Los cuidados intensivos pediátricos en Latinoamérica / Pediatric intensive care in Latin America

Objetivo: Conocer cómo es la práctica de los cuidados intensivos pediátricos en Latinoamérica en comparación con 2 países europeos. Diseño: Recopilación y análisis de los datos presentados por los países miembros de la Sociedad Latinoamericana de Cuidado Intensivo Pediátrico (SLACIP), España y Portugal, en el Simposio de Intensivistas Pediátricos de Habla Española y Portuguesa realizado durante el V Congreso Mundial de Cuidado Intensivo Pediátrico. Ámbito: Unidades de cuidado intensivo pediátrico. Participantes: Intensivistas pediátricos representantes de los países que conforman la SLACIP, España y Portugal. Intervenciones: Ninguna. Variables de interés general: Se recolectaron, de cada país, indicadores de salud infantil, características de las instituciones de salud dedicadas al cuidado de los niños, unidades de cuidados intensivos pediátricos (UCIP), intensivistas pediátricos, procesos de certificación dentro de la especialidad, equipamiento de las diferentes unidades, casuística, cifras de mortalidad y principales problemas que requieren solución en cada uno de los países participantes. Resultados: Se analizaron los datos de 11 países, 9 latinoamericanos (Argentina, Colombia, Cuba, Chile, Ecuador, Honduras, México, República Dominicana y Uruguay) y 2 europeos (..) (AU)

Objective: To describe the practice of pediatric intensive care in Latin America and compare it with two European countries. Design: Analysis of data presented by member countries of the Sociedad Latinoamericana de Cuidado Intensivo Pediátrico (SLACIP), Spain and Portugal, in the context of a Symposium of Spanish and Portuguese speaking pediatric intensivists during the Fifth World Congress on Pediatric Intensive Care. Setting: Pediatric intensive care units (PICUs).Participants: Pediatric intensivists in representation of each member country of the SLACIP, Spain and Portugal. Interventions: None. Variables of interest: Each country presented its data on child health, medical facilities for children, pediatric intensive care units, pediatric intensivists, certification procedures, equipment, morbidity, mortality, and issues requiring intervention in each participating country. Results: Data from 11 countries was analyzed. Nine countries were from Latin America (Argentina, Colombia, Cuba, Chile, Ecuador, Honduras, México, Dominican Republic and Uruguay),and two from Europe (Spain and Portugal). Data from Bolivia and Guatemala were partially considered. Populational, institutional, and operative differences were identified. Mean PICU mortality was 13.29% in Latin America (..) (AU)

[Pediatric intensive care in Latin America]. / Los cuidados intensivos pediátricos en Latinoamérica.

OBJECTIVE: To describe the practice of pediatric intensive care in Latin America and compare it with two European countries. DESIGN: Analysis of data presented by member countries of the Sociedad Latinoamericana de Cuidado Intensivo Pediátrico (SLACIP), Spain and Portugal, in the context of a Symposium of Spanish and Portuguese - speaking pediatric intensivists during the Fifth World Congress on Pediatric Intensive Care. SETTING: Pediatric intensive care units (PICUs). PARTICIPANTS: Pediatric intensivists in representation of each member country of the SLACIP, Spain and Portugal. INTERVENTIONS: None. VARIABLES OF INTEREST: Each country presented its data on child health, medical facilities for children, pediatric intensive care units, pediatric intensivists, certification procedures, equipment, morbidity, mortality, and issues requiring intervention in each participating country. RESULTS: Data from 11 countries was analyzed. Nine countries were from Latin America (Argentina, Colombia, Cuba, Chile, Ecuador, Honduras, México, Dominican Republic and Uruguay), and two from Europe (Spain and Portugal). Data from Bolivia and Guatemala were partially considered. Populational, institutional, and operative differences were identified. Mean PICU mortality was 13.29% in Latin America and 5% in the European countries (P=0.005). There was an inverse relationship between mortality and availability of pediatric intensive care units, pediatric intensivists, number of beds, and number of pediatric specialty centers. Financial and logistic limitations, as well as deficiencies in support disciplines, severity of diseases, malnutrition, late admissions, and inadequate initial treatments could be important contributors to mortality at least in some of these countries. CONCLUSION: There are important differences in population, morbidity and mortality in critically ill children among the participating countries. Mortality shows an inverse correlation to the availability of pediatric intensive care units, intensive care beds, pediatric intensivists, and pediatric subspecialty centers.

Encuesta latinoamericana de nutrición en Cuidados Intensivos Pediátricos (ELAN-CIP) / The Latin-American survey on nutrition in pediatric intensive care (ELAN-CIP)

Introducción: El soporte nutricional artificial (SNA) es una técnica terapéutica importante en la atención del niño críticamente enfermo que no siempre se implementa en forma oportuna y correcta; adicionalmente, hay diferentes métodos para su aplicación que varían entre los diferentes centros e, incluso, entre los diferentes profesionales. Material y métodos: Encuesta transversal multicéntrica. Resultados: Participaron en la encuesta 14 países y 24 unidades de cuidados intensivos pediátricos (UCIP), la mayoría multidisciplinarias y pertenecientes a hospitales públicos y universitarios. El SNA preferido fue el enteral, administrado por vía gástrica e iniciado en las primeras 72h después del ingreso. Las técnicas de administración y de monitorización del SNA (enteral y parenteral) fueron variadas pero, en general, consistentes con las recomendaciones mundialmente aceptadas. Conclusiones: Las UCIP latinoamericanas prefieren un SNA enteral administrado precozmente después del ingreso por vía gástrica (AU)

Introduction: Artificial Nutrition Support (ANS) is an important therapeutic technique in the care of the critically ill child that is not always implemented appropriately and correctly. There are also different ways of applying it which varies between the different centres and, even among the different health professionals. Material Methods: A cross-sectional multicentre survey. Results: A total of 24 PICUs took part in 14 countries, the majority multidisciplinary and belonging to public and university hospitals. The preferred ANS was enteral, administrated by the gastric route and started within the first 72h after admission. The administration techniques and monitoring of the ANS, enteral and parenteral, were variable but generally consistent with the world-wide accept recommendations. Conclusions: Latin-American PICUs prefer enteral ANS administered by gastric feed soon after admission (AU)

[The Latin-American survey on nutrition in Pediatric Intensive Care (ELAN-CIP)]. / Encuesta LatinoAmericana de nutrición en Cuidados Intensivos Pediátricos (ELAN-CIP).

INTRODUCTION: Artificial Nutrition Support (ANS) is an important therapeutic technique in the care of the critically ill child that is not always implemented appropriately and correctly. There are also different ways of applying it which varies between the different centres and, even among the different health professionals. MATERIAL METHODS: A cross-sectional multicentre survey. RESULTS: A total of 24 PICUs took part in 14 countries, the majority multidisciplinary and belonging to public and university hospitals. The preferred ANS was enteral, administrated by the gastric route and started within the first 72h after admission. The administration techniques and monitoring of the ANS, enteral and parenteral, were variable but generally consistent with the world-wide accept recommendations. CONCLUSIONS: Latin-American PICUs prefer enteral ANS administered by gastric feed soon after admission.