<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932018000300001</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La puntuación de apendicitis pediátrica en la atención primaria de salud]]></article-title>
<article-title xml:lang="en"><![CDATA[Pediatric Appendicitis Score in Primary Healthcare]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonzales Lastres]]></surname>
<given-names><![CDATA[Tania]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Casado Méndez]]></surname>
<given-names><![CDATA[Pedro Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salvador Santos Fonseca]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gárces García]]></surname>
<given-names><![CDATA[Alian Ernesto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cordoví Álvarez]]></surname>
<given-names><![CDATA[Liliana Clotilde]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[del Castillo Remón]]></surname>
<given-names><![CDATA[Irene Luisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<volume>57</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932018000300001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932018000300001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932018000300001&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La apendicitis aguda es la enfermedad que mayores cirugías de urgencia demanda en el mundo y su diagnóstico adolece de uniformidad de criterios.  Objetivo:  Evaluar la efectividad de la puntuación de apendicitis pediátrica en la atención primaria de salud.  Método:  Se realizó un estudio cuantitativo, transversal de evaluación de prueba diagnóstica, con enmascaramiento doble ciego. El universo estuvo constituido 31 pacientes, de hasta quince años de edad, con diagnóstico clínico de apendicitis aguda tratados en la Policlínica Universitaria &#8220;René Vallejo Ortiz&#8221;, Manzanillo, Granma. A todo paciente con sospecha diagnóstica de apendicitis aguda se le aplicó la puntuación de apendicitis pediátrica antes de su remisión y evaluación por el cirujano pediatra y se determinó la capacidad diagnóstica de la puntuación.  Resultados:  La edad media fue 12,41 años. Predominó el sexo masculino (61,29 %). El 100 %, 93,55 % y el 87,1 % de los pacientes tuvieron un diagnóstico clínico, operatorio e histopatológico de apendicitis aguda, respectivamente en el nivel secundario de salud. La puntuación de apendicitis pediátrica tuvo una sensibilidad de 96,96 %, una especificidad de 50 %, un valor predictivo positivo de 92,86 % y un valor predictivo negativo de 66,67 %.  Conclusiones: La puntuación de apendicitis pediátrica presentó patrones de sensibilidad y especificidad que la hacen recomendable para su uso en la atención primaria de salud.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Acute appendicitis is the disease demanding the biggest emergency surgeries worldwide and its diagnosis lacks criteria uniformity.  Objective:  To evaluate the effectiveness of the Pediatric Appendicitis Score in primary healthcare.  Method:  A quantitative, cross-sectional and double-masked study of diagnostic test evaluation was performed. The study population consisted of 31 patients, up to the age of fifteen years, with clinical diagnosis of acute appendicitis treated in René Vallejo Ortiz University Polyclinic of Manzanillo, Granma. All patients with suspected acute appendicitis were applied the Pediatric Appendicitis Score before referral and evaluation by the pediatric surgeon, and the diagnostic capacity of the score was determined.  Results:  The average age was 12.41 years. The male sex predominated (61.29%). 100%, 93.55% and 87.1% of the patients had a clinical, operative and histopathological diagnosis of acute appendicitis, respectively, at the secondary level of healthcare. The pediatric appendicitis score had sensitivity of 96.96%, specificity of 50%, a positive predictive value of 92.86%, and a negative predictive value of 66.67%.  Conclusions:  The Pediatric Appendicitis Score presented patterns of sensitivity and specificity that make it recommendable for usage in primary health care.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[apendicitis aguda]]></kwd>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="es"><![CDATA[escalas diagnósticas]]></kwd>
<kwd lng="es"><![CDATA[efectividad]]></kwd>
<kwd lng="es"><![CDATA[puntuación de apendicitis pediátrica]]></kwd>
<kwd lng="en"><![CDATA[acute appendicitis]]></kwd>
<kwd lng="en"><![CDATA[pediatrics]]></kwd>
<kwd lng="en"><![CDATA[diagnostic scores]]></kwd>
<kwd lng="en"><![CDATA[effectiveness]]></kwd>
<kwd lng="en"><![CDATA[pediatric appendicitis score]]></kwd>
</kwd-group>
</article-meta>
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