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atendiendo a su juicio diagn&#243;stico y seg&#250;n los protocolos cl&#237;nicos de cada centro&#44; solicitaron las pruebas de imagen que consideraron necesarias&#46; Posteriormente se evalu&#243; si la actuaci&#243;n fue acorde a las recomendaciones de la RPC PECARN para menores de 2 a&#241;os<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">4</span></a>&#46; En la <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a> se muestran los criterios PECARN y en la <a class="elsevierStyleCrossRef" href="#fig0010">figura 2</a> el algoritmo propuesto en su cohorte para la realizaci&#243;n de una prueba de imagen&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0040" class="elsevierStylePara elsevierViewall">Los resultados de las pruebas radiol&#243;gicas &#40;TC craneal&#44; radiograf&#237;a de cr&#225;neo y ecograf&#237;a transfontanelar&#41; fueron informados por radi&#243;logos pedi&#225;tricos&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Los datos del estudio fueron recogidos prospectivamente por investigadores de cada centro e incluidos en una &#250;nica base de datos codificada y con acceso restringido solo al investigador principal&#46; Fueron incluidas variables cl&#237;nicas y sociodemogr&#225;ficas&#58; edad&#44; g&#233;nero&#44; mecanismo lesional&#44; los s&#237;ntomas de la anamnesis y los signos de la exploraci&#243;n f&#237;sica&#44; pruebas de imagen realizadas&#44; hallazgos radiol&#243;gicos y desenlaces de inter&#233;s &#40;LIC cl&#237;nicamente significativa&#44; LIC radiol&#243;gica y fractura craneal aislada&#41;&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Definiciones de los desenlaces de inter&#233;s&#58; &#40;i&#41; LIC cl&#237;nicamente significativa&#44; definida como muerte por lesi&#243;n cerebral traum&#225;tica u hospitalizaci&#243;n durante 2 o m&#225;s noches debida al TCE con signos&#47;s&#237;ntomas asociados con la LIC radiol&#243;gica&#59; &#40;ii&#41; LIC radiol&#243;gica&#44; definida como cualquier hallazgo intracraneal traum&#225;tico agudo o fractura de cr&#225;neo con hundimiento al menos del grosor del cr&#225;neo&#59; y &#40;iii&#41; fractura aislada de cr&#225;neo&#44; definida como una fractura evidenciada en cualquier prueba de imagen &#40;TC&#44; radiograf&#237;a de cr&#225;neo o ecograf&#237;a&#41; sin hundimiento significativo&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Definiciones de los indicadores de calidad del TCE leve utilizados &#40;Sociedad Espa&#241;ola de Urgencias Pedi&#225;tricas &#91;SEUP&#93;&#41;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">7</span></a>&#58;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">&#8226;</span><p id="par0060" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Realizaci&#243;n de TC craneal en el TCE leve&#58;</span> n&#250;mero de TC craneales llevadas a cabo en pacientes con TCE leve &#40;est&#225;ndar<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>5&#37;&#41;&#46;</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">&#8226;</span><p id="par0065" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Uso de radiograf&#237;a de cr&#225;neo en el TCE de cualquier gravedad&#58;</span> n&#250;mero de radiograf&#237;as de cr&#225;neo realizadas en pacientes con TCE &#40;est&#225;ndar<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>5&#37;&#41;&#46;</p></li></ul></p><p id="par0070" class="elsevierStylePara elsevierViewall">Se ha utilizado el programa STATA v&#46;17 &#40;StataCorp&#41;&#46; Los datos cualitativos se presentan como valores absolutos y frecuencias relativas&#59; los cuantitativos como media&#44; mediana y rangos&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">El estudio fue aprobado por el Comit&#233; de &#201;tica del hospital coordinador&#44; n&#250;mero&#58; R-0064&#47;16 y por cada uno de los comit&#233;s de cada centro participante&#46; El consentimiento informado fue obtenido de cada uno de los padres o tutores legales de los pacientes incluidos&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Resultados</span><p id="par0080" class="elsevierStylePara elsevierViewall">Durante el per&#237;odo de estudio 1&#46;150&#46;225 pacientes fueron evaluados en los SUP&#59; 21&#46;981 presentaron un TCE leve&#44; de los cuales&#44; 386 eran menores de 3 meses&#46; Se excluyeron 20 &#40;11 por datos incompletos&#44; 6 por falta de consentimiento informado y 3 TCE no accidentales&#41;&#46; Finalmente&#44; 366 &#40;1&#44;7&#37;&#41; pacientes fueron incluidos en el an&#225;lisis &#40;<a class="elsevierStyleCrossRef" href="#fig0015">fig&#46; 3</a>&#41;&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0085" class="elsevierStylePara elsevierViewall">La mediana de edad fue de 49&#44;3 d&#237;as &#40;rango intercuart&#237;lico 29&#44;4-69&#44;3 d&#237;as&#41; y 209 &#40;56&#44;5&#37;&#41; eran varones&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">La mayor&#237;a de los TCE &#40;295&#47;366&#59; 80&#44;6&#37;&#41; estuvieron relacionados con ca&#237;das&#44; principalmente desde superficies est&#225;ticas &#40;p&#46; ej&#46;&#44; cama&#44; cambiador&#44; sof&#225;&#44; hamaca para beb&#233;s&#41; &#40;135&#47;295&#59; 45&#44;8&#37;&#41; o un carrito de paseo &#40;92&#47;295&#59; 31&#44;2&#37;&#41;&#46; La segunda causa m&#225;s frecuente tras las ca&#237;das fue un golpe con un objeto &#40;71&#47;366&#59; 19&#44;4&#37;&#41;&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">La mayor&#237;a de los lactantes estaban asintom&#225;ticos &#40;317&#59; 86&#44;6&#37;&#41; y no presentaban signos en la exploraci&#243;n f&#237;sica &#40;210&#59; 57&#44;4&#37;&#41;&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Se realizaron pruebas de imagen al 53&#44;3&#37; &#40;195&#41; de los pacientes&#58; a 37 &#40;10&#44;1&#37;&#41; se les hizo una TC craneal&#44; a 162 &#40;44&#44;3&#37;&#41; una radiograf&#237;a de cr&#225;neo y a 22 &#40;6&#37;&#41; una ecograf&#237;a transfontanelar&#46; A 23 lactantes &#40;6&#44;3&#37;&#41; se les realiz&#243; m&#225;s de una prueba de imagen&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Solo un paciente present&#243; una LIC cl&#237;nicamente significativa &#40;0&#44;3&#37; del total&#59; IC 95&#37;&#58; 0-1&#44;5&#41; y 12 ten&#237;an una LIC radiol&#243;gica &#40;3&#44;3&#37; del total&#59; IC 95&#37;&#58; 1&#44;7-5&#44;7&#41;&#46; Todos estos casos &#40;13&#41; ten&#237;an una fractura de cr&#225;neo asociada&#46; En 20 pacientes se identific&#243; una fractura aislada de cr&#225;neo &#40;5&#44;5&#37; del total&#59; IC 95&#37;&#58; 3&#44;4-8&#44;3&#41;&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">Las pruebas de imagen realizadas en el total del registro y en cada hospital participante se describen en la <a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0115" class="elsevierStylePara elsevierViewall">La realizaci&#243;n de TC craneal presenta un rango muy amplio&#44; desde el 2&#44;6&#37; en el hospital B hasta el 40&#37; en el hospital J&#46; Pero si se analiza detalladamente si la indicaci&#243;n era correcta seg&#250;n la RPC PECARN&#44; solo hubo 3 de ellos que no estaban indicados por ser pacientes de bajo riesgo &#40;uno en el hospital A&#44; uno en el hospital C y uno en el hospital D&#41;&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Las radiograf&#237;as de cr&#225;neo fueron ampliamente utilizadas&#44; salvo en 5 hospitales &#40;hospitales E&#44; H&#44; J&#44; L y M&#41;&#44; de los que en 4 no se realiz&#243; ninguna &#40;hospitales H&#44; J&#44; L y M&#41;&#46; Entre el resto de hospitales&#44; el rango de realizaci&#243;n de radiograf&#237;a de cr&#225;neo oscil&#243; entre el 12&#44;5&#37; &#40;hospital F&#41; y el 100&#37; &#40;hospital I&#41;&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">Del total de radiograf&#237;as realizadas &#40;162&#41;&#44; 18 &#40;11&#44;1&#37;&#41; ten&#237;an una fractura craneal&#46; En 15 &#40;83&#44;3&#37;&#41;&#44; de estos lactantes&#44; se realiz&#243; una TC craneal&#44; 4 ten&#237;an una LIC radiol&#243;gica y uno una LIC cl&#237;nicamente significativa que precis&#243; una intervenci&#243;n quir&#250;rgica urgente&#46; Todos evolucionaron favorablemente&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">En la <a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a> se muestran las radiograf&#237;as de cr&#225;neo realizadas a lactantes asintom&#225;ticos con un cefalohematoma en la exploraci&#243;n f&#237;sica&#46; El 75&#37; &#40;42&#41; de ellos ten&#237;an una radiograf&#237;a de cr&#225;neo realizada con un rango entre el 50&#37; &#40;hospital G&#41; y el 100&#37; &#40;hospitales A&#44; E&#44; I y J&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0135" class="elsevierStylePara elsevierViewall">La ecograf&#237;a transfontanelar fue la prueba menos utilizada&#44; aunque en algunos centros represent&#243; el 20&#37; &#40;hospital L&#41; y el 24&#37; &#40;hospital D&#41; del total de pruebas radiol&#243;gicas&#46;</p><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Lactantes con criterios PECARN de alto riesgo</span><p id="par0140" class="elsevierStylePara elsevierViewall">En el 25&#44;6&#37; &#40;10&#47;39&#41; de los lactantes con criterios de alto riesgo se siguieron las recomendaciones establecidas&#44; realizaci&#243;n de TC craneal&#44; con un rango entre el 0&#37; &#40;hospitales A&#44; B y E&#41; y el 100&#37; &#40;hospital H&#41;&#46; Se realiz&#243; una radiograf&#237;a de cr&#225;neo en el 35&#44;9&#37; &#40;22&#47;39&#41; &#40;rango entre el 0&#37; &#91;hospital E&#93; y el 66&#44;7&#37; &#91;hospitales A y D&#93;&#41;&#46; Ning&#250;n paciente de alto riesgo fue dado de alta directamente tras la exploraci&#243;n &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Lactantes con criterios PECARN de riesgo intermedio</span><p id="par0145" class="elsevierStylePara elsevierViewall">La actitud recomendada seg&#250;n la RPC PECARN &#40;TC craneal vs&#46; observaci&#243;n cl&#237;nica&#41; se llev&#243; a cabo en el 37&#44;1&#37; &#40;rango del 4&#44;5&#37; &#91;hospital A&#93; al 100&#37; &#91;hospitales F&#44; H&#44; J y M&#93;&#41;&#46; En 6&#47;97 &#40;6&#44;2&#37;&#41; se realiz&#243; TC craneal &#40;uno &#91;hospital A&#93;&#44; uno &#91;hospital C&#93;&#44; 2 &#91;hospital E&#93; y 2 &#91;hospital K&#93;&#41; y en 30&#47;97 &#40;30&#44;9&#37;&#41; observaci&#243;n cl&#237;nica&#46; En el 49&#44;5&#37; &#40;48&#47;97&#41; se realiz&#243; una radiograf&#237;a de cr&#225;neo &#40;<a class="elsevierStyleCrossRef" href="#tbl0020">tabla 4</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Lactantes con criterios PECARN de bajo riesgo</span><p id="par0150" class="elsevierStylePara elsevierViewall">Las recomendaciones de la RPC PECARN de alta a domicilio se cumplieron en el 57&#44;4&#37; &#40;132&#47;230&#41; de los lactantes con un rango entre el 0&#37; &#40;hospital I&#41; y el 100&#37; &#40;hospitales F&#44; H&#44; J&#44; L y M&#41;&#46; Se realizaron 3 TC craneales &#40;1&#44;3&#37; de los lactantes de bajo riesgo&#41; cuando no estaban indicadas&#44; aunque en uno de ellos se objetiv&#243; un hematoma epidural milim&#233;trico que no requiri&#243; intervenci&#243;n neuroquir&#250;rgica&#46; Adem&#225;s&#44; se indicaron 92 radiograf&#237;as de cr&#225;neo &#40;40&#37; de los lactantes de bajo riesgo&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0025">tabla 5</a>&#41;&#46; Se emplearon de manera muy heterog&#233;nea entre los distintos hospitales&#46; Los hospitales F&#44; H&#44; J&#44; L y M no realizaron ninguna radiograf&#237;a mientras que el hospital I hizo una a todos sus pacientes de bajo riesgo &#40;5&#47;5&#41;&#46; En segundo lugar se encuentra el hospital A&#44; que fue el m&#225;s reclutador con una proporci&#243;n del 79&#44;7&#37; &#40;51&#47;64&#41;&#46; Por &#250;ltimo&#44; se realizaron 5 ecograf&#237;as transfontanelares &#40;2&#44;2&#37; de los lactantes de bajo riesgo&#41;&#46; La tasa de ingreso fue del 2&#44;6&#37; &#40;6&#47;230&#41;&#44; 3 de estos pacientes ten&#237;an un desenlace de inter&#233;s &#40;una LIC radiol&#243;gica y 2 fracturas craneales aisladas&#41;&#46;</p><elsevierMultimedia ident="tbl0025"></elsevierMultimedia></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Discusi&#243;n</span><p id="par0155" class="elsevierStylePara elsevierViewall">En el registro existe una gran variabilidad en el manejo cl&#237;nico y la realizaci&#243;n de pruebas de imagen entre los distintos centros hospitalarios&#46; La actitud se consider&#243; acorde a las recomendaciones PECARN en casi la mitad de las ocasiones&#44; con un mayor grado de cumplimiento cuando los lactantes ten&#237;an un riesgo bajo de LIC&#46;</p><p id="par0160" class="elsevierStylePara elsevierViewall">Adecuar la realizaci&#243;n de TC craneales en los lactantes menores de 3 meses debe ser una prioridad&#46; En nuestra serie se observ&#243; un empleo de esta prueba no acorde a las recomendaciones tanto en pacientes de bajo riesgo &#40;realizaci&#243;n sin indicaci&#243;n&#41; como en pacientes de alto riesgo &#40;indicada y no realizada&#41;&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">M&#225;s de la mitad de los hospitales participantes en el registro tienen una tasa superior al 5&#37; en la realizaci&#243;n de TC craneales&#44; lo que supone un incumplimiento del criterio de calidad establecido por la SEUP<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">7</span></a> en los TCE leves&#44; aunque este criterio no se ha establecido espec&#237;ficamente para este grupo de edad&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">La radiograf&#237;a de cr&#225;neo es &#250;til para diagnosticar fracturas craneales&#44; pero no para identificar una LIC&#46; Sin embargo&#44; el n&#250;mero de radiograf&#237;as de cr&#225;neo realizadas en nuestra poblaci&#243;n &#40;casi la mitad de los lactantes&#41; es excesivamente alto&#44; aun sabiendo que esta prueba de imagen ya no est&#225; indicada en el TCE leve&#44; por su bajo valor predictivo<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">8</span></a> y su bajo rendimiento en la identificaci&#243;n de lesiones radiol&#243;gicas<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">9&#8211;12</span></a>&#46; La &#250;nica indicaci&#243;n de radiograf&#237;a de cr&#225;neo aceptada por algunos autores es en los lactantes asintom&#225;ticos con un cefalohematoma significativo no frontal<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">13&#8211;16</span></a>&#44; realizando posteriormente una TC en aquellos en los que se identifique fractura&#46; En nuestro registro&#44; 2 de cada 3 de estos lactantes tienen una radiograf&#237;a de cr&#225;neo&#46; Esta indicaci&#243;n ha sido revisada en los &#250;ltimos a&#241;os&#44; recomend&#225;ndose sustituirla por una TC craneal en un subgrupo de pacientes con cefalohematoma de mayor tama&#241;o<a class="elsevierStyleCrossRefs" href="#bib0195"><span class="elsevierStyleSup">17&#44;18</span></a> y asegurarse un per&#237;odo de observaci&#243;n de varias horas tras el TCE en el resto&#46; M&#225;s de la mitad de los hospitales presentan una tasa mayor del 5&#37; en la realizaci&#243;n de radiograf&#237;as de cr&#225;neo&#44; superando el criterio de calidad establecido por la SEUP<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">7</span></a>&#46; Como los lactantes menores de 3 meses forman un grupo de edad vulnerable y dif&#237;cil de evaluar&#44; presuponemos que es m&#225;s probable que los m&#233;dicos realicen pruebas radiol&#243;gicas&#44; incluso si los lactantes est&#225;n asintom&#225;ticos&#46;</p><p id="par0175" class="elsevierStylePara elsevierViewall">Solo los hospitales L y M cumplen los 2 criterios de calidad&#44; aunque son los hospitales con menor n&#250;mero de pacientes reclutados y presentan una gran diferencia con los centros que aportan m&#225;s pacientes&#46; Dentro de los 5 hospitales con m&#225;s lactantes registrados&#44; destaca con los mejores datos el hospital E con una tasa de TC craneales del 11&#44;5&#37; y de radiograf&#237;as de cr&#225;neo del 3&#44;8&#37;&#46;</p><p id="par0180" class="elsevierStylePara elsevierViewall">Otra prueba de imagen alternativa en estos lactantes es la ecograf&#237;a&#46; En este estudio&#44; todas fueron transfontanelares que para detectar LIC requieren una ventana suficientemente grande a trav&#233;s de la fontanela que no siempre es posible y adem&#225;s presentan limitaciones en la evaluaci&#243;n de las &#225;reas cercanas a la convexidad del cr&#225;neo&#44; pudiendo infraestimar las LIC<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">19</span></a>&#46; Existe la posibilidad de realizar ecograf&#237;as en el punto de fractura&#44; aunque por el momento no est&#225; claro su papel<a class="elsevierStyleCrossRefs" href="#bib0210"><span class="elsevierStyleSup">20&#8211;22</span></a>&#46;</p><p id="par0185" class="elsevierStylePara elsevierViewall">Las recomendaciones de la RPC PECARN &#40;<a class="elsevierStyleCrossRef" href="#fig0010">fig&#46; 2</a>&#41; tuvieron una baja adherencia en general&#44; solo fueron seguidas en uno de cada 2 lactantes&#46; Y&#44; en opini&#243;n de los autores&#44; esto deber&#237;a mejorar porque su aplicaci&#243;n puede permitir limitar la realizaci&#243;n de TC craneales solo a los lactantes con mayor riesgo de complicaciones&#44; todos los de alto riesgo y los de riesgo intermedio con m&#225;s de un factor de riesgo o con un empeoramiento de los s&#237;ntomas durante la observaci&#243;n cl&#237;nica en urgencias&#46; Es necesario evitar el uso de la radiograf&#237;a al ser una prueba de imagen que no puede identificar LIC&#46;</p><p id="par0190" class="elsevierStylePara elsevierViewall">En este registro&#44; en todos los centros incluidos se sigui&#243; el protocolo de baja radiaci&#243;n en la realizaci&#243;n de las TC craneales y a todos los pacientes a los que se les indic&#243; una TC craneal se les realiz&#243;&#44; aunque necesitaran sedaci&#243;n&#44; sin limitar su indicaci&#243;n&#46; Si esto no fuera posible en alg&#250;n centro hospitalario&#44; se recomienda trasladar a los pacientes a otro hospital donde se asegure que la TC craneal se va a realizar&#46;</p><p id="par0195" class="elsevierStylePara elsevierViewall">Como limitaciones de este estudio destaca el desigual n&#250;mero de pacientes incluidos en cada centro&#44; lo que hace dif&#237;cil una adecuada comparaci&#243;n entre todos ellos&#46; Tambi&#233;n&#44; que no todos los hospitales tienen las mismas caracter&#237;sticas&#46; Algunos de ellos son de tercer nivel y otros de segundo&#44; aunque todos los SUP son atendidos por pediatras&#46; Y adem&#225;s&#44; que no a todos los lactantes se les realiz&#243; una TC craneal y&#44; como resultado&#44; nuestros datos pueden subestimar el riesgo de LIC o fractura craneal aislada&#44; aunque todos fueron seguidos telef&#243;nicamente&#44; lo que permiti&#243; una evaluaci&#243;n precisa de las LIC cl&#237;nicamente significativas&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Conclusiones</span><p id="par0200" class="elsevierStylePara elsevierViewall">Existe gran variabilidad con un bajo cumplimiento de las recomendaciones PECARN en la realizaci&#243;n de pruebas radiol&#243;gicas en los menores de 3 meses que consultan por un TCE leve en los SUP espa&#241;oles a expensas fundamentalmente de un exceso en el empleo de radiograf&#237;as de cr&#225;neo&#46; La optimizaci&#243;n de las pruebas de imagen debe ser una prioridad en esta poblaci&#243;n&#44; seleccionando adecuadamente a los lactantes que tienen mayor riesgo de tener una LIC y&#44; que por tanto&#44; son candidatos a una TC craneal&#44; y eliminando las radiograf&#237;as de cr&#225;neo&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Financiaci&#243;n</span><p id="par0205" class="elsevierStylePara elsevierViewall">Financiado con la beca anual del 2017 de la Sociedad Espa&#241;ola de Urgencias de Pediatr&#237;a &#40;SEUP&#41; de 4000 euros&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Conflicto de intereses</span><p id="par0210" class="elsevierStylePara elsevierViewall">No existe conflicto de intereses alguno en la realizaci&#243;n de este estudio&#46;</p></span></span>"
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          "titulo" => "Keywords"
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            0 => array:2 [
              "identificador" => "sec0020"
              "titulo" => "Lactantes con criterios PECARN de alto riesgo"
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              "identificador" => "sec0025"
              "titulo" => "Lactantes con criterios PECARN de riesgo intermedio"
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              "titulo" => "Lactantes con criterios PECARN de bajo riesgo"
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          "titulo" => "Discusi&#243;n"
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          "titulo" => "Conclusiones"
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          "titulo" => "Financiaci&#243;n"
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          "identificador" => "sec0050"
          "titulo" => "Conflicto de intereses"
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          "titulo" => "Bibliograf&#237;a"
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    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2022-07-18"
    "fechaAceptado" => "2022-10-19"
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec1605145"
          "palabras" => array:3 [
            0 => "Servicios de urgencias"
            1 => "Traumatismo craneal leve"
            2 => "Lactante"
          ]
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        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec1605146"
          "palabras" => array:3 [
            0 => "Paediatric emergency department"
            1 => "Minor head injury"
            2 => "Infants"
          ]
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      ]
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    "resumen" => array:2 [
      "es" => array:3 [
        "titulo" => "Resumen"
        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Introducci&#243;n</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En la valoraci&#243;n de los lactantes menores de 3 meses con un traumatismo craneoencef&#225;lico &#40;TCE&#41; leve es imprescindible adecuar la indicaci&#243;n de pruebas radiol&#243;gicas&#46; La regla de predicci&#243;n cl&#237;nica PECARN es la m&#225;s utilizada para ayudar en la toma de decisiones cl&#237;nicas&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Objetivos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Evaluar la variabilidad en la realizaci&#243;n de pruebas radiol&#243;gicas en los menores de 3 meses con un TCE leve en los servicios de urgencias pedi&#225;tricos y la adherencia de cada hospital a las recomendaciones de la regla de predicci&#243;n cl&#237;nica PECARN&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Poblaci&#243;n y m&#233;todos</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Estudio de cohortes prospectivo en<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>3 meses con un TCE leve que consultaron en 13 servicios de urgencias pedi&#225;tricos espa&#241;oles entre mayo de 2017 y noviembre de 2020&#46;</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Resultados</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Se atendieron 21&#46;981 pacientes con un TCE leve&#44; de los que 366 &#40;1&#44;7&#37;&#41; eran menores de 3 meses&#46; Se realizaron pruebas de imagen al 53&#44;3&#37; &#40;195&#41;&#58; TC craneal a 37 &#40;10&#44;1&#37; &#91;rango entre hospitales 0-40&#37;&#93;&#41;&#44; radiograf&#237;a de cr&#225;neo a 162 &#40;44&#44;3&#37; &#91;rango 0-100&#37;&#93;&#41; y ecograf&#237;a transfontanelar a 22 &#40;6&#44;0&#37; &#91;rango 0-24&#37;&#93;&#41;&#46; Se siguieron las recomendaciones PECARN en el 25&#44;6&#37; &#40;10&#47;39&#41; de los lactantes con criterios de alto riesgo &#40;rango 0-100&#37;&#41;&#59; el 37&#44;1&#37; &#40;36&#47;97&#41; de los de riesgo intermedio &#40;rango 0-100&#37;&#41; y el 57&#44;4&#37; &#40;132&#47;230&#41; de los de bajo riesgo &#40;rango 0-100&#37;&#41;&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Conclusiones</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Existe gran variabilidad&#44; con un bajo cumplimiento de las recomendaciones PECARN&#44; en la realizaci&#243;n de pruebas radiol&#243;gicas en los menores de 3 meses que consultan por un TCE leve en los servicios de urgencias pedi&#225;tricos espa&#241;oles&#44; a expensas fundamentalmente de un exceso en el empleo de radiograf&#237;as de cr&#225;neo&#46;</p></span>"
        "secciones" => array:5 [
          0 => array:2 [
            "identificador" => "abst0010"
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            "titulo" => "Objetivos"
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          2 => array:2 [
            "identificador" => "abst0020"
            "titulo" => "Poblaci&#243;n y m&#233;todos"
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            "titulo" => "Resultados"
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            "titulo" => "Conclusiones"
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      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Introduction</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">In the assessment of infants younger than 3 months with minor traumatic head injury &#40;MHI&#41;&#44; it is essential to adapt the indication of imaging tests&#46; The Pediatric Head Injury&#47;Trauma Algorithm &#40;PECARN&#41; clinical prediction rule is the most widely used to guide clinical decision making&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Objectives</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">To analyse the variability in the performance of imaging tests in infants under 3 months with MHI in paediatric emergency departments and the adherence of each hospital to the recommendations of the PECARN rule&#46;</p></span> <span id="abst0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Population and methods</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">We conducted a prospective multicentre observational study in 13 paediatric emergency departments in Spain between May 2017 and November 2020&#46;</p></span> <span id="abst0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Results</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Of 21&#44;981 children with MHI&#44; 366 &#40;1&#46;7&#37;&#41; were aged less than 3 months&#59; 195 &#40;53&#46;3&#37;&#41; underwent neuroimaging&#44; with performance of CT scans in 37 &#40;10&#46;1&#37;&#59; interhospital range&#44; 0&#37;&#8211;40&#46;0&#37;&#41;&#44; skull X-rays in 162 &#40;44&#46;3&#37;&#59; range&#44; 0&#37;&#8211;100&#37;&#41; and transfontanellar ultrasound scans in 22 &#40;6&#46;0&#37;&#59; range&#44; 0&#37;&#8211;24&#46;0&#37;&#41;&#46; The established recommendations were followed in 25&#46;6&#37; &#40;10&#47;39&#41; of infants classified as high-risk based on PECARN criteria &#40;range&#44; 0&#37;&#8211;100&#37;&#41;&#59; 37&#46;1&#37; &#40;36&#47;97&#41; classified as intermediate-risk &#40;range&#44; 0&#37;&#8211;100&#37;&#41; and 57&#46;4&#37; &#40;132&#47;230&#41; classified as low-risk &#40;range&#44; 0&#37;&#8211;100&#37;&#41;&#46;</p></span> <span id="abst0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Conclusion</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">We found substantial variability and low adherence to the PECARN recommendations in the performance of imaging tests in infants aged less than 3 months with MHI in Spanish paediatric emergency departments s&#44; mainly due to an excessive use of skull X-rays&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0050">Los miembros del Grupo de Trabajo del Traumatismo Craneoencef&#225;lico leve en los lactantes menores de 3 meses se presentan en <a class="elsevierStyleCrossRef" href="#sec0055">Anexo</a>&#46;</p>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0045">Los datos epidemiol&#243;gicos de este trabajo ya han sido publicados en otro art&#237;culo&#58; Alonso-Cadenas JA&#44; Ferrero Garc&#237;a-Loygorri C&#44; Calder&#243;n Checa RM&#44; Dur&#225;n Hidalgo I&#44; P&#233;rez Garc&#237;a MJ&#44; Ruiz Gonz&#225;lez S&#44; De Ceano-Vivas M&#44; Delgado G&#243;mez P&#44; Anto&#241;&#243;n Rodr&#237;guez M&#44; Moreno S&#225;nchez R&#44; Mart&#237;nez Hernando J&#44; Mu&#241;oz L&#243;pez C&#44; Ortiz Valent&#237;n I&#44; Jim&#233;nez-Garc&#237;a R&#46; Epidemiology of minor blunt head trauma in infants younger than 3 months&#46; Eur J Pediatr&#46; 2022&#59;181&#58;2901-8&#46;</p>"
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
            ]
          ]
          "notaPie" => array:1 [
            0 => array:3 [
              "identificador" => "tblfn0005"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Algunos pacientes pueden tener m&#225;s de una prueba de imagen realizada&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">Pruebas de imagen realizadas en el total de los pacientes y en cada hospital participante en el registro</p>"
        ]
      ]
      4 => array:8 [
        "identificador" => "tbl0010"
        "etiqueta" => "Tabla 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at2"
            "detalle" => "Tabla "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0105" class="elsevierStyleSimplePara elsevierViewall">N&#58; n&#250;mero de pacientes en cada fila con esa caracter&#237;stica&#59; n&#58; n&#250;mero de pacientes con una radiograf&#237;a en cada fila&#59; &#37;&#58; porcentaje de lactantes con una radiograf&#237;a realizada respecto al n&#250;mero de pacientes de esa fila&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:1 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Hospital&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Lactantes asintom&#225;ticos con cefalohematoma en la exploraci&#243;n f&#237;sicaN&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Lactantes asintom&#225;ticos con cefalohematoma en la exploraci&#243;n f&#237;sica y radiograf&#237;a de cr&#225;neo realizadan &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">F&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">H&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">I&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">J&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">K&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">M&nbsp;\t\t\t\t\t\t\n
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                  """
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            ]
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0100" class="elsevierStyleSimplePara elsevierViewall">Radiograf&#237;as de cr&#225;neo realizadas en lactantes asintom&#225;ticos con cefalohematoma en la exploraci&#243;n f&#237;sica</p>"
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          0 => array:3 [
            "identificador" => "at3"
            "detalle" => "Tabla "
            "rol" => "short"
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        "tabla" => array:3 [
          "leyenda" => "<p id="spar0115" class="elsevierStyleSimplePara elsevierViewall">N&#58; n&#250;mero de pacientes en esa fila&#59; n&#58; pruebas de imagen realizadas en esa fila&#59; TC&#58; tomograf&#237;a computarizada&#59; &#37;&#58; porcentaje de pruebas realizadas en cada columna respecto al n&#250;mero de pacientes de esa fila&#46;</p>"
          "tablatextoimagen" => array:1 [
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                0 => """
                  <table border="0" frame="\n
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                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="\n
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                  \t\t\t\t" scope="col">Actitud recomendada<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col">Actitud en los lactantes en los que no se realiza la actitud recomendada<a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup">b</span></a></th></tr><tr title="table-row"><th class="td" title="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">TC cranealn&#47;N &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Observaci&#243;nn&#47;N &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Radiograf&#237;a cr&#225;neon&#47;N &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ecograf&#237;an&#47;N &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">22&#47;39 &#40;35&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#47;6 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">B&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">7&#47;11 &#40;63&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">C&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">4&#47;11 &#40;36&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">D&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#47;3 &#40;33&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#47;3 &#40;33&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">E&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">1&#47;1 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">F&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#47;4 &#40;25&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#47;4 &#40;25&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">G&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#47;2 &#40;50&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">H&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#47;1 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">-&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">-&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">I&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">J&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">K&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">-&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">-&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">M&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">-&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">-&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
            ]
          ]
          "notaPie" => array:2 [
            0 => array:3 [
              "identificador" => "tblfn0010"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Se recomienda realizar TC craneal si escala de Coma de Glasgow<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>14&#44; signos palpables de fractura craneal o alteraci&#243;n de la neuroconducta&#59; y observaci&#243;n vs&#46; TC craneal si cefalohematoma &#40;excluyendo los frontales&#41;&#44; p&#233;rdida de conciencia<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>5<span class="elsevierStyleHsp" style=""></span>segundos&#44; comportamiento anormal seg&#250;n los padres o mecanismo de alta energ&#237;a&#46;</p>"
            ]
            1 => array:3 [
              "identificador" => "tblfn0015"
              "etiqueta" => "b"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Algunos lactantes pueden tener m&#225;s de una prueba de imagen realizada&#44; si se llev&#243; a cabo radiograf&#237;a de cr&#225;neo y despu&#233;s TC craneal no se consider&#243; una actitud correcta&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0110" class="elsevierStyleSimplePara elsevierViewall">Actitud recomendada seg&#250;n la regla PECARN y actitud realizada en cada hospital participante en el registro en los lactantes con criterios de alto riesgo</p>"
        ]
      ]
      6 => array:8 [
        "identificador" => "tbl0020"
        "etiqueta" => "Tabla 4"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at4"
            "detalle" => "Tabla "
            "rol" => "short"
          ]
        ]
        "tabla" => array:3 [
          "leyenda" => "<p id="spar0125" class="elsevierStyleSimplePara elsevierViewall">N&#58; n&#250;mero de pacientes en esa fila&#59; n&#58; pruebas de imagen realizadas en esa fila&#59; TC&#58; tomograf&#237;a computarizada&#59; &#37;&#58; porcentaje de pruebas realizadas en cada columna respecto al n&#250;mero de pacientes de esa fila&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:1 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Hospital&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Actitud recomendada<a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="3" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Actitud en los lactantes en los que no se realiza la actitud recomendada<a class="elsevierStyleCrossRef" href="#tblfn0030"><span class="elsevierStyleSup">c</span></a></th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">TC craneal&#47;observaci&#243;n<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">b</span></a>n&#47;N &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Alta a domicilion&#47;N &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Radiograf&#237;a cr&#225;neon&#47;N &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ecograf&#237;an&#47;N &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">36&#47;97 &#40;37&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">4&#47;97 &#40;4&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">48&#47;97 &#40;49&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">14&#47;97 &#40;19&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">A&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#47;22 &#40;4&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">0&#47;22 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
            ]
          ]
          "notaPie" => array:3 [
            0 => array:3 [
              "identificador" => "tblfn0020"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0020">Se recomienda realizar observaci&#243;n cl&#237;nica vs&#46; TC craneal si cefalohematoma &#40;excluyendo los frontales&#41;&#44; p&#233;rdida de conciencia<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>5<span class="elsevierStyleHsp" style=""></span>segundos&#44; comportamiento anormal seg&#250;n los padres o mecanismo de alta energ&#237;a&#46;</p>"
            ]
            1 => array:3 [
              "identificador" => "tblfn0025"
              "etiqueta" => "b"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0025">Se consider&#243; adecuado tambi&#233;n si el lactante fue ingresado&#46;</p>"
            ]
            2 => array:3 [
              "identificador" => "tblfn0030"
              "etiqueta" => "c"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0030">Algunos lactantes pueden tener realizada una TC craneal o haber sido dejados en observaci&#243;n&#46;&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0120" class="elsevierStyleSimplePara elsevierViewall">Actitud recomendada seg&#250;n la regla PECARN y actitud realizada en cada hospital participante en el registro en los lactantes con criterios de riesgo intermedio</p>"
        ]
      ]
      7 => array:8 [
        "identificador" => "tbl0025"
        "etiqueta" => "Tabla 5"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at5"
            "detalle" => "Tabla "
            "rol" => "short"
          ]
        ]
        "tabla" => array:3 [
          "leyenda" => "<p id="spar0135" class="elsevierStyleSimplePara elsevierViewall">N&#58; n&#250;mero de pacientes en esa fila&#59; n&#58; todas las pruebas de imagen realizadas en esa fila &#40;salvo en la primera columna que significa n&#250;mero de pacientes en los que la actitud fue correcta&#41;&#59; TC&#58; tomograf&#237;a computarizada&#59; &#37;&#58; porcentaje de pruebas realizadas en cada columna respecto al n&#250;mero de pacientes de esa fila&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:1 [
              "tabla" => array:1 [
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Hospital&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Actitud recomendada<a class="elsevierStyleCrossRef" href="#tblfn0035"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="4" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Actitud en los lactantes en los que no se realiza la actitud recomendada<a class="elsevierStyleCrossRef" href="#tblfn0040"><span class="elsevierStyleSup">b</span></a></th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Alta a domicilion&#47;N &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">TC cranealn&#47;N &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Radiograf&#237;a de cr&#225;neon&#47;N &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ecograf&#237;an&#47;N &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Ingreson&#47;N &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">132&#47;230 &#40;57&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#47;230 &#40;1&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">92&#47;230 &#40;40&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#47;230 &#40;2&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#47;230 &#40;2&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">A&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&#47;64 &#40;20&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#47;64 &#40;1&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">51&#47;64 &#40;79&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#47;64 80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#47;64 &#40;3&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">B&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40&#47;55 &#40;72&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#47;55 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&#47;55 &#40;27&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#47;55 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#47;55 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">C&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">26&#47;31 &#40;83&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#47;31 &#40;3&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#47;31 &#40;6&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#47;31 &#40;6&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#47;31 &#40;3&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">D&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&#47;25 &#40;32&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#47;25 &#40;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&#47;25 &#40;56&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#47;25 &#40;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#47;25 &#40;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">E&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&#47;17 &#40;94&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#47;17 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#47;17 &#40;5&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#47;17 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#47;17 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">F&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&#47;10 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#47;10 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#47;10 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#47;10 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#47;10 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">G&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#47;7 &#40;71&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#47;7 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#47;7 &#40;28&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#47;7 &#40;14&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#47;7 &#40;14&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">H&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#47;5 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#47;5 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#47;5 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#47;5 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#47;5 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">I&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#47;5 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#47;5 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#47;5 &#40;100&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#47;5 &#40;0&#41;&nbsp;\t\t\t\t\t\t\n
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                        "paginaInicial" => "149"
                        "paginaFinal" => "153"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24930859"
                            "web" => "Medline"
                          ]
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                      ]
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                ]
              ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Registro de traumatismos craneoencef&#225;licos leves&#58; estudio multic&#233;ntrico de la Sociedad Espa&#241;ola de Urgencias Pedi&#225;tricas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;J&#46; Garc&#237;a Garc&#237;a"
                            1 => "I&#46; Manrique Mart&#237;nez"
                            2 => "V&#46; Trenchs Sainz de la Maza"
                            3 => "A&#46; Su&#225;rez Su&#225;rez"
                            4 => "L&#46; Mart&#237;n de la Rosa"
                            5 => "F&#46;J&#46; Traver&#237;a Casanova"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.anpedi.2009.03.009"
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                        "tituloSerie" => "An Pediatr &#40;Barc&#41;&#46;"
                        "fecha" => "2009"
                        "volumen" => "71"
                        "paginaInicial" => "31"
                        "paginaFinal" => "37"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19464968"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
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                    0 => array:2 [
                      "titulo" => "Diagnostic testing for acute head injury in children&#58; When are head computed tomography and skull radiographs indicated&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "K&#46;S&#46; Quayle"
                            1 => "D&#46;M&#46; Jaffe"
                            2 => "N&#46; Kuppermann"
                            3 => "B&#46;A&#46; Kaufman"
                            4 => "B&#46;C&#46; Lee"
                            5 => "T&#46;S&#46; Park"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Pediatrics&#46;"
                        "fecha" => "1997"
                        "volumen" => "99"
                        "paginaInicial" => "11"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0180"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Occult intracranial injury in infants"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46;S&#46; Greenes"
                            1 => "S&#46;A&#46; Schutzman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/s0196-0644(98)70067-8"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Emerg Med&#46;"
                        "fecha" => "1998"
                        "volumen" => "32"
                        "paginaInicial" => "680"
                        "paginaFinal" => "686"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9832664"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical significance of scalp abnormalities in asymptomatic head-injured infants"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46;S&#46; Greenes"
                            1 => "S&#46;A&#46; Schutzman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/00006565-200104000-00002"
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                        "tituloSerie" => "Pediatr Emerg Care&#46;"
                        "fecha" => "2001"
                        "volumen" => "17"
                        "paginaInicial" => "88"
                        "paginaFinal" => "92"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11334100"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0190"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluation and management of children younger than two years old with apparently minor head trauma&#58; proposed guidelines"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
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                            1 => "P&#46; Barnes"
                            2 => "A&#46;C&#46; Duhaime"
                            3 => "D&#46; Greenes"
                            4 => "C&#46; Homer"
                            5 => "D&#46; Jaffe"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1542/peds.107.5.983"
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                        "tituloSerie" => "Pediatrics&#46;"
                        "fecha" => "2001"
                        "volumen" => "107"
                        "paginaInicial" => "983"
                        "paginaFinal" => "993"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11331675"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Risk of traumatic brain injuries in children younger than 24 months with isolated scalp hematomas"
                      "autores" => array:1 [
                        0 => array:3 [
                          "colaboracion" => "Traumatic Brain Injury Study Group of the Pediatric Emergency Care Applied Research Network &#40;PECARN&#41;"
                          "etal" => true
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                            0 => "P&#46;S&#46; Dayan"
                            1 => "J&#46;F&#46; Holmes"
                            2 => "S&#46; Schutzman"
                            3 => "J&#46; Schunk"
                            4 => "R&#46; Lichenstein"
                            5 => "L&#46;A&#46; Foerster"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.annemergmed.2014.02.003"
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                        "tituloSerie" => "Ann Emerg Med&#46;"
                        "fecha" => "2014"
                        "volumen" => "64"
                        "paginaInicial" => "153"
                        "paginaFinal" => "162"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24635991"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "The Infant Scalp Score&#58; A validated tool to stratify risk of traumatic brain injury in infants with isolated scalp hematoma"
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                        0 => array:2 [
                          "etal" => false
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                            2 => "R&#46; Mannix"
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                    ]
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                        "tituloSerie" => "Acad Emerg Med&#46;"
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                        "volumen" => "28"
                        "paginaInicial" => "92"
                        "paginaFinal" => "97"
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                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32673432"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Variability in the management and imaging use in paediatric minor head trauma in European emergency departments&#46; A Research in European Pediatric Emergency Medicine study"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
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                            1 => "C&#46;M&#46; Moore"
                            2 => "S&#46; Deiratany"
                            3 => "F&#46; D&#8217;Elia"
                            4 => "L&#46;B&#46; Tourteau"
                            5 => "C&#46; Zuiani"
                          ]
                        ]
                      ]
                    ]
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                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Eur Emerg Med&#46;"
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                        "volumen" => "28"
                        "paginaInicial" => "196"
                        "paginaFinal" => "201"
                      ]
                    ]
                  ]
                ]
              ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Point-of care ultrasound for the diagnosis of skull fractures in children younger than two years of age"
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                          "etal" => true
                          "autores" => array:6 [
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                            2 => "L&#46; Mills"
                            3 => "Z&#46; Soucy"
                            4 => "A&#46;M&#46; Musolino"
                            5 => "L&#46; Da Dalt"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Pediatr&#46;"
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                        "paginaInicial" => "230"
                        "paginaFinal" => "236&#46;e2"
                      ]
                    ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ultrasound imaging for traumatic brain injury"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
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                            2 => "M&#46; Hwang"
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                        ]
                      ]
                    ]
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                        "tituloSerie" => "J Ultrasound Med&#46;"
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                        "paginaInicial" => "1857"
                        "paginaFinal" => "1867"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29388231"
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                          ]
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                      ]
                    ]
                  ]
                ]
              ]
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Accuracy of point-of-care ultrasound for diagnosis of skull fractures in children"
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                          "etal" => false
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                            2 => "H&#46; Khine"
                            3 => "J&#46;R&#46; Avner"
                            4 => "J&#46;W&#46; Tsung"
                          ]
                        ]
                      ]
                    ]
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                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23690519"
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                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
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