Publications by authors named "Juan D Roa G"
Article Synopsis
- The study examines clinical outcomes and healthcare utilization for children with moderate to severe traumatic brain injuries (TBIs) in low- and middle-income countries (LMICs) compared to non-LMICs in Asia and Latin America.
- It involved an observational analysis of 771 children admitted to pediatric intensive care units (PICUs) from January 2014 to February 2023, focusing on mortality rates, outcomes, and free days without ICU or hospital care.
- Results indicated that while mortality rates were similar between groups, children from LMICs had worse functional outcomes and fewer ICU- and hospital-free days, suggesting a significant disparity in health outcomes influenced by socioeconomic factors.
Purpose: We aimed to investigate the association between initial dysnatremia (hyponatremia and hypernatremia) and in-hospital mortality, as well as between initial dysnatremia and functional outcomes, among children with traumatic brain injury (TBI).
Method: We performed a multicenter observational study among 26 pediatric intensive care units from January 2014 to August 2022. We recruited children with TBI under 18 years of age who presented to participating sites within 24 h of injury.
Purpose: Children with moderate traumatic brain injury (modTBI) (Glasgow Coma Scale (GCS) 9-13) may benefit from better stratification. We aimed to compare neurocritical care utilization and functional outcomes between children with high GCS modTBI (hmodTBI, GCS 11-13), low GCS modTBI (lmodTBI, GCS 9-10), and severe TBI (sTBI, GCS ≤ 8). We hypothesized that patients with lmodTBI have higher neurocritical care needs and worse outcomes than patients with hmodTBI and are similar to patients with sTBI.
View Article and Find Full Text PDFObjective: There is a paucity of information on pediatric traumatic brain injury (TBI) care in Asia and Latin America. In this study, the authors aimed to describe the clinical practices of emergency departments (EDs) participating in the Saline in Asia and Latin-America Neurotrauma in the Young (SALTY) study, by comparing designated trauma centers (DTCs) and nontrauma centers (NTCs) in their networks.
Methods: The authors performed a site survey study on pediatric TBI management in the EDs in 14 countries.