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Objectives: to analyze the prognostic nutritional index and factors associated with mortality in children and adolescents with heart disease who underwent cardiac surgery. Methods: this is a longitudinal, retrospective study that included 98 children and adolescents with heart disease from 0 to 14 years old, and assessed the prognostic nutritional index and nutritional status, through the body mass index for age, weight for height, weight for age and height for age. Multiple logistic regression analysis was performed. Results: malnutrition was present in 27 patients, 68 were categorized as having a low prognostic nutritional index and 16 died. In the adjusted analysis, malnutrition (OR=4.11; CI95%=1.26-13.40; p=0.019), the low body mass index for age (OR=4.14; CI95%=1.26-13.61; p=0.019), low weight for height (OR=4.15; CI95%=1.29-13.35; p=0.017) and low weight for age (OR=5.20; CI95%=1.39-19.43; p=0.014) were associated with mortality. Conclusions: malnutrition, low body mass index for age, weight for height and weight for age had shown a significant association with mortality. Despite being an easily applicable indicator of nutritional status, the findings suggest no association between the prognostic nutritional index and mortality in patients with congenital heart disease after cardiac surgery. [ABSTRACT FROM AUTHOR]

The objective of this historical investigation is to discover if the Institution called "La Gota de Leche" existed in Toledo. Methodology by means of the heuristic method, the historical press is analyzed and other primary archival sources are reviewed. Results, although its creation was tedious and its operation was subject to criticism, its benefits were soon seen through the maternal and child health indicators. The institution between 1906 and 1966, was present in both the urban and rural areas of Toledo. Since the creation the mother received health care throughout the gestational period; she acquired habits on child hygiene and obtained health education to establish adequate breastfeeding. Conclusion La Gota de Leche Toledana was a School of Childcare and Maternology, a fact that allowed to carry out prevention, care and education activities throughout the gestational period. Thus, the results obtained were extremely satisfactory, since it was possible to reduce infant mortality during the first half of the 20th century, through the improvement of maternal and child health indicators. [ABSTRACT FROM AUTHOR]

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