Anales españoles de pediatría
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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. ⋯ 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.
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Child maltreatment, in it's different forms (physical, negligence, Münchausen syndrome by proxy, sexual abuses.), represents an important morbidity cause, especially in the first years of the life. Nowadays, the battered child syndrome includes forms of abuse and different degrees of negligence (moderate, serious and light) in which the physical abuse could be absent. Determination of the forms of abuse, their diagnosis, intervention and prevention, corresponds to multidisciplinary teams, in which the pediatrician has a crucial role.
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To study the patients who make unscheduled return vi-sits in less than week to a pediatric emergency department (ED). ⋯ Patients who revisit a pediatric ED within a week are more likely to be admitted to the hospital, especially if the diagnosis they receive varies.
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Clinical Trial Controlled Clinical Trial
[Effectiveness of hemodynamic treatment guided by gastric intramucosal pH monitoring].
To determine whether gastric intramucosal pH can be used as an indicator for the treatment of critically ill children. ⋯ We conclude that gastric intramucosal pHi can be useful as an indicator for the hemodynamic treatment of critically ill children.