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Vol. 56. Issue 6.
Pages 516-526 (1 June 2002)
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Vol. 56. Issue 6.
Pages 516-526 (1 June 2002)
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Recomendaciones para el registro uniforme de datos en la reanimación cardiopulmonar avanzada pediátrica: estilo Utstein pediátrico
Guidelines for uniform reporting of data from out-of-hospital and in-hospital cardiac arrest and resuscitation in the pediatric population: the pediatria utstein-style
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J. López-Herce Cid
Corresponding author
pielvi@eresmas.net

Correspondencia: Sección de Cuidados Intensivos Pediátricos. Hospital Gregorio Marañón. Dr. Castelo, 49. 28009 Madrid.
, C. Tormo Calandín, I. Manrique Martínez, Grupo Español de Reanimación Cardiopulmonar Pediátrica y Neonatal a
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Los niños que requieren maniobras de resucitación presentan una elevada mortalidad y morbilidad. Existen pocos estudios sobre esta materia, y los que hay, utilizan distinta terminología y metodología en la recogida de datos, lo que dificulta la comparación, la valoración de la eficacia, la realización de metaanálisis, etc. Por ello, es necesario que en los estudios clínicos sobre la parada cardiorrespiratoria (PCR) y la reanimación cardiopulmonar (RCP) en la edad pediátrica, se realice la recogida de datos de forma uniforme.

El Grupo Español de Reanimación Cardiopulmonar Pediátrica y Neonatal insiste en que las recomendaciones deben ser sencillas, fáciles de entender. El primer escalón para elaborar unas recomendaciones de recogida de datos es el desarrollo de unas definiciones uniformes (glosario de términos). El segundo escalón, engloba los denominados intervalos de tiempo, e incluye los períodos de tiempo entre dos sucesos. Para describir los intervalos de la PCR se emplean diferentes relojes: el reloj del paciente, de la ambulancia, intervalo de llamada-respuesta, etc. En tercer lugar se recogen una serie de resultados clínicos, necesarios para mostrar si los esfuerzos de la RCP tienen un beneficio positivo para el paciente, su familia y la sociedad. Con todo ello se realiza una hoja de registro de datos, que incluye filiación del paciente, datos generales de la PCR, tratamiento, tiempos de actuación y resultado definitivo del paciente

Palabras clave:
Estüo Utstein
Reanimación cardiopulmonar
Reanimación cardiopulmonar pediátrica
Parada cardíaca
Guía de recomendaciones en la parada cardiorrespiratoria pediátrica

Children who require cardiopulmonary resuscitation present high mortality and morbidity. The few studies that have been published on this subject use different terminology and methodology in data collection, which makes comparisons, evaluation of efficacy, and the performance of meta-analyses, etc. difficult. Consequently, standardized data collection both in clinical studies on cardiorespiratory arrest and in cardiopulmonary resuscitation in the pediatric age group are required.

The Spanish Group of Pediatric Cardiopulmonary Resuscitation emphasizes that recommendations must be simple and easy to understand. The first step in the elaboration of guidelines on data collection is to develop uniform definitions (glossary of terms). The second step comprises the so-called time intervals that include time periods between two events. To describe the intervals of cardiorespiratory arrest different clocks are used: the patient's watch, that of the ambulance, the interval between call and response, etc.

Thirdly, a series of clinical results are gathered to determine whether the efforts of cardiopulmonary resuscitation have a positive effect on the patient, the patient's family and society. With the information gathered a registry of data that includes the patient's personal details, general data of the cardiopulmonary resuscitation, treatment, times of performance and definitive patient outcome is made.

Key words:
Utstein style
Cardiopulmonary resuscitation Paedia-tric life support
Cardiac arrest
Recommended guidelines in pediatric cardiac arrest
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Bibliografía
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Miembros del Grupo Español de RCPPediátrica y Neonatal: MrJ. Aguayo Maldonado (Unidad de Neonatologia,C. Calvo Macías (Servicio de Críticos y Urgencias, Hospital Materno Infantil, Málaga), A. Castellanos (Unidad de Cuidados Intensivos Pediátricos, Hospital Marqués de Valdecilla, Santander), A. Carrillo Álvarez (Sección de Cuidados Intensivos Pediátricos, Hospital General Universitario Gregorio Marañón, Madrid), M.A. Delgado Domínguez (Servicio de Cuidados Intensivos Pediátricos, Hospital La Paz, Madrid),P. Domínguez Sampedro (Unidad de Cuidados Intensivos Pediátricos, Hospital Vall d'Hebron, Barcelona),J. López-Herce Cid (Sección de Cuidados Intensivos Pediátricos, Hospital General Universitario Gregorio Marañón,Madrid), C. Luaces Cubells (Unidad de Urgencias Pediátricas, Hospital Clínico San Juan de Dios, Barcelona),I. Manrique Martínez (Servicio de Urgencias Pediátricas, Hospital 9 de Octubre, Valencia), A. Rodríguez Núñez (Servicio de Críticos y Urgencias, Hospital General de Galicia, Santiago de Compostela), C. Tormo Calandín (Servicio de Medicina Intensiva, Hospital Dr. Peset, Valencia).

Copyright © 2002. Asociación Española de Pediatría
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