Prenatal sonographic detection of birth defects in 18 hospitals from South America
Objective. The purpose of this study was to assess the accuracy of prenatal sonographic diagnosis of birth defects and the gestational age at detection according to the health insurance schemes of mothers in 450 malformed neonates from 18 South American hospitals on the basis of prenatal sonographic...
Guardado en:
| Autores principales: | , , , , , |
|---|---|
| Formato: | Articulo |
| Lenguaje: | Inglés |
| Publicado: |
2010
|
| Materias: | |
| Acceso en línea: | http://sedici.unlp.edu.ar/handle/10915/100533 https://ri.conicet.gov.ar/11336/53833 |
| Aporte de: |
| id |
I19-R120-10915-100533 |
|---|---|
| record_format |
dspace |
| institution |
Universidad Nacional de La Plata |
| institution_str |
I-19 |
| repository_str |
R-120 |
| collection |
SEDICI (UNLP) |
| language |
Inglés |
| topic |
Ciencias Médicas Birth defects Health insurance scheme Latin american collaborative study of congenital malformations Prenatal sonography South America |
| spellingShingle |
Ciencias Médicas Birth defects Health insurance scheme Latin american collaborative study of congenital malformations Prenatal sonography South America Campaña, Hebe Ermini, Mónica Aiello, Horacio A. Krupitzki, Hugo Bernardo Castilla, Eduardo Enrique López Camelo, Jorge Santiago Prenatal sonographic detection of birth defects in 18 hospitals from South America |
| topic_facet |
Ciencias Médicas Birth defects Health insurance scheme Latin american collaborative study of congenital malformations Prenatal sonography South America |
| description |
Objective. The purpose of this study was to assess the accuracy of prenatal sonographic diagnosis of birth defects and the gestational age at detection according to the health insurance schemes of mothers in 450 malformed neonates from 18 South American hospitals on the basis of prenatal sonographic records. Methods. Between July 2000 and December 2003, 18 hospitals included in the Latin American Collaborative Study of Congenital Malformations (13 from Argentina [8 public and 5 nonpublic], 3 from Brazil [2 public and 1 nonpublic], 1 from Chile [nonpublic], and 1 from Venezuela [public]) voluntarily participated in this prospective observational study, recording fetuses with sonographically detected malformations. Prenatal sonographic descriptions of anomalies were compared with those recorded at birth. Results. Of 812 anomalies detected at birth, 457 had been prenatally detected (detection rate, 56.3%; 95% confidence interval, 52.8%-59.8%). Before 24 gestational weeks, anencephaly had the highest detection rate. Cleft lip and clubfoot were more easily detected when associated with other anomalies. The detection rates for central nervous system and renourinary malformations were greater than 80%. Detection rates between both health insurance schemes (public and nonpublic) did not show significant differences, but anencephaly, spina bifida, renourinary defects, and cleft lip with or without cleft palate were detected earlier in patients from nonpublic rather than in public hospitals. Conclusions. For specific anomalies, South America shows similar levels of prenatal sonographic detection as developed countries. Detection rates during pregnancy were similar for public and nonpublic hospitals, whereas cases were diagnosed earlier in patients from nonpublic hospitals. |
| format |
Articulo Articulo |
| author |
Campaña, Hebe Ermini, Mónica Aiello, Horacio A. Krupitzki, Hugo Bernardo Castilla, Eduardo Enrique López Camelo, Jorge Santiago |
| author_facet |
Campaña, Hebe Ermini, Mónica Aiello, Horacio A. Krupitzki, Hugo Bernardo Castilla, Eduardo Enrique López Camelo, Jorge Santiago |
| author_sort |
Campaña, Hebe |
| title |
Prenatal sonographic detection of birth defects in 18 hospitals from South America |
| title_short |
Prenatal sonographic detection of birth defects in 18 hospitals from South America |
| title_full |
Prenatal sonographic detection of birth defects in 18 hospitals from South America |
| title_fullStr |
Prenatal sonographic detection of birth defects in 18 hospitals from South America |
| title_full_unstemmed |
Prenatal sonographic detection of birth defects in 18 hospitals from South America |
| title_sort |
prenatal sonographic detection of birth defects in 18 hospitals from south america |
| publishDate |
2010 |
| url |
http://sedici.unlp.edu.ar/handle/10915/100533 https://ri.conicet.gov.ar/11336/53833 |
| work_keys_str_mv |
AT campanahebe prenatalsonographicdetectionofbirthdefectsin18hospitalsfromsouthamerica AT erminimonica prenatalsonographicdetectionofbirthdefectsin18hospitalsfromsouthamerica AT aiellohoracioa prenatalsonographicdetectionofbirthdefectsin18hospitalsfromsouthamerica AT krupitzkihugobernardo prenatalsonographicdetectionofbirthdefectsin18hospitalsfromsouthamerica AT castillaeduardoenrique prenatalsonographicdetectionofbirthdefectsin18hospitalsfromsouthamerica AT lopezcamelojorgesantiago prenatalsonographicdetectionofbirthdefectsin18hospitalsfromsouthamerica |
| bdutipo_str |
Repositorios |
| _version_ |
1764820440496209921 |