Implementation of diagnostic screening for congenital heart disease in Hidalgo, Mexico / Implementación del tamizaje diagnóstico de cardiopatías congénitas en Hidalgo, México
Arch. cardiol. Méx
;
90(1): 35-41, Jan.-Mar. 2020. tab, graf
Article
in English
| LILACS
| ID: biblio-1131003
ABSTRACT
Abstract Objective:
Implementing screening through pulse oximetry (PO) and a knowledge management model (KMM) for early detection of life-threatening congenital heart disease (CHD) in the neonatal period. Material andmethods:
Pilot study of PO implementation supported by clinical criteria performed in newborns at two public hospitals of Hidalgo State. Those who tested positive were referred for echocardiography and those diagnosed with critical CHD (CCHD) were referred to specialized hospitals for treatment.Results:
1748 newborns were screened 29 positive, 62% with CHD and 13.8% with CCHD, one death, three referrals to palliative treatment.Conclusion:
PO as a method of screening helps in early diagnosis of CHD added to clinical and echocardiography studies. KMM fosters innovation and resource management.RESUMEN
Resumen Objetivo:
Implementar el tamizaje mediante la oximetría de pulso (OP) y un modelo de gestión del conocimiento (MGC) para la detección oportuna de cardiopatías congénitas (CC) que amenazan la vida en el período neonatal. Material ymétodos:
Estudio piloto de implementación de OP apoyado en criterios clínicos, realizado en recién nacidos (RN) de dos hospitales públicos de Hidalgo. Los pacientes que resultaron positivos fueron objeto de ecocardiografía (EC) y los diagnosticados con cardiopatías congénitas críticas (CCC) se refirieron a tratamiento.Resultados:
Se tamizó a 1,748 RN (29 positivos), CC en 62% y CCC en 13.8 %, 1 muerte y 3 programados para operación paliativa.Conclusiones:
La OP ayuda en el diagnóstico de CC en combinación con criterios clínicos y EC. Un MGC favorece la innovación y la gestión de recursos.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Oximetry
/
Neonatal Screening
/
Heart Defects, Congenital
Type of study:
Controlled clinical trial
/
Diagnostic study
/
Prognostic study
/
Screening study
Limits:
Female
/
Humans
/
Male
/
Infant, Newborn
Country/Region as subject:
Mexico
Language:
English
Journal:
Arch. cardiol. Méx
Journal subject:
Cardiology
Year:
2020
Type:
Article
Affiliation country:
Mexico
Institution/Affiliation country:
DIF Hidalgo/MX
/
Hospital Infantil de México Federico Gómez/MX
/
Secretaría de Salud de Hidalgo/MX
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