Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)
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Multicenter Study
[Compliance with the PECARN and AEP guidelines in diagnostic approach of mild head trauma in patients younger than 24 months old].
Mild head trauma is a frequent complaint in Pediatric Emergency Departments. Several guidelines have been published in the last few years. However, significant variability can be appreciated in terms of the demand for image tests. The aim of this study is to determine the level of compliance with PECARN and AEP guidelines in the management of patients younger than 24 months old in four different hospitals. ⋯ The study shows that the level of compliance with guidelines for management of mild head trauma in patients younger than 24 months old is low.
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Multicenter Study Observational Study
[Sedation and analgesia practices among Spanish neonatal intensive care units].
Pain management and sedation is a priority in neonatal intensive care units. A study was designed with the aim of determining current clinical practice as regards sedation and analgesia in neonatal intensive care units in Spain, as well as to identify factors associated with the use of sedative and analgesic drugs. ⋯ Almost half of the neonates admitted to intensive care units receive sedatives or analgesics. There is significant variation between Spanish neonatal units as regards sedation and analgesia prescribing. Our results provide evidence on the "state of the art", and could serve as the basis of preparing clinical practice guidelines at a national level.
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Multicenter Study Comparative Study Observational Study
[Thromboprophylaxis in critically ill children in Spain and Portugal].
Although critically ill children may be at risk from developing deep venous thrombosis (DVT), data on its incidence and effectiveness of thromboprophylaxis are lacking. ⋯ Despite the presence of risk factors for DVT in many patients, thromboprophylaxis is rarely prescribed, with low molecular weight heparin being the most used drug. Passive thromboprophylaxis use is anecdotal. There should be a consensus on guidelines of thromboprophylaxis in critically ill children.
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Multicenter Study Comparative Study
[Regional differences in acute poisoning in under 14 year-old children in Spain].
The identification of variations in different profiles of pediatric poisonings may improve the prevention of these episodes. ⋯ The profiles of acute poisonings in children less than 14 years vary significantly between the different Spanish regions. An epidemiological Surveillance System is a good tool to collect information in order to design preventive actions.
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Multicenter Study
[Poisoning in children under age 7 in Spain. Areas of improvement in the prevention and treatment].
To prevent acute poisoning in children we need to know in which circumstances they occur. ⋯ The most frequent poisonings seen in SPED were caused by the accidental ingestion of drugs and household products by children less than 7 years-old at home. Drug poisoning was potentially more risky. Drug and household product storage education, proper drug dosage and administration, and good advice are the main issues to prevent these poisonings.