<?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>1028-9933</journal-id>
<journal-title><![CDATA[Revista Información Científica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. inf. cient.]]></abbrev-journal-title>
<issn>1028-9933</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas Guantánamo]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-99332020000200142</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de insuficiencia respiratoria aguda en una Unidad de Cuidados Intensivos Pediátricos, Guantánamo 2017-2019]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute respiratory distress syndrome in a Pediatric Intensive Care Unit in Guantanamo, 2017-2019]]></article-title>
<article-title xml:lang="pt"><![CDATA[Síndrome de insuficiência respiratória aguda em uma Unidade de Terapia Intensiva Pediátrica, Guantanamo 2017-2019]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Argote-Peña]]></surname>
<given-names><![CDATA[Yalina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado-Ravelo]]></surname>
<given-names><![CDATA[Reynaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Plasencia-Columbié]]></surname>
<given-names><![CDATA[Yariusbi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanfeliz-Charquille]]></surname>
<given-names><![CDATA[Nathalie]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz-Felicó]]></surname>
<given-names><![CDATA[Diune]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Pediátrico Docente &#8220;General Pedro Agustín Pérez&#8221;  ]]></institution>
<addr-line><![CDATA[ Guantánamo]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Docente &#8220;Dr. Agostinho Neto&#8221;  ]]></institution>
<addr-line><![CDATA[ Guantánamo]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<volume>99</volume>
<numero>2</numero>
<fpage>142</fpage>
<lpage>149</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-99332020000200142&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-99332020000200142&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-99332020000200142&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: El síndrome de insuficiencia respiratoria aguda (SIRA) es uno de los principales motivos de hospitalización en las Unidades de Cuidados Intensivos Pediátricos.  Objetivo: Caracterizar a los pacientes ingresados en las Unidades de Cuidados Intensivos Pediátricos del Hospital Pediátrico Docente &#8220;General Pedro Agustín Pérez&#8221; con diagnóstico de SIRA durante el periodo 2017-2019.  Método: Se realizó un estudio descriptivo, retrospectivo y longitudinal. El universo los conformaron todos los pacientes ingresados en esta unidad por un SIRA (N=85), de los que se seleccionó una muestra aleatoria (n=32). Se analizaron las siguientes variables: en cada paciente se precisó la edad, sexo, procedencia, estado nutricional, estadía hospitalaria, estado al egreso, respecto al SIRA se consideró la causa, clasificación y complicaciones y tratamiento, además se delimitó la causa directa de muerte de los fallecidos.  Resultados: Los pacientes, sobre todo, tenían entre 1 y 3 años de edad (31,3 %), fueron varones (68,8 %), procedieron de áreas rurales (62,5 %), estaban desnutridos por defecto (43,8 %), la estadía fue superior a los 7 días (53,1 %) y el 34,4 % egresó fallecido. La causa fundamental del síndrome fue el choque séptico (50,0 %). En el 87,5 % de los pacientes presentaron complicaciones. El tratamiento que se aplicó fue armónico con el protocolo de la unidad. La disfunción multiorgánica fue la principal causa directa de muerte (36,3 %).  Conclusión: Este síndrome no fue un problema de salud en la citada unidad, pero fue elevada la letalidad, que la determinó sobre todo la disfunción multiorgánica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Acute Respiratory Failure Syndrome (ARDS) is one of the main reasons for hospitalization in Pediatric Intensive Care Units.  Objective:  Characterize the patients admitted to the Pediatric Intensive Care Units (PICU) of the Teaching Pediatric "General Pedro Agustín Pérez" with diagnosis of ARDS during the period 2017-2019.  Method:  A descriptive, retrospective, longitudinal study was conducted. The universe was made up of all the patients admitted to this unit by a SIRA (N=85), from which a random sample was selected (n=32). The following variables were analysed: in each patient was specified age, sex, origin, nutritional status, Length of Stay, status at discharge. Concerning the SIRA, the cause, classification, complications and treatment were considered, and also it was defined the direct cause of death.  Results:  The patients were mostly between 1 and 3 years old (31.3%), males (68.8%), rural residents (62.5%), with malnutrition (43.8%), the stay at the (PICU) was more tan 7 days (53,1%), and 34.4 % of them passed away. The main cause of the respiratory distress syndrome was the septic shock (50,0 %). 87,5 % of the patients had complications. The treatment applied was in harmony with the unit's (PICU) protocol. Multi-organ dysfunction was the main direct cause of death (36,3 %).  Conclusions:  This syndrome (ARDS) was not a health problem to the (PICU), but the lethality was high, determined mainly by the multiorganic dysfunction.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução:  A síndrome da insuficiência respiratória aguda (SIRA) é um dos principais motivos de internação nas unidades de terapia intensiva pediátrica.  Objetivo:  Caracterizar os pacientes internados nas Unidades de Terapia Intensiva Pediátrica do Hospital Pediátrico "General Pedro Agustín Pérez" com diagnóstico de SIRA no período 2017-2019.  Método:  Estudo descritivo, retrospectivo e longitudinal. O universo foi constituído por todos os pacientes internados nesta unidade por um SIRA (N=85), do qual foi selecionada uma amostra aleatória (n=32). Foram analisadas as seguintes variáveis: em cada paciente foram especificadas idade, sexo, procedência, estado nutricional, internação, estado de alta, no SIRA foram consideradas a causa, classificação e complicações e tratamento, além de delimitar a causa direta da morte do falecido.  Resultados:  Os pacientes, acima de tudo, tinham entre 1 e 3 anos (31,3%), eram do sexo masculino (68,8%), procedentes de áreas rurais (62,5%), desnutridos por padrão (43, 8%), a permanência foi superior a 7 dias (53,1%) e 34,4% se foraram mortos. A causa raiz da síndrome foi choque séptico (50,0%). Em 87,5% dos pacientes apresentaram complicações. O tratamento aplicado foi harmonioso com o protocolo da unidade. A disfunção multiorgânica foi a principal causa direta de morte (36,3%).  Conclusão:  Essa síndrome não era um problema de saúde na referida unidade, mas a letalidade era alta, determinada principalmente pela disfunção multiorgânica.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[insuficiencia respiratoria aguda]]></kwd>
<kwd lng="es"><![CDATA[unidad de cuidados intensivos pediátricos]]></kwd>
<kwd lng="es"><![CDATA[infante crítico]]></kwd>
<kwd lng="en"><![CDATA[acute respiratory distress]]></kwd>
<kwd lng="en"><![CDATA[pediatric intensive care units]]></kwd>
<kwd lng="en"><![CDATA[chield in critical status]]></kwd>
<kwd lng="pt"><![CDATA[insuficiência respiratória aguda]]></kwd>
<kwd lng="pt"><![CDATA[unidade de terapia intensiva pediátrica]]></kwd>
<kwd lng="pt"><![CDATA[criança crítica]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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<label>16</label><nlm-citation citation-type="book">
<collab>UNICEF/World Health Organization</collab>
<source><![CDATA[Pneumonia the forgotten Killer of Children]]></source>
<year>2012</year>
<publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[UNICEF]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
