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artículo
The main objective was to determine if the nutritional status on admission to the Pediatric Intensive Care Unit (PICU) affects the child’s evolution, identifying evolution as PICU and Hospital stay, Mechanical Ventilation (MV) time, frequency of Healthcare Associated Infections (IACS) and PICU and Hospital mortality. We performed a prospective cohort study in 367 consecutive admissions to the PCU of the Instituto Nacional de Salud del Niño, classifying the nutritional status according to World Health Organization (WHO) standards. After elimination of 87 admissions, we found that 72/280 children (26%) presented MN, most with undernutrition (20%). In the bivariate analysis, only the frequency of MV use was higher in MN children (88.9% vs. 78.4%, p = 0.04). In the multivariate models, we observed that patients with MN had a lower IACS frequency (IC -3.8 - -0.2, p = 0.02), a longer ICU st...
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Objective. To determine the cardiovascular risk factors in overweight schoolchildren and to measure their association with sociodemographic variables. Methods: Cross-sectional, analytical study. 2001 female schoolchildren from 6 to 17 years of age from an Educational Center in Metropolitan Lima were surveyed. The Body Mass Index was used for the diagnosis of excess weight (overweight between 85 and 95p and obesity ≥ 95p) and the Waist Circumference for abdominal obesity (≥ 90p). HOMA-I for insulin resistance (≥ 3,16) and for lipid abnormalities: total cholesterol (≥ 200 mg / dL), low HDL-C (≤ 40 mg/dL), high LDL-C (≥ 130 mg / dL), non-HDL C (≥ 145 mg / dL) and triglycerides (≥ 100 and 130 mg / dL) for girls younger than 9 and 10 to 19 years old, respectively. Results: Excess weight occurred mainly in schoolgirls aged 10 to 17 years,...