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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Evaluar la utilidad del <span class="elsevierStyleItalic">Clinical Risk Index for Babies</span> &#40;CRIB&#41; para predecir la muerte hospitalaria y la hemorragia intraventricular &#40;HIV&#41; en pacientes reci&#233;n nacidos prematuros de muy bajo peso &#40;RNMBP&#41; y de peso extremadamente bajo al nacer &#40;RNEBP&#41;&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todo</span><p class="elsevierStyleSimplePara elsevierViewall">Se sigui&#243; de forma prospectiva una cohorte de reci&#233;n nacidos con peso inferior a 1&#46;500 g ingresados en la unidad de cuidados intensivos neonatales &#40;UCIN&#41;&#44; desde enero de 2002 a diciembre de 2004&#46; Se registraron datos de morbimortalidad del estudio multic&#233;ntrico SEN-1500&#44; incluida la valoraci&#243;n del CRIB a las 12 h de vida&#46; Se evaluaron los datos globales as&#237; como en dos subgrupos seg&#250;n peso&#58; muy bajo peso &#40;entre 1&#46;000 y 1&#46;500 g&#41; y peso extremadamente bajo &#40;&#60; 1&#46;000 g&#41;&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Se realizaron curvas ROC para estimar el poder de predicci&#243;n mediante el &#225;rea bajo la curva &#40;Az&#41; y se procesaron modelos multivariantes&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se registraron los datos de 163 pacientes&#46; La media de peso al nacer &#40;&#43;DE&#41; fue de 1&#46;114 g &#40;&#177;270&#41; y de edad gestacional &#40;&#43;DE&#41; fue de 29 semanas &#40;&#177;3&#41;&#46; El Az del CRIB para la muerte intrahospitalaria fue 0&#44;757&#44; del peso al nacer 0&#44;758 y de la edad gestacional 0&#44;703&#46; El Az del &#237;ndice CRIB para la HIV fue 0&#44;66&#44; del peso 0&#44;62 y de edad gestacional 0&#44;64&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">En los dos modelos multivariantes para mortalidad y HIV&#44; el CRIB fue el mejor predictor&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">En el grupo de RNMBP el Az del CRIB para la muerte hospitalaria fue 0&#44;77 &#40;p &#60; 0&#44;001&#41;&#44; siendo 0&#44;63 en el grupo de RNEBP &#40;p &#61; 0&#44;82&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La utilidad del CRIB en los reci&#233;n nacidos menores de 1&#46;500 g para predecir muerte hospitalaria y HIV es similar a la del peso&#46; Al estratificar por grupos de peso&#44; encontramos que en los pacientes mayores de 1&#46;000 g&#44; el CRIB fue el mejor predictor de muerte hospitalaria&#44; mientras que en los menores de 1&#46;000 g el CRIB no fue mejor que el azar&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To assess the utility of the CRIB score as a predictor of hospital death and intraventricular hemorrhage &#40;IVH&#41; in very low birth weight &#40;VLBW&#41; and extremely low birth weight &#40;ELBW&#41; neonates&#46;</p> <span class="elsevierStyleSectionTitle">Method</span><p class="elsevierStyleSimplePara elsevierViewall">A prospective cohort of VLBW neonates admitted to the neonatal intensive care unit from January 2002 to December 2004 was studied&#46; The data was assessed following the protocol of the SEN 1500 multicenter study&#46; This protocol included assessment of the CRIB score in the first 12 hours of life&#46; Data for the entire group&#44; as well as for two subgroups divided according to birth weight &#40;BW&#41; &#8211; VLBW neonates &#40;between 1000 and 1500 g&#41; and ELBW neonates &#40;below 1&#44;000 g&#41; &#8211; were evaluated&#46; The area under the receiver operating characteristic curve &#40;Az&#41; was calculated to assess the utility of CRIB score&#44; BW and gestational age &#40;GA&#41;&#46; Two multivariate models were used&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The cohort consisted of 163 patients&#46; The mean &#40;&#177;SD&#41; birthweight was 1&#46;114 &#40;&#177;270&#41; g and gestational age &#40;&#177;SD&#41; was 29 &#40;&#177;3&#41; weeks&#46; The Az for hospital death was 0&#46;757 for the CRIB&#44; 0&#46;758 for BW and 0&#46;703 for GA&#46; The Az for IVH was 0&#46;66 for the CRIB&#44; 0&#46;62 for BW and 0&#46;64 for GA&#46; In the multivariate models for hospital death and IVH&#44; the CRIB was the best predictor&#46; The Az of the CRIB for hospital death was 0&#46;77 for VLBW neonates &#40;p &#60; 0&#46;001&#41; and 0&#46;63 for ELBW neonates &#40;p &#61; 0&#46;82&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The predictive utility of the CRIB for hospital death and IVH is similar to that of BW&#46; In the stratification by groups of weight&#44; we found that the CRIB was the best predictor of hospital death in the group weighing &#62; 1&#44;000 g but was no better than chance in the group weighing &#60; 1&#44;000 g&#46;</p>"
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Originales
Utilidad del CRIB para predecir la muerte hospitalaria y la hemorragia intraventricular en los prematuros de muy bajo peso y extremado bajo peso al nacer
Utility of the clinical risk index for babies (CRIB) as a predictor of hospital death and intraventricular hemorrhage in very low birth weight and extremely low birth weight neonates
R. Rivas Ruiza, J.M.ª Guzmán Cabañasb,
Corresponding author
juanaguzman@telefonica.net
rivasrodolfo@gmail.com

Correspondencia: Dra. J.M.ª Guzmán Cabañas. Labiérnago, 19. 14012 Córdoba. España.
, M.ªJ. Párraga Quilesb, M.ªD. Ruiz Gonzálezb, M.ªD. Huertas Muñozb, R. Álvarez Marcosb, M. Zapatero Martínezb
a Unidad de Cuidados Intensivos Neonatales. Hospital de Pediatría del Centro Médico Nacional Siglo XXI. Instituto Mexicano del Seguro Social. México, D.F.
b Hospital Universitario Reina Sofía. Cuidados Intensivos Neonatales. Servicio de Pediatría. Córdoba. España
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Evaluar la utilidad del <span class="elsevierStyleItalic">Clinical Risk Index for Babies</span> &#40;CRIB&#41; para predecir la muerte hospitalaria y la hemorragia intraventricular &#40;HIV&#41; en pacientes reci&#233;n nacidos prematuros de muy bajo peso &#40;RNMBP&#41; y de peso extremadamente bajo al nacer &#40;RNEBP&#41;&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todo</span><p class="elsevierStyleSimplePara elsevierViewall">Se sigui&#243; de forma prospectiva una cohorte de reci&#233;n nacidos con peso inferior a 1&#46;500 g ingresados en la unidad de cuidados intensivos neonatales &#40;UCIN&#41;&#44; desde enero de 2002 a diciembre de 2004&#46; Se registraron datos de morbimortalidad del estudio multic&#233;ntrico SEN-1500&#44; incluida la valoraci&#243;n del CRIB a las 12 h de vida&#46; Se evaluaron los datos globales as&#237; como en dos subgrupos seg&#250;n peso&#58; muy bajo peso &#40;entre 1&#46;000 y 1&#46;500 g&#41; y peso extremadamente bajo &#40;&#60; 1&#46;000 g&#41;&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Se realizaron curvas ROC para estimar el poder de predicci&#243;n mediante el &#225;rea bajo la curva &#40;Az&#41; y se procesaron modelos multivariantes&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se registraron los datos de 163 pacientes&#46; La media de peso al nacer &#40;&#43;DE&#41; fue de 1&#46;114 g &#40;&#177;270&#41; y de edad gestacional &#40;&#43;DE&#41; fue de 29 semanas &#40;&#177;3&#41;&#46; El Az del CRIB para la muerte intrahospitalaria fue 0&#44;757&#44; del peso al nacer 0&#44;758 y de la edad gestacional 0&#44;703&#46; El Az del &#237;ndice CRIB para la HIV fue 0&#44;66&#44; del peso 0&#44;62 y de edad gestacional 0&#44;64&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">En los dos modelos multivariantes para mortalidad y HIV&#44; el CRIB fue el mejor predictor&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">En el grupo de RNMBP el Az del CRIB para la muerte hospitalaria fue 0&#44;77 &#40;p &#60; 0&#44;001&#41;&#44; siendo 0&#44;63 en el grupo de RNEBP &#40;p &#61; 0&#44;82&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La utilidad del CRIB en los reci&#233;n nacidos menores de 1&#46;500 g para predecir muerte hospitalaria y HIV es similar a la del peso&#46; Al estratificar por grupos de peso&#44; encontramos que en los pacientes mayores de 1&#46;000 g&#44; el CRIB fue el mejor predictor de muerte hospitalaria&#44; mientras que en los menores de 1&#46;000 g el CRIB no fue mejor que el azar&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To assess the utility of the CRIB score as a predictor of hospital death and intraventricular hemorrhage &#40;IVH&#41; in very low birth weight &#40;VLBW&#41; and extremely low birth weight &#40;ELBW&#41; neonates&#46;</p> <span class="elsevierStyleSectionTitle">Method</span><p class="elsevierStyleSimplePara elsevierViewall">A prospective cohort of VLBW neonates admitted to the neonatal intensive care unit from January 2002 to December 2004 was studied&#46; The data was assessed following the protocol of the SEN 1500 multicenter study&#46; This protocol included assessment of the CRIB score in the first 12 hours of life&#46; Data for the entire group&#44; as well as for two subgroups divided according to birth weight &#40;BW&#41; &#8211; VLBW neonates &#40;between 1000 and 1500 g&#41; and ELBW neonates &#40;below 1&#44;000 g&#41; &#8211; were evaluated&#46; The area under the receiver operating characteristic curve &#40;Az&#41; was calculated to assess the utility of CRIB score&#44; BW and gestational age &#40;GA&#41;&#46; Two multivariate models were used&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The cohort consisted of 163 patients&#46; The mean &#40;&#177;SD&#41; birthweight was 1&#46;114 &#40;&#177;270&#41; g and gestational age &#40;&#177;SD&#41; was 29 &#40;&#177;3&#41; weeks&#46; The Az for hospital death was 0&#46;757 for the CRIB&#44; 0&#46;758 for BW and 0&#46;703 for GA&#46; The Az for IVH was 0&#46;66 for the CRIB&#44; 0&#46;62 for BW and 0&#46;64 for GA&#46; In the multivariate models for hospital death and IVH&#44; the CRIB was the best predictor&#46; The Az of the CRIB for hospital death was 0&#46;77 for VLBW neonates &#40;p &#60; 0&#46;001&#41; and 0&#46;63 for ELBW neonates &#40;p &#61; 0&#46;82&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The predictive utility of the CRIB for hospital death and IVH is similar to that of BW&#46; In the stratification by groups of weight&#44; we found that the CRIB was the best predictor of hospital death in the group weighing &#62; 1&#44;000 g but was no better than chance in the group weighing &#60; 1&#44;000 g&#46;</p>"
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ISSN: 16954033
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