Anales de pediatria最新文献

{"title":"Doppler transcraneal en la disección de carótida traumática","authors":"Daniel Palanca Arias , Irene Gil Hernández , Álvaro Boria Alegre , Juan Pablo García Íñiguez","doi":"10.1016/j.anpedi.2025.503770","DOIUrl":"10.1016/j.anpedi.2025.503770","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 4","pages":"Article 503770"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implicación pronóstica de factores no clásicos en el riesgo de muerte súbita en miocardiopatía hipertrófica","authors":"María López Blázquez ,&nbsp;María Ángeles Espinosa Castro ,&nbsp;Reyes Álvarez García-Rovés ,&nbsp;Miriam Centeno Jiménez ,&nbsp;Ana Isabel Fernández Ávila ,&nbsp;Francisco Javier Bermejo Thomas ,&nbsp;Constancio Medrano López","doi":"10.1016/j.anpedi.2025.503814","DOIUrl":"10.1016/j.anpedi.2025.503814","url":null,"abstract":"<div><h3>Introduction</h3><div>Models for estimating the risk of sudden cardiac death (SCD) in pediatric hypertrophic cardiomyopathy (HCM) used in our setting do not consider some parameters of routine clinical practice. The objective was to identify non-classical risk factors and evaluate their prognostic value.</div></div><div><h3>Patients and methods</h3><div>Retrospective observational study, including patients with isolated HCM 0-18 years old, evaluating clinical, genetic, and imaging variables. The risk of SCD or major arrhythmic cardiac events (MACE) was estimated according to the three most widely used European models (HCM Risk-SCD, European Society of Cardiology [ESC] algorithm, and HCM Risk-Kids), analyzing their predictive capacity by adding genotyping and advanced cardiac imaging parameters.</div></div><div><h3>Results</h3><div>The sample included 77 patients followed up for 5.25 years. Ten (13%) experienced a MACE. We found that MACE was significantly associated with myocardial deformation and positive genotype status, and associated, although not significantly, to late gadolinium enhancement (LGE) in cardiac MRI (<em>P</em> <!-->=<!--> <!-->.062). Events were more frequent (hazard ratio<!--> <!-->=<!--> <!-->18.5; <em>P</em> <!-->=<!--> <!-->.006) and occurred earlier (<em>P</em> <!-->=<!--> <!-->.022) in association with variants in genes other than <em>MYBPC3</em>. The inclusion of “genotype other than <em>MYBPC3</em>” and “presence of LGE” improved the predictive capacity of the models for the high-risk (C-statistic 0.94 vs 0.84 with HCM Risk-SCD; 0.88 vs 0.74 with ESC algorithm; 0.90 vs 0.80 with HCM Risk-Kids) and intermediate-risk categories (C-statistic 0.88 vs 0.51 with HCM Risk-SCD; 0.85 vs 0.64 with ESC algorithm; 0.84 vs 0.51 with HCM Risk-Kids).</div></div><div><h3>Conclusions</h3><div>The predictive capacity of European risk models improves by incorporating the variables “genotype other than <em>MYBPC3</em>” and “presence of LGE”, although larger studies are required to validate their prognostic value.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 4","pages":"Article 503814"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nueva variante patogénica c.3855+4A>G en el gen NIPBL asociada al síndrome de Cornelia de Lange tipo 1 (OMIM#122470)","authors":"Sandra Maeso-Méndez ,&nbsp;Saioa Jiménez Echevarría ,&nbsp;Zuriñe García Casales ,&nbsp;Ignacio Díez López","doi":"10.1016/j.anpedi.2025.503771","DOIUrl":"10.1016/j.anpedi.2025.503771","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 4","pages":"Article 503771"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complicaciones por cuerpo extraño intrabronquial de larga evolución","authors":"Irene Sancho Marquina ,&nbsp;Elena Aranda Conchello ,&nbsp;Inés Loreto Gallán Farina ,&nbsp;Carlos Martín de Vicente","doi":"10.1016/j.anpedi.2024.503738","DOIUrl":"10.1016/j.anpedi.2024.503738","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 4","pages":"Article 503738"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estrategias para la mejora de la seguridad diagnóstica y del razonamiento clínico","authors":"Pedro J. Alcalá Minagorre ,&nbsp;María José Salmerón Fernández ,&nbsp;Araceli Domingo Garau ,&nbsp;Pilar Díaz Pernas ,&nbsp;Cristina M. Nebot Marzal ,&nbsp;Rosa M. Pino Ramírez ,&nbsp;Aurora Madrid Rodríguez ,&nbsp;en representación del Comité de Calidad Asistencial y Seguridad del Paciente. Asociación Española de Pediatría","doi":"10.1016/j.anpedi.2025.503827","DOIUrl":"10.1016/j.anpedi.2025.503827","url":null,"abstract":"<div><div>Diagnostic safety failures cause up to 15% of adverse health care-related events, many of which have serious consequences. The nature of diagnostic errors is complex and involves individual factors, such as cognitive and availability biases, as well as factors related to organizations and work dynamics. Through this document, the Health Care Quality and Patient Safety Committee of the <em>Asociación Española de Pediatría</em> (Spanish Association of Pediatrics) offers an updated review of the bases of diagnostic error and its characteristics in different health care settings, and proposes strategies for improving diagnostic safety and clinical reasoning, including educational and care delivery aspects and the application of novel technological resources, such as those based on artificial intelligence.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 4","pages":"Article 503827"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eficacia analgésica de la hipnosis clínica en los pacientes pediátricos intervenidos de cirugía ortopédica","authors":"Raquel Torres-Luna ,&nbsp;María Carmen Sellán Soto ,&nbsp;Francisco Reinoso-Barbero","doi":"10.1016/j.anpedi.2025.503831","DOIUrl":"10.1016/j.anpedi.2025.503831","url":null,"abstract":"<div><h3>Introduction</h3><div>Clinical hypnosis is effective for pain management in adults, but there is little evidence of its use in the pediatric population.</div></div><div><h3>Materials and Methods</h3><div>We conducted a randomized clinical trial on pediatric patients (aged 7-19 years) that had undergone major orthopedic surgery, allocated to one of two groups: the experimental hypnosis group (HG), which received two sessions of clinical hypnosis, or the control group (CG), which had two non-hypnosis visits. The variables analyzed were pain (Visual Analog Scale [VAS]), use of analgesic drugs, anxiety (State-Trait Anxiety Inventory for Children [STAIC]), parasympathetic activation (Analgesia Nociception Index [ANI] monitor) and vital signs such as heart rate (HR), respiratory rate (RR) and systolic and diastolic blood pressure (SBP and DBP). We used the Student <em>t</em> test and the χ² test for the statistical analysis.</div></div><div><h3>Results</h3><div>Of the 24 patients in the sample, 16 were assigned to the HG and 8 to the CG. In the HG, we observed a significant reduction in VAS scores at 24<!--> <!-->hours (<em>P</em>=.0001) and 48<!--> <!-->hours (<em>P</em>=.0004) post surgery. Additionally, HG patients required fewer rescue doses of analgesic agents (<em>P</em>=.025) and had lower state-anxiety scale scores in the STAIC (<em>P</em>=.046). The ANI values increased significantly at 24<!--> <!-->hours (<em>P</em>=.0001) and 48<!--> <!-->hours (<em>P</em>=.007). The HR, SBP and DBP values decreased at 24<!--> <!-->hours (<em>P</em>&lt;.05), and the RR at 24 and 48<!--> <!-->hours (<em>P</em>&lt;.05).</div></div><div><h3>Conclusion</h3><div>Clinical hypnosis is an effective nonpharmacological intervention for reducing postoperative pain and anxiety in children, and it is associated with an increase in parasympathetic tone.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 4","pages":"Article 503831"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dificultad para elevar el brazo: síndrome de Parsonage-Turner","authors":"Violeta Martí Enrique,&nbsp;Joaquín López Cruz,&nbsp;José María Olmos García,&nbsp;Fátima Pareja Marín","doi":"10.1016/j.anpedi.2024.503699","DOIUrl":"10.1016/j.anpedi.2024.503699","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 4","pages":"Article 503699"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"El debate de la eutanasia en menores","authors":"Carles Martin-Fumadó ,&nbsp;Magda Campins ,&nbsp;Esperanza L. Gómez-Durán ,&nbsp;Josep Arimany-Manso","doi":"10.1016/j.anpedi.2025.503778","DOIUrl":"10.1016/j.anpedi.2025.503778","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 4","pages":"Article 503778"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cigomastoiditis: una presentación poco frecuente de mastoiditis","authors":"Natalia Paniagua ,&nbsp;Ana Fernandez ,&nbsp;Lucía Elorriaga-Sanzano ,&nbsp;Guillermo González-Zapico","doi":"10.1016/j.anpedi.2024.503737","DOIUrl":"10.1016/j.anpedi.2024.503737","url":null,"abstract":"","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 3","pages":"Article 503737"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143519091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Situación actual y nuevos pasos en el cribado neonatal en España","authors":"María L. Couce ,&nbsp;María Cernada ,&nbsp;Hector Boix ,&nbsp;María Dolores Sánchez-Redondo ,&nbsp;María Gracia Espinosa Fernández ,&nbsp;Noelia González-Pacheco ,&nbsp;Ana Martín ,&nbsp;Alejandro Pérez-Muñuzuri ,&nbsp;en representación del Comité de Estándares Sociedad Española de Neonatología","doi":"10.1016/j.anpedi.2025.503775","DOIUrl":"10.1016/j.anpedi.2025.503775","url":null,"abstract":"<div><div>After more than 50 years of experience, newborn screening programs represent one of the most significant advancements in public health, particularly in pediatric and neonatal care, benefiting almost 350 000 children annually in España. Following the inclusion of congenital hearing loss screening in 2003 and screening for 7<!--> <!-->congenital diseases by newborn blood spot test in 2014 as part of the population-wide neonatal screening program of the National Health System, significant advances have been achieved in recent years. This progress is evident in the implementation of screening for critical congenital heart diseases, approved in January 2024 by the National Public Health Commission of the Interterritorial Council of the National Health System, as well as screening for congenital diseases through the newborn blood spot test, with the incorporation of new conditions enabled by advances in second-tier testing and emerging scientific evidence. Neonatologists and pediatricians must keep abreast of these developments and where the field is heading, as even more rapid progress may take place with the advent of genomic newborn screening.</div></div>","PeriodicalId":7783,"journal":{"name":"Anales de pediatria","volume":"102 3","pages":"Article 503775"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143519494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}