Campos-Miño S, Sasbón J S, von Dessauer B
Unidad de Cuidados Intensivos Pediátrica, Hospital de los Valles y Hospital SOLCA, Quito, Ecuador.
Med Intensiva. 2012 Jan-Feb;36(1):3-10. doi: 10.1016/j.medin.2011.07.004. Epub 2011 Sep 8.
To describe the practice of pediatric intensive care in Latin America and compare it with two European countries.
Analysis of data presented by member countries of the Sociedad Latinoamericana de Cuidado Intensivo Pediátrico (SLACIP), Spain and Portugal, in the context of a Symposium of Spanish and Portuguese - speaking pediatric intensivists during the Fifth World Congress on Pediatric Intensive Care.
Pediatric intensive care units (PICUs).
Pediatric intensivists in representation of each member country of the SLACIP, Spain and Portugal.
None.
Each country presented its data on child health, medical facilities for children, pediatric intensive care units, pediatric intensivists, certification procedures, equipment, morbidity, mortality, and issues requiring intervention in each participating country.
Data from 11 countries was analyzed. Nine countries were from Latin America (Argentina, Colombia, Cuba, Chile, Ecuador, Honduras, México, Dominican Republic and Uruguay), and two from Europe (Spain and Portugal). Data from Bolivia and Guatemala were partially considered. Populational, institutional, and operative differences were identified. Mean PICU mortality was 13.29% in Latin America and 5% in the European countries (P=0.005). There was an inverse relationship between mortality and availability of pediatric intensive care units, pediatric intensivists, number of beds, and number of pediatric specialty centers. Financial and logistic limitations, as well as deficiencies in support disciplines, severity of diseases, malnutrition, late admissions, and inadequate initial treatments could be important contributors to mortality at least in some of these countries.
There are important differences in population, morbidity and mortality in critically ill children among the participating countries. Mortality shows an inverse correlation to the availability of pediatric intensive care units, intensive care beds, pediatric intensivists, and pediatric subspecialty centers.
描述拉丁美洲儿科重症监护的实际情况，并与两个欧洲国家进行比较。
在第五届世界儿科重症监护大会期间，对拉丁美洲儿科重症监护学会（SLACIP）成员国、西班牙和葡萄牙在西班牙语和葡萄牙语儿科重症监护医师研讨会上提交的数据进行分析。
儿科重症监护病房（PICUs）。
SLACIP每个成员国、西班牙和葡萄牙的儿科重症监护医师代表。
无。
每个国家提交了关于儿童健康、儿童医疗设施、儿科重症监护病房、儿科重症监护医师、认证程序、设备、发病率、死亡率以及每个参与国需要干预的问题的数据。
分析了11个国家的数据。9个国家来自拉丁美洲（阿根廷、哥伦比亚、古巴、智利、厄瓜多尔、洪都拉斯、墨西哥、多米尼加共和国和乌拉圭），2个来自欧洲（西班牙和葡萄牙）。部分考虑了玻利维亚和危地马拉的数据。确定了人口、机构和操作方面的差异。拉丁美洲PICU的平均死亡率为13.29%，欧洲国家为5%（P=0.005）。死亡率与儿科重症监护病房、儿科重症监护医师、病床数量和儿科专科中心数量的可及性呈负相关。财政和后勤限制，以及支持学科的不足、疾病严重程度、营养不良、入院延迟和初始治疗不足可能至少在其中一些国家是导致死亡率的重要因素。
参与国之间危重症儿童的人口、发病率和死亡率存在重要差异。死亡率与儿科重症监护病房、重症监护病床、儿科重症监护医师和儿科亚专科中心的可及性呈负相关。
