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Effects of hospitalization on children’s sleep pattern irrespective of sleep problems history
(2021)
Farías-Fernández, Maite
;
Iglesias-Leboreiro, José
;
Bernárdez-Zapata, Isabel
;
Gordillo-Rodríguez, Lucina
Background: Sleep is a neurophysiologic process necessary for brain development. However, sleep patterns change with aging. This study aimed to compare the sleep pattern in pediatric patients with and with no previous sleep problems (PSP) during the first 48 hours of hospitalization and analyze the factors influencing sleep disruption. Methods: We conducted a prospective cohort study. Under informed consent, two groups of patients < 17 years admitted to a hospital for acute illnesses were followed. The history of PSP was determined with the Brief sleep questionnaire. For 48 hours, the sleep pattern was observed in terms of total hours of daily sleep, daytime naps, night awakenings, and time to fall asleep. We recorded actions of attention associated with sleep time. ©Boletín Médico del Hospital Infantil de México
Scopus© Citations 3 38 1
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Hematological disorders in preterm newborns born to mothers with pregnancy-induced hypertension
(2022)
Arce-López, Karina L.
;
Iglesias-Leboreiro, José
;
Bernárdez-Zapata, Isabel
;
Miranda Madrazo, Maria R.
Background: Pregnancy-induced hypertension (PIH) has been related to impaired fetal growth, possibly by affecting hematopoiesis. This study aimed to analyze the most frequent hematological alterations in preterm infants born to mothers with PIH. Methods: We conducted a cross-sectional study in newborns born to mothers with PIH. We reviewed 130 hemograms of preterm infants: 45 from mothers with PIH, 71 with preeclampsia, and 14 with HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count). Normality, cytosis conditions, or cytopenia values were adjusted for gestational ages. Differences between groups were analyzed with classical and Bayesian statistics (BF01 = null/alternative hypothesis ratio). ©Boletín Médico del Hospital Infantil de México
Scopus© Citations 1 10 2
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Construcción y validación de la escala EsVida para la valoración del requerimiento de manejo en urgencias de una gastroenteritis infecciosa
(2021)
Fernández-Garrido, C.L.
;
Bernárdez-Zapata, I.
;
Iglesias-Leboreiro, José
Introduction: Infectious gastroenteritis can result in unnecessary emergency room consultations. Instruments are needed to detect the risks for unfavorable progression. Aim: To develop and validate a comprehensive severity scale for acute gastroenteritis in children. Materials and methods: Data associated with complications (probable items) were determined through a MeSH search. The EsVida scale was developed with 4 theoretic domains: personal history (3 items), social problems (2 items), risks for severe gastroenteritis (4 items), and signs of fluid and electrolyte imbalance (4 items). The items were evaluated as present (one point) or absent (zero points) on a 0 to 13-point scale. To validate the instrument, an observational study was conducted at the emergency service on children from one to 13 years of age with acute gastroenteritis. The scale was re-developed utilizing the risks calculated by logistic regression analysis. © Revista de Gastroenterología de México
Scopus© Citations 1 26 2
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Hipotermia terapéutica en recién nacidos con encefalopatía hipóxico-isquémica
(2020)
Martínez-Hernández, Araceli
;
Barrón-San Pedro, Rodrigo
;
Garza-Morales, Saúl Jesús
;
De la Cruz-Real, Abril Ariadna
;
Hidalgo-Vázquez, Mónica Magdalena
Hypoxic-ischemic encephalopathy (HIE) is a syndrome of neurological dysfunction secondary to lack of oxygenation of the brain around birth. Therapeutic hyÂpothermia has reduced neonatal mortality and neurological disability. Objectives: To describe the clinical course of neonates with HIE treated with therapeutic hypothermia for 72 hours. Material and methods: In a five-year period, twelve neonates > 34 weeks gestational age, with moderate and severe HIE were treated with therapeutic hypothermia; eight with total body hypothermia and four with selective cranial cooling. Variables recorded were: In-hospital mortality, as well as neurological conditions at hospital discharge, both clinical and those obtained from magnetic resonance imaging (MRI) and neurophysiological studies. Results: The twelve neonates started therapeutic hypothermia before six hours of life, maintaining it for 72 hours. Two patients died after hypothermia. Eight patients were discharged without evidence of neurological impairment. MRI was normal in five patients; three had cerebral edema and two patients had cerebral infarcts. Auditory, visual and somatosensory potentials were normal in five patients; while the rest had alterations in the auditory pathway. Conclusions: Therapeutic hypothermia by total body hypothermia or head cooling in infants with moderate and severe EHI appear to be effective in limiting neurological damage. © 2020 Sociedad Mexicana de Pediatria. All rights reserved.
Scopus© Citations 4 39 1

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