Harry Pachajoa1, Vania A Villota2, Luz Marina Cruz3, Yoseth Ariza2. 1. Fundación Clínica Valle del Lili, Cali, Colombia. 2. Centro de Investigaciones en Anomalías Congénitas y Enfermedades Raras, Facultad de Ciencias de la Salud, Universidad Icesi. 3. Departamento de Pediatría, Hospital San Juan de Dios, Cali, Colombia.
Abstract
INTRODUCTION: Birth defects are morphologic alterations diagnosed prenatal or postnatally. Surveillance systems have been used to estimate the prevalence in high complexity care centers; however, the variation of the prevalence among different complexity care centers remains unknown. OBJECTIVE: To compare the prevalence of birth defects among two different complexity care centers in Cali, Colombia. MATERIALS AND METHODS: A descriptive hospital-based study following the methodology of the Latin American Collaborative Study of Congenital Malformations was conducted during 20 months in a medium complexity hospital and a high complexity hospital. RESULTS: During the study period, 7,140 births were attended of which 225 had at least one birth defect. The prevalence of these was of 1.7% (IC95% 1.3-2.0) and 7.4% (IC95% 6.2-8.7) for the medium complexity hospital and the high complexity hospital, respectively. The highest frequencies for the high complexity care center were: ventricular septal defect, 10%; congenital hydronephrosis, 7%; abdominal wall defects, 6%, and hydrocephalus, 5%, while for the medium complexity were: polydactyly, 15%; preauricular skin tags, 8%; congenital talipes equino varus, 7%, and hemangioma, 6%. CONCLUSIONS: The prevalence of birth defects among different complexity care centers varies in quantity, type and severity of the anomaly diagnosed. The surveillance of birth defects is a useful tool for any level of care. It allows estimating more accurately the prevalence of the city, as well being a base for the planning and targeting of resources according to the prevalence of different congenital defects.
INTRODUCTION:Birth defects are morphologic alterations diagnosed prenatal or postnatally. Surveillance systems have been used to estimate the prevalence in high complexity care centers; however, the variation of the prevalence among different complexity care centers remains unknown. OBJECTIVE: To compare the prevalence of birth defects among two different complexity care centers in Cali, Colombia. MATERIALS AND METHODS: A descriptive hospital-based study following the methodology of the Latin American Collaborative Study of Congenital Malformations was conducted during 20 months in a medium complexity hospital and a high complexity hospital. RESULTS: During the study period, 7,140 births were attended of which 225 had at least one birth defect. The prevalence of these was of 1.7% (IC95% 1.3-2.0) and 7.4% (IC95% 6.2-8.7) for the medium complexity hospital and the high complexity hospital, respectively. The highest frequencies for the high complexity care center were: ventricular septal defect, 10%; congenital hydronephrosis, 7%; abdominal wall defects, 6%, and hydrocephalus, 5%, while for the medium complexity were: polydactyly, 15%; preauricular skin tags, 8%; congenital talipes equino varus, 7%, and hemangioma, 6%. CONCLUSIONS: The prevalence of birth defects among different complexity care centers varies in quantity, type and severity of the anomaly diagnosed. The surveillance of birth defects is a useful tool for any level of care. It allows estimating more accurately the prevalence of the city, as well being a base for the planning and targeting of resources according to the prevalence of different congenital defects.
Authors: Jessica Maria Forero-Delgadillo; Vanessa Ochoa; Natalia Duque; Jaime Manuel Restrepo; Hernando Londoño; Jose Antonio Nastasi-Catanese; Harry Pachajoa Journal: Clin Med Insights Pediatr Date: 2021-03-05
Authors: Malena Daich Varela; Rene Moya; Patricio G Schlottmann; Robert B Hufnagel; Claudia Arberas; Federico M Fernández; M Eugenia Inga; Juliana Lores; Harry Pachajoa; Carlos E Prada; Juliana M Ferraz Sallum Journal: Am J Med Genet C Semin Med Genet Date: 2020-08-28 Impact factor: 3.359