Andes pediatrica : revista Chilena de pediatria最新文献_第3页

[Rapid response team led by pediatricians: Experience at a Latin American Tertiary Care Hospital]. [儿科医生领导的快速反应小组：拉丁美洲三级保健医院的经验]。

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Andes pediatrica : revista Chilena de pediatria Pub Date : 2024-08-01 DOI: 10.32641/andespediatr.v95i4.5033

Laura F Niño-Serna, Carolina Tamayo-Múnera

{"title":"[Rapid response team led by pediatricians: Experience at a Latin American Tertiary Care Hospital].","authors":"Laura F Niño-Serna, Carolina Tamayo-Múnera","doi":"10.32641/andespediatr.v95i4.5033","DOIUrl":"https://doi.org/10.32641/andespediatr.v95i4.5033","url":null,"abstract":"Pediatric rapid response teams (PRRT) aim to detect the clinical deterioration of a patient and implement timely treatment, avoiding cardiopulmonary arrests (CPA) and in-hospital mortality.Objective: To describe the experience with PRRT led by the pediatrician in a high-complexity hospital.Patients and methods: Descriptive, retrospective, longitudinal study. Hospitalized children under 18 years of age who had a PRRT activation between August 2015 and May 2022 were included. Patients who simultaneously had an activation of the emergency system (suspected CPA) were excluded. Demographic and clinical variables were analyzed through a descriptive analysis.Results: We analyzed 225 PRRT events with an activation rate of 17 per 1,000 admissions. Activations were more common in children under two years of age (50%), oncology patients (35%), general hospitalization (88%), the night shift (44%), and respiratory compromise (48%). Most evaluations occurred within the first five minutes (74%). The most frequent interventions were oxygen administration (45%), fluid bolus (43%), laboratory tests (40%), and X-rays (34%). Admission to the pediatric intensive care unit was 45%. The decrease in inpatient CRP was progressive during the time of the study.Conclusions: With the implementation of the PRRT, we found a tendency toward fewer CPA events in hospital wards. Most of the therapeutic interventions derived from the PRRT were of low or medium complexity, which supports the pediatrician as the team leader.","PeriodicalId":72196,"journal":{"name":"Andes pediatrica : revista Chilena de pediatria","volume":"95 4","pages":"364-372"},"PeriodicalIF":0.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Assessment of adolescents with anorexia nervosa and atypical anorexia nervosa monitored as outpatient]. [青少年神经性厌食症和非典型神经性厌食症门诊监测的评估]。

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Andes pediatrica : revista Chilena de pediatria Pub Date : 2024-08-01 DOI: 10.32641/andespediatr.v95i4.4932

Claudia Torrejón Silva, Evelyn Arellano Montiel, María Del Pilar Pascual Moreno, Paulina Bravo Jiménez, Karla Yohannessen Vásquez

{"title":"[Assessment of adolescents with anorexia nervosa and atypical anorexia nervosa monitored as outpatient].","authors":"Claudia Torrejón Silva, Evelyn Arellano Montiel, María Del Pilar Pascual Moreno, Paulina Bravo Jiménez, Karla Yohannessen Vásquez","doi":"10.32641/andespediatr.v95i4.4932","DOIUrl":"10.32641/andespediatr.v95i4.4932","url":null,"abstract":"Among the restrictive eating and eating disorders, anorexia nervosa (AN) and atypical anorexia nervosa (AAN) are the ones that present the greatest medical complications.Objective: Describe the characteristics of patients with AN and AAN and their differences in demographic and clinical parameters.Patients and method: The records of patients <19 years of age with AN admitted to Clinica Santa María between 2013 and 2019 were reviewed. The evolution time, amenorrhea, z-BMI, percentage and speed of weight loss, and complications were recorded. Results were expressed as mean and standard deviation or median and range. Comparisons were made using the Mann-Whitney test, the t-student test, and the chi-square test; Pearson's coefficient was used for correlations.Results: 76 patients with AN were admitted (64% AAN). The median age was 15.4 years. AN and AAN differed in age at diagnosis (p < 0.03), z-BMI (p < 0.001), bradycardia (p < 0.009), blood pressure (p < 0.003), and cholesterol (p < 0.02), without other differences. The z-BMI correlated with heart rate (r = 0.39 p < 0.002); systolic pressure (r = 0.43 p<0.000), and HDL (r = -0.39 p < 0.005). The percentage of weight loss was correlated with time of amenorrhea (r = 0.27 p < 0.05); alanine aminotransferase (r = 0.0.37 p < 0.031), and HDL (r = 0.47 p < 0.001) and the speed of weight loss with glycemia (r = -0.46 p < 0.001) and urea nitrogen (r = -0.39 p < 0.005).Conclusion: AAN was the most frequent AN condition in this sample and variables such as the percentage and speed of weight loss were as important as BMI in medical complications.","PeriodicalId":72196,"journal":{"name":"Andes pediatrica : revista Chilena de pediatria","volume":"95 4","pages":"373-380"},"PeriodicalIF":0.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Benefits of home-based administration of palivizumab in high-risk groups]. [高危人群家庭给药帕利珠单抗的益处]。

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Andes pediatrica : revista Chilena de pediatria Pub Date : 2024-08-01 DOI: 10.32641/andespediatr.v95i4.4943

Carolina Ortiz, Ignacia Vásquez, Alejandra Zamorano, Ivonne D'Apremont, Enrica Pittaluga, Marcela Díaz, Catalina Campos

{"title":"[Benefits of home-based administration of palivizumab in high-risk groups].","authors":"Carolina Ortiz, Ignacia Vásquez, Alejandra Zamorano, Ivonne D'Apremont, Enrica Pittaluga, Marcela Díaz, Catalina Campos","doi":"10.32641/andespediatr.v95i4.4943","DOIUrl":"10.32641/andespediatr.v95i4.4943","url":null,"abstract":"Palivizumab, a humanized monoclonal antibody against the respiratory syncytial virus (RSV), currently is indicated in groups at higher risk of developing severe RSV disease, such as extreme premature infants and patients with hemodynamically significant heart disease. In Chile, this strategy is guaranteed by Law 20850 (Ricarte Soto Law). Nevertheless, barriers to its administration included the need to transfer these labile patients and exposure to other users, with the risk of contagion in waiting rooms.Objective: to describe the impact of the palivizumab administration strategy in a home care program for high-risk patients.Patients and method: retrospective, descriptive, observational cohort study of patients born before 32 weeks of gestation or weighing less than 1500 grams, who received palivizumab between January 2019 and December 2021 at the Hospital Dr. Sótero del Río.Results: 272 patients were included (median gestational age: 30 weeks). The percentage of doses administered at home was 35.9% (2019) and 37.2% (2021). Each dose of 2020 following the administration in Neonatology, was administered at home during the COVID-19 pandemic. The median interval between doses was as recommended. Adherence was over 90%. The unadjusted incidence of RSV infection was 5.7% (2019), 0% (2020), and 0.9% (2021).Conclusions: palivizumab administration was adequate and timely; home indication was associated with high adherence rates and an administration interval between doses in line with current recommendations.","PeriodicalId":72196,"journal":{"name":"Andes pediatrica : revista Chilena de pediatria","volume":"95 4","pages":"423-429"},"PeriodicalIF":0.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Validation and cross-cultural adaptation of the Pediatric Sleep Questionnaire Sleep-Related Breathing Disorder Scale (PSQ-SRBD) to spanish language]. [儿童睡眠问卷睡眠相关呼吸障碍量表（PSQ-SRBD）对西班牙语的验证和跨文化适应]。

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Andes pediatrica : revista Chilena de pediatria Pub Date : 2024-08-01 DOI: 10.32641/andespediatr.v95i4.5030

Katalina Bertrán S, Bárbara Deck G, Maria P Vargas S, Gabriel Cavada Ch, Raúl Corrales V, Alex Iranzo, Nicolas Cox M, Bárbara Ovalle D, Pilar Santelices B

{"title":"[Validation and cross-cultural adaptation of the Pediatric Sleep Questionnaire Sleep-Related Breathing Disorder Scale (PSQ-SRBD) to spanish language].","authors":"Katalina Bertrán S, Bárbara Deck G, Maria P Vargas S, Gabriel Cavada Ch, Raúl Corrales V, Alex Iranzo, Nicolas Cox M, Bárbara Ovalle D, Pilar Santelices B","doi":"10.32641/andespediatr.v95i4.5030","DOIUrl":"https://doi.org/10.32641/andespediatr.v95i4.5030","url":null,"abstract":"In the Chilean pediatric population, to date, there is no validated screening instrument for sleep-related breathing disorders (SRBD).Objective: to develop and validate a cross-cultural adaptation of the Pediatric Sleep Questionnaire - sleep-related breathing disorder scale (PSQ-SRBD), by creating the Chilean Spanish version (PSQ-CL).Patients and method: The PSQ-SRBD was translated from English into Chilean Spanish, obtaining the PSQ-CL, which was subsequently validated. Internal consistency was determined through Cronbach's alpha coefficient in 26 children with obstructive sleep apnea confirmed by polysomnography and in 112 controls. Reliability was obtained through the test-retest method.Results: In the pilot group, the overall internal consistency of the PSQ- CL through Cronbach's alpha was 0.71 and the internal consistency was 0.653, 0.566, and 0.808 in subscales A, B, and C, respectively. The discrimination capacity of the PSQ-CL questionnaire established through ROC analysis was 81%, determining a cut-off score of 0.227 with a sensitivity of 73.08% and a specificity of 77.68%.Conclusions: The PSQ-CL is a suitable instrument for screening sleep-disordered breathing in Chilean children. This instrument may be useful in clinical practice and epidemiological research in the Chilean pediatric population and could be used for multicenter studies.","PeriodicalId":72196,"journal":{"name":"Andes pediatrica : revista Chilena de pediatria","volume":"95 4","pages":"415-422"},"PeriodicalIF":0.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Estimation of cardiorespiratory fitness from the Six-Minute Walk Test in schoolchildren]. [6分钟步行测试对小学生心肺健康的评估]。

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Andes pediatrica : revista Chilena de pediatria Pub Date : 2024-08-01 DOI: 10.32641/andespediatr.v95i4.4931

Jaime Andrés Vásquez-Gómez, Francisco Andrés Vivero-Valdés, Luis Felipe Rojas-Araya, César Patricio Faúndez-Casanova, Marcelo Eduardo Castillo-Retamal

{"title":"[Estimation of cardiorespiratory fitness from the Six-Minute Walk Test in schoolchildren].","authors":"Jaime Andrés Vásquez-Gómez, Francisco Andrés Vivero-Valdés, Luis Felipe Rojas-Araya, César Patricio Faúndez-Casanova, Marcelo Eduardo Castillo-Retamal","doi":"10.32641/andespediatr.v95i4.4931","DOIUrl":"https://doi.org/10.32641/andespediatr.v95i4.4931","url":null,"abstract":"Cardiorespiratory fitness can be assessed by direct, indirect, maximal, and moderate effort, running, cycling, or walking methods.Objective: To predict maximum oxygen consumption (V O2max) from the six-minute walk test in schoolchildren.Patients and method: 459 students were included, 215 were male and 244 were female, aged 11.9 ± 1.3 years. Basic anthropometry and cardiorespiratory fitness were measured using field tests. Multivariate equations were developed to predict the V O2max using the R® Commander v. 4.2.2 software (p < 0.05).Results: The best model predicting V O2max include distance walked in the six-minute walk test, heart rate recovery, age, height, body weight (V O2max [L-min-1] = - 0.0902 + (- 0.0464 x age) + (0.0002 x distance) + (- 0.0019 x HR) + (0.5843 x height) + (0.0353 x weight), R2 = 0.76; error = 0.25 L-min-1)), and also body mass index (V O2max [L-min-1] = - 0.6152 + (0.0399 x age) + (0.0933 x BMI) + (0.0005 x distance) + (- 0.0022 x HR), R2 = 0.57; error = 0.34 L-min-1)), both with p < 0.001.Conclusions: Cardiorespiratory fitness can be estimated based on basic anthropometry and performance on the six-minute walk test.","PeriodicalId":72196,"journal":{"name":"Andes pediatrica : revista Chilena de pediatria","volume":"95 4","pages":"381-388"},"PeriodicalIF":0.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

["Breastfeeding in emergencies": a challenge to reduce gaps]. [紧急情况下的母乳喂养：缩小差距的挑战]。

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Andes pediatrica : revista Chilena de pediatria Pub Date : 2024-08-01 DOI: 10.32641/andespediatr.v95i4.5364

Claudia Torres, Verónica Valdés, Gerardo Weisstaub

引用次数: 0

[Eulogy Dr. Lautaro Vargas Pérez].

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Andes pediatrica : revista Chilena de pediatria Pub Date : 2024-08-01 DOI: 10.32641/andespediatr.v95i4.5368

Nelson A Vargas Catalán

引用次数: 0

[Regarding three lethal cases of invasive disease caused by Streptococcus pyogenes. A potential epidemiological change to consider for this winter?] 【关于3例由化脓性链球菌引起的侵袭性疾病致死性病例】今年冬天要考虑的潜在流行病学变化？］

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Andes pediatrica : revista Chilena de pediatria Pub Date : 2024-08-01 DOI: 10.32641/andespediatr.v95i4.5311

Pamela Carrasco Troncoso, Alejandro Donoso Fuentes

引用次数: 0

[Neonatal intestinal obstruction due to transmesenteric hernia with jejunoileal atresia: an unusual etiology]. [新生儿肠系膜疝合并空肠回肠闭锁引起的肠梗阻：一种不寻常的病因]。

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Andes pediatrica : revista Chilena de pediatria Pub Date : 2024-08-01 DOI: 10.32641/andespediatr.v95i4.5078

Jazmin Pérez Ramírez, Guillermo Jacobo Serrano Meneses, Sharom Barbosa-Velázquez, Julio César Moreno-Alfonso

{"title":"[Neonatal intestinal obstruction due to transmesenteric hernia with jejunoileal atresia: an unusual etiology].","authors":"Jazmin Pérez Ramírez, Guillermo Jacobo Serrano Meneses, Sharom Barbosa-Velázquez, Julio César Moreno-Alfonso","doi":"10.32641/andespediatr.v95i4.5078","DOIUrl":"https://doi.org/10.32641/andespediatr.v95i4.5078","url":null,"abstract":"Transmesenteric hernia is an internal hernia without a sac caused by a congenital defect of the mesentery. It is a rare cause of intestinal atresia, usually diagnosed intraoperatively, therefore, its prognosis is variable and may be associated with high morbidity and mortality.Objective: To report a case of transmesenteric hernia with multiple intestinal atresia of late diagnosis.Clinical case: Male newborn, born at term, referred due to vomiting, scanty bowel movements, and abdominal distention. At 8 days of age and after excluding various causes of abdominal distention, the patient underwent exploratory laparotomy, identifying a transmesenteric hernia and two sites of intestinal atresia. Resection of the atretic segment and primary anastomosis were performed, with good evolution.Conclusions: In the presence of neonatal intestinal obstruction, an appropriate differential diagnosis should be made, excluding the most frequent causes of intestinal obstruction, without leaving aside those unusual but potentially serious conditions, such as transmesenteric hernia associated or not with intestinal atresia.","PeriodicalId":72196,"journal":{"name":"Andes pediatrica : revista Chilena de pediatria","volume":"95 4","pages":"436-441"},"PeriodicalIF":0.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Properties of the Test of Early Learning and Development, second edition "TADI", in the context of scale validation policies for children under 6 years of age in Chile and Latin America]. [早期学习与发展测试的性质，第二版“TADI”，在智利和拉丁美洲6岁以下儿童规模验证政策的背景下]。

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Andes pediatrica : revista Chilena de pediatria Pub Date : 2024-08-01 DOI: 10.32641/andespediatr.v95i4.5149

Luisa Schonhaut, Marta Edwards, Marcela Pardo, Antonia Valdés

{"title":"[Properties of the Test of Early Learning and Development, second edition \"TADI\", in the context of scale validation policies for children under 6 years of age in Chile and Latin America].","authors":"Luisa Schonhaut, Marta Edwards, Marcela Pardo, Antonia Valdés","doi":"10.32641/andespediatr.v95i4.5149","DOIUrl":"https://doi.org/10.32641/andespediatr.v95i4.5149","url":null,"abstract":"In Latin America, scales have been built to assess Early Child Development (EChD), most of them for direct evaluations. In Chile, the Psychomotor Development Evaluation Scale (EEDP) and the Test of Psychomotor Development (TEPSI) were developed in the 70's and 80's and are still used in different Spanish-speaking countries, but have not been updated or revalidated. In response to the need for a new instrument built in Chile for the evaluation of EChD on a large scale, the Test of Early Learning and Development (TADI-2, for its acronym in Spanish) was built and standardized between 2009 and 2012. This was updated and strengthened between 2018 and 2023 as TADI-2.Objective: To describe the main methodological requirements considered in the construction of a health measurement instrument and, in this context, to analyze the validity of the TADI-2.Development: The rigorous validation process of the TADI-2 stands out, complying with the standards of content selection, standardization, reliability, validity in different sociocultural and ethnic environments, low cost, easy application and open use. Sensitivity for the global score in 4- and 5-year-olds was very good and, in younger children, moderate.Conclusions: The gathered evidence shows that the TADI-2 may be implemented for EChD screening through direct assessment of children under 6 years of age in Chile and the rest of the continent. It is recommended to continue studying the instrument in larger samples to know the consistency of the results in complementary and population-based studies.","PeriodicalId":72196,"journal":{"name":"Andes pediatrica : revista Chilena de pediatria","volume":"95 4","pages":"353-363"},"PeriodicalIF":0.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0