Results of Neonatal Screening in a Fourth-Level Institution in Bogotá, Colombia

Isabella Lince; Catalina Lince-Rivera; Valentina Mogollón Portilla; Fernando Suárez Obando; Ana María Bertolotto Cepeda; Sandra Milena Navarro Marroquín; Yaris Anzully Vargas Vaca

doi:10.11144/javeriana.umed64-1.tami

Results of Neonatal Screening in a Fourth-Level Institution in Bogotá, Colombia

Título traducido de la contribución: Resultados del tamizaje neonatal en una institución de cuarto nivel en Bogotá (Colombia)

Isabella Lince, Catalina Lince-Rivera, Valentina Mogollón Portilla, Fernando Suárez Obando, Ana María Bertolotto Cepeda, Sandra Milena Navarro Marroquín, Yaris Anzully Vargas Vaca

Producción: Contribución a una revista › Artículo › revisión exhaustiva

Resumen

Introducción: La Ley 1980 de 2019 regula y amplía la práctica del tamizaje neonatal y lo constituye como derecho de todo recién nacido. El Hospital Universitario San Ignacio es pionero en Colombia en implementarla, como parte del programa de atención integral al recién nacido. Objetivo: Describir los primeros resultados de la implementación del tamizaje neonatal en una institución de cuarto nivel en Bogotá (Colombia). Método: Estudio observacional-descriptivo, de tipo transversal entre el 1.º de octubre de 2020 y el 1.º de enero de 2022. Muestra censal de los nacidos vivos con exclusión de los fallecidos en el primer mes de vida. Resultados:Se analizaron 1255 recién nacidos. El reflejo rojo fue anormal en 0,2% de los recién nacidos y en 4,5% no se realizó́. Del tamizaje neonatal básico (TNB), hubo autorización por la EPS en 63,2% de los pacientes, y en promedio el tiempo para la toma de la muestra fue de 5 días. La adherencia de los familiares para la toma de TNB de forma ambulatoria (después de las 72 horas desde del egreso) fue del 69,6%. El tamizaje de TSH neonatal se tomó́ al 100% de los recién nacidos y en 98,2% fue normal. El tamizaje para cardiopatías congénitas fue reportado como normal en el 94% de los pacientes. El resultado de audiología fue normal en el 99,6%. Conclusiones:El tamizaje neonatal es factible de implementar. Sus resultados benefician la atención de los pacientes, por lo que se deben continuar desarrollando estrategias para su ejecución.

Título traducido de la contribución	Resultados del tamizaje neonatal en una institución de cuarto nivel en Bogotá (Colombia)
Idioma original	Inglés
Publicación	Universitas Médica
Volumen	64
N.º	1
DOI	https://doi.org/10.11144/javeriana.umed64-1.tami
Estado	Publicada - 30 ene. 2023

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title = "Results of Neonatal Screening in a Fourth-Level Institution in Bogot{\'a}, Colombia",

abstract = "Introduction: Law 1980, 2019, regulates the practice of neonatal screening and constitutes it as the right of every newborn. Hospital Universitario San Ignacio is the pioneer hospital in Colombia to implement these activities according to the law as part of the comprehensive newborn care program. Objective: To describe the first results of the implementation of basic neonatal screening as it was stated by law in a fourth-level institution in Bogota, Colombia. Materials: Observational, descriptive, cross-sectional study from October 1, 2020, to January 1, 2022. The sample included live births, excluding those who died in the first month of life. Results: 1255 newborns were assessed. The red reflex was abnormal in 0.2%, 4.5% were not performed, and the rest were normal. Basic metabolic screening (BMS) was authorized by the EPS in 63.2% of the patients, and the mean time for sampling was the first 5 days of life. Adherence of family members was 69.6%. The neonatal TSH screening was performed in 100% of the newborns, and 98.2% were normal. In screening for congenital heart disease, 94% of patients were normal. The hearing screening result was normal in 99.6%. Conclusions: Neonatal screening as indicated in Colombian law is feasible for implementation, its results benefit patient care so strategies for its implementation must be developed. Continuity must be given to increase the opportunity in other hospitals.",

author = "Isabella Lince and Catalina Lince-Rivera and Portilla, {Valentina Mogoll{\'o}n} and Obando, {Fernando Su{\'a}rez} and Cepeda, {Ana Mar{\'i}a Bertolotto} and Marroqu{\'i}n, {Sandra Milena Navarro} and Vaca, {Yaris Anzully Vargas}",

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day = "30",

doi = "10.11144/javeriana.umed64-1.tami",

language = "English",

volume = "64",

journal = "Universitas M{\'e}dica",

issn = "0041-9095",

publisher = "Pontificia Universidad Javeriana",

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T1 - Results of Neonatal Screening in a Fourth-Level Institution in Bogotá, Colombia

AU - Lince, Isabella

AU - Lince-Rivera, Catalina

AU - Portilla, Valentina Mogollón

AU - Obando, Fernando Suárez

AU - Cepeda, Ana María Bertolotto

AU - Marroquín, Sandra Milena Navarro

AU - Vaca, Yaris Anzully Vargas

PY - 2023/1/30

Y1 - 2023/1/30

N2 - Introduction: Law 1980, 2019, regulates the practice of neonatal screening and constitutes it as the right of every newborn. Hospital Universitario San Ignacio is the pioneer hospital in Colombia to implement these activities according to the law as part of the comprehensive newborn care program. Objective: To describe the first results of the implementation of basic neonatal screening as it was stated by law in a fourth-level institution in Bogota, Colombia. Materials: Observational, descriptive, cross-sectional study from October 1, 2020, to January 1, 2022. The sample included live births, excluding those who died in the first month of life. Results: 1255 newborns were assessed. The red reflex was abnormal in 0.2%, 4.5% were not performed, and the rest were normal. Basic metabolic screening (BMS) was authorized by the EPS in 63.2% of the patients, and the mean time for sampling was the first 5 days of life. Adherence of family members was 69.6%. The neonatal TSH screening was performed in 100% of the newborns, and 98.2% were normal. In screening for congenital heart disease, 94% of patients were normal. The hearing screening result was normal in 99.6%. Conclusions: Neonatal screening as indicated in Colombian law is feasible for implementation, its results benefit patient care so strategies for its implementation must be developed. Continuity must be given to increase the opportunity in other hospitals.

AB - Introduction: Law 1980, 2019, regulates the practice of neonatal screening and constitutes it as the right of every newborn. Hospital Universitario San Ignacio is the pioneer hospital in Colombia to implement these activities according to the law as part of the comprehensive newborn care program. Objective: To describe the first results of the implementation of basic neonatal screening as it was stated by law in a fourth-level institution in Bogota, Colombia. Materials: Observational, descriptive, cross-sectional study from October 1, 2020, to January 1, 2022. The sample included live births, excluding those who died in the first month of life. Results: 1255 newborns were assessed. The red reflex was abnormal in 0.2%, 4.5% were not performed, and the rest were normal. Basic metabolic screening (BMS) was authorized by the EPS in 63.2% of the patients, and the mean time for sampling was the first 5 days of life. Adherence of family members was 69.6%. The neonatal TSH screening was performed in 100% of the newborns, and 98.2% were normal. In screening for congenital heart disease, 94% of patients were normal. The hearing screening result was normal in 99.6%. Conclusions: Neonatal screening as indicated in Colombian law is feasible for implementation, its results benefit patient care so strategies for its implementation must be developed. Continuity must be given to increase the opportunity in other hospitals.

UR - http://dx.doi.org/10.11144/javeriana.umed64-1.tami

U2 - 10.11144/javeriana.umed64-1.tami

DO - 10.11144/javeriana.umed64-1.tami

M3 - Article

SN - 0041-9095

VL - 64

JO - Universitas Médica

JF - Universitas Médica

IS - 1

ER -

Results of Neonatal Screening in a Fourth-Level Institution in Bogotá, Colombia

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