https://paraguay.bvsalud.org/base_bdnpar?q=&filter=indexed_database%3A%22BDNPAR%22+AND+author%3A%22Delgadillo%2C+Lorena%22 Sun, 12 Apr 2026 15:57:00 UTC https://paraguay.bvsalud.org/base_bdnpar/resource/?id=biblioref.referenceanalytic.1388752
ABSTRACT Introduction. The survival of patients with childhood neoplasia has improved considerably thanks to the progress in diagnosis and multidisciplinary treatment. Objective. to determine the mortality risk factors in patients admitted to intensive care (PICU) at a teaching hospital in Asunción, Paraguay. Methodology. A retrospective review of the medical charts of cancer patients admitted to the PICU of the Hospital de Clínicas from January 2014 to December 2016 was carried out. Results. 874 patients admitted to the PICU, 150 (17.2%) patients had cancer. Mean age was 9.8 ± 5.2 years; 51% female. They had readmission (12%), other comorbidity (48%), emergency admission (67.3%). Previous days of hospitalization in the ward was an average 6.5 ± 10.9 and in the intensive care unit 6.9 ± 13.7 days. The type of cancer was 52% hematological. 82% of patients presented failure of one or more organs and mortality was 19.3%. Several risk factors for mortality were identified by bivariate analysis, but by multivariate analysis only five variables were associated with death: age ≥10 years (p=0.047), PIM2 ≥10 (p=0.001), mucositis (p= 0.004), neurological failure (p= 0.001) and renal failure (p= 0.001). Conclusion. Overall mortality was lower than that reported in other series, which was higher in those older than 10 years, with mucositis, neurological and renal organ failure.]]> 1388752 Tue, 22 Nov 2022 00:00:00 UTC https://paraguay.bvsalud.org/base_bdnpar/resource/?id=biblioref.referenceanalytic.1349324
Introduction. Studies on the global burden of disease have broadly characterized the burden of serious infections on infant mortality in low-income countries. Knowledge about morbidity has great implications in global health systems, interventions that protect children and promote maximum realization of their potential can improve cognitive and emotional development and boost educational achievement. Objective. To identify pediatric morbidity and mortality in a reference hospital in Paraguay in a population of 2315 pediatric patients in 2018 according to the database provided by the department of Statistics. Methodology. The variables were CIE 10 diagnostic groups, age, sex, days of hospitalization and outcome. Data were analyzed with descriptive statistics. Regarding to morbidity, 19.9% corresponded to the chapter of IDS 10 of respiratory system diseases, 16.2% symptom, signs and morbid states poorly defined, 15% infectious and parasitizing diseases and 11.5% surgical causes, representing 62.6% of the causes of hospitalization in these groups. Diseases of the respiratory system had a seasonal behavior as they increased in the months of June, July, August and October. Most of them were under the age of 5 and the mortality in this sample was 0.34%. Conclusion. The main cause of morbidity was diseases of the respiratory system with a seasonal behavior, infectious and parasitic diseases have a constant behavior during the year.]]> 1349324 Mon, 20 Dec 2021 00:00:00 UTC