Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)
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Multicenter Study Observational Study
[Severe acute kidney injury in critically ill children: Epidemiology and prognostic factors].
Acute kidney injury (AKI) is a severe complication in critically ill children. The aim of the study was to describe the characteristics of AKI, as well as to analyse the prognostic factors for mortality and renal replacement therapy (RRT) in children admitted to Paediatric Intensive Care Units (PICUs) in Spain. ⋯ Critically ill children with AKI had a high mortality and morbidity rate. Platelet values and creatinine clearance are markers of RRT at PICU discharge, whereas number of platelets, serum creatinine and weight were associated with mortality.
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Observational Study
[Long-term outcomes of children treated with continuous renal replacement therapy].
The objective of this study is to analyze long-term outcomes and kidney function in children requiring continuous renal replacement therapy (CRRT) after an acute kidney injury episode. ⋯ Most of surviving children that required CRRT have a positive outcome later on, presenting low mortality rates and recovery of kidney function in the medium term.
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The aim of this article is to determine the most common substances involved in unintentional poisoning in children attending Pediatric Emergency Departments (PED) in Spain. ⋯ The most common reason for consulting Spanish PEDs is the unintentional ingestion of psychotropic drugs, mainly benzodiazepines.
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The aim of this study is to analyse changes in the incidents reported after the implementation of a new model, and study its results on patient safety. ⋯ The new model of reporting incidents has enhanced the reports and has allowed improvements and the implementation of preventive measures, increasing the patient safety in the Emergency Department.
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The incidence of community-acquired pneumonia complications has increased during the last decade. According to the records from several countries, empyema and necrotizing pneumonia became more frequent during the last few years. The optimal therapeutic approach for such conditions is still controversial. ⋯ In this paper, the Spanish Society of Paediatric Infectious Diseases and the Spanish Society of Paediatric Chest Diseases have reviewed the available evidence. Consensus treatment guidelines are proposed for complications of community-acquired pneumonia in children, focusing on parapneumonic pleural effusion. Recommendations are also provided for the increasing population of patients with underlying diseases and immunosuppression.