A5019311390- Neonatal and fetal brain pathology
- Neonatal Respiratory Health Research
- Cardiac Arrest and Resuscitation
- Neuroscience of respiration and sleep
- Palliative Care and End-of-Life Issues
- Organ Donation and Transplantation
- Ethics in medical practice
- Global Maternal and Child Health
- Congenital Heart Disease Studies
- Listeria monocytogenes in Food Safety
- Ethics and Legal Issues in Pediatric Healthcare
- Pregnancy and preeclampsia studies
- COVID-19 Impact on Reproduction
- Microbial Inactivation Methods
- Respiratory Support and Mechanisms
- Gastrointestinal disorders and treatments
- Anesthesia and Neurotoxicity Research
- Family and Patient Care in Intensive Care Units
- Identification and Quantification in Food
- Preterm Birth and Chorioamnionitis
- Assisted Reproductive Technology and Twin Pregnancy
- Lymphatic Disorders and Treatments
- Ethics and bioethics in healthcare
- Congenital Diaphragmatic Hernia Studies
- Traumatic Brain Injury and Neurovascular Disturbances
Hospital Universitario Río Hortega
2014-2024
Hospital Universitario de Valme
2018-2020
Fundación Seimc-Gesida
2017-2018
Hospital Universitario 12 De Octubre
2010
Preliminary data in Europe have suggested a reduction prematurity rates during the COVID-19 pandemic, implying that contingency measures could an impact on rates. We designed population-based prevalence proportion study to explore potential link between national lockdown and change preterm births stillbirths. Adjusted multivariate analyses did not show any decrease proportions period with respect whole prelockdown or comparison periods (2015-2019): 6.5% (95%CI 5.6-7.4), 6.6% 6.5-6.8), 6.2%...
El neurodesarrollo actual de pacientes con encefalopatía hipóxico-isquémica (EHI) neonatal en España se desconoce. Recientes estudios europeos destacan el desplazamiento la patología grave hacia trastornos motores leves y problemas emocionales. objetivo este estudio fue analizar estado neuroevolutivo integral a los 3 años una cohorte neonatos EHI. Estudio observacional multicéntrico ≥ 35 semanas edad gestacional EHI moderada-grave nacidos entre 2011 2013 12 hospitales extensa región española...
To analyse the main prenatal and postnatal features of congenital chylothorax (CC), outcome including mid-term follow-up.We searched our databases for CC diagnosed between 1990 2006. Data 29 cases were retrieved analysed. Follow-up until 3 years age was available all patients.Most patients prenatally (94%) most complicated by foetal hydrops (66.7%). The overall survival rate at 56%. A significantly poorer observed when hydrops, preterm birth < 34 weeks, large effusions and/or early-onset...
<b><i>Introduction:</i></b> There is a paucity of studies examining temporal trends in the incidence and mortality moderate-to-severe hypoxic-ischemic encephalopathy (HIE) during last decade therapeutic hypothermia (TH). <b><i>Methods:</i></b> Multicenter cross-sectional study all infants ≥35 weeks gestational age diagnosed with HIE within 6 h birth an extensive region Spain between 2011 2019, order to detect trend changes over time (1) annual...
Data on the incidence of hypoxic-ischemic encephalopathy (HIE) in first 6 hours life together with implementation therapeutic hypothermia (TH) are relevant to delineate actions achieve lowest rates neonatal mortality, morbidity, and long-term impact health associated HIE. This is population-based national survey study, including newborns ≥35 weeks gestation moderate-to-severe HIE from all level III care units, provide for period 2012–2013, TH up June 2015 Spain. Incidence rate was 0.77 per...
This document is the result of previous work carried out by different expert groups and submitted to multidisciplinary debate at a Conference about controversial, deficient, or new aspects in field neonatal palliative care, such as: 1) deliberative decision-making process, 2) hospital domiciliary 3) donation after controlled cardiac death, 4) moral stress professionals. The most relevant conclusions were: need instruct professionals bioethics method facilitate thorough reasonable...
There are no data on the incidence of hypoxic-ischaemic encephalopathy (HIE) and implementation therapeutic hypothermia (TH) in Spain.This is a cross-sectional, national study, performed using an on-line questionnaire targeting level III neonatal care units Spain. Participants were requested to provide all newborns ≥ 35 weeks gestational age diagnosed with moderate-severe HIE over two year-period (2012-2013), TH up June 2015.All (90) contacted hospitals participated. rate was 0.77/1000 live...
El recién nacido con indicadores de potencial evento hipóxico-isquémico perinatal precisa una atención integral que detecte precozmente si necesita tratamiento hipotermia y el control los factores agravantes del daño cerebral en las primeras 6 h vida. Aplicación un programa prospectivo ámbito poblacional ordena sistematiza la durante vida ≥ 35 semanas nacidos agresión hipóxico-isquémica perinatal. involucra 12 hospitales (91.217 m2), 7 nivel asistencial i-ii 5 iii. Se establecen 4...
We do not have population data in Spain on the application of therapeutic hypothermia (TH). The objective was to examine adherence management standards during TH infants with hypoxic-ischemic encephalopathy (HIE).Multicenter observational cohort study from beginning (year 2010) 5 hospitals a Spanish region, until year 2019.133 patients were recruited, 72% diagnosed moderate HIE and rest them severe HIE. In 84% infants, passive started at birth. Active median age h life (IQR 3.3; 6.3),...
There are no data on the incidence of hypoxic-ischaemic encephalopathy (HIE) and implementation therapeutic hypothermia (TH) in Spain. This is a cross-sectional, national study, performed using an on-line questionnaire targeting level III neonatal care units Participants were requested to provide all newborns ≥ 35 weeks gestational age diagnosed with moderate-severe HIE over two year-period (2012–2013), TH up June 2015. All (90) contacted hospitals participated. rate was 0.77/1000 live (95%...
Apenas conocemos cómo es la asistencia de los recién nacidos (RN) con encefalopatía hipóxico-isquémica (EHI) en hipotermia terapéutica (HT), especialmente si existen protocolos asistenciales, neuromonitorización que se realiza o aproximación al pronóstico neurológico. Este conocimiento permite detectar e implementar áreas mejora asistencial. Estudio transversal 57 hospitales españoles realizaban HT 2015, mediante cuestionario sobre: 1) disponibilidad y recursos tecnológicos; 2) el uso...
Abstract Preliminary data in Europe have suggested a reduction prematurity rates during the COVID-19 pandemic, implying that contingency measures could an impact on rates. We designed population-based prevalence proportion study to explore potential link between national lockdown and change preterm births stillbirths. Adjusted multivariate analyses did not show any decrease proportions period with respect whole pre-lockdown or comparison periods (2015-2019): 6.5% (95%CI 5.6-7.4), 6.6%...
The process of care and assistance from birth to the starting therapeutic hypothermia (TH) is crucial in order improve its effectiveness prevent worsening hypoxic-ischaemic injury. A national cross-sectional study carried out 2015 by use a questionnaire sent all level III units on newborn ≥ 35 weeks gestation within first hours life after perinatal asphyxia event. According clinical practice guidelines, quality was compared between hospitals that or did not carry TH, according care. total...
There is not much information about the care of infants with hypoxic-ischaemic encephalopathy (HIE) treated therapeutic hypothermia (TH) in Spain. This includes whether protocols are routinely used, type neuro-monitoring performed, and how on neurological prognosis presented to families. The answers these would allow detect implement areas improvement. A cross-sectional analysis was performed responses structured questionnaires sent all Spanish neonatal units that were performing TH June...
Organ donation continues to increase worldwide, but in general paediatric patients remain less likely receive a transplant. The inclusion of neonates as donors after cDCD should be considered an effort rates.The survey for cross-sectional national study potential neonatal (Maastricht type III) was sent all 90 level III Spanish units explore: 1) protocols, education, and specific opinions on 2) that could have been eligible over 2-year period (2014-2015).Forty-five centers (50%) completed the...
We do not have population data in Spain on the application of therapeutic hypothermia (TH). The objective was to examine adherence management standards during TH infants with hypoxic-ischemic encephalopathy (HIE).