Antecedentes perinatales y hospitalización por bronquiolitis. Comparación con el Impact-RSV Study Group
Perinatal antecedents associated with hospitalization for bronchiolitis. a comparison with the impact-rsv study group
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"apellidos" => "López Muñoz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicios de Pediatría. Hospital Torrecárdenas" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicios de Pediatría. Hospital Poniente. Almería" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Unidad de Cuidados Intensivos Pediátrica. Hospital Torrecárdenas. Paraje Torrecárdenas, s/n. 04009 Almería" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Perinatal antecedents associated with hospitalization for bronchiolitis. a comparison with the impact-rsv study group" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-07-31" "fechaAceptado" => "2000-08-31" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186510" "palabras" => array:6 [ 0 => "Virus respiratorio sincitial" 1 => "Bronquiolitis" 2 => "Hospitalización" 3 => "Profilaxis" 4 => "Prematuridad" 5 => "Niños" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec186511" "palabras" => array:5 [ 0 => "Respiratory syncytial virus" 1 => "Bronchiolitis" 2 => "Hospitalisation" 3 => "Prophylaxis" 4 => "Prematurity Infants" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Describir la incidencia de hospitalización por bronquiolitis en los recién nacidos de nuestra población, analizar las repercusiones de la prematuridad y la enfermedad perinatal sobre la hospitalización de estos pacientes, y comparar los resultados con los obtenidos en el Impact-RSV Study Group.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo por revisión de historias clínicas. Se han estudiado las características perinatales de todos los recién nacidos y de los pacientes hospitalizados por bronquiolitis durante un período de 3 años.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">De 12.895 recién nacidos precisaron hospitalización por bronquiolitis 455 pacientes (3,52%). Fueron hospitalizados por bronquiolitis el 3,18% de los recién nacidos a término, el 8,6% de los pretérmino, el 9,8% de los que presentaban cardiopatía congénita y el 21,1 % de los prematuros que necesitaron ventilación mecánica durante el período neonatal. Los factores de riesgo relacionados con el ingreso en la Unidad de Cuidados Intensivos (UCI) fueron la edad posnatal inferior a 6 semanas (OR, 1,68; intervalo de confianza [IC] del 95%, 1,–8,19; p = 0,04) y la prematuridad (OR, 2,67; IC 95%, 1,–7,56; p = 0,006). La hospitalización por bronquiolitis por virus respiratorio sincitial (VRS) positivo es el 40 % inferior a la del Impact-RSV Study Group. Si se excluyen los recién nacidos con displasia broncopulmonar, cardiopatía congénita y ventilación mecánica neonatal, el porcentaje de ingresos VRS (+) en recién nacidos menores de 32 semanas de gestación es similar al de los nacidos entre las 32 y 35 semanas de gestación (3,4 frente a 4,3%, p > 0,10).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La ventilación mecánica neonatal, la displasia broncopulmonar y la cardiopatía congénita repercuten en el ingreso hospitalario y en la estancia media por bronquiolitis VRS (+ ) más que la edad gestacional de los recién nacidos</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To describe the rate of hospitalization for bronchiolitis among newborn infants in our environment, to evaluate the influence of prematurity and other perinatal conditions on hospitalization for bronchiolitis, and to compare our data with those of the Impact-RSV Study Group.</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Descriptive studying based on analysis of the perinatal data of all neonates and patients hospitalized for bronchiolitis during a 3-year period</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Among 12,895 newborn infants, 455 (3.52 %) required hospitalization for bronchiolitis. The hospitalization rate for bronchiolitis was 3.18% among term infants, 8.6% among preterm infants, 9.8% among infants with congenital heart disease and 21.1 % among preterm infants who required mechanical ventilation during the neonatal period. Intensive care unit admission was associated with postnatal age under 6 weeks (OR: 1.68; 95 % CI: –8.19; p = 0.04) and prematurity (OR: 2,67; 95% CI: –7.56; p = 0.006). The hospitalization rate for bronchiolitis was 40 % lower in our neonatal population than in that of the Impact-RSV Study Group. When infants with bronchopulmonary dysplasia, congenital heart disease and mechanical ventilation during the neonatal period were excluded, the hospitalization rate for respiratory syncytial virus (RSV) was not significantly different between infants born at < 32 weeks' gestation and those born at –35 weeks' gestation (3.4% vs 4.3%; p > 0.10).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Neonatal mechanical ventilation, bronchopulmonary dysplasia and congenital heart disease are more closely associated with hospitalization for RSV(+ ) bronchiolitis and mean length of stay than with gestational age</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:26 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 24 | 16 | 40 |
| 2024 Octubre | 206 | 53 | 259 |
| 2024 Septiembre | 262 | 39 | 301 |
| 2024 Agosto | 202 | 79 | 281 |
| 2024 Julio | 53 | 48 | 101 |
| 2024 Junio | 74 | 42 | 116 |
| 2024 Mayo | 67 | 56 | 123 |
| 2024 Abril | 78 | 43 | 121 |
| 2024 Marzo | 72 | 46 | 118 |
| 2024 Febrero | 57 | 45 | 102 |
| 2024 Enero | 170 | 30 | 200 |
| 2023 Diciembre | 89 | 21 | 110 |
| 2023 Noviembre | 87 | 34 | 121 |
| 2023 Octubre | 205 | 22 | 227 |
| 2023 Septiembre | 208 | 27 | 235 |
| 2023 Agosto | 132 | 22 | 154 |
| 2023 Julio | 89 | 37 | 126 |
| 2023 Junio | 76 | 29 | 105 |
| 2023 Mayo | 68 | 22 | 90 |
| 2023 Abril | 50 | 15 | 65 |
| 2023 Marzo | 30 | 24 | 54 |
| 2023 Febrero | 57 | 26 | 83 |
| 2023 Enero | 41 | 24 | 65 |
| 2022 Diciembre | 45 | 16 | 61 |
| 2022 Noviembre | 103 | 42 | 145 |
| 2022 Octubre | 94 | 49 | 143 |
| 2022 Septiembre | 82 | 23 | 105 |
| 2022 Agosto | 121 | 50 | 171 |
| 2022 Julio | 96 | 48 | 144 |
| 2022 Junio | 46 | 35 | 81 |
| 2022 Mayo | 74 | 37 | 111 |
| 2022 Abril | 71 | 38 | 109 |
| 2022 Marzo | 114 | 41 | 155 |
| 2022 Febrero | 100 | 26 | 126 |
| 2022 Enero | 99 | 48 | 147 |
| 2021 Diciembre | 71 | 40 | 111 |
| 2021 Noviembre | 125 | 60 | 185 |
| 2021 Octubre | 158 | 65 | 223 |
| 2021 Septiembre | 119 | 54 | 173 |
| 2021 Agosto | 116 | 40 | 156 |
| 2021 Julio | 118 | 34 | 152 |
| 2021 Junio | 140 | 42 | 182 |
| 2021 Mayo | 115 | 43 | 158 |
| 2021 Abril | 332 | 125 | 457 |
| 2021 Marzo | 274 | 45 | 319 |
| 2021 Febrero | 221 | 28 | 249 |
| 2021 Enero | 158 | 39 | 197 |
| 2020 Diciembre | 164 | 26 | 190 |
| 2020 Noviembre | 179 | 23 | 202 |
| 2020 Octubre | 203 | 27 | 230 |
| 2020 Septiembre | 196 | 17 | 213 |
| 2020 Agosto | 181 | 19 | 200 |
| 2020 Julio | 209 | 27 | 236 |
| 2020 Junio | 195 | 15 | 210 |
| 2020 Mayo | 274 | 35 | 309 |
| 2020 Abril | 185 | 23 | 208 |
| 2020 Marzo | 158 | 13 | 171 |
| 2020 Febrero | 131 | 33 | 164 |
| 2020 Enero | 127 | 20 | 147 |
| 2019 Diciembre | 101 | 32 | 133 |
| 2019 Noviembre | 86 | 19 | 105 |
| 2019 Octubre | 111 | 21 | 132 |
| 2019 Septiembre | 126 | 24 | 150 |
| 2019 Agosto | 138 | 21 | 159 |
| 2019 Julio | 113 | 41 | 154 |
| 2019 Junio | 87 | 41 | 128 |
| 2019 Mayo | 103 | 24 | 127 |
| 2019 Abril | 91 | 23 | 114 |
| 2019 Marzo | 107 | 19 | 126 |
| 2019 Febrero | 88 | 14 | 102 |
| 2019 Enero | 82 | 23 | 105 |
| 2018 Diciembre | 70 | 18 | 88 |
| 2018 Noviembre | 72 | 19 | 91 |
| 2018 Octubre | 113 | 6 | 119 |
| 2018 Septiembre | 72 | 7 | 79 |
| 2018 Agosto | 1 | 0 | 1 |
| 2018 Junio | 2 | 0 | 2 |
| 2018 Mayo | 10 | 0 | 10 |
| 2018 Abril | 29 | 1 | 30 |
| 2018 Marzo | 22 | 0 | 22 |
| 2018 Febrero | 31 | 0 | 31 |
| 2018 Enero | 13 | 0 | 13 |
| 2017 Diciembre | 25 | 0 | 25 |
| 2017 Noviembre | 28 | 0 | 28 |
| 2017 Octubre | 23 | 0 | 23 |
| 2017 Septiembre | 31 | 0 | 31 |
| 2017 Agosto | 25 | 0 | 25 |
| 2017 Julio | 29 | 0 | 29 |
| 2017 Junio | 42 | 19 | 61 |
| 2017 Mayo | 42 | 19 | 61 |
| 2017 Abril | 32 | 10 | 42 |
| 2017 Marzo | 25 | 19 | 44 |
| 2017 Febrero | 17 | 5 | 22 |
| 2017 Enero | 20 | 3 | 23 |
| 2016 Diciembre | 78 | 16 | 94 |
| 2016 Noviembre | 113 | 6 | 119 |
| 2016 Octubre | 133 | 16 | 149 |
| 2016 Septiembre | 110 | 13 | 123 |
| 2016 Agosto | 71 | 6 | 77 |
| 2016 Julio | 42 | 3 | 45 |
| 2016 Junio | 1 | 0 | 1 |
| 2016 Abril | 2 | 0 | 2 |
| 2016 Marzo | 4 | 0 | 4 |
| 2016 Febrero | 2 | 0 | 2 |
| 2016 Enero | 1 | 0 | 1 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Noviembre | 1 | 0 | 1 |
| 2015 Octubre | 2 | 0 | 2 |
| 2015 Septiembre | 1 | 0 | 1 |
| 2015 Agosto | 1 | 0 | 1 |
| 2015 Julio | 12 | 0 | 12 |
| 2015 Junio | 8 | 0 | 8 |
| 2015 Mayo | 9 | 0 | 9 |
| 2015 Abril | 14 | 0 | 14 |
| 2015 Marzo | 20 | 0 | 20 |
| 2015 Febrero | 5 | 0 | 5 |
| 2015 Enero | 9 | 0 | 9 |
| 2014 Diciembre | 10 | 1 | 11 |
| 2014 Noviembre | 5 | 0 | 5 |
| 2014 Octubre | 7 | 0 | 7 |
| 2014 Septiembre | 8 | 0 | 8 |
| 2014 Agosto | 6 | 0 | 6 |
| 2014 Julio | 8 | 0 | 8 |
| 2014 Junio | 16 | 0 | 16 |
| 2014 Mayo | 17 | 2 | 19 |
| 2014 Abril | 13 | 0 | 13 |
| 2014 Marzo | 12 | 5 | 17 |
| 2014 Febrero | 8 | 5 | 13 |
| 2014 Enero | 23 | 7 | 30 |
| 2013 Diciembre | 18 | 11 | 29 |
| 2013 Noviembre | 14 | 6 | 20 |
| 2013 Octubre | 26 | 6 | 32 |
| 2013 Septiembre | 17 | 4 | 21 |
| 2013 Agosto | 12 | 2 | 14 |
| 2013 Julio | 6 | 2 | 8 |
| 2013 Junio | 2 | 2 | 4 |
| 2013 Mayo | 4 | 1 | 5 |
| 2013 Abril | 10 | 1 | 11 |
| 2013 Marzo | 10 | 0 | 10 |
| 2013 Febrero | 28 | 1 | 29 |
| 2013 Enero | 22 | 1 | 23 |
| 2012 Diciembre | 14 | 0 | 14 |
| 2012 Noviembre | 12 | 3 | 15 |
| 2012 Octubre | 6 | 1 | 7 |
| 2012 Septiembre | 2 | 0 | 2 |
| 2012 Agosto | 0 | 1 | 1 |
| 2000 Diciembre | 4328 | 0 | 4328 |
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