Abstract:
INTRODUCTION:In pediatrics, it is decisive to assess the severity of bronchial obstruction; to this end, different clinical scoring scales have been developed, including the modified Tal score. The objective of this study was to determine its validity and reliability in children seen at two emergency departments of Concepción, Chile. POPULATION AND METHODS:Prospective, cohort study. Children younger than 36 months old diagnosed with bronchitis and/or bronchiolitis during the winter and spring months of 2015 were included. Concurrent criterion validity was determined based on the correlation between the score and oxygen saturation, as a reference standard. Predictive validity was assessed based on the association between the score and the probability of a new visit to the emergency department in the following 7 days. The area under the ROC curve was estimated. Reliability between kinesiologists and physicians was established based on the intraclass correlation coefficient (ICC). A p value < 0.05 was considered statistically significant. RESULTS:A total of 102 children were assessed; a weak correlation between the score and oxygen saturation was observed among kinesiologists (Rho = -0.41). An association was observed between the score and the probability of a new visit to the emergency department. The area under the curve measured by both health care providers was > 0.80. Inter-observer reliability between physicians and kinesiologists showed a weak correlation (ICC = 0.17). CONCLUSIONS:The modified Tal score shows an adequate predictive validity, but a poor validity when correlated to oxygen saturation, and a weak inter-observer reliability. :Introducción: En pediatría, evaluar la gravedad de la obstrucción bronquial es determinante; por esto, se han creado escalas de puntuación clínica, como la escala de Tal modificada. El objetivo fue determinar su validez y confiabilidad en niños atendidos en unidades de emergencia de Concepción, Chile. Población y métodos: Estudio de cohorte prospectivo. Se incluyeron niños < 36 meses con diagnóstico de bronquitis y/o bronquiolitis durante meses de invierno y primavera de 2015. La validez de criterio concurrente se determinó mediante la correlación entre el puntaje de la escala y la saturación de oxígeno, como estándar de referencia. La validez predictiva se evaluó mediante la asociación entre el puntaje de la escala y la probabilidad de nueva atención en la Unidad de Emergencia dentro de 7 días. Se calculó el área bajo la curva mediante curva ROC. La confiabilidad entre kinesiólogos y médicos se determinó mediante el coeficiente de correlación intraclase (CCI). Un valor de p < 0,05 se consideró estadísticamente significativo. Resultados: Se evaluaron 102 niños; se observó correlación débil entre la puntuación de la escala y la saturación de oxígeno en kinesiólogos (Rho= -0,41). Existió asociación entre la puntuación y la probabilidad de nueva atención en centros de emergencia. El área bajo la curva medida por ambos profesionales fue > 0,80. La confiabilidad interobservador entre médicos y kinesiólogos presentó correlación débil (CCI= 0,17). Conclusiones: La escala de Tal modificada presenta una adecuada validez predictiva, pero pobre validez al correlacionarla con la saturación de oxígeno y una débil confiabilidad interobservador.
journal_name
Arch Argent Pediatrjournal_title
Archivos argentinos de pediatriaauthors
Luarte-Martínez S,Rodríguez-Núñez I,Astudillo Pdoi
10.5546/aap.2019.eng.e340subject
Has Abstractpub_date
2019-08-01 00:00:00pages
e340-e346issue
4eissn
0325-0075issn
1668-3501journal_volume
117pub_type
杂志文章,多中心研究abstract:INTRODUCTION:The administration of the National Screening Test (PruebaNacional de Pesquisa, PRUNAPE), a tool which is effective to screen inapparent developmental disorders in children under 6 years old, requires adequate training, time, space and furniture. A simple questionnaire to help screen large population groups...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2013.476
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVE:To determine vitamin A content in breast milk and evaluate whether it satisfies the recommendations for infants. MATERIAL AND METHODS:Observational, prospective, cross sectional study. Milk samples were obtained between 30 and 90 days postpartum from mothers seen in public hospitals, and analyzed. Vitamin A ...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2018.eng.146
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abstract:INTRODUCTION:South America is now at a stage of epidemiological transition, changing the condition of high prevalence of underweight and stunting, to a scene marked by increases in obesity that accompanies chronic diseases, such us cardiovascular disease, diabetes and cancer. Surveillance of risk factors associated wit...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.1590/S0325-00752010000500007
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abstract::Kidney disease is a global public health problem; affects more than 750million persons worldwide. The burden of kidney disease varies substantially across the world, as does its detection and treatment. Emerging evidence suggests that developing countries have a similar or even greater kidney disease burden than devel...
journal_title:Archivos argentinos de pediatria
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doi:10.5546/aap.2019.eng.e243
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2014.e50
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abstract::In the past two years, different organizations have updated their clinical practice guidelines for hemodynamic support in pediatric septic shock. The studies conducted in adults have questioned the initial management of sepsis in accordance to protocols based on achieving various goals. However, the usefulness of thes...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章,评审
doi:10.5546/aap.2019.eng.e14
更新日期:2019-02-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章,评审
doi:10.5546/aap.2014.519
更新日期:2014-12-01 00:00:00
abstract::This article proposes to define child rearing as a social and cultural process that, far from depicting universal and invariable characteristics, shows a huge diversity, mostly linked to the cultural features of families and communities in charge of such process. It has been considered that the anthropological perspec...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2020.eng.e379
更新日期:2020-08-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章,多中心研究
doi:10.5546/aap.2014.405
更新日期:2014-10-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2012.154
更新日期:2012-04-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章,评审
doi:10.1590/S0325-00752011000600009
更新日期:2011-12-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2020.eng.132
更新日期:2020-04-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2017.eng.e153
更新日期:2017-06-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2020.eng.286
更新日期:2020-08-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2014.33
更新日期:2014-02-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.1590/S0325-00752011000100007
更新日期:2011-02-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.1590/S0325-00752009000100007
更新日期:2009-02-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2015.e211
更新日期:2015-08-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2015.341
更新日期:2015-08-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2012.e103
更新日期:2012-10-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2013.232
更新日期:2013-06-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2020.eng.418
更新日期:2020-12-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2012.341
更新日期:2012-08-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2020.eng.e554
更新日期:2020-12-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2016.eng.14
更新日期:2016-02-01 00:00:00
abstract::The Sudden and Unexpected Infant Death Task Force together with the Subcommittee on Breastfeeding of the Sociedad Argentina de Pediatría have issued updated recommendations on bedsharing with the parents, a practice which remains controversial. Sleeping with the mother maximizes breastfeeding, which is protective agai...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章,实务指引
doi:10.5546/aap.2017.s105
更新日期:2017-10-01 00:00:00
abstract:OBJECTIVE:To analyze mortality from suicide in children, adolescents and youth aged 5 to 24 years by gender, method used, place where the incident occurred and residence (province) in Argentina over the period 2005-2007. METHOD:Data of Statistical Death Reports were used. Mortality rates from suicide were estimated pe...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2013.16
更新日期:2013-01-01 00:00:00
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journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2017.eng.588
更新日期:2017-12-01 00:00:00
abstract:Introduction:Currently, there is no complete registry of pediatric residences in Argentina. Objectives:To identify all pediatric residences in Argentina. To establish a situation diagnosis and a unified registry. Methods:Descriptive, observational crosssectional study. A preliminary list of residences was established...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2020.358
更新日期:2020-10-01 00:00:00
abstract::Bell's palsy is the most common cause of acquired unilateral facial nerve palsy in childhood. Although the diagnosis depends on the exclusion of less common causes such as infectious, traumatic, malignancy associated and hypertension associated etiologies, pediatricians tend to diagnose idiopatic Bell's palsy whenever...
journal_title:Archivos argentinos de pediatria
pub_type: 杂志文章
doi:10.5546/aap.2013.e133
更新日期:2013-12-01 00:00:00