Abstract:
OBJECTIVE:To assess the incidence of brain death (BD) and its medical management and adopted protocols after its diagnosis in seven pediatric intensive care units (PICUs) located in three Brazilian regions. METHODS:A cross-sectional and multicenter study was conducted, based on the retrospective review of medical records regarding all deaths that occurred between January 2003 and December 2004 in seven Brazilian PICUs of tertiary hospitals located in Porto Alegre (two), São Paulo (two) and Salvador (three). Two pediatric intensive care residents from each hospital were previously trained and filled out a standard protocol for the investigation of demographic data, cause of death, diagnosis of BD, related protocols and subsequent medical management. RESULTS:A total of 525 death patients were identified and 61 (11.6%) were defined as BD. The incidence of BD was different (p = 0.015) across the seven PICUs, but with no difference across the three regions. Intracranial hemorrhage was the most frequent cause of BD (31.1%). In 80% of the cases the diagnosis of BD was confirmed by complementary exams (south = 100%, southeast = 68% and northeast = 72%; p = 0.02). The interval between the diagnosis of BD and the withdrawal of life support was different (p < 0.01) across the three regions, being faster (p = 0.04) in the south (1.8+/-1.9 h) than in the southeast (28.6+/-43.2 h) and than in the northeast (15.5+/-17.1 h). Only six (9.8%) children with BD were organ donors. CONCLUSION:Although a Brazilian law defining the criteria for the determination of BD has been in place since 1997, we verified that it is not followed as strictly as it should be. Consequently, unnecessary life support is offered to deceased individuals, and there is a discrete involvement of PICUs in organ donation.
journal_name
J Pediatr (Rio J)journal_title
Jornal de pediatriaauthors
Lago PM,Piva J,Garcia PC,Troster E,Bousso A,Sarno MO,Torreão L,Sapolnik R,Members of Núcleo de Estudos em Etica em Pediatria-Brazil (NEEP-Br).doi
10.2223/JPED.1594subject
Has Abstractpub_date
2007-03-01 00:00:00pages
133-40issue
2eissn
0021-7557issn
1678-4782journal_volume
83pub_type
杂志文章,多中心研究abstract:OBJECTIVE:Our aim was to determine whether endogenous mononuclear leukocyte DNA strand is a target of phototherapy. METHODS:The study included 65 term infants aged between 3-10 days that had been exposed to intensive (n = 23) or conventional (n = 23) phototherapy for at least 48 hours due to neonatal jaundice, and a c...
journal_title:Jornal de pediatria
pub_type: 杂志文章
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abstract:OBJECTIVE:The aim of this study was to identify the causes of congenital microcephaly in Rio Grande do Sul, a state in southern Brazil, where no ZIKV outbreak was detected, from December 2015 to December 2016, which was the period when ZIKV infection was at its peak in northeast Brazil. METHODS:This was a cross-sectio...
journal_title:Jornal de pediatria
pub_type: 杂志文章
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abstract:OBJECTIVE:To describe the characteristics of macrophage activation syndrome associated with juvenile idiopathic arthritis. DESCRIPTION:This is a retrospective study involving 462 patients with juvenile idiopathic arthritis. Seven (1.5%) of those patients suffered from systemic onset juvenile idiopathic arthritis and d...
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abstract:OBJECTIVE:To assess the applicability of salivary C-reactive protein, mean platelet volume, neutrophil-lymphocyte ratio, and platelet lymphocyte ratio in the diagnosis of neonatal sepsis. METHODS:Prospective case-control study of 70 full-term neonates, 35 with sepsis (20 with proven sepsis and 15 with clinical sepsis)...
journal_title:Jornal de pediatria
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更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:This article reviews the clinical and epidemiological aspects of anxiety disorders in youngsters, as well as current medical and psychological treatment strategies. The role of the neurobiological models possibly involved in the etiology of these disorders is also discussed. SOURCES OF DATA:MEDLINE search of...
journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.2223/1166
更新日期:2004-04-01 00:00:00
abstract:OBJECTIVE:Meningococcal disease continues to be a serious public health concern, being associated with high morbidity and mortality rates worldwide, particularly in Brazil. In addition to discussing recent changes in the global epidemiology of meningococcal disease, we also analyze the development and impact of new con...
journal_title:Jornal de pediatria
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更新日期:2006-07-01 00:00:00
abstract::OBJECTIVE: To determine ASO titer profile by establishing ARF differential diagnoses of other diseases with high levels of ASO antibodies. METHODS: We investigated 78 patients with ARF at onset and follow-up, 22 with isolated chorea at onset, 45 with recurrent oropharyngeal tonsillitis, and 23 with recent flare of juv...
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abstract:OBJECTIVE:To analyze acute splenic sequestration (ASS) in children with sickle cell anemia diagnosed through a newborn screening program in the state of Minas Gerais, Brazil, and followed up at the hematology center in the city of Belo Horizonte, Minas Gerais, Brazil. METHODS:Retrospective cohort of 255 children with ...
journal_title:Jornal de pediatria
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更新日期:2009-03-01 00:00:00
abstract::OBJECTIVE: Describe the hemodynamic response with rebound of pulmonary hypertension after withdrawal of inhaled nitric oxide (NO) in a pediatric patient with acute respiratory distress syndrome (ARDS). METHODS: Case report of a child with ARDS and pulmonary hypertension evaluated through ecocardiografic with dopller, ...
journal_title:Jornal de pediatria
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更新日期:2000-03-01 00:00:00
abstract:OBJECTIVE:To analyze the occurrence of anemia and iron deficiency in children aged 1 to 5 years and the association of these events and retinol deficiency. METHODS:This was an observational analytic cross-sectional study conducted in Vitoria, ES, Brazil, between April and August of 2008, with healthy children aged 1 t...
journal_title:Jornal de pediatria
pub_type: 杂志文章
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更新日期:2014-11-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2003-05-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章,评审
doi:10.2223/JPED.1649
更新日期:2007-07-01 00:00:00
abstract::OBJECTIVE: To report four cases of myositis ossificans progressiva, its form of presentation, in addition to new control and treatment options. DESCRIPTION: The authors describe four cases of myositis ossificans progressiva, presenting its clinical manifestations, evolution, and available forms of control and treatmen...
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pub_type: 杂志文章
doi:10.2223/jped.287
更新日期:2001-09-01 00:00:00
abstract::OBJECTIVE: To establish the nutritional diagnosis of children living in a low-income community through anthropometric evaluation, detecting insufficient nutrition (low weight-for-age, wasting and stunting) and excessive nutrition (overweight and obesity). METHODS: A community-based survey identified children below 11 ...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.236
更新日期:2001-07-01 00:00:00
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更新日期:2021-01-01 00:00:00
abstract::OBJECTIVES: The aims of this review are to present research data about aerosoltherapy and to discuss the optimization of this form of drug administration.METHOD: Review of the literature, covering some of the most important studies about aerosoltherapy, inhaler devices, pharmacokinetics and pharmacodynamics of inhaled...
journal_title:Jornal de pediatria
pub_type: 杂志文章
doi:10.2223/jped.428
更新日期:1998-05-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.2223/JPED.1529
更新日期:2006-09-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.2223/jped.1100
更新日期:2003-11-01 00:00:00
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doi:10.1016/j.jped.2013.09.006
更新日期:2014-05-01 00:00:00
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doi:
更新日期:2004-05-01 00:00:00
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更新日期:2017-01-01 00:00:00
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更新日期:2012-09-01 00:00:00
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doi:10.1016/j.jped.2016.08.005
更新日期:2017-01-01 00:00:00
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更新日期:2012-07-01 00:00:00
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更新日期:2006-03-01 00:00:00
abstract:OBJECTIVES:The aim of the study was to describe the experience with high-frequency oscillatory ventilation (HFOV) in a Portuguese Pediatric Critical Care Unit, and to evaluate whether HFOV allowed improvement in oxygenation and ventilation. METHODS:This was a retrospective observational cohort study of children ventil...
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pub_type: 杂志文章
doi:10.1016/j.jped.2013.02.008
更新日期:2013-01-01 00:00:00
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journal_title:Jornal de pediatria
pub_type: 杂志文章,随机对照试验
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更新日期:2010-09-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1016/j.jped.2020.09.007
更新日期:2020-10-26 00:00:00
abstract:OBJECTIVE:This study investigates the nutritional factors that determine the absence of anemia in infants from families with a low socioeconomic background submitted to a nutrition intervention program, as well as iron intake according to recommendations. METHODS:The study included 369 children from a cohort of inhabi...
journal_title:Jornal de pediatria
pub_type: 杂志文章,随机对照试验
doi:10.2223/JPED.1577
更新日期:2007-01-01 00:00:00