Current status of pediatric neurocritical care in Argentina
Introduction. Patients with neurocritical injuries account for 10-16 % of pediatric intensive care unit (PICU) admissions and frequently require neuromonitoring. Objective. To describe the current status of neuromonitoring in Argentina. Methods. Survey with 37 questions about neuromonitoring without...
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| Veröffentlicht in: | Archivos argentinos de pediatría 2020-06, Vol.118 (3), p.204-209 |
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| creator | Neira, Pablo Monteverde, Ezequiel Perez, Augusto Morales, Gaston Landry, Luis |
| description | Introduction. Patients with neurocritical injuries account for 10-16 % of pediatric intensive care unit (PICU) admissions and frequently require neuromonitoring.
Objective. To describe the current status of neuromonitoring in Argentina.
Methods. Survey with 37 questions about neuromonitoring without including patients' data. Period: April-June 2017.
Results.Thirty-eight responses were received out of 71 requests (14 districts with 11498 annual discharges). The PICU/hospital bed ratio was 21.9 (range: 4.2-66.7). Seventy-four percent of PICUs were public; 61%, university-affiliated; and 71%, level I. The availability of monitoring techniques was similar between public and private (percentages): intracranial pressure (95), electroencephalography (92), transcranial Doppler (53), evoked potentials (50), jugular saturation (47), and bispectral index (11). Trauma was the main reason for monitoring.
Conclusion. Except for intracranial pressure and electroencephalography, neuromonitoring resources are scarce and active neurosurgery availability is minimal. A PICU national registry is required. |
| doi_str_mv | 10.5546/aap.2020.eng.204 |
| format | Article |
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Objective. To describe the current status of neuromonitoring in Argentina.
Methods. Survey with 37 questions about neuromonitoring without including patients' data. Period: April-June 2017.
Results.Thirty-eight responses were received out of 71 requests (14 districts with 11498 annual discharges). The PICU/hospital bed ratio was 21.9 (range: 4.2-66.7). Seventy-four percent of PICUs were public; 61%, university-affiliated; and 71%, level I. The availability of monitoring techniques was similar between public and private (percentages): intracranial pressure (95), electroencephalography (92), transcranial Doppler (53), evoked potentials (50), jugular saturation (47), and bispectral index (11). Trauma was the main reason for monitoring.
Conclusion. Except for intracranial pressure and electroencephalography, neuromonitoring resources are scarce and active neurosurgery availability is minimal. A PICU national registry is required.</description><identifier>ISSN: 0325-0075</identifier><identifier>EISSN: 1668-3501</identifier><identifier>DOI: 10.5546/aap.2020.eng.204</identifier><identifier>PMID: 32470258</identifier><language>eng</language><publisher>CAP FED BUENO AIRES: Soc Argentina Pediatria</publisher><subject><![CDATA[Adolescent ; Argentina ; Child ; Child, Preschool ; Critical Care - methods ; Critical Care - statistics & numerical data ; Critical Illness ; Facilities and Services Utilization - statistics & numerical data ; Health Care Surveys ; Health Resources - supply & distribution ; Health Services Accessibility - statistics & numerical data ; Humans ; Infant ; Infant, Newborn ; Infections - diagnosis ; Infections - therapy ; Intensive Care Units, Pediatric - statistics & numerical data ; Life Sciences & Biomedicine ; Neoplasms - diagnosis ; Neoplasms - therapy ; Neurophysiological Monitoring - instrumentation ; Neurophysiological Monitoring - methods ; Neurophysiological Monitoring - statistics & numerical data ; Pediatrics ; Science & Technology ; Status Epilepticus - diagnosis ; Status Epilepticus - therapy ; Trauma, Nervous System - diagnosis ; Trauma, Nervous System - therapy]]></subject><ispartof>Archivos argentinos de pediatría, 2020-06, Vol.118 (3), p.204-209</ispartof><rights>Sociedad Argentina de Pediatría.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>1</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000537942800042</woscitedreferencesoriginalsourcerecordid><cites>FETCH-LOGICAL-c294t-3c2986de26a610631991692894047e2fa0c9030a33779b2366dba4132c553b433</cites><orcidid>0000-0003-2485-7175</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930,28253</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32470258$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Neira, Pablo</creatorcontrib><creatorcontrib>Monteverde, Ezequiel</creatorcontrib><creatorcontrib>Perez, Augusto</creatorcontrib><creatorcontrib>Morales, Gaston</creatorcontrib><creatorcontrib>Landry, Luis</creatorcontrib><title>Current status of pediatric neurocritical care in Argentina</title><title>Archivos argentinos de pediatría</title><addtitle>ARCH ARGENT PEDIATR</addtitle><addtitle>Arch Argent Pediatr</addtitle><description>Introduction. Patients with neurocritical injuries account for 10-16 % of pediatric intensive care unit (PICU) admissions and frequently require neuromonitoring.
Objective. To describe the current status of neuromonitoring in Argentina.
Methods. Survey with 37 questions about neuromonitoring without including patients' data. Period: April-June 2017.
Results.Thirty-eight responses were received out of 71 requests (14 districts with 11498 annual discharges). The PICU/hospital bed ratio was 21.9 (range: 4.2-66.7). Seventy-four percent of PICUs were public; 61%, university-affiliated; and 71%, level I. The availability of monitoring techniques was similar between public and private (percentages): intracranial pressure (95), electroencephalography (92), transcranial Doppler (53), evoked potentials (50), jugular saturation (47), and bispectral index (11). Trauma was the main reason for monitoring.
Conclusion. Except for intracranial pressure and electroencephalography, neuromonitoring resources are scarce and active neurosurgery availability is minimal. A PICU national registry is required.</description><subject>Adolescent</subject><subject>Argentina</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Critical Care - methods</subject><subject>Critical Care - statistics & numerical data</subject><subject>Critical Illness</subject><subject>Facilities and Services Utilization - statistics & numerical data</subject><subject>Health Care Surveys</subject><subject>Health Resources - supply & distribution</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infections - diagnosis</subject><subject>Infections - therapy</subject><subject>Intensive Care Units, Pediatric - statistics & numerical data</subject><subject>Life Sciences & Biomedicine</subject><subject>Neoplasms - diagnosis</subject><subject>Neoplasms - therapy</subject><subject>Neurophysiological Monitoring - instrumentation</subject><subject>Neurophysiological Monitoring - methods</subject><subject>Neurophysiological Monitoring - statistics & numerical data</subject><subject>Pediatrics</subject><subject>Science & Technology</subject><subject>Status Epilepticus - diagnosis</subject><subject>Status Epilepticus - therapy</subject><subject>Trauma, Nervous System - diagnosis</subject><subject>Trauma, Nervous System - therapy</subject><issn>0325-0075</issn><issn>1668-3501</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><sourceid>EIF</sourceid><recordid>eNqNkM1LwzAYxoMobk7vnqRHQTrf5qsJnkbxCwZe9FzSNB2RLq1Jivjfm7G5s6f3OTy_h5cfQtcFLBmj_F6pcYkBw9K4TQr0BM0LzkVOGBSnaA4EsxygZDN0EcInACVEludoRjAtATMxRw_V5L1xMQtRxSlkQ5eNprUqeqszZyY_aG-j1arPtPImsy5b-U0CrFOX6KxTfTBXh7tAH0-P79VLvn57fq1W61xjSWNO0hG8NZgrXgAnhZQFl1hICrQ0uFOgJRBQhJSlbDDhvG0ULQjWjJEmvbxAt_vd0Q9fkwmx3tqgTd8rZ4Yp1JiCSBZEKVIV9lXthxC86erR263yP3UB9U5ZnZTVO2V1UpYCTcjNYX1qtqY9An-OUkHsC9-mGbqgrXHaHGsAwEgpKRYpUVzZ5NEOrhomFxN693-U_AKizocC</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Neira, Pablo</creator><creator>Monteverde, Ezequiel</creator><creator>Perez, Augusto</creator><creator>Morales, Gaston</creator><creator>Landry, Luis</creator><general>Soc Argentina Pediatria</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2485-7175</orcidid></search><sort><creationdate>20200601</creationdate><title>Current status of pediatric neurocritical care in Argentina</title><author>Neira, Pablo ; Monteverde, Ezequiel ; Perez, Augusto ; Morales, Gaston ; Landry, Luis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c294t-3c2986de26a610631991692894047e2fa0c9030a33779b2366dba4132c553b433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Argentina</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Critical Care - methods</topic><topic>Critical Care - statistics & numerical data</topic><topic>Critical Illness</topic><topic>Facilities and Services Utilization - statistics & numerical data</topic><topic>Health Care Surveys</topic><topic>Health Resources - supply & distribution</topic><topic>Health Services Accessibility - statistics & numerical data</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infections - diagnosis</topic><topic>Infections - therapy</topic><topic>Intensive Care Units, Pediatric - statistics & numerical data</topic><topic>Life Sciences & Biomedicine</topic><topic>Neoplasms - diagnosis</topic><topic>Neoplasms - therapy</topic><topic>Neurophysiological Monitoring - instrumentation</topic><topic>Neurophysiological Monitoring - methods</topic><topic>Neurophysiological Monitoring - statistics & numerical data</topic><topic>Pediatrics</topic><topic>Science & Technology</topic><topic>Status Epilepticus - diagnosis</topic><topic>Status Epilepticus - therapy</topic><topic>Trauma, Nervous System - diagnosis</topic><topic>Trauma, Nervous System - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Neira, Pablo</creatorcontrib><creatorcontrib>Monteverde, Ezequiel</creatorcontrib><creatorcontrib>Perez, Augusto</creatorcontrib><creatorcontrib>Morales, Gaston</creatorcontrib><creatorcontrib>Landry, Luis</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archivos argentinos de pediatría</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Neira, Pablo</au><au>Monteverde, Ezequiel</au><au>Perez, Augusto</au><au>Morales, Gaston</au><au>Landry, Luis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Current status of pediatric neurocritical care in Argentina</atitle><jtitle>Archivos argentinos de pediatría</jtitle><stitle>ARCH ARGENT PEDIATR</stitle><addtitle>Arch Argent Pediatr</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>118</volume><issue>3</issue><spage>204</spage><epage>209</epage><pages>204-209</pages><issn>0325-0075</issn><eissn>1668-3501</eissn><abstract>Introduction. Patients with neurocritical injuries account for 10-16 % of pediatric intensive care unit (PICU) admissions and frequently require neuromonitoring.
Objective. To describe the current status of neuromonitoring in Argentina.
Methods. Survey with 37 questions about neuromonitoring without including patients' data. Period: April-June 2017.
Results.Thirty-eight responses were received out of 71 requests (14 districts with 11498 annual discharges). The PICU/hospital bed ratio was 21.9 (range: 4.2-66.7). Seventy-four percent of PICUs were public; 61%, university-affiliated; and 71%, level I. The availability of monitoring techniques was similar between public and private (percentages): intracranial pressure (95), electroencephalography (92), transcranial Doppler (53), evoked potentials (50), jugular saturation (47), and bispectral index (11). Trauma was the main reason for monitoring.
Conclusion. Except for intracranial pressure and electroencephalography, neuromonitoring resources are scarce and active neurosurgery availability is minimal. A PICU national registry is required.</abstract><cop>CAP FED BUENO AIRES</cop><pub>Soc Argentina Pediatria</pub><pmid>32470258</pmid><doi>10.5546/aap.2020.eng.204</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-2485-7175</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Argentina Child Child, Preschool Critical Care - methods Critical Care - statistics & numerical data Critical Illness Facilities and Services Utilization - statistics & numerical data Health Care Surveys Health Resources - supply & distribution Health Services Accessibility - statistics & numerical data Humans Infant Infant, Newborn Infections - diagnosis Infections - therapy Intensive Care Units, Pediatric - statistics & numerical data Life Sciences & Biomedicine Neoplasms - diagnosis Neoplasms - therapy Neurophysiological Monitoring - instrumentation Neurophysiological Monitoring - methods Neurophysiological Monitoring - statistics & numerical data Pediatrics Science & Technology Status Epilepticus - diagnosis Status Epilepticus - therapy Trauma, Nervous System - diagnosis Trauma, Nervous System - therapy |
| title | Current status of pediatric neurocritical care in Argentina |
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