Citas bibligráficas
Fernández, J., Vargas, O. (2019). Evaluación de escalas de riesgo como predictores de mortalidad en niños menores de cinco años con neumonía adquirida en la comunidad en el INSN entre los años 2013 – 2015, Lima Perú [Tesis, Universidad Peruana de Ciencias Aplicadas (UPC)]. http://hdl.handle.net/10757/626011
Fernández, J., Vargas, O. Evaluación de escalas de riesgo como predictores de mortalidad en niños menores de cinco años con neumonía adquirida en la comunidad en el INSN entre los años 2013 – 2015, Lima Perú [Tesis]. PE: Universidad Peruana de Ciencias Aplicadas (UPC); 2019. http://hdl.handle.net/10757/626011
@misc{renati/368690,
title = "Evaluación de escalas de riesgo como predictores de mortalidad en niños menores de cinco años con neumonía adquirida en la comunidad en el INSN entre los años 2013 – 2015, Lima Perú",
author = "Vargas Alvarado, Oscar Fernando",
publisher = "Universidad Peruana de Ciencias Aplicadas (UPC)",
year = "2019"
}
Background: Pneumonia is a common serious infection in childhood, being the major cause of death in children under 5 years. Little is kwon about clinical scales predicting risk of death owing to pneumonia Objectives: Establish which scale has better performance as a predictor of death due to community-acquired pneumonia (CAP) in children under five years. Methods: An observational, retrospective, analytical study with a diagnostic precision design was conducted in a cohort of clinical records of patients with CAP between 2013 and 2015 that were review in the first 24 hours of admission to the hospital. The performance of the three scales were evaluated by the comparison of the area under the curve (AUC) as a measure of discriminative capacity. Results: The PIRO modified scale (Predisposition, Insult, Response and Organic dysfunction) has greater discrimination capacity AUC of 0.93 (95% CI 0.89 - 0.96) being the best of the three evaluated. Secondly, the RISC scale (Respiratory Severity Index in children) with AUC 0.83 (95% CI: 0.79-0.87) and, finally, the PRESS scale (Pediatric Respiratory Severity Score) AUC 0.67 (95% CI 0.61 - 0.74). Conclusion: The PIROm and RISC scales are good predictors of death in children under 59 months, based on clinical, radiological and laboratory criteria. The first scale could be used in healthcare centers of higher complexity. The second scale purely clinical could be used in centers of primary health care attention. It is suggested to carry out more studies in diverse populations with different clinical, demographical and environmental characteristics.
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