe strain. Impaired well-being was found in 92% of participants. Although caregivers with burden showed higher odds of impaired well-being (OR 4.91, 95% CI 0.93-25.76), the association was not statistically significant (p = 0.060). No caregiver or patient characteristic showed a significant relationship with burden or well-being.</p><p><strong>Conclusion: </strong>High prevalence rates of caregiver burden and impaired well-being, among caregivers of hospitalized Filipino children with neurologic conditions at a single tertiary center, were seen. Interventions such as periodic psychosocial and caring support and development of family-centered care plans may be considered to help decrease the burden of care in caregivers among this population.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"60 11","pages":"7-22"},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13426379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148652857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}