Bibliographic citations
Carreazo, N., (2003). Medicina basada en evidencias: estudio descriptivo de intervenciones terapéuticas en pediatría clínica [Tesis de segunda especialidad, Universidad Nacional Mayor de San Marcos]. https://hdl.handle.net/20.500.12672/1833
Carreazo, N., Medicina basada en evidencias: estudio descriptivo de intervenciones terapéuticas en pediatría clínica [Tesis de segunda especialidad]. PE: Universidad Nacional Mayor de San Marcos; 2003. https://hdl.handle.net/20.500.12672/1833
@misc{renati/491849,
title = "Medicina basada en evidencias: estudio descriptivo de intervenciones terapéuticas en pediatría clínica",
author = "Carreazo Pariasca, Nilton Yhuri",
publisher = "Universidad Nacional Mayor de San Marcos",
year = "2003"
}
--- Objective: To determine the rate of evidence-based therapeutic interventions in a pediatric referral hospital of a developing country. Design: A retrospective observational study Subjects and Methods: We revised the medical records of 169 patients admitted in one-month period. The primary diagnosis and therapeutic intervention were determined for each patient. A systematic search through Internet was performed to assess the level of evidence for each intervention. The therapeutic interventions were classified using the Ellis score and the Oxford Centre for Evidence Based Medicine Levels of Evidence. Results: Based on Ellis score, level I evidence supported the therapeutic intervention in 19%, level II in 75% and level III in 6%. Using the Oxford Centre for Evidence Based Medicine Levels of Evidence we found that 18%, 8%, 1% and 73% of therapeutic interventions corresponded to grade A, grade B, grade C, and grade D of recommendation, respectively. Using Ellis score, 94% of therapeutic interventions were evidence based. Out of the total, 73% were based on expert opinion or basic sciences. Conclusions: Most assessed interventions were based on weak or non-existent evidence. This highlights the urgent need to conduct appropriate clinical studies for the main childhood problems managed in referral pediatric hospitals of developing countries.
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