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   <dc:title>En Cataluña la enfermedad de Kawasaki es más prevalente en las zonas rurales</dc:title>
   <dc:title>Kawasaki disease is more prevalent in rural areas of Catalonia (Spain)</dc:title>
   <dc:creator>Sánchez Manubens, Judith</dc:creator>
   <dc:creator>Antón López, Jordi</dc:creator>
   <dc:creator>Bou Torrent, Rosa</dc:creator>
   <dc:creator>Iglesias Jiménez, Estíbaliz</dc:creator>
   <dc:creator>Calzada Hernández, Joan</dc:creator>
   <dc:creator>Rodó López, Xavier</dc:creator>
   <dc:creator>Morguí, Josep-Antón</dc:creator>
   <dc:creator>Grupo de Trabajo en Enfermedad de Kawasaki, Cataluña</dc:creator>
   <dc:subject>Vasculitis</dc:subject>
   <dc:subject>Infants</dc:subject>
   <dc:subject>Vasculitis</dc:subject>
   <dc:subject>Children</dc:subject>
   <dcterms:abstract>INTRODUCTION: Kawasaki disease (KD) is an acute self-limited&#xd;
                systemic vasculitis relatively common in childhood. The etiology&#xd;
                of KD is still unknown, although clinical, laboratory and&#xd;
                epidemiological features suggest an infectious origin or&#xd;
                trigger. Differences on incidence between countries have been&#xd;
                related to specific genetic factors, ethnicity, country of birth&#xd;
                and some other sociocultural and environmental factors. We&#xd;
                present a population-based study on incidence of KD in Catalonia&#xd;
                (Spain), focusing on differences between patients in rural and&#xd;
                non-rural areas of the region. METHODS: Observational&#xd;
                population-based study including all Pediatric Units in Catalan&#xd;
                hospitals, between 2004 and 2014. A 12-month (March 2013-March&#xd;
                2014) prospective collection of new cases of KD was carried out&#xd;
                to determine the incidence of KD. The rest of the data was&#xd;
                retrieved retrospectively. RESULTS: Data from 399 patients over&#xd;
                the 10-year study period was analyzed. Among the total KD&#xd;
                patients, 353 (88.5%) lived in non-rural areas and 46 (11.5%) in&#xd;
                rural areas. It was found that there is a significant difference&#xd;
                (P&lt;.001) between the percentage of rural population observed&#xd;
                in patients with KD (11.5%), and the expected 5% of the Catalan&#xd;
                population. CONCLUSION: This is the first population-based study&#xd;
                showing significant differences on KD incidence rates between&#xd;
                rural and non-rural areas.</dcterms:abstract>
   <dcterms:issued>2017-03-28T10:48:40Z</dcterms:issued>
   <dcterms:issued>2018-02-24T23:01:18Z</dcterms:issued>
   <dcterms:issued>2017-02-24</dcterms:issued>
   <dcterms:issued>2017-03-08T19:01:30Z</dcterms:issued>
   <dc:type>info:eu-repo/semantics/article</dc:type>
   <dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
   <dc:relation>Reproducció del document publicat a:&#xd;
                http://dx.doi.org/10.1016/j.anpedi.2016.12.009</dc:relation>
   <dc:relation>Anales de Pediatria, 2017</dc:relation>
   <dc:relation>http://dx.doi.org/10.1016/j.anpedi.2016.12.009</dc:relation>
   <dc:rights>cc by nc-nd (c) Elsevier, 2017</dc:rights>
   <dc:rights>http://creativecommons.org/licenses/by-nc-nd/3.0/es/</dc:rights>
   <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
   <dc:publisher>Elsevier</dc:publisher>
   <dc:source>Articles publicats en revistes (ISGlobal)</dc:source>
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