ABSTRACT
BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic may have exacerbated existing socioeconomic inequalities in health. In Argentina, public hospitals serve the poorest uninsured segment of the population, while private hospitals serve patients with health insurance. This study aimed to assess whether socioeconomic inequalities in low birth weight (LBW) risk changed during the first wave of the COVID-19 pandemic. METHODS: This multicenter cross-sectional study included 15929 infants. A difference-in-difference (DID) analysis of socioeconomic inequalities between public and private hospitals in LBW risk in a pandemic cohort (March 20 to July 19, 2020) was compared with a prepandemic cohort (March 20 to July 19, 2019) by using medical records obtained from ten hospitals. Infants were categorized by weight as LBW < 2500 g, very low birth weight (VLBW) < 1500 g and extremely low birth weight (ELBW) < 1000 g. Log binomial regression was performed to estimate risk differences with an interaction term representing the DID estimator. Covariate-adjusted models included potential perinatal confounders. FINDINGS: Of the 8437 infants in the prepandemic cohort, 4887 (57â¢9%) were born in public hospitals. The pandemic cohort comprised 7492 infants, 4402 (58â¢7%) of whom were born in public hospitals. The DID estimators indicated no differences between public versus private hospitals for LBW risk (-1â¢8% [95% CI -3â¢6, 0â¢0]) and for ELBW risk (-0â¢1% [95% CI -0â¢6, 0â¢3]). Significant differences were found between public versus private hospitals in the DID estimators (-1â¢2% [95% CI, -2â¢1, -0â¢3]) for VLBW risk. The results were comparable in covariate-adjusted models. INTERPRETATION: In this study, we found evidence of decreased disparities between public and private hospitals in VLBW risk. Our findings suggest that measures that prioritize social spending to protect the most vulnerable pregnant women during the pandemic contributed to better birth outcomes. FUNDING: No funding was secured for this study.
ABSTRACT
Se comunica el caso de un niño de 4 años de edad que manipuleando un horno de microondas,calentó un biberón como leche y deglutió parcialmente el alimento,desarrollando una importante quemadura de esófago.Se llama la atención sobre la posibilidad de que un niño pequeño ponga en funcionamiento un aparato de manejo tan sencillo y se alerta a los padres y pediatras sobre ello,como base de la prevención de los accidentes en el hogar.Se sugiere que los fabricantes incluyan dispositivos especiales para evitar este riesgo
Subject(s)
Humans , Male , Accidents, Home , Burns , Furnaces , Microwaves , PediatricsABSTRACT
Se comunica el caso de un niño de 4 años de edad que manipuleando un horno de microondas,calentó un biberón como leche y deglutió parcialmente el alimento,desarrollando una importante quemadura de esófago.Se llama la atención sobre la posibilidad de que un niño pequeño ponga en funcionamiento un aparato de manejo tan sencillo y se alerta a los padres y pediatras sobre ello,como base de la prevención de los accidentes en el hogar.Se sugiere que los fabricantes incluyan dispositivos especiales para evitar este riesgo
Subject(s)
Humans , Male , Microwaves/adverse effects , Furnaces , Accidents, Home , Burns/prevention & control , PediatricsABSTRACT
Informamos la observación de una niña de 18 meses con una enteropatía perdedora de proteínas con linfangiectasia intestinal, que presentó intenso edema generalizado, severa anemia, hipoalbuminemia e hipogamaglobulinemia, sin manifestaciones clínicas de malabsorción digestiva. La poca frecuencia de la entidad, la forma atípica de presentación y la excelente evolución lograda motivaron la presente comunicación
Subject(s)
Humans , Female , Infant , Protein-Losing Enteropathies/etiology , Lymphangiectasis, Intestinal/diagnosis , Anemia/complications , Protein-Losing Enteropathies/diagnosis , Protein-Losing Enteropathies/diet therapy , /drug therapy , /therapy , Lymphangiectasis, Intestinal/diet therapy , Lymphangiectasis, Intestinal/pathology , Triglycerides/therapeutic useABSTRACT
Informamos la observación de una niña de 18 meses con una enteropatía perdedora de proteínas con linfangiectasia intestinal, que presentó intenso edema generalizado, severa anemia, hipoalbuminemia e hipogamaglobulinemia, sin manifestaciones clínicas de malabsorción digestiva. La poca frecuencia de la entidad, la forma atípica de presentación y la excelente evolución lograda motivaron la presente comunicación (AU)
