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    "titulo" => "Análisis descriptivo de la patología neurológica en una unidad de cuidados intensivos pediátricos de referencia regional"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El objetivo de este trabajo ha sido conocer y analizar los problemas neurol&#243;gicos de la UCI Pedi&#225;trica &#40;UCIP&#41; del Hospital Infantil Miguel Servet de Zaragoza&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">De la base de datos de la secci&#243;n de neuropediatria&#44; que incluye a todos los ni&#241;os ingresados en UCIP con problemas neurol&#243;gicos&#44; se han estudiado los ni&#241;os ingresados en UCIP desde el 15 de mayo de 1990 hasta el 31 de diciembre de 1999&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">De los 4&#46;507 ni&#241;os valorados por la secci&#243;n de neuropediatr&#237;a durante el per&#237;odo de estudio de 9 a&#241;os y 6 meses&#44; 591 han ingresado al menos una vez en la UCIP&#44; con un total de 711 ingresos &#40;32&#37; de los 2&#46;198 ingresos en UCIP&#41;&#46; Fallecieron en UCIP 60 ni&#241;os con problemas neurol&#243;gicos&#46; Los motivos de ingreso m&#225;s frecuentes han sido&#58; 212 traumatismos craneoencef&#225;licos &#40;TCE&#41; &#40;30&#37;&#41;&#44; 127 postoperatorios neuroquir&#250;rgicos &#40;18&#37;&#41;&#44; 110 convulsiones &#40;15&#37;&#41;&#44; 72 encefalopat&#237;as agudas &#40;10&#37;&#41;&#44; 44 insuficiencias respiratorias &#40;6&#44;1&#37;&#41; y 28 accidentes diferentes al TCE &#40;4&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La patolog&#237;a neurol&#243;gica representa una amplia parte de la actividad en nuestra unidad de cuidados intensivos pedi&#225;tricos&#46; Algunos problemas frecuentes como la encefalopat&#237;a aguda o las convulsiones exigen un importante esfuerzo diagn&#243;stico&#44; puesto que pueden ser manifestaci&#243;n de diversos problemas neurol&#243;gicos y extraneurol&#243;-gicos&#46; Algunos de los problemas neurol&#243;gicos que requieren cuidados intensivos&#44; como los traumatismos cra-neoencef&#225;licos y diversas encefalopat&#237;as agudas&#44; asocian elevadas morbilidad y mortalidad&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to analyze the neurological disorders in the Pediatric Intensive Care Unit &#40;PICU&#41; of the Hospital Infantil Miguel Servet in Zaragoza&#44; Spain&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Children admitted to the PICU between May 15&#44; 1990 and December 1999 were studied&#46; The information was obtained from the Neuropediatric Department&#39;s database&#44; which includes all the children admitted to the PICU with neurological disorders&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The study period was 9 years and 6 months&#46; Of the 4507 children evaluated by the Neuropediatric Department&#44; 591 were admitted to the PICU at least once&#44; with a total of 711 admissions &#40;32&#37; of the 2198 admissions to the PICU&#41;&#46; Sixty children with neurological disorders died in the PICU&#46; The most frequent causes of admission were head injury in 212 &#40;30&#37;&#41;&#44; admission following neu-rosurgical procedures in 127 &#40;18&#37;&#41;&#44; convulsions in 110 &#40;15&#37;&#41;&#44; acute encephalopathy in 72 &#40;10&#37;&#41;&#44; respiratory in-sufficiency in 44 &#40;6&#46;1&#37;&#41; and injuries of types other than head injuries in 28&#37; &#40;4&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Neurological disorders represent a large part of the activity in our PICU&#46; Some common disorders such as acute encephalopathy or convulsions are difficult to diagnose&#44; given that they may be a manifestation of several neurological and non-neurological disorders&#46; Some of the neurological disorders that require intensive care&#44; such as head injury and several forms of acute encephalopathy&#44; are associated with high morbidity and mortality&#46;</p>"
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Vol. 53. Núm. 2.
Páginas 119-124 (agosto 2000)
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Vol. 53. Núm. 2.
Páginas 119-124 (agosto 2000)
Acceso a texto completo
Análisis descriptivo de la patología neurológica en una unidad de cuidados intensivos pediátricos de referencia regional
Descriptive analysis of neurological disorders in the pediatric intensive care unit of a regional reference hospital
Visitas
8698
J. López Pisón*, M. Galván Manso, L. Rubio Morales, S. Juan Belloc, A. Ferreras Amez, J. Melendo Gimeno
Sección UCIP y Neuropediatría. Hospital Infantil Universitario Miguel Servet.
Este artículo ha recibido
Información del artículo
Objetivo

El objetivo de este trabajo ha sido conocer y analizar los problemas neurológicos de la UCI Pediátrica (UCIP) del Hospital Infantil Miguel Servet de Zaragoza.

De la base de datos de la sección de neuropediatria, que incluye a todos los niños ingresados en UCIP con problemas neurológicos, se han estudiado los niños ingresados en UCIP desde el 15 de mayo de 1990 hasta el 31 de diciembre de 1999.

Resultados

De los 4.507 niños valorados por la sección de neuropediatría durante el período de estudio de 9 años y 6 meses, 591 han ingresado al menos una vez en la UCIP, con un total de 711 ingresos (32% de los 2.198 ingresos en UCIP). Fallecieron en UCIP 60 niños con problemas neurológicos. Los motivos de ingreso más frecuentes han sido: 212 traumatismos craneoencefálicos (TCE) (30%), 127 postoperatorios neuroquirúrgicos (18%), 110 convulsiones (15%), 72 encefalopatías agudas (10%), 44 insuficiencias respiratorias (6,1%) y 28 accidentes diferentes al TCE (4%).

Conclusiones

La patología neurológica representa una amplia parte de la actividad en nuestra unidad de cuidados intensivos pediátricos. Algunos problemas frecuentes como la encefalopatía aguda o las convulsiones exigen un importante esfuerzo diagnóstico, puesto que pueden ser manifestación de diversos problemas neurológicos y extraneuroló-gicos. Algunos de los problemas neurológicos que requieren cuidados intensivos, como los traumatismos cra-neoencefálicos y diversas encefalopatías agudas, asocian elevadas morbilidad y mortalidad.

Palabras clave:
Cuidados intensivos pediátricos
Convulsiones
Encefalopatíaaguda
Neuropediatría
Traumatismo craneoencefálico
Objective

The aim of this study was to analyze the neurological disorders in the Pediatric Intensive Care Unit (PICU) of the Hospital Infantil Miguel Servet in Zaragoza, Spain.

Children admitted to the PICU between May 15, 1990 and December 1999 were studied. The information was obtained from the Neuropediatric Department's database, which includes all the children admitted to the PICU with neurological disorders.

Results

The study period was 9 years and 6 months. Of the 4507 children evaluated by the Neuropediatric Department, 591 were admitted to the PICU at least once, with a total of 711 admissions (32% of the 2198 admissions to the PICU). Sixty children with neurological disorders died in the PICU. The most frequent causes of admission were head injury in 212 (30%), admission following neu-rosurgical procedures in 127 (18%), convulsions in 110 (15%), acute encephalopathy in 72 (10%), respiratory in-sufficiency in 44 (6.1%) and injuries of types other than head injuries in 28% (4%).

Conclusions

Neurological disorders represent a large part of the activity in our PICU. Some common disorders such as acute encephalopathy or convulsions are difficult to diagnose, given that they may be a manifestation of several neurological and non-neurological disorders. Some of the neurological disorders that require intensive care, such as head injury and several forms of acute encephalopathy, are associated with high morbidity and mortality.

Key words:
Pediatric intensive care unit
Convulsions
Acute encephalopathy
Neuropediatrics
Head injury
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