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Heterogeneidad de criterios en el diagnóstico de bronquiolitis aguda en España()

INTRODUCTION: Acute viral bronchiolitis (AB) is one of the most common respiratory diseases in infants. However, diagnostic criteria for AB are heterogeneous and not very well known. OBJECTIVE: To identify the diagnostic criteria for AB used by experts and clinical paediatricians in Spain. METHODS:...

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Autores principales: Cano-Garcinuño, Alfredo, Praena-Crespo, Manuel, Mora-Gandarillas, Isabel, Carvajal-Urueña, Ignacio, Callén-Blecua, María Teresa, García-Merino, Águeda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Asociación Española de Pediatría. Published by Elsevier España, S.L.U. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7105059/
https://www.ncbi.nlm.nih.gov/pubmed/30172561
http://dx.doi.org/10.1016/j.anpedi.2018.07.004
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author Cano-Garcinuño, Alfredo
Praena-Crespo, Manuel
Mora-Gandarillas, Isabel
Carvajal-Urueña, Ignacio
Callén-Blecua, María Teresa
García-Merino, Águeda
author_facet Cano-Garcinuño, Alfredo
Praena-Crespo, Manuel
Mora-Gandarillas, Isabel
Carvajal-Urueña, Ignacio
Callén-Blecua, María Teresa
García-Merino, Águeda
author_sort Cano-Garcinuño, Alfredo
collection PubMed
description INTRODUCTION: Acute viral bronchiolitis (AB) is one of the most common respiratory diseases in infants. However, diagnostic criteria for AB are heterogeneous and not very well known. OBJECTIVE: To identify the diagnostic criteria for AB used by experts and clinical paediatricians in Spain. METHODS: Delphi study with Spanish AB experts, looking for the points of agreement about AB diagnosis. A subsequent cross-sectional study was conducted by means of an on-line questionnaire addressed to all Spanish paediatricians, reached through electronic mail messages sent by nine paediatric scientific societies. Descriptive and factorial analyses were carried out, looking for any association of diagnostic criteria with demographic or geographic variables, or with paediatric subspecialty. RESULTS: Agreement was reached by 40 experts in many issues (first episode of respiratory distress and high respiratory frequency, diagnosis in any season of the year, and usefulness of virus identification in making diagnosis), but opposite views were maintained on key characteristics such as the maximum age for diagnosis. The on-line questionnaire was completed by 1297 paediatricians. Their diagnostic criteria were heterogeneous and strongly associated with their paediatric sub-specialty. Their agreement with the Spanish expert consensus and with international standards was very poor. CONCLUSIONS: Diagnostic criteria for AB in Spain are heterogeneous. These differences could cause variability in clinical practice with AB patients.
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spelling pubmed-71050592020-03-31 Heterogeneidad de criterios en el diagnóstico de bronquiolitis aguda en España() Cano-Garcinuño, Alfredo Praena-Crespo, Manuel Mora-Gandarillas, Isabel Carvajal-Urueña, Ignacio Callén-Blecua, María Teresa García-Merino, Águeda An Pediatr (Barc) Article INTRODUCTION: Acute viral bronchiolitis (AB) is one of the most common respiratory diseases in infants. However, diagnostic criteria for AB are heterogeneous and not very well known. OBJECTIVE: To identify the diagnostic criteria for AB used by experts and clinical paediatricians in Spain. METHODS: Delphi study with Spanish AB experts, looking for the points of agreement about AB diagnosis. A subsequent cross-sectional study was conducted by means of an on-line questionnaire addressed to all Spanish paediatricians, reached through electronic mail messages sent by nine paediatric scientific societies. Descriptive and factorial analyses were carried out, looking for any association of diagnostic criteria with demographic or geographic variables, or with paediatric subspecialty. RESULTS: Agreement was reached by 40 experts in many issues (first episode of respiratory distress and high respiratory frequency, diagnosis in any season of the year, and usefulness of virus identification in making diagnosis), but opposite views were maintained on key characteristics such as the maximum age for diagnosis. The on-line questionnaire was completed by 1297 paediatricians. Their diagnostic criteria were heterogeneous and strongly associated with their paediatric sub-specialty. Their agreement with the Spanish expert consensus and with international standards was very poor. CONCLUSIONS: Diagnostic criteria for AB in Spain are heterogeneous. These differences could cause variability in clinical practice with AB patients. Asociación Española de Pediatría. Published by Elsevier España, S.L.U. 2019-02 2018-08-29 /pmc/articles/PMC7105059/ /pubmed/30172561 http://dx.doi.org/10.1016/j.anpedi.2018.07.004 Text en © 2018 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Cano-Garcinuño, Alfredo
Praena-Crespo, Manuel
Mora-Gandarillas, Isabel
Carvajal-Urueña, Ignacio
Callén-Blecua, María Teresa
García-Merino, Águeda
Heterogeneidad de criterios en el diagnóstico de bronquiolitis aguda en España()
title Heterogeneidad de criterios en el diagnóstico de bronquiolitis aguda en España()
title_full Heterogeneidad de criterios en el diagnóstico de bronquiolitis aguda en España()
title_fullStr Heterogeneidad de criterios en el diagnóstico de bronquiolitis aguda en España()
title_full_unstemmed Heterogeneidad de criterios en el diagnóstico de bronquiolitis aguda en España()
title_short Heterogeneidad de criterios en el diagnóstico de bronquiolitis aguda en España()
title_sort heterogeneidad de criterios en el diagnóstico de bronquiolitis aguda en españa()
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7105059/
https://www.ncbi.nlm.nih.gov/pubmed/30172561
http://dx.doi.org/10.1016/j.anpedi.2018.07.004
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