Publications by authors named "Ruben Moreno Sanchez"
Improving emergency department care of infants with acute bronchiolitis by reducing the use of unrecommended drugs: a quality-of-care initiative in a Spanish autonomous community.
Emergencias
February 2023
Article Synopsis
- The study evaluated a quality-of-care program in Spanish emergency departments aimed at reducing the use of unnecessary medications in infants with acute bronchiolitis.
- Data from two epidemic periods (2018 and 2019) showed a significant decrease in the use of treatments like salbutamol, epinephrine, and hypertonic saline after implementing the program.
- Despite the positive changes in treatment practices, variations between emergency departments indicate the need for ongoing training and assessment.
Correction to: Evaluation of the PECARN rule for traumatic brain injury applied to infants younger than 3 months and creation of a modified, age-specific rule.
Eur J Pediatr
January 2023
Unlabelled: Infants < 3 months with minor head trauma (MHT) are a particularly vulnerable group, though few studies have focused specifically on these patients. We aimed to evaluate the application of the PECARN prediction rule, designed for clinically important traumatic brain injury (ciTBI) in children < 2 years in infants < 3 months, and create a specific prediction rule for this population. We conducted a prospective multicenter observational study in 13 pediatric emergency departments (PEDs) in Spain.
View Article and Find Full Text PDFArticle Synopsis
- - The study focuses on the occurrence and characteristics of minor head trauma in infants under 3 months old who visited pediatric emergency departments in Spain between May 2017 and November 2020, highlighting the need for specialized knowledge in this area.
- - Out of over 1.15 million visits, only 386 infants sustained minor head injuries, with the majority being male; the most common cause was falls, particularly from furniture and caregivers.
- - The findings show that most cases of head injury in this age group are benign, with a very low rate of clinically important traumatic brain injury, suggesting that prevention should target safe environments to reduce falls.
Validation of the Spanish Version of the Pain Assessment in Advanced Dementia Scale (PAINAD-Sp) in Hospitalized Patients with Neurologic Disorders and Oncologic Patients Unable to Self-Report Their Pain.
Pain Manag Nurs
August 2019
Background: Pain has a significant impact on hospitalized patients and is a quality indicator for nursing care. The Pain Assessment in Advanced Dementia (PAINAD) scale measures pain in people with communication disorders and advanced dementia, but it has not been validated in any other population.
Aims: The aim of this study was to validate the Spanish version (PAINAD-Sp) in hospitalized patients with neurologic disorders and in end-of-life cancer patients with difficulty self-reporting.
Objective: To determine the prevalence of frequent Paediatric Emergency Departments users and to analyse their characteristics, comparing initial consultations and re-consultations.
Methods: This is a multicentre retrospective cohort study of all patients who made 10 or more visits to the Paediatric Emergency Departments of 5 public hospitals between 1 January 2013 and 31 December 2013. An analysis was performed on the patient demographics and clinical data of the first consultation and consecutive re-consultations.