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1.
Buenos Aires; Médica Panamericana; 2019. 184 p. tab, ilus.
Monografia em Espanhol | LILACS | ID: biblio-1006088

RESUMO

Las consultas pediátricas por enfermedad renal o de las vías urinarias son frecuentes e incluyen una amplia variedad diagnóstica que desafía al pediatra en su abordaje, la detección de riesgos en el corto y largo plazo, la derivación oportuna al especialista y el seguimiento de las condiciones que generaron cronicidad. En este nuevo volumen de las Series de Pediatría Garrahan se han reunido prestigiosos pediatras y nefrólogos infantiles para actualizar y trasnmitir el manejo integral de algunas de las patologías de mayor prevalencia e impacto, muchas de las cuales causan morbilidad alejada y requieren equipos multidisciplinarios que aseguren una transición en el cuidado del niño, el adolescente y el adulto. Entre sus caracterísitcas se destacan: El estudio detallado de patologías clínicas como las infecciones urinarias, la lesión renal aguda, el síndrome nefrótico, la enfermedad renal progresiva, las terapias de reemplazo renal y la hypertensión arterial. El desarrollo de casos clínicos con las secuencias habituales en el transcurso habitual de las enfermedades que permite destacar las presentaciones clínicas, las alternativas diagnósticas y terapéuticas, así como las posibilidades evolutivas. El cierre de cada capítulo con un recordatorio de puntos clave y lecturas recomendadas y, además, el material complementario disponible en el sitio web. El objetivo es compartir la modalidad de trabajo del hospital, con base en el rol central del pediatra como coordinador de la atención interdisciplinaria en cada una de sus etapas. Una obra actualizada y práctica que aporta información científica y experiencia de los profesionales de una institución de prestigio, de granutilidad para todos aquellos miembros del equipo de salud que atienden y cuidan niños, dondequiera que trabajen al servivio de la salud infantil.


Assuntos
Humanos , Pré-Escolar , Criança , Adolescente , Infecções Urinárias , Diálise Renal , Diálise Peritoneal , Insuficiência Renal Crônica , Lesão Renal Aguda , Síndrome Nefrótica
2.
Pediatr Transplant ; 22(2)2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29297966

RESUMO

As PELD/MELD-based allocation policy was adopted in Argentina in 2005, a system of exception points has been in place in order to award increased waitlist priority to those patients whose severity of illness is not captured by the PELD/MELD score. We aimed to investigate the WL outcome of patients with granted PELD/MELD exceptions. A retrospective cohort study was conducted in children under 18 years old. WL outcomes were evaluated using univariable analysis. From 07/2005 to 01/2014, 408 children were listed for LT. There were 304 classified by calculated PELD/MELD. During this time, 85 (30%) PELD/MELD exceptions were granted. In this cohort, 89.4% (76 of 85) were transplanted and 7.1% (6 of 85) died while on the WL. The remaining 3 pts (3.5%) were removed from the WL due to other causes. We compared the impact of PELD/MELD exceptions in those 85 patients to outcomes in 87 non-exception patients with PELD/MELD ≥19 points. Patients with the exception had significantly better access to WL and lower WL mortality. Our data suggest that children listed by PELD/MELD exceptions had an advantage compared to children with CLD with equivalent PELD/MELD listing priorities.


Assuntos
Doença Hepática Terminal/diagnóstico , Alocação de Recursos para a Atenção à Saúde/métodos , Transplante de Fígado , Seleção de Pacientes , Índice de Gravidade de Doença , Listas de Espera/mortalidade , Adolescente , Argentina , Criança , Pré-Escolar , Doença Hepática Terminal/mortalidade , Doença Hepática Terminal/cirurgia , Feminino , Política de Saúde , Humanos , Lactente , Recém-Nascido , Masculino , Estudos Retrospectivos
3.
Arch Argent Pediatr ; 115(5): 505-511, 2017 Oct 01.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-28895701

RESUMO

Ascites is a major complication of cirrhosis. There are several evidence-based articles and guidelines for the management of adults, but few data have been published in relation to children. In the case of a pediatric patient with cirrhotic ascites (PPCA), the following questions are raised: How are the clinical assessment and ancillary tests performed? When is ascites considered refractory? How is it treated? Should fresh plasma and platelets be infused before abdominal paracentesis to prevent bleeding? What are the hospitalization criteria? What are the indicated treatments? What complications can patients develop? When and how should hyponatremia be treated? What are the diagnostic criteria for spontaneous bacterial peritonitis? How is it treated? What is hepatorenal syndrome? How is it treated? When should albumin be infused? When should fluid intake be restricted? The recommendations made here are based on pathophysiology and suggest the preferred approach to diagnostic and therapeutic aspects, and preventive care.


Assuntos
Cirrose Hepática/complicações , Cirrose Hepática/terapia , Desequilíbrio Hidroeletrolítico/etiologia , Desequilíbrio Hidroeletrolítico/terapia , Ascite/etiologia , Ascite/terapia , Criança , Humanos , Guias de Prática Clínica como Assunto
4.
Arch Argent Pediatr ; 115(4): 385-390, 2017 Aug 01.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-28737869

RESUMO

Ascites is a major complication of cirrhosis. There are several evidence-based articles and guidelines for the management of adults, but few data have been published in relation to children. In the case of pediatric patients with cirrhotic ascites (PPCA), the following questions are raised: How are the clinical assessment and ancillary tests performed? When is ascites considered refractory? How is it treated? Should fresh plasma and platelets be infused before abdominal paracentesis to prevent bleeding? What are the hospitalization criteria? What are the indicated treatments? What complications can patients develop? When and how should hyponatremia be treated? What are the diagnostic criteria for spontaneous bacterial peritonitis? How is it treated? What is hepatorenal syndrome? How is it treated? When should albumin be infused? When should fluid intake be restricted? The recommendations made here are based on pathophysiology and suggest the preferred approach to its diagnostic and therapeutic aspects, and preventive care.


Assuntos
Cirrose Hepática/diagnóstico , Cirrose Hepática/terapia , Ascite/diagnóstico , Ascite/terapia , Criança , Hospitalização , Humanos , Cirrose Hepática/fisiopatologia , Guias de Prática Clínica como Assunto
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