Publicaciones científicas de los pediatras españoles de Atención Primaria en los últimos seis años (2015-2020) / Scientific publications of primary care paediatricians in Spain the last six years (2015-2020)

Introducción: la actividad asistencial debería ir siempre ligada a una investigación de calidad, ya que mediante el método científico se analizan y estudian los problemas para buscar sus causas o soluciones, formando parte de un proceso de mejora continua de la asistencia clínica. El objetivo del presente estudio es conocer la frecuencia de participación de los pediatras de Atención Primaria (PAP) como autores de publicaciones de las principales revistas pediátricas nacionales e internacionales. Material y métodos: estudio descriptivo transversal. Se realizó una revisión de las autorías de los artículos publicados en todas las revistas pediátricas nacionales y regionales y en las tres revistas internacionales pediátricas de mayor relevancia, en el periodo de tiempo comprendido desde el 1 de enero de 2015 al 30 de junio de 2020. Resultados: se revisaron 6398 artículos, 2030 artículos de revistas nacionales y 4368 artículos de revistas internacionales. En los artículos de revistas nacionales, había un PAP entre los autores en 410 (20,2%), participaban exclusivamente PAP en 117 (5,8%) y el primer firmante era un PAP en 258 (12,7%). En los artículos de revistas internacionales, 31 (0,71%) contienen entre sus firmantes algún autor español y solo 5 cuentan con la participación de al menos un PAP. Conclusiones: la actividad investigadora y de publicaciones de ámbito nacional de los PAP es baja. A nivel internacional, hay pocas publicaciones de los pediatras españoles en las principales revistas pediátricas, siendo muy minoritaria la presencia de publicaciones de PAP en estas revistas (AU)

Introduction: health care delivery should always be associated with quality research, as the scientific method is used to assess and investigate problems to identify their causes or solutions as part of an ongoing health care quality improvement process. The objective of our study was to determine the frequency with which primary care paediatricians (PCPs) in Spain contribute as authors of publications in the main national and international paediatric journals.Material and methods: descriptive cross-sectional study. We reviewed the authorship of the articles published in every Spanish national and regional paediatric journal and in the 3 most relevant international paediatric journals in the period ranging from January 1, 2015 to June 30, 2020.Results: the review included a total of 6398 articles, 2030 from national journals and 4368 articles from international journals. In the group of articles published in Spanish journals, we found authors that were PCPs in 410 (20.2%), with exclusive participation of PCPs in 117 (5.8%) and a PCP listed as the first author in 258 (12.7%). In articles published in international journals, 31 (0.71%) had a Spanish author in the list, and only 5 listed at least one Spanish PCP.Conclusions: involvement in research and contribution to national scientific journals is low among PCPs. At the international level, there are few publications by Spanish paediatricians in the main paediatric journals, with an extremely low number of contributions by PCPs in these journals. (AU)

Epinephrine Improves the Efficacy of Nebulized Hypertonic Saline in Moderate Bronchiolitis: A Randomised Clinical Trial.

BACKGROUND AND AIMS: There is no evidence that the epinephrine-3% hypertonic saline combination is more effective than 3% hypertonic saline alone for treating infants hospitalized with acute bronchiolitis. We evaluated the efficacy of nebulized epinephrine in 3% hypertonic saline. PATIENTS AND METHODS: We performed a randomized, double-blind, placebo-controlled clinical trial in 208 infants hospitalized with acute moderate bronchiolitis. Infants were randomly assigned to receive nebulized 3% hypertonic saline with either 3 mL of epinephrine or 3 mL of placebo, administered every four hours. The primary outcome measure was the length of hospital stay. RESULTS: A total of 185 infants were analyzed: 94 in the epinephrine plus 3% hypertonic saline group and 91 in the placebo plus 3% hypertonic saline group. Baseline demographic and clinical characteristics were similar in both groups. Length of hospital stay was significantly reduced in the epinephrine group as compared with the placebo group (3.94 ±1.88 days vs. 4.82 ±2.30 days, P = 0.011). Disease severity also decreased significantly earlier in the epinephrine group (P = 0.029 and P = 0.036 on days 3 and 5, respectively). CONCLUSIONS: In our setting, nebulized epinephrine in 3% hypertonic saline significantly shortens hospital stay in hospitalized infants with acute moderate bronchiolitis compared to 3% hypertonic saline alone, and improves the clinical scores of severity from the third day of treatment, but not before. TRIAL REGISTRATION: EudraCT 2009-016042-57.