<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032024000500380</article-id>
<article-id pub-id-type="doi">10.35366/118815</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Perfil clínico y análisis de costos en la atención de pacientes pediátricos con fracturas expuestas Gustilo y Anderson tipo I atendidos en un centro de referencia]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical profile and cost analysis in the care of pediatric patients with Gustilo and Anderson type I exposed fractures seen at a referral center]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez Diaz]]></surname>
<given-names><![CDATA[Humberto Jesé]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A1"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valcarce León]]></surname>
<given-names><![CDATA[Juan Agustín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santiago German]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Franco]]></surname>
<given-names><![CDATA[José Humberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad de Traumatología, Ortopedia y Rehabilitación &#8220;Dr. Victorio de la Fuente Narváez&#8221; ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad de Traumatología, Ortopedia y Rehabilitación &#8220;Dr. Victorio de la Fuente Narváez&#8221; ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad de Traumatología, Ortopedia y Rehabilitación &#8220;Dr. Victorio de la Fuente Narváez&#8221; Servicio Ortopedia Pediátrica]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Mexicano del Seguro Social División de Investigación en Salud Unidad Médica de Alta Especialidad de Traumatología, Ortopedia y Rehabilitación &#8220;Dr. Victorio de la Fuente Narváez&#8221;]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona No. 1 Dr. Demetrio Mayoral Pardo Servicio de Traumatología y Ortopedia]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>22</volume>
<numero>5</numero>
<fpage>380</fpage>
<lpage>385</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032024000500380&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032024000500380&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032024000500380&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  las fracturas expuestas representan hasta el 2% de todas las fracturas en niños, en México hasta el 55% son de tipo I; no obstante, no se han efectuado estudios que aborden el panorama de esta patología.  Material y métodos:  estudio descriptivo en población pediátrica menor a 16 años. La estadística se realizó con frecuencias, porcentajes medidas de tendencia central y dispersión. El análisis de costos se realizó con base en el Diario Oficial de la Federación.  Resultados:  se incluyeron 58 pacientes con edad media de 9.1 años, predominó el género masculino 2.2:1 respecto al femenino. El diagnóstico más frecuente fue fractura diafisaria de radio y cubito en 61%. El principal antibiótico fue cefalotina a dosis media de 74.02 ± 24.25 mg/kg/día. Los pacientes fueron intervenidos quirúrgicamente un promedio de 1.17 ± 0.5 veces. El costo promedio de atención por paciente fue de $116,373.90 ± $49,342.37 M.N.  Conclusión:  con este estudio se describe un panorama claro de la situación en México respecto a esta patología a pesar de existir modificaciones respecto a años anteriores secundarias a la pandemia por SARS-COV-2.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  open fractures represent up to 2% of all fractures in children; in Mexico, up to 55% are type I; however, no studies have been carried out that address the panorama of this pathology.  Material and methods:  a descriptive study was conducted conducted in a pediatric population under 16. The statistics were conducted using frequencies, percentages, measures of central tendency, and dispersion. The cost analysis was carried out based on the Official Gazette of the Federation.  Results:  58 patients with a mean age of 9.1 years were included, the male gender predominated 2.2:1 compared to the female. The most frequent diagnosis was diaphyseal fracture of radius and ulna in 61%. The main antibiotic was cephalothin at a mean dose of 74.02 ± 24.25 mg/kg/day. Patients underwent surgery an average of 1.17 ± 0.5 times. The average cost of care per patient was $116,373.90 ± $49,342.37 M.N.  Conclusion:  this study clearly describes the situation in Mexico regarding this pathology despite changes compared to previous years secondary to the SARS-COV-2 pandemic.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[fracturas]]></kwd>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="es"><![CDATA[costes y análisis de costes]]></kwd>
<kwd lng="es"><![CDATA[atención médica]]></kwd>
<kwd lng="es"><![CDATA[epidemiología]]></kwd>
<kwd lng="en"><![CDATA[fractures]]></kwd>
<kwd lng="en"><![CDATA[pediatrics]]></kwd>
<kwd lng="en"><![CDATA[costs and cost analysis]]></kwd>
<kwd lng="en"><![CDATA[medical care]]></kwd>
<kwd lng="en"><![CDATA[epidemiology]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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