Tratamiento prehospitalario y de urgencias del traumatismo craneoencefálico pediátrico: estudio multicéntrico

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dc.contributor.authorMai, Gawin
dc.contributor.authorHau Lee, Jan
dc.contributor.authorCaporal, Paula
dc.contributor.authorRoa, Juan D.G.
dc.contributor.authorGonzález Dambrauskas, Sebastián
dc.contributor.authorZhu, Yanan
dc.contributor.authorYock Corrales, Adriana
dc.contributor.authorAbbas, Qalab
dc.contributor.authorKazzaz, Yasser
dc.contributor.authorDewi, Dianna Sri
dc.contributor.authorChong, Shu-Ling
dc.contributor.authorTurina, Deborah M.
dc.contributor.authorDomínguez Rojas, Jesús A.
dc.contributor.authorPilar Orive, Francisco J.
dc.contributor.authorGan, Chin Seng
dc.contributor.authorDiaz Villalobos, Willmer E.
dc.contributor.authorArdila, Ivan J.
dc.contributor.authorSamransamruajkit, Rujipat
dc.contributor.authorFonseca, Marisol
dc.contributor.authorAparicio, Gabriela
dc.contributor.authorJaramillo Bustamante, Juan C.
dc.contributor.authorLee, Pei Chuen
dc.contributor.authorTeran, Thelma E
dc.contributor.authorMonteverde Fernández, Nicolás
dc.contributor.authorMiñambres Rodríguez, María
dc.contributor.authorLiu, Chunfeng
dc.contributor.authorZhang, Tao
dc.contributor.authorMing, Meixiu
dc.contributor.authorDang, Hongxing
dc.contributor.authorKurosawa, Hiroshi
dc.contributor.authorPantoja Chamorro, Freddy Israel
dc.contributor.authorLasso Noguera, Deiby
dc.contributor.authorCerón, Esteban
dc.contributor.authorGómez Arriola, Natalia
dc.contributor.authorLasso Palomino, Rubén Eduardo
dc.date.accessioned2023-10-09T19:47:24Z
dc.date.available2023-10-09T19:47:24Z
dc.date.issued2023
dc.description.abstractOBJETIVO Existe una escasez de información sobre la atención al traumatismo craneoencefálico (TCE) pediátrico en Asia y Latinoamérica. En este estudio, los autores se propusieron describir las prácticas clínicas de los servicios de urgencias (SU) participantes en el estudio Saline in Asia and Latin-America Neurotrauma in the Young (SALTY), comparando los centros de trauma designados (CTD) y los centros no traumatológicos (CNT) de sus redes. MÉTODOS Los autores llevaron a cabo un estudio de encuesta sobre el manejo del TCE pediátrico en los SUH de 14 países. Dos centros europeos se unieron a otros centros participantes de Asia y Latinoamérica. Las preguntas se formularon tras una revisión crítica de las directrices actuales sobre LCT y las encuestas publicadas. Los autores realizaron un análisis descriptivo y estratificaron los centros en función del estado de la LCT. RESULTADOS De los 24 centros que respondieron (70,6%), el 50,0% eran CDT, el 70,8% tenían afiliaciones académicas y todos los centros se encontraban en entornos urbanos. Los servicios prehospitalarios centralizados trasladaron predominantemente a los pacientes a los CTD en comparación con los enviados a los CNT (83,3% frente a 41,7%, p = 0,035). Un mayor número de CNT recibió a la mayoría de sus pacientes directamente desde el lugar del traumatismo en comparación con los CDT (66,7% frente a 25,0%, p = 0,041). Diez centros (41,7%) informaron del uso de una guía de manejo de LCT, y 15 (62,5%) implementaron protocolos de TC. Diez CDT informaron de la implementación de estrategias de intervención para la sospecha de presión intracraneal elevada (PIC) antes de realizar una TC, y 6 CNT también siguieron esta práctica (83,3% vs 50,0%, p = 0,083). El manejo en urgencias de los niños con TCE fue comparable entre los CTD y los CTN en los siguientes aspectos: neuroimagen, manejo de las vías respiratorias, monitorización de la PIC, reanimación con líquidos, tratamiento anticoagulante y control de la glucosa sérica. La terapia de hiperventilación para la PIC elevada se utilizó en el 33,3% de los centros. CONCLUSIONES Este estudio evaluó el manejo y la infraestructura de la LCT pediátrica entre 24 centros. Se observaron diferencias limitadas en la atención prehospitalaria y el manejo en urgencias de los pacientes pediátricos con LCT entre los centros de atención primaria y los centros de atención especializada. Tanto los CTD como los CNT mostraron variaciones en la implementación de las directrices actuales de manejo de la LCT. Existe una necesidad urgente de investigar las barreras específicas para la implementación de directrices en estas regiones. AANS 2023.spa
dc.description.abstractenglishOBJECTIVE There is a paucity of information on pediatric traumatic brain injury (TBI) care in Asia and Latin America. In this study, the authors aimed to describe the clinical practices of emergency departments (EDs) participating in the Saline in Asia and Latin-America Neurotrauma in the Young (SALTY) study, by comparing designated trauma centers (DTCs) and nontrauma centers (NTCs) in their networks. METHODS The authors performed a site survey study on pediatric TBI management in the EDs in 14 countries. Two European centers joined other participating sites in Asia and Latin America. Questions were formulated after a critical review of current TBI guidelines and published surveys. The authors performed a descriptive analysis and stratified centers based on DTC status. RESULTS Of 24 responding centers (70.6%), 50.0% were DTCs, 70.8% had academic affiliations, and all centers were in urban settings. Patients were predominantly transferred to DTCs by centralized prehospital services compared to those sent to NTCs (83.3% vs 41.7%, p = 0.035). More NTCs received a majority of their patients directly from the trauma scene compared to DTCs (66.7% vs 25.0%, p = 0.041). Ten centers (41.7%) reported the use of a TBI management guideline, and 15 (62.5%) implemented CT protocols. Ten DTCs reported implementation of intervention strategies for suspected raised intracranial pressure (ICP) before conducting a CT scan, and 6 NTCs also followed this practice (83.3% vs 50.0%, p = 0.083). ED management for children with TBI was comparable between DTCs and NTCs in the following aspects: neuroimaging, airway management, ICP monitoring, fluid resuscitation, anticoagulant therapy, and serum glucose control. Hyperventilation therapy for raised ICP was used by 33.3% of sites. CONCLUSIONS This study evaluated pediatric TBI management and infrastructure among 24 centers. Limited differences in prehospital care and ED management for pediatric patients with TBI were observed between DTCs and NTCs. Both DTCs and NTCs showed variation in the implementation of current TBI management guidelines. There is an urgent need to investigate specific barriers to guideline implementation in these regions. © AANS 2023.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doi10.3171/2023.1.PEDS22456
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn19330707
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/11363
dc.language.isoeng
dc.publisherDuke-NUS Medical School, Singaporespa
dc.publisherChildren’s Intensive Care Unit, KK Women’s and Children’s Hospital, SingHealth Paediatrics Academic Clinical Programme, Duke-NUS Medical School, Singaporespa
dc.publisherPediatric Intensive Care Unit, Children’s Hospital “Sor Maria Ludovica”, Buenos Aires, Argentinaspa
dc.publisherPediatric Collaborative Latin American Network (LARed Network), Argentinaspa
dc.publisherPediatric Intensive Care Unit, Los Cobos Medical Center, Universidad del Bosque, Bogotá, Colombiaspa
dc.publisherDepartment of Pediatrics, Pediatric Intensive Care Unit, Hospital Pereira Rossell, School of Medicine, University of the Republic, Montevideo, Uruguayspa
dc.publisherSingapore Clinical Research Institute, Consortium for Clinical Research and Innovation, Singaporespa
dc.publisherEmergency Department, National Children’s Hospital “Dr. Carlos Saenz Herrera”, CCSS, San José, Costa Ricaspa
dc.publisherDepartment of Pediatrics and Child Health, Aga Khan University, Karachi, Pakistanspa
dc.publisherDepartment of Paediatrics, Ministry of National Guards Health Affairs, Riyadh, Saudi Arabiaspa
dc.publisherCollege of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabiaspa
dc.publisherKing Abdullah International Medical Research Centre, Riyadh, Saudi Arabiaspa
dc.publisherKK Research Centre, KK Women’s and Children’s Hospital, Singaporespa
dc.publisherDepartment of Emergency Medicine, KK Women’s and Children’s Hospital, SingHealth Paediatrics Academic Clinical Programme, SingHealth Emergency Medicine Academic Clinical Programme, Duke-NUS Medical School, Singaporespa
dc.publisherPediatric Intensive Care Unit, Ricardo Gutiérrez Children’s Hospital, Buenos Aires, Argentinaspa
dc.publisherArgentina Intensive Care Society (SATI), Buenos Aires, Argentinaspa
dc.publisherPediatric Intensive Care Update Program (PROTIPED), Editorial Médica Panamericana, Buenos Aires, Argentinaspa
dc.publisherMaster’s Degree Higher Education for Health Professionals, University Institute School of Medicine of the Italian Hospital (IUHI), Buenos Aires, Argentinaspa
dc.publisherDepartment of Pediatrics and Pediatric Critical Care Medicine, Hospital Nacional Hipolito Unanue, El Agustino, Peruspa
dc.publisherPediatric Intensive Care Medicine Subspecialty, National University of San Marcos, Lima, Peruspa
dc.publisherPediatric Chapter of the Peruvian Society of Intensive Care Medicine, Lima, Peruspa
dc.publisherPediatric Intensive Care Unit, Cruses University Hospital, Bizkaia, Barakaldo, Spainspa
dc.publisherDepartment of Pediatrics, University of Malaya, Kuala Lumpur, Malaysiaspa
dc.publisherPediatric and Neonate Intensive Care Unit, Maternal and Child Hospital, La Paz, Boliviaspa
dc.publisherPediatric Critical Care, Clinica UROS, Huila, Neiva, Colombiaspa
dc.publisherDepartment of Pediatrics, Pediatric Critical Care Division, King Chulalongkorn Memorial Hospital, Chulalongkorn University, Bangkok, Thailandspa
dc.publisherDepartment of Emergency Medicine, National Children’s Hospital “Dr. Carlos Saenz Herrera”, San José, Costa Ricaspa
dc.publisherPediatric Critical Care, Mexican Institute of Social Security, México City, Mexicospa
dc.publisherPediatric Critical Care Unit, HIAEP Sor María Ludovica, La Plata, Buenos Aires, Argentinaspa
dc.publisherPediatric Intensive Care Unit, General Hospital of Medellín “Luz Castro de Gutiérrez”, Medellín, Colombiaspa
dc.publisherPediatrics Department, UKM Specialist Children’s Hospital, Wilayah Persekutuan, Kuala Lumpur, Malaysiaspa
dc.publisherPediatric Intensive Care Unit, Children’s Hospital “Manuel Ascencio Villarroel”, Cochabamba, Boliviaspa
dc.publisherCritical Care Unit (CINP), Medica Uruguaya, Montevideo, Uruguayspa
dc.publisherPediatric Intensive Care Unit, Pediatrics Department, Virgen de la Arrixaca Hospital, Murcia, Spainspa
dc.publisherPediatrics Department, Misericordia Foundation Hospital, National University of Colombia, Bogota, Colombiaspa
dc.publisherPediatric Department, Shengjing Hospital, China Medical University, Liaoning, Shenyang, Chinaspa
dc.publisherDepartment of Pediatric Intensive Care Unit, Children’s Hospital of Fudan University, Shanghai, Chinaspa
dc.publisherDepartment of Pediatric Intensive Care Unit, Children’s Hospital of Chongqing Medical University, Chongqing, Chinaspa
dc.publisherDepartment of Pediatric Critical Care Medicine, Hyogo Prefectural Kobe Children’s Hospital, Kobe, Japanspa
dc.publisherPediatric Intensive Care Unit, Children’s Hospital Los Angeles, Pasto, Colombiaspa
dc.publisherPediatric Department, Universidad de Nariño, Pasto, Colombiaspa
dc.publisherEmergency Department, Hospital del Trauma, Asunción, Paraguayspa
dc.publisherPediatric Intensive Care Unit, Fundación Valle del Lili Hospital, Valle del Cauca, Cali, Colombiaspa
dc.publisher.journalJournal of Neurosurgery: Pediatrics Volume 31, Issue 6, Pages 598 - 606spa
dc.relation.urihttps://www.scopus.com/record/display.uri?eid=2-s2.0-85164560347&origin=inward&txGid=ec2aa90219ddcec7eb4d88c6e3965850
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/closedAccess
dc.rights.accessrightsinfo:eu-repo/semantics/closedAccess
dc.rights.accessrightshttps://purl.org/coar/access_right/c_14cb
dc.rights.accessrightsAcceso cerrado
dc.rights.localAcceso cerradospa
dc.subjectAsiaspa
dc.subjectServicio de urgenciasspa
dc.subjectDirectricesspa
dc.subjectAmérica Latinaspa
dc.subjectPediatríaspa
dc.subjectPrehospitalariospa
dc.subjectTraumatismo craneoencefálicospa
dc.subject.keywordsAsiaspa
dc.subject.keywordsEmergency departmentspa
dc.subject.keywordsGuidelinespa
dc.subject.keywordsLatin Americaspa
dc.subject.keywordsPediatricspa
dc.subject.keywordsPrehospitalspa
dc.subject.keywordsTraumatic brain injuryspa
dc.titleTratamiento prehospitalario y de urgencias del traumatismo craneoencefálico pediátrico: estudio multicéntricospa
dc.title.translatedPrehospital and emergency management of pediatric traumatic brain injury: a multicenter site surveyspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.coarversionhttps://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

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