Tendencia temporal de la retinopatía de la prematuridad en el sector público de Argentina en el período 2009-2013
La retinopatía de la prematuridad es la primera causa de ceguera en la infancia en países con acceso al cuidado intensivo neonatal. Mediante acciones de prevención, Argentina logró reducir el número de casos en 2004-2008, observándose en años posteriores un estancamiento de este descenso. Con el obj...
Guardado en:
| Autor principal: | |
|---|---|
| Otros Autores: | , , , |
| Formato: | Tesis Libro |
| Lenguaje: | Español |
| Publicado: |
Remedios de Escalada
UNLa. Maestría en Epidemiología, Gestión y Políticas de Salud
2016
|
| Materias: | |
| Acceso en línea: | Descargue documento |
| Aporte de: | Registro referencial: Solicitar el recurso aquí |
| LEADER | 08263nam a22005657c 4500 | ||
|---|---|---|---|
| 001 | 172284 | ||
| 003 | 16201 | ||
| 005 | 20241029115222.0 | ||
| 008 | 170605s2016 ag a frm 000 0 spa d | ||
| 999 | |c 172284 |d 172284 | ||
| 024 | 7 | |2 doi |a 10.18294/rdi.2017.172284 | |
| 035 | |a (arresunl)172284 | ||
| 040 | |a arrensul |c arrensul |b spa |e rda |9 NF |g NOELIA SOLEDAD FERNANDEZ | ||
| 041 | |a spa | ||
| 044 | |a ag | ||
| 082 | 0 | 4 | |a TE 617.712 060 832 |b B 496 |2 22 |
| 100 | 1 | |a Benítez, Alicia Matilde |9 18064 |u Universidad Nacional de Lanús. Departamento de Salud Comunitaria | |
| 245 | 1 | 0 | |a Tendencia temporal de la retinopatía de la prematuridad en el sector público de Argentina en el período 2009-2013 |c Alicia Matilde Benítez ; director: Marcio Alazraqui |
| 264 | 3 | 1 | |a Remedios de Escalada |b UNLa. Maestría en Epidemiología, Gestión y Políticas de Salud |c 2016 |
| 300 | |a 100 páginas |b ilustraciones, tablas |c 29 cm | ||
| 336 | |2 rdacontent |a texto |b txt | ||
| 337 | |2 rdamedia |a sin mediación |b n | ||
| 338 | |2 rdacarrier |a volúmen |b nc | ||
| 502 | |b Tesis presentada como requisito final para la obtención del Título de Magister en Epidemiología, Gestión y Políticas de Salud de la Universidad Nacional de Lanús. |g Jurado: Adrián Santoro, Ana María Pedraza, Luis Alberto Novali. | ||
| 506 | |2 info:eu-repo/semantics/openAccess |f info:eu-repo/semantics/closedAccess | ||
| 520 | 3 | |a La retinopatía de la prematuridad es la primera causa de ceguera en la infancia en países con acceso al cuidado intensivo neonatal. Mediante acciones de prevención, Argentina logró reducir el número de casos en 2004-2008, observándose en años posteriores un estancamiento de este descenso. Con el objetivo de evaluar los cambios ocurridos en la presentación de la enfermedad en 2009-2013, este estudio describe en pacientes de riesgo del sector público: prevalencia, presentación clínica y estado de la pesquisa y el tratamiento, mediante un diseño descriptivo de tendencia temporal. La información provino del registro del Programa de Prevención de la Ceguera Neonatal del Ministerio de Salud. Se incluyeron prematuros de muy bajo peso al nacer y prematuros de mayor peso al nacer con factores de riesgo, nacidos en las Unidades Neonatales participantes. Se describieron las variables categóricas en frecuencias absolutas y relativas y para algunas variables numéricas se calcularon medias y desvíos standard. Fueron examinados 22.523 pacientes (90,3%). El porcentaje de pacientes con PN < 1000 gramos examinados ascendió del 6,7% al 8,2 % entre 2009-2013. Entre 2009-2013 aumentaron la prevalencia de ROP total (12,8% vs 18%) y la de ROP severa (3,3% vs 4,4 %). El 23,4% de las formas severas correspondió a prematuros inusuales. El porcentaje de pacientes que iniciaron la pesquisa en forma tardía descendió de 14,0% a 6,5 % y el 73,3 % egresó de las Unidades Neonatales sin el alta oftalmológica, sin cambios a lo largo del período. El tratamiento in situ aumentó de 74,0% a 86,0% entre 2009-2013. El aumento en la prevalencia de la enfermedad y el creciente número de prematuros con PN < 1000 gramos examinados sugiere una mayor sobrevida en este grupo y la necesidad de intensificar las medidas de prevención primaria. Las medidas de prevención secundaria aunque perfectibles continúan estando en niveles aceptables.|Retinopathy of prematurity is the leading cause of blindness in children in countries where neonatal intensive care is provided. Argentina succeeded in reducing the number of cases in 2004-2008, but in the following years this trend stopped. In order to assess the changes in the presentation of the disease in period 2009 - 2013, this study describes prevalence, clinical forms and state of both screening and treatment in patients at risk of public health sector. The design of the study was descriptive with a temporal trend. Information was obtained from the Program of Prevention of Neonatal Blindness of Ministry of Health. Population included very low birth weight preterm babies and premature babies with risk factors born in the Neonatal Units included in the Program. Categorical variables were described in absolute and relative frequencies and for some numerical variables means and standard deviations were calculated. At the period, 22.523 patients were screened (90.3%). Percentage of patients screened with BW < 1000 g rose from 6,7% to 8,2% in 2009-2013. Overall prevalence of ROP increased 12,8% to 18,0% and severe ROP increased from 3,3% to 4,4% in the period. Unusual patients (birth weight > 1500 g/ gestational age > 32 weeks) represented 23,4% of the severe clinical forms. Late onset screening decreased from 14,0% to 6,5%; 73,3% of patients were discharged from the Neonatal Units without ophthalmologic discharge, without changes over the period. Treatment “in situ” increased from 74,0% to 86,0% from 2009 to 2013. From 2008 to 2013, prevalence of the disease has increased and the total number of infants with BW <1000g screened has increased too. This suggests that survival is improving in this group and to enhance primary prevention measures is needed. Processes of care for secondary prevention are still perfectible but results continue to be at acceptable levels. | |
| 520 | 3 | |b Retinopathy of prematurity is the leading cause of blindness in children in countries where neonatal intensive care is provided. Argentina succeeded in reducing the number of cases in 2004-2008, but in the following years this trend stopped. In order to assess the changes in the presentation of the disease in period 2009 - 2013, this study describes prevalence, clinical forms and state of both screening and treatment in patients at risk of public health sector. The design of the study was descriptive with a temporal trend. Information was obtained from the Program of Prevention of Neonatal Blindness of Ministry of Health. Population included very low birth weight preterm babies and premature babies with risk factors born in the Neonatal Units included in the Program. Categorical variables were described in absolute and relative frequencies and for some numerical variables means and standard deviations were calculated. At the period, 22.523 patients were screened (90.3%). Percentage of patients screened with BW < 1000 g rose from 6,7% to 8,2% in 2009-2013. Overall prevalence of ROP increased 12,8% to 18,0% and severe ROP increased from 3,3% to 4,4% in the period. Unusual patients (birth weight > 1500 g/ gestational age > 32 weeks) represented 23,4% of the severe clinical forms. Late onset screening decreased from 14,0% to 6,5%; 73,3% of patients were discharged from the Neonatal Units without ophthalmologic discharge, without changes over the period. Treatment “in situ” increased from 74,0% to 86,0% from 2009 to 2013. From 2008 to 2013, prevalence of the disease has increased and the total number of infants with BW <1000g screened has increased too. This suggests that survival is improving in this group and to enhance primary prevention measures is needed. Processes of care for secondary prevention are still perfectible but results continue to be at acceptable levels. | |
| 540 | |a Ley 23.899 |u https://drive.google.com/drive/folders/11YYXAXzz79dmhy-N2CuXTwaldnfjMjAO | ||
| 541 | |c Propia |a Propia. | ||
| 581 | |3 Texto completo | ||
| 592 | |a info:eu-repo/semantics/pdf | ||
| 595 | |a info:eu-repo/semantics/published | ||
| 598 | |a Tesis de posgrado | ||
| 599 | |a OPS | ||
| 648 | 4 | |a 2009 |9 17919 | |
| 650 | 1 | 7 | |a Recién nacido |9 14908 |
| 650 | 1 | 7 | |a Oftalmología |9 18065 |2 dcs |
| 650 | 1 | 7 | |a Ceguera |9 18066 |
| 651 | 4 | |9 36647 |a Argentina | |
| 653 | 1 | 0 | |a Retinopatía |
| 700 | 1 | 2 | |a Alazraqui, Marcio |e director |9 23729 |
| 700 | 1 | 2 | |a Santoro, Adrián |e jurado |9 35417 |
| 700 | 1 | 2 | |a Pedraza, Ana |e jurado |9 45446 |
| 700 | 1 | 2 | |a Novali, Luis Alberto |e jurado |9 18864 |
| 790 | |a Alazraqui, Marcio | ||
| 856 | 4 | 1 | |u http://www.repositoriojmr.unla.edu.ar/descarga/Tesis/MaEGyPS/Benitez_A_Tendencia_2015.pdf |y Descargue documento |
| 942 | |a 00014 |2 ddc |c 00014 |0 1 | ||
| 992 | |a http://www.repositoriojmr.unla.edu.ar/descarga/Tesis/MaEGyPS/Benitez_A_Tendencia_2015.pdf | ||
| 993 | |a info:eu-repo/semantics/tesis de maestría | ||
| 994 | |a info:eu-repo/semantics/masterThesis | ||