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Título:
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Emergency department risk factors for serious clinical deterioration in a paediatric hospital in Peru
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Autores:
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Nielsen, Katie R. ;
Arones Rojas, Ruben ;
Tantalean da Fieno, Jose ;
Huicho, Luis ;
Roberts, Joan S. ;
Zunt, Joseph
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Tipo de documento:
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texto impreso
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Editorial:
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Wiley, 2018-12-01T00:04:13Z
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Nota general:
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info:eu-repo/semantics/restrictedAccess
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
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Idiomas:
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Inglés
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Palabras clave:
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Editados por otras instituciones
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Artículos
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Artículos en revistas indizadas
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Resumen:
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AimIdentification of critically ill children upon presentation to the emergency department (ED) is challenging, especially when resources are limited. The objective of this study was to identify ED risk factors associated with serious clinical deterioration (SCD) during hospitalisation in a resource-limited setting. MethodsA retrospective case-control study of children less than 18 years of age presenting to the ED in a large, freestanding children's hospital in Peru was performed. Cases had SCD during the first 7 days of hospitalisation whereas controls did not. Information collected during initial ED evaluation was used to identify risk factors for SCD. ResultsA total of 120 cases and 974 controls were included. In univariate analysis, young age, residence outside Lima, evaluation at another facility prior to ED presentation, congenital malformations, abnormal neurologic baseline, co-morbidities and a prior paediatric intensive care unit admission were associated with SCD. In multivariate analysis, age
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En línea:
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http://doi.org/10.1111/jpc.13904
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