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An Pediatr (Barc) 2019 Apr 12. Epub 2019 Apr 12.

Hospital Infantil, Sección Pediatría Hospitalizados, Hospital General Universitario Gregorio Marañón, Madrid, España.

Introduction: High-flow nasal cannula (HFNC) is a safe and effective treatment in bronchiolitis in paediatric wards. The optimal flow on starting HFNC is still unknown. The main aim of this study was to determine if there were differences in clinical outcome of patients according the initial flow. Read More

An Pediatr (Barc) 2019 Apr 12. Epub 2019 Apr 12.

Dispositivo de Cuidados Críticos y Urgencias (DCCU), Área de Gestión Sanitaria Sur de Sevilla, Servicio Andaluz de Salud, Sevilla, España.

An Pediatr (Barc) 2019 Apr 11. Epub 2019 Apr 11.

Servicio de Cirugía Oral y Maxilofacial, Complejo Hospitalario Universitario A Coruña, A Coruña, España.

An Pediatr (Barc) 2019 Apr 11. Epub 2019 Apr 11.

Servicio de Cirugía Pediátrica, Hospital Universitario Son Espases, Palma de Mallorca, Islas Baleares, España.

An Pediatr (Barc) 2019 Apr 11. Epub 2019 Apr 11.

Escuela Andaluza de Salud Pública, Granada, España.

An Pediatr (Barc) 2019 Apr 10. Epub 2019 Apr 10.

Servicio de Neonataologia B, Maternidade Bissaya Barreto, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.

Introduction: The purpose of this study was to assess the neonatal morbidity and mortality associated with vacuum-assisted vaginal deliveries compared to all other vaginal deliveries, and to identify the associated risk factors.

Material And Methods: We conducted a retrospective case-control study in a level iii maternity hospital between 2012 and 2016, including 1,802 vacuum-assisted vaginal deliveries and 2control groups: 1802 spontaneous deliveries and 909 forceps-assisted deliveries. We considered minor complications (soft tissue trauma, cephalohaematoma, jaundice, intensive phototherapy, transient brachial plexus injury) and major complications (hypoxic-ischaemic encephalopathy, intracranial and subgaleal haemorrhage, seizures, cranial fracture, permanent brachial plexus injury), admission to the neonatal intensive care unit and death. Read More

An Pediatr (Barc) 2019 Apr 10. Epub 2019 Apr 10.

Amado Clínica Pediátrica, Pontevedra, España.

An Pediatr (Barc) 2019 Apr 10. Epub 2019 Apr 10.

Unidad de Reumatología Pediátrica, Servicio de Pediatría, Hospital Universitario 12 de Octubre, Madrid, España; Departamento de Pediatría, Universidad Complutense de Madrid, Madrid, España.

An Pediatr (Barc) 2019 Apr 9. Epub 2019 Apr 9.

Hospital Universitario San Ignacio, Bogotá, Colombia; Pontificia Universidad Javeriana, Bogotá, Colombia.

Introduction: Neonatal jaundice is common, especially in premature infants. Compliance with treatment protocols and standard serum bilirubin curves forces the clinician to separate the child from the mother after birth for short phototherapy. The objective of this study is to evaluate the effectiveness and safety of two innovative devices for phototherapy including a LED light mesh: one sleeping bag and one blanket compared to conventional hospital or ambulatory phototherapy. Read More

An Pediatr (Barc) 2019 Apr 10. Epub 2019 Apr 10.

Sociedad Española de Infectología Pediátrica (SEIP), España; Comité de Medicamentos de la Asociación Española de Pediatría (CM-AEP), España.

Urinary tract infection (UTI) is defined as the growth of microorganisms in a sterile urine culture in a patient with compatible clinical symptoms. The presence of bacteria without any symptoms is known as asymptomatic bacteriuria, and does not require any treatment. In neonates and infants, fever is the guiding sign to suspecting a UTI. Read More

An Pediatr (Barc) 2019 Apr 8. Epub 2019 Apr 8.

UGC Cirugía Pediátrica, Hospital Universitario Reina Sofía, Córdoba, España.

Introduction And Objectives: Ovarian tumours are rare in childhood, and account for 1-5% of all tumours. The aim of this study is to determine the epidemiological features, histological subtypes, and therapeutic management of ovarian solid ovarian tumours of the paediatric population of the province of Cordoba, in Spain.

Material And Methods: A retrospective, descriptive, observational and institutional study was conducted in which a review was made of the clinical histories of patients younger than 14years-old diagnosed with ovarian tumours, excluding secondary tumours in a University Hospital between 1994 and 2017. Read More

An Pediatr (Barc) 2019 Apr 7. Epub 2019 Apr 7.

Servicio de Radiología, Complejo Asistencial Universitario de León, León, España.

An Pediatr (Barc) 2019 Apr 7. Epub 2019 Apr 7.

Servicio de Pediatría, Hospital Clínico Universitario, Santiago de Compostela, España.

Introduction: Vaccines against rotavirus (RV) have been available in Spain since 2006, but they are neither recommended nor financed by the National Health System. Nevertheless, through recommendations of the Spanish Association of Paediatrics vaccination has achieved intermediate coverage.

Material And Methods: A systematic literature review was performed on studies carried out in Spain in the last 12 years (2006-2018) on RV infection and vaccination. Read More

An Pediatr (Barc) 2019 Apr 7. Epub 2019 Apr 7.

Escuela de Terapia Gestalt Kayros, Sevilla, España.

An Pediatr (Barc) 2019 Apr 7. Epub 2019 Apr 7.

Hospital General Universitario Gregorio Marañón, Madrid, España.

The care of the umbilical cord until its detachment still remains controversial. The latest updated recommendations by the World Health Organisation advocate dry cord care in those countries with adequate obstetric care and low neonatal mortality rate. In recent years, new studies and reviews attribute some benefit to applying chlorhexidine on the umbilical stump. Read More

An Pediatr (Barc) 2019 Apr 5. Epub 2019 Apr 5.

Servicio de Neonatología, Hospital 12 de Octubre, Madrid, España.

An Pediatr (Barc) 2019 Apr 4. Epub 2019 Apr 4.

Servicio de Pediatría, Hospital Universitario Fundación Jiménez Díaz, Madrid, España; Unidad Multidisciplinar del Sueño, Hospital Universitario Fundación Jiménez Díaz, Madrid, España.

An Pediatr (Barc) 2019 Apr 4. Epub 2019 Apr 4.

Unidad de Electrofisiología Pediátrica, Servicio de Cardiología Pediátrica, Hospital Royal Brompton and Harefield NHS Fundation Trust, Londres, Reino Unido.

An Pediatr (Barc) 2019 Apr 2. Epub 2019 Apr 2.

Servicio de Cardiología Infantil, Hospital Sant Joan de Déu-Clínic, Universidad de Barcelona, Barcelona, España; Servicio de Cuidados Críticos, University of Pittsburgh School of Medicine, Children's Hospital Pittsburgh of UPMC, Pittsburgh, Estados Unidos.

Introduction: Pulmonary atresia with intact ventricular septum and critical pulmonary stenosis in newborns encompasses a wide spectrum of disease, including cases with significant right ventricular hypoplasia and coronary artery to right ventricle fistulae, which may be considered a contraindication for decompression of the right ventricle. The aim of this study was to review the middle- and long-term outcomes of these patients over 20 years and identify differential factors between both groups, including patients with coronary artery fistulae.

Patients And Methods: We performed a descriptive retrospective study by identifying all patients that received a diagnosis of pulmonary atresia with intact ventricular septum and critical pulmonary stenosis between January 1996 and January 2018. Read More

An Pediatr (Barc) 2019 Mar 16. Epub 2019 Mar 16.

Unidad de Cuidados Paliativos Pediátricos, Servicio de Pediatría, Hospital Infantil Universitario del Niño Jesús, Madrid, España.

Introduction: Patients may be admitted to hospital by paediatric palliative care units (PPCU) for different reasons, due to their different needs and clinical problems. The objective of this study is to present the data of patients admitted to the PPCU of the Autonomous Community of Madrid.

Methods: Descriptive retrospective study was conducted by reviewing the clinical records of the PPCU between January 2011 and December 2016. Read More

An Pediatr (Barc) 2019 Mar 14. Epub 2019 Mar 14.

Servicio de Anestesiología y Reanimación, Hospital Universitario Puerta del Mar, Cádiz, España.

An Pediatr (Barc) 2019 Mar 11. Epub 2019 Mar 11.

Servicio de Cirugía Pediátrica, Hospital Universitario 12 de Octubre, Madrid, España; Servicio de Cirugía General de Cirugía Pediátrica, Hospital Universitario 12 de Octubre, Madrid, España.

An Pediatr (Barc) 2019 Mar 11. Epub 2019 Mar 11.

Servicio de Pediatría, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España; Unidad de Enfermedades Metabólicas, Servicio de Pediatría, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España.

An Pediatr (Barc) 2019 Mar 8. Epub 2019 Mar 8.

Facultad de Ciencias de la Salud, Universidad Pública de Navarra, Pamplona, España.

Background: Infant mortality is an indicator of child health, and an explanatory variable to reflect the socioeconomic development of a country. We aimed to examine the changes and trends of infant mortality in the European Union (EU) and its 28 member states in the 1994-2015 period.

Methods: We extracted data of deaths in children aged less than one year between 1994 and 2015 from the Eurostat database. Read More

An Pediatr (Barc) 2019 Mar 2. Epub 2019 Mar 2.

Unidad de Reumatología Pediátrica, Hospital Universitario Doce de Octubre, Madrid, España; Departamento de Salud Pública y Materno-Infantil, Universidad Complutense de Madrid, Madrid, España.

An Pediatr (Barc) 2019 Mar 2. Epub 2019 Mar 2.

Unidad de Alergia Infantil, Área de Gestión Clínica de Pediatría, Hospital Universitario Central de Asturias, Oviedo, España.

An Pediatr (Barc) 2019 Mar 2. Epub 2019 Mar 2.

Sección de Enfermedades Infecciosas, Servicio de Pediatría, Hospital General Universitario Gregorio Marañón, Madrid, España; Universidad Complutense de Madrid, Madrid, España.

Introduction: Invasive group A streptococcal disease (iGASD) is a serious infection in children. Several studies have shown an increased incidence in the past years.

Objective: To evaluate the characteristics and outcome of iGASD in children, and to determine changes in incidence or severity. Read More

An Pediatr (Barc) 2019 Feb 26. Epub 2019 Feb 26.

Servicio de Neurocirugía Pediátrica, Hospital Sant Joan de Déu, Barcelona, España.

An Pediatr (Barc) 2019 Feb 25. Epub 2019 Feb 25.

Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, España; Sección de Endocrinología Pediátrica, Hospital Regional Universitario de Málaga, Málaga, España.

An Pediatr (Barc) 2019 Feb 22. Epub 2019 Feb 22.

Hospital Germans Trias i Pujol, Badalona, Barcelona, España.

An Pediatr (Barc) 2019 Feb 22. Epub 2019 Feb 22.

Sección de Pediatría Crítica, Cuidados Intermedios y Paliativos Pediátricos, Hospital Clínico Universitario de Santiago de Compostela, A Coruña, España.

Objective: To describe the different types of child deaths in Paediatric Intensive Care Units (PICU) in Spain, and to analyse the characteristics of those dying from a limitation of therapeutic efforts (LET).

Method: A multicentre retrospective study by conducted by reviewing the hospital discharge reports corresponding to deceased patients in 8 Spanish PICUs between 2011 and 2017.

Results: A total of 337 deaths were recorded, of which 151 (50'7%) occurred after a decision of LET, while 114 (33'8%) were due to an indicated, but failed, cardiopulmonary resuscitation, and 52 (15. Read More

An Pediatr (Barc) 2019 Feb 20. Epub 2019 Feb 20.

Servicio de Neurología, Hospital Universitario Niño Jesús, Madrid, España.

An Pediatr (Barc) 2019 Feb 20. Epub 2019 Feb 20.

Unidad de Enfermedades Infecciosas, Servicio de Pediatría, Hospital Universitario Virgen de la Arrixaca, El Palmar, Murcia, España.

Introduction: Influenza is a generally a benign disease, but occasionally it can cause serious complications. There is controversy about the benefits of antiviral treatment.

Objectives: To provide some recommendations on the treatment with oseltamivir in paediatric patients with influenza, based on the best data available and valid in our environment. Read More

An Pediatr (Barc) 2019 Feb 20. Epub 2019 Feb 20.

Hospital Sant Joan de Déu , Esplugues de Llobregat, Barcelona, España.

Introduction: Despite there being limited evidence, non-invasive ventilation (NIV) has become a common treatment for acute respiratory failure (ARF). The aim of this study was to identify the predictive factors of NIV failure, in order to enable early detection of patients failing the treatment.

Patients And Methods: Prospective cohort study was conducted that included all ARF patients that received NIV as the initial treatment between 2005 and 2009 in a fourteen-bed Paediatric Intensive Care Unit (PICU) of a tertiary university hospital. Read More

An Pediatr (Barc) 2019 Feb 19. Epub 2019 Feb 19.

Departamento de Medicina Física y Rehabilitación, Hospital Universitario Regional de Málaga, Málaga, España.

Objective: To evaluate the impact of the sedation-analgesia technique on the pain experienced by the patient.

Methods: This cross-sectional study was conducted on consecutive patients with cerebral palsy (CP) who underwent infiltration with botulinum toxin A (BoTNA). The patients were divided into 4 different groups according to the analgesic strategy assigned: Group I, without sedation or topical anaesthetic cream; Group II, inhalation of nitrous oxide; Group III, deep intravenous sedation; and Group IV, light sedation with benzodiazepines. Read More

An Pediatr (Barc) 2019 Feb 16. Epub 2019 Feb 16.

Servicio de Pediatría Hospitalaria, Enfermedades Infecciosas y Tropicales, Hospital Infantil Universitario La Paz, Instituto de Investigación IdiPAZ, Madrid, España. Electronic address:

An Pediatr (Barc) 2019 Feb 16. Epub 2019 Feb 16.

Unidad de Epidemiología, Instituto de Investigación Sanitaria-Hospital Universitario Fundación Jiménez Díaz, Universidad Autónoma de Madrid, Madrid, España. Electronic address:

An Pediatr (Barc) 2019 Feb 16. Epub 2019 Feb 16.

Unidad de Reumatología Pediátrica, Servicio de Pediatría, Hospital Universitario 12 de Octubre, Departamento de Salud Pública y Materno-Infantil, Universidad Complutense de Madrid, Madrid, España.

Introduction: Synovial fluid (SF) analysis is an important tool for the diagnosis of patients with juvenile idiopathic arthritis (JIA).

Patients And Methods: A retrospective analysis was carried out of cytological features of SF samples obtained from patients with JIA during the period 2008-2016.

Results: A total of 102 SF samples from 59 patients were analysed. Read More

An Pediatr (Barc) 2019 Feb 15. Epub 2019 Feb 15.

UGC médico quirúrgica de la infancia, UCIP, Hospital Materno infantil Virgen de las Nieves, Universidad de Granada Ciber-EHD, Granada, España. Electronic address:

Introduction: Drug-induced liver injury due to chemotherapy is an important cause of morbidity in cancer patients, although its clinical manifestations are poorly understood.

Objective: The objective of the present study was to determine the characteristics (forms of presentation, severity, and type of injury) of hepatotoxicity due to chemotherapy in children treated for cancer.

Patients And Method: A total of 22 oncological patients were included in the study, after ruling out other causes of increased transaminases (infectious, metabolic, autoimmune, or hereditary), according to the CIOMS causality scale, it is concluded that it was a possible, probable or definite episode of hepatic injury by drugs. Read More

An Pediatr (Barc) 2019 Mar 15;90(3):194.e1-194.e11. Epub 2019 Feb 15.

UISYS, Unidad Mixta de Investigación, Universitat de València-CSIC, Valencia, España; Instituto de Gestión de la Innovación y del Conocimiento-Ingenio (CSIC-Universitat Politècnica de València), Valencia, España.

Purpose: To analyse the coverage and main bibliometric indicators of ANALES DE PEDIATRÍA in Scopus and Science Citation Index Expanded of the Web of Science (SCIE) databases.

Material And Method: The evolution of the journal production was identified according to the document types, collaboration indexes between authors and institutions, and citations, and impact indicators (number of citations, impact factor, 5-years impact factor and without self-citations, Scimago Journal Rank, quartile, h index and most cited works).

Results: A total of 10,128 papers were included in Scopus (a mean of around 225 per year) and 1,861 in SCIE (a mean of around 207 per year). Read More

An Pediatr (Barc) 2019 Feb 15. Epub 2019 Feb 15.

Unidad de Cardiología Pediátrica, Unidad de Gestión Clínica de Pediatría, Hospital Materno Infantil, Hospital Regional Universitario de Málaga, Málaga, España.

An Pediatr (Barc) 2019 Feb 15. Epub 2019 Feb 15.

Unidad de Cuidados Intensivos Neonatales, Servicio de Pediatría, Hospital Universitario de Burgos, Burgos, España.

Introduction: Patent ductus arteriosus (PDA) is considered a risk factor for necrotising enterocolitis (NEC) and other gastrointestinal complications in preterm infants. The aim of this study is to determine whether there is a higher incidence of abdominal surgery and the associated morbidity and mortality in preterm infants who require treatment due to a significant PDA.

Methods: An observational study was conducted that included preterm infants with <37 weeks of gestational age, and a diagnosis of PDA in the last 10 years. Read More

An Pediatr (Barc) 2019 Feb 15. Epub 2019 Feb 15.

Grupo SEN34-36/ACUNA, Sociedad Española de Neonatología, España; Servicio de Pediatría-Neonatología, SCIAS, Hospital Barcelona, Barcelona, España.

The population of late preterm infants (PT), those born between 34+0 and 36+6 weeks of gestation, accounts for 70-74% of all premature infants, and is not specifically included in most of the follow-up protocols for preterm infants. For many years, PTs have been handled as if they were term newborns, which has led to a limited knowledge of their outcome in the medium and long term. Their neonatal morbidity is associated with a higher incidence of postnatal complications, with an increased rate of hospital re-admissions due to malnutrition, hyperbilirubinaemia, and respiratory problems, when compared to term infants. Read More

An Pediatr (Barc) 2019 Feb 14. Epub 2019 Feb 14.

Servicio de Pediatría, Complejo Hospitalario de Navarra, Pamplona, Navarra, España.

An Pediatr (Barc) 2019 Feb 14. Epub 2019 Feb 14.

Unidad de Radiología Pediátrica, Servicio de Radiodiagnóstico, Hospital Universitario Central de Asturias, Oviedo, Asturias, España.

An Pediatr (Barc) 2019 Feb 13. Epub 2019 Feb 13.

Sección de Neuropediatría, Hospital Materno Infantil Gregorio Marañón, Madrid, España.

Introduction: Continuous spikes and waves during slow sleep (CSWS) is an EEG pattern that appears during childhood, and is often associated with cognitive impairment. It can appear in the course of epileptic syndromes, as well as in benign epilepsy. The aim of this study is to analyse epidemiological and clinical characteristic of patients with CSWS, in order to describe possible predictive factors in their outcome. Read More

An Pediatr (Barc) 2019 Feb 13. Epub 2019 Feb 13.

Unidad de Epidemiología Clínica y Bioestadística, Complexo Hospitalario Universitario A Coruña (CHUAC)-Instituto de Investigación Biomédica A Coruña (INIBIC) Sergas, A Coruña, España.

Objective: To evaluate the prevalence of non-approved prescriptions (off-label and unlicensed) in a Neonatal Intensive Care Unit (NICU), and to describe factors of the neonate associated with its use.

Materials And Methods: Observational prospective study in a level III NICU during a 6-month period. Every prescription was analysed using the summary of product characteristics as a reference. Read More

An Pediatr (Barc) 2019 Feb 11. Epub 2019 Feb 11.

Facultad de Psicología, Instituto de Neurociencias del Principado de Asturias (INEUROPA), Universidad de Oviedo, Oviedo, España.

Introduction: The birth of a preterm child has a high family emotional cost. The aim of this study is to assess the quality of life of parents of children aged 5-7 years born prematurely (<1500g).

Participants And Methods: This is a cross-sectional study of a sample of parents of preterm infants admitted to a third level hospital in Spain between 2009 and 2011. Read More

An Pediatr (Barc) 2019 Feb 11. Epub 2019 Feb 11.

Insight Consulting & Research, Barcelona, España.

An Pediatr (Barc) 2019 Feb 7. Epub 2019 Feb 7.

Unidad Pediátrica, Servicio de Otorrinolaringología, Complejo Hospitalario Universitario A Coruña, A Coruña, España.