Archivos argentinos de pediatría
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Arch Argent Pediatr · Jun 2015
Multicenter Study Observational StudyValidation of the Pediatric Index of Mortality 2 (PIM2) in Argentina: a prospective, multicenter, observational study.
The Pediatric Index of Mortality 2 (PIM2) is one of the most commonly used scoring systems to predict mortality in patients admitted to pediatric intensive care units (PICU) in Argentina. The objective of this study was to validate the PIM2 score in PICUs participating in the Quality of Care Program promoted by the Argentine Society of Intensive Care. ⋯ The PIM2 score adequately discriminates survivors from non-survivors. However, it underscores the overall risk of death, especially in adolescent patients and those hospitalized due to respiratory disease. It is critical to take such differences into account when interpreting results.
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Arch Argent Pediatr · Apr 2015
[Flexible Fiberoptic Bronchoscopy in children with persistent atelectasis: a case series report].
Most patients with pulmonary atelectasis have complete resolution with medical therapy. In patients with persistent atelectasis, endoscopic treatment has proven to be an effective therapy. ⋯ Flexible bronchoscopy proved to be a safe and effective tool for the treatment of children with persistent atelectasis.
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Arch Argent Pediatr · Jan 2015
[Procalcitonin as a diagnostic biomarker of sepsis in children with cancer, fever and neutropenia: literature review].
Among cancer and septic patients, there is a deregulation of common events such as inflammation. This fact limits the use of biomarkers to diagnose sepsis. ⋯ The procalcitonin values were not modified by the use of chemotherapy or steroids. In the past few years, encouraging results have been obtained when using it as a biomarker in children with cancer, particularly with neutropenia and fever.