Los límites de la prematuridad: recién nacidos con un peso al nacer inferior o igual a 650 g
J.A. De Leó, M.P. Pintado, O. Román,, V. de la Fuente, E. Sanz, M. Sánchez-Luna, A. Aguarón
Servicios de Obstetricia, Ginecología y Neonatología. Hospital General Universitario Gregorio Marañón. Madrid. España.
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"apellidos" => "Balasch" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210573X03772426?idApp=UINPBA00004N" "url" => "/0210573X/0000003000000004/v1_201307111213/S0210573X03772426/v1_201307111213/es/main.assets" ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "Los límites de la prematuridad: recién nacidos con un peso al nacer inferior o igual a 650 g" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "126" "paginaFinal" => "132" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J.A. De Leó, M.P. Pintado, O. Román,, V. de la Fuente, E. Sanz, M. Sánchez-Luna, A. Aguarón" "autores" => array:7 [ 0 => array:2 [ "nombre" => "J.A." "apellidos" => "De Leó" ] 1 => array:2 [ "nombre" => "M.P." "apellidos" => "Pintado" ] 2 => array:2 [ "nombre" => "O." "apellidos" => "Román," ] 3 => array:2 [ "nombre" => "V." "apellidos" => "de la Fuente" ] 4 => array:2 [ "nombre" => "E." "apellidos" => "Sanz" ] 5 => array:2 [ "nombre" => "M." "apellidos" => "Sánchez-Luna" ] 6 => array:2 [ "nombre" => "A." "apellidos" => "Aguarón" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicios de Obstetricia, Ginecología y Neonatología. Hospital General Universitario Gregorio Marañón. Madrid. España." ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2003-02-05" "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Objective: To study the clinical, maternal, and neonatal characteristics of newborns with a birthweight of ≤?650 g.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Material and methods:</span> Of a total of 25,977 deliveries, 77 (0.29%) had a birthweight of ≤?650 g. We excluded 22 (28.6%), who had died <span class="elsevierStyleItalic">in utero</span>. A study was made of 42 newborns, grouped according to weight. Group I: ≤?550 g 32 infants (58.2%) and group II: > 550 g ≤?650 g, 23 infants (41.8%). Maternal and neonatal characteristics are analysed according to groups, and morbimortality is highlighted.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Results:</span> The percentage of vaginal deliveries in group I was higher and the percentage of patients having antepartum tocolysis was much lower (p <0.05 %). Apart from gestational age, the rest of the variables studied showed no significant differences between groups. The mortality rate in the paediatric unit during the first 72 hours was 78.2%, the percentage of neonatal deaths was significantly greater in group I (p <0.05%). Hyaline membrane disease, late neonatal sepsis and intraventricular haemorrhage were, respectively, the most frequently found pathologies in these neonates during this period.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Conclusions:</span> The differences found support the therapeutical and ethical difficulties found in this type of patients, who are at the outer limits of viability. However, the knowledge that we have of this type of patient is the greatest weapon that we have to improve their life conditions. The challenge becomes greater, but the cost/benefit of our results still needs to be defined</p>" ] "en" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Objetivo:</span> Estudiar las características clínicas, maternas y neonatales del conjunto de recién nacidos con peso al nacer ≤650 g.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Pacientes y método:</span> Del total de 25.977 partos, 77 (0,29%) tenían un peso al nacer ≤650 g. Se ha descartado a 22 niños (28,6%) que habían muerto intraútero. Realizando el estudio sobre 42 recién nacidos, los hemos agrupado según el peso. El grupo I: ≤550 g(n = 32; 58,2%) y el grupo II: > 550 g ≤650 g (n = 23;41,8%). Se analizan las características maternas y neonatales en función de los grupos y se hace hincapié en la morbimortalidad.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Resultados:</span> En el grupo I, el porcentaje de partos vaginales fue mayor y el porcentaje de pacientes en el que se utilizó tocólisis anteparto fue mucho menor (grupo I) (p < 0,05). Adiferencia de la edad gestacional, el resto de las variables estudiadas no presentó diferencias significativas entre los grupos. La mortalidad durante el período de ingreso en neonatología supuso el 78,2% y, dentro de las primeras 72 h, el porcentaje de recién nacidos que fallecieron fue significativamente mayor en el grupo I(p < 0,05). La enfermedad de membrana hialina, la sepsis neonatal tardía y la hemorragia intraventricular, respectivamente, fueron las enfermedades aparecidas con mayor frecuencia en estos pequeños durante el período neonatal.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Conclusiones:</span> Las diferencias encontradas apoyarían la dificultad terapéutica, ética, analítica y crítica en este colectivo, al rozar los límites de la viabilidad. Pero el conocimiento de estos recién nacidos conforma la principal arma para mejorar sus condiciones de vida. El reto es cada vez mayor, pero queda por definir el coste/beneficio de nuestros resultados.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:30 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "SEGO" ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Preterm delivery" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "MM Slattery" 1 => "JJ. Morrison" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0140-6736(02)11476-0" "Revista" => array:7 [ "tituloSerie" => "Lancet" "fecha" => "2002" "volumen" => "360" "numero" => "9344" "paginaInicial" => "1489" "paginaFinal" => "1497" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12433531" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Risk factors for early death among extremely low-birth-weight infants" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S Shankaran" 1 => "AA Fanaroff" 2 => "LL Wright" 3 => "DK Stevenson" 4 => "EF Do-novan" 5 => "RA Ehrenkranz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Am J Obstet Gynecol" "fecha" => "2002" "volumen" => "186" "numero" => "4" "paginaInicial" => "796" "paginaFinal" => "802" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11967510" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Gender differences in cognitive abilities at 2 years in ELBW infants. Extremely low birth weight" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "GJ Hindmarsh" 1 => "MJ O’Callaghan" 2 => "HA Mohay" 3 => "YM. Rogers" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Early Hum Dev" "fecha" => "2000" "volumen" => "60" "numero" => "2" "paginaInicial" => "115" "paginaFinal" => "122" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11121674" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Comparison of the prediction of extremely low birth weight neonatal mortality by regression analysis and by neural networks" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "N Ambalavanan" 1 => "WA. Carlo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Early Hum Dev" "fecha" => "2001" "volumen" => "65" "numero" => "2" "paginaInicial" => "123" "paginaFinal" => "137" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11641033" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Behavioural problems in children who weigh 1000 g or less at birth in four countries" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "ET Hille" 1 => "Ouden AL den" 2 => "S Saigal" 3 => "D Wolke" 4 => "M Lambert" 5 => "A Whitaker" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0140-6736(00)04818-2" "Revista" => array:7 [ "tituloSerie" => "Lancet" "fecha" => "2001" "volumen" => "357" "numero" => "9269" "paginaInicial" => "1641" "paginaFinal" => "1643" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11425366" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Necrotizing enterocolitis in the extremely low birth weight infant" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "MI Rowe" 1 => "KK Reblock" 2 => "AG Kurchubasche" 3 => "PJ. Healey" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "J Pediatr Surg" "fecha" => "1994" "volumen" => "29" "numero" => "8" "paginaInicial" => "987" "paginaFinal" => "990" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7965535" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Very-low-birth-weight outcomes of the National Institute of Child Health and Human Development Neonatal Network, November 1989 to October 1990" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M Hack" 1 => "LL Wright" 2 => "S SHankaran" 3 => "JE Tyson" 4 => "JD Horbar" 5 => "CR Bauer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Am J Obstet Gynecol" "fecha" => "1995" "volumen" => "172" "numero" => "2 Pt 1" "paginaInicial" => "457" "paginaFinal" => "464" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7856670" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Very-low-birth-weight outcomes of the National Institute of Child Health and Human Development Neonatal Research Network, May 1991 through December 1992" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "AA Fanaroff" 1 => "LL Wright" 2 => "DK Stevenson" 3 => "S Shankaran" 4 => "EF Do-novan" 5 => "RA Ehrenkranz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Am J Obstet Gynecol" "fecha" => "1995" "volumen" => "173" "numero" => "5" "paginaInicial" => "1423" "paginaFinal" => "1431" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7503180" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Providing information to parents of extremely premature newborns" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "TH Koh" 1 => "L Collie" 2 => "D. Budge" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "JAMA" "fecha" => "2002" "volumen" => "287" "numero" => "1" "paginaInicial" => "41" "paginaFinal" => "43" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11754698" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A national short-term follow-Up study of extremely low birth weight infants born in Finland in 1996-1997" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "V Tommiska" 1 => "K Heinomen" 2 => "S Ikonen" 3 => "P Kero" 4 => "ML Pokela" 5 => "M Renlund" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Pediatrics" "fecha" => "2001" "volumen" => "107" "numero" => "1):E2" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11134440" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Patrones maternos en los re-cién nacidos con edad gestacional entre 26-28 semanas vs aquellos con edades gestacionales menores a 26 semanas. Acta Pediátrica Española" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "de la Cruz A Aguarón" 1 => "JA De León-Luis" 2 => "P Pintado" 3 => "A Roldán" 4 => "J López-Galián" 5 => "S. Resino" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:1 [ "serieFecha" => "2003" ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Delivery room management of extremely low birth weight infants: spontaneous breathing or intubation?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "W Lindner" 1 => "S Vossbeck" 2 => "H Hummler" 3 => "F. Pohlandt" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Pediatrics" "fecha" => "1999" "volumen" => "103" "numero" => "5 Pt 1" "paginaInicial" => "961" "paginaFinal" => "967" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10224173" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Very low birth weight outcomes of the National Institute of Child health and human development neonatal research network, January 1995 through December 1996. NICHD Neonatal Research Network Pediatrics" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "JA Lemons" 1 => "CR Bauer" 2 => "W Oh" 3 => "SB Korones" 4 => "LA Papile" 5 => "BJ Stolle" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:1 [ "serieFecha" => "2001" ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "From how small is too small to how much is too much. Ethical issues at the limits of neontal viability" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "JL Peabody" 1 => "GI. Martin" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Clin Perinatol" "fecha" => "1996" "volumen" => "23" "numero" => "3" "paginaInicial" => "473" "paginaFinal" => "489" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8884121" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Delivery room resuscitation decisions for extremely low birthweight infan ts in California" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "JC Partridge" 1 => "H Freeman" 2 => "E Weiss" 3 => "AM. Martinez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "J Perinatol" "fecha" => "2001" "volumen" => "21" "numero" => "1" "paginaInicial" => "27" "paginaFinal" => "33" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11268864" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0085" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Factors associated with growth of extremely premature infants during initial hospitalization" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "MA Berry" 1 => "M Abrahamowicz" 2 => "RH. Usher" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Pediatrics" "fecha" => "1997" "volumen" => "1004" "paginaInicial" => "640" "paginaFinal" => "646" ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0090" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Birth weight-specirfic mortality for extremely low birth weight infants vanishes by four days of life: epidemiology and ethics in the neonatal intensive care unit" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "W Meadow" 1 => "T Reimshisel" 2 => "J. Lantos" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Pediatrics" "fecha" => "1996" "volumen" => "97" "numero" => "5" "paginaInicial" => "636" "paginaFinal" => "643" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8628599" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0095" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Outcomes of extremely low-birth-weight infants between 500 and 750 g" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "LA Agustines" 1 => "YG Lin" 2 => "PJ Rumney" 3 => "MC Lu" 4 => "R Bonebrake" 5 => "T Asrat" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ajog.2013.05.024" "Revista" => array:6 [ "tituloSerie" => "Am J Obstet Gynecol" "fecha" => "2000" "volumen" => "182(5" "paginaInicial" => "1113" "paginaFinal" => "1116" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23673229" "web" => "Medline" ] ] ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0100" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Outcomes of extremely low birth weight infants." "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M Hack" 1 => "H Friedman" 2 => "AA. Fanaroff" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Pediatrics" "fecha" => "1996" "volumen" => "98" "numero" => "5" "paginaInicial" => "931" "paginaFinal" => "937" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8909488" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0105" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Neonatal mortality rate: is further improvement possible?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "AG. Philip" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "J Pediatr" "fecha" => "1995" "volumen" => "126" "numero" => "3" "paginaInicial" => "427" "paginaFinal" => "433" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7869206" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib0110" "etiqueta" => "22." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Recién nacido con edad gestacional menor o igual a 28 semanas, trasladado a un hospital terciario" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "de la Cruz A Aguarón" 1 => "JA De León-Luis" 2 => "MP Pintado" 3 => "A Roldan" 4 => "A. López-Galián" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Acta Pediátrica Española" "fecha" => "2002" "volumen" => "60(10" "paginaInicial" => "626" "paginaFinal" => "631" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18903376" "web" => "Medline" ] ] ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib0115" "etiqueta" => "23." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Treatment decisions for newborns at the threshold of viability: an ethical dilemma" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "RW Doroshow" 1 => "JE Hodgman" 2 => "JJ Pomerance" 3 => "JW Ross" 4 => "VJ Mi-chel" 5 => "PM Luckett" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "J Perinatol" "fecha" => "2000" "volumen" => "20" "numero" => "6" "paginaInicial" => "379" "paginaFinal" => "383" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11002878" "web" => "Medline" ] ] ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib0120" "etiqueta" => "24." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Etiology and outcome of extremely low-birth-weight infants" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "TA Iannucci" 1 => "PG Tomich" 2 => "JG. Gianopoulos" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Obs-tet Gynecol" "fecha" => "1996" "volumen" => "174" "numero" => "6" "paginaInicial" => "1896" "paginaFinal" => "1900" ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib0125" "etiqueta" => "25." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prophylactic corticosteroids for preterm birth. Cochrane Database Syst Rev" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "P. Crowley" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:1 [ "serieFecha" => "2000(2" ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib0130" "etiqueta" => "26." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Corti-costeroid treatment for prevention of prematurity complications" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "C Celik" 1 => "A Acar" 2 => "N Cicek" 3 => "H Koc" 4 => "D Ak" 5 => "C. Akyurek" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00404-001-0271-6" "Revista" => array:7 [ "tituloSerie" => "Arch Gynecol Obstet" "fecha" => "2002" "volumen" => "267" "numero" => "2" "paginaInicial" => "90" "paginaFinal" => "94" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12439554" "web" => "Medline" ] ] ] ] ] ] ] ] 26 => array:3 [ "identificador" => "bib0135" "etiqueta" => "27." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevention of intraventricular hemorrhage in preterm infants" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "JT Wells" 1 => "LR. Ment" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Early Hum Dev" "fecha" => "1995" "volumen" => "42" "numero" => "3" "paginaInicial" => "209" "paginaFinal" => "233" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7493588" "web" => "Medline" ] ] ] ] ] ] ] ] 27 => array:3 [ "identificador" => "bib0140" "etiqueta" => "28." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "How aggressive should delivery room cardiopul-monary resuscitation be for extremely low birth weight neonates?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "DJ. Davis" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Pediatrics" "fecha" => "1993" "volumen" => "92" "numero" => "3" "paginaInicial" => "447" "paginaFinal" => "450" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8192739" "web" => "Medline" ] ] ] ] ] ] ] ] 28 => array:3 [ "identificador" => "bib0145" "etiqueta" => "29." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bad cases make bad law: HCA. Miller is not a guide for resuscitation of extremely premature newborns" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "JJ Paris" 1 => "F. Reardon" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1038/sj.jp.7210610" "Revista" => array:7 [ "tituloSerie" => "J Perinatol" "fecha" => "2001" "volumen" => "21" "numero" => "8" "paginaInicial" => "541" "paginaFinal" => "544" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11774016" "web" => "Medline" ] ] ] ] ] ] ] ] 29 => array:3 [ "identificador" => "bib0150" "etiqueta" => "30." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Physician’s neonatal resuscitation of extremely low-birth-weight preterm infants" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "AJ. Catlin" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1891/0730-0832.19.3.25" "Revista" => array:7 [ "tituloSerie" => "Neonatal Netw" "fecha" => "2000" "volumen" => "19" "numero" => "3" "paginaInicial" => "25" "paginaFinal" => "32" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11949061" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/0210573X/0000003000000004/v1_201307111213/S0210573X03772438/v1_201307111213/es/main.assets" "Apartado" => array:4 [ "identificador" => "7489" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/0210573X/0000003000000004/v1_201307111213/S0210573X03772438/v1_201307111213/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210573X03772438?idApp=UINPBA00004N" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 1 | 0 | 1 |
| 2024 Octubre | 6 | 6 | 12 |
| 2024 Septiembre | 10 | 3 | 13 |
| 2024 Agosto | 7 | 3 | 10 |
| 2024 Julio | 13 | 9 | 22 |
| 2024 Junio | 8 | 9 | 17 |
| 2024 Mayo | 13 | 5 | 18 |
| 2024 Abril | 11 | 8 | 19 |
| 2024 Marzo | 17 | 27 | 44 |
| 2024 Febrero | 7 | 10 | 17 |
| 2024 Enero | 10 | 20 | 30 |
| 2023 Diciembre | 12 | 32 | 44 |
| 2023 Noviembre | 10 | 24 | 34 |
| 2023 Octubre | 12 | 23 | 35 |
| 2023 Septiembre | 13 | 17 | 30 |
| 2023 Agosto | 14 | 25 | 39 |
| 2023 Julio | 5 | 23 | 28 |
| 2023 Junio | 24 | 5 | 29 |
| 2023 Mayo | 36 | 4 | 40 |
| 2023 Abril | 28 | 4 | 32 |
| 2023 Marzo | 17 | 7 | 24 |
| 2023 Febrero | 16 | 3 | 19 |
| 2023 Enero | 8 | 4 | 12 |
| 2022 Diciembre | 11 | 6 | 17 |
| 2022 Noviembre | 19 | 9 | 28 |
| 2022 Octubre | 11 | 8 | 19 |
| 2022 Septiembre | 11 | 12 | 23 |
| 2022 Agosto | 12 | 10 | 22 |
| 2022 Julio | 11 | 8 | 19 |
| 2022 Junio | 10 | 5 | 15 |
| 2022 Mayo | 10 | 13 | 23 |
| 2022 Abril | 16 | 24 | 40 |
| 2022 Marzo | 11 | 10 | 21 |
| 2022 Febrero | 8 | 4 | 12 |
| 2022 Enero | 10 | 10 | 20 |
| 2021 Diciembre | 13 | 11 | 24 |
| 2021 Noviembre | 11 | 12 | 23 |
| 2021 Octubre | 16 | 16 | 32 |
| 2021 Septiembre | 8 | 4 | 12 |
| 2021 Agosto | 13 | 7 | 20 |
| 2021 Julio | 15 | 10 | 25 |
| 2021 Junio | 14 | 27 | 41 |
| 2021 Mayo | 11 | 7 | 18 |
| 2021 Abril | 30 | 13 | 43 |
| 2021 Marzo | 23 | 8 | 31 |
| 2021 Febrero | 21 | 8 | 29 |
| 2021 Enero | 20 | 15 | 35 |
| 2020 Diciembre | 27 | 5 | 32 |
| 2020 Noviembre | 21 | 8 | 29 |
| 2020 Octubre | 10 | 8 | 18 |
| 2020 Septiembre | 17 | 11 | 28 |
| 2020 Agosto | 8 | 12 | 20 |
| 2020 Julio | 12 | 10 | 22 |
| 2020 Junio | 6 | 9 | 15 |
| 2020 Mayo | 7 | 4 | 11 |
| 2020 Abril | 4 | 14 | 18 |
| 2020 Marzo | 5 | 7 | 12 |
| 2020 Febrero | 6 | 3 | 9 |
| 2020 Enero | 7 | 17 | 24 |
| 2019 Diciembre | 15 | 19 | 34 |
| 2019 Noviembre | 7 | 12 | 19 |
| 2019 Octubre | 4 | 5 | 9 |
| 2019 Septiembre | 11 | 14 | 25 |
| 2019 Agosto | 4 | 5 | 9 |
| 2019 Julio | 16 | 24 | 40 |
| 2019 Junio | 27 | 22 | 49 |
| 2019 Mayo | 98 | 57 | 155 |
| 2019 Abril | 34 | 19 | 53 |
| 2019 Marzo | 8 | 9 | 17 |
| 2019 Febrero | 10 | 10 | 20 |
| 2019 Enero | 10 | 5 | 15 |
| 2018 Diciembre | 11 | 13 | 24 |
| 2018 Noviembre | 8 | 1 | 9 |
| 2018 Octubre | 12 | 10 | 22 |
| 2018 Septiembre | 5 | 7 | 12 |
| 2018 Agosto | 4 | 2 | 6 |
| 2018 Julio | 8 | 1 | 9 |
| 2018 Junio | 3 | 1 | 4 |
| 2018 Mayo | 5 | 1 | 6 |
| 2018 Abril | 6 | 3 | 9 |
| 2018 Marzo | 9 | 2 | 11 |
| 2018 Febrero | 8 | 0 | 8 |
| 2018 Enero | 7 | 1 | 8 |
| 2017 Diciembre | 7 | 1 | 8 |
| 2017 Noviembre | 11 | 1 | 12 |
| 2017 Octubre | 3 | 2 | 5 |
| 2017 Septiembre | 7 | 1 | 8 |
| 2017 Agosto | 4 | 0 | 4 |
| 2017 Julio | 8 | 2 | 10 |
| 2017 Junio | 8 | 18 | 26 |
| 2017 Mayo | 5 | 6 | 11 |
| 2017 Abril | 12 | 18 | 30 |
| 2017 Marzo | 11 | 14 | 25 |
| 2017 Febrero | 18 | 0 | 18 |
| 2017 Enero | 12 | 2 | 14 |
| 2016 Diciembre | 20 | 6 | 26 |
| 2016 Noviembre | 24 | 2 | 26 |
| 2016 Octubre | 36 | 8 | 44 |
| 2016 Septiembre | 6 | 5 | 11 |
| 2016 Agosto | 7 | 2 | 9 |
| 2016 Julio | 14 | 1 | 15 |
| 2016 Junio | 20 | 11 | 31 |
| 2016 Mayo | 21 | 2 | 23 |
| 2016 Abril | 13 | 4 | 17 |
| 2016 Marzo | 15 | 2 | 17 |
| 2016 Febrero | 16 | 4 | 20 |
| 2016 Enero | 11 | 6 | 17 |
| 2015 Diciembre | 11 | 3 | 14 |
| 2015 Noviembre | 10 | 3 | 13 |
| 2015 Octubre | 26 | 4 | 30 |
| 2015 Septiembre | 21 | 0 | 21 |
| 2015 Agosto | 9 | 2 | 11 |
| 2015 Julio | 6 | 1 | 7 |
| 2015 Junio | 10 | 3 | 13 |
| 2015 Mayo | 13 | 2 | 15 |
| 2015 Abril | 16 | 7 | 23 |
| 2015 Marzo | 18 | 4 | 22 |
| 2015 Febrero | 15 | 4 | 19 |
| 2015 Enero | 28 | 5 | 33 |
| 2014 Diciembre | 40 | 4 | 44 |
| 2014 Noviembre | 30 | 4 | 34 |
| 2014 Octubre | 28 | 5 | 33 |
| 2014 Septiembre | 27 | 2 | 29 |
| 2014 Agosto | 27 | 3 | 30 |
| 2014 Julio | 36 | 2 | 38 |
| 2014 Junio | 40 | 4 | 44 |
| 2014 Mayo | 19 | 1 | 20 |
| 2014 Abril | 20 | 1 | 21 |
| 2014 Marzo | 21 | 1 | 22 |
| 2014 Febrero | 27 | 1 | 28 |
| 2014 Enero | 24 | 0 | 24 |
| 2013 Diciembre | 30 | 3 | 33 |
| 2013 Noviembre | 18 | 4 | 22 |
| 2013 Octubre | 25 | 1 | 26 |
| 2013 Septiembre | 28 | 2 | 30 |
| 2013 Agosto | 24 | 3 | 27 |
| 2013 Julio | 34 | 0 | 34 |
| 2003 Marzo | 520 | 0 | 520 |
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