Examinando por Autor "Flores Gonzales, Evelyn Kathyuska"

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    Effectiveness of induced hypothermia in the treatment of hypoxic-ischemic encephalopathy in newborns
    (Universidad Privada Norbert Wiener, 2018-08-12) Flores Gonzales, Evelyn Kathyuska; Calsin Pacompia, Wilmer
    Objective: To analyze and systematize the evidence on the effectiveness of induced hypothermia in the treatment of hypoxic-ischemic encephalopathy in neonates. Materials and Methods: The study type is quantitative retrospective, with a systematic observational review design, which compiles results from various primary investigations as an essential part of evidence-based nursing due to its strict methodology, describing relevant studies to answer precise clinical practice questions. The instruments were the following databases: Lipecs, Lilacs, Scielo, Cochrane Plus, PubMed, Medline, Epistemonikos, and SCOPUS. The final selection consisted of 10 published scientific articles. The search was limited to full-text articles, and the selected ones were subjected to a thorough reading, using the GRADE method for recommendation strength evaluation. It was found that 40% of the studies came from Spain, 10% from Uruguay, 10% from London, 10% from China, 10% from Argentina, 10% from Canada, and 10% from Brazil. Regarding the designs and types of studies, 60% were meta-analyses, 20% were systematic reviews, 10% were retrospective observational studies, and 10% were retrospective descriptive studies. Results: 90% of the studies conclude that the treatment is effective, combined with supportive measures and an established protocol, while 10% report that in low- and middle-income countries, mortality has not decreased, and sequelae were not reduced due to inadequate equipment and training. Conclusions: In 9 out of 10 articles, it is concluded that hypothermia as a treatment for hypoxic-ischemic encephalopathy is effective, reducing mortality and alleviating long-term sequelae that the neonate may present.