<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-8705</journal-id>
<journal-title><![CDATA[CES Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[CES Med.]]></abbrev-journal-title>
<issn>0120-8705</issn>
<publisher>
<publisher-name><![CDATA[Universidad CES]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-87052020000200093</article-id>
<article-id pub-id-type="doi">10.21615/cesmedicina.34.2.1</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores de riesgo asociados al ingreso a unidad de cuidados intensivos en pacientes pediátricos hospitalizados por dengue en Cali, Colombia]]></article-title>
<article-title xml:lang="en"><![CDATA[Risk factors associated with Intensive Care Unit admission in pediatric patients hospitalized for dengue in Cali, Colombia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas Hernández]]></surname>
<given-names><![CDATA[Juan Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bula]]></surname>
<given-names><![CDATA[Sindy Paola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cárdenas Hernández]]></surname>
<given-names><![CDATA[Vicky]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pacheco]]></surname>
<given-names><![CDATA[Robinson]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álzate Sánchez]]></surname>
<given-names><![CDATA[Rodrigo Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Libre  ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Tobías Puerta  ]]></institution>
<addr-line><![CDATA[Uramita ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Pediátrico de la Misericordia  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Libre  ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Libre  ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<volume>34</volume>
<numero>2</numero>
<fpage>93</fpage>
<lpage>102</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-87052020000200093&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-87052020000200093&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-87052020000200093&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: el dengue es la arbovirosis de propagación más rápida en todo el mundo; anualmente 390 millones de personas son infectadas.  Objetivo: identificar las manifestaciones clínicas y características demográficas asociadas a ingreso a unidad de cuidados intensivos en una institución pediátrica de Cali, Colombia, entre enero 2015 y diciembre 2016.  Materiales y métodos: estudio de casos y controles anidado en una cohorte. Caso: paciente mayor de 28 días y menor de 18 años, hospitalizado en la unidad de cuidados intensivos pediátricos con diagnóstico confirmado de dengue con signos de alarma o dengue grave, sumado a serología positiva para IgM y/o NS1.  Control: paciente de igual edad y diagnóstico confirmado de dengue, sin ingreso a la unidad de cuidas intensivos.  Resultados: se evaluaron 24 casos y 176 controles, la mediana de edad en meses fue 142 vs.106 (RIC: 59-142). El 83 % procedía del área de urbana de Cali y 53 % era de sexo masculino. Presentar derrame pleural OR 3,4 (IC 95% 1,2-9,8) y alteraciones cardiovasculares OR 4,7 (IC 95% 1,7-13,1), incrementaron la probabilidad de ingreso a unidad de cuidados intensivos pediátricos. Tres pacientes fallecieron, todos pertenecían al grupo de casos.  Conclusiones: el dengue en población pediátrica tiene un comportamiento clínico inespecífico; sin embargo, identificar derrame pleural o alteraciones cardiovasculares pueden explicar un ingreso a unidad de cuidados intensivos pediátricos y alertar sobre un posible desenlace fatal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Dengue is the fastest spreading arbovirosis worldwide, 390 million people are infected annually. Objective: To identify the clinical manifestations and demographic characteristics associated with severe dengue in a pediatric institution in Cali, Colombia, between January 2015 and December 2016.  Methods: Case-control study nested in a cohort.  Case:  patient over 28 days and under 18 years of age, hospitalized in the Pediatric Intensive Care Unit (PICU) with a confirmed diagnosis of dengue with warning signs or severe dengue, plus positive serology for IgM and / or NS1.  Control:  patient of equal age and confirmed diagnosis of dengue, without admission PICU.  Results:  24 cases and 176 controls were evaluated, the median age in months was 142 vs. 106 (95% CI). Of the total, 83% proceed from the urban area of Cali. 53% of the patients were male. The multivariate analysis showed that presenting pleural effusion OR 3.4 (95% CI 1.2-9.8) or cardiovascular disorders OR 4,7 (95% CI 1.7-13,1), increased the probability of admission to PICU. Three patients died, all belonged to the case group.  Conclusions:  Dengue in the pediatric population has a nonspecific clinical behavior, however, identifying pleural effusion and cardiovascular alterations can explain an admission to PICU and warn of a possible fatal outcome.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Dengue]]></kwd>
<kwd lng="es"><![CDATA[Unidad de cuidados intensivos]]></kwd>
<kwd lng="es"><![CDATA[Niño hospitalizado]]></kwd>
<kwd lng="en"><![CDATA[Dengue]]></kwd>
<kwd lng="en"><![CDATA[Pediatric Intensive Care Unit]]></kwd>
<kwd lng="en"><![CDATA[Hospitalized]]></kwd>
<kwd lng="en"><![CDATA[Children]]></kwd>
</kwd-group>
</article-meta>
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