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Incidencia de cardiopatías congénitas en una maternidad pública durante el período 1998-2011 en los inicios del Programa Nacional de Cardiopatías Congénitas;
Incidence of Congenital Heart Defects in a Public Maternity Hospital during the Period 1998-2011 in the Beginning of the National Congenital Heart Defects Program

Creators:Oppizzi, Yamila; Maternidad Sarda.CABA., Chernovetzky, Graciela
2015-03-03

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Descripción

Las cardiopatías congénitas (CC)  se encuentran entre las malformaciones más frecuentes con gran impacto en la  morbi-mortalidad pediátrica. Se desconoce la prevalencia real de las mismas en nuestro país. Los datos  que se disponen   están basados en  publicaciones mundiales. El Hospital Materno Infantil Ramón Sarda  (HMIRS) es una de las maternidades con mayor número de partos  y centro de  referencia y  derivación de embarazos de alto riesgo en nuestro país. OBJETIVOS 1-Conocer la prevalencia  y frecuencia relativa  de las  CC de  los recién nacidos (RN) vivos  en el     Hospital Materno Infantil Ramón Sardá. 2-  Evaluar la asociación con otras malformaciones congénitas. 3-  Analizar  la distribución de las cardiopatías congénitas por sexo. DISEÑO Estudio descriptivo  retrospectivo observacional, POBLACION Se analizaron las historias clínicas de 1161 RN vivos con diagnóstico confirmado de CC, registrados en la base de datos computarizada del Sector Cardiología Infantil del HMIRS entre el 1° de enero de 1998 al y el 31 de  diciembre de  2011, evaluados durante su internación  y posterior seguimiento por consultorios externos. Se excluyeron los mortinatos por carecer de datos  suficientes METODO Se analizó la prevalencia y la frecuencia relativa de las CC. La prevalencia se dedujo del total de  casos con CC registrados en el HMIRS referido al total de nacidos vivos  en el período 1998/2011. La frecuencia relativa se calculó como el porcentaje de cada CC referido al total de casos en estudio. Se  clasificaron de acuerdo a criterios de severidad, de acuerdo al metanálisis publicado por Hofman y Kaplan en Estados Unidos. Los datos categóricos se presentaron en  número de casos absolutos y porcentaje. RESULTADOS De un total de 92725 recién nacidos vivos en este período, la prevalencia de CC fue de 1161 niños.  (12.5/1000). Excluyendo las comunicaciones interventriculares musculares pequeñas que cierran espontáneamente  durante su seguimiento, la prevalencia  disminuyó a 7/1000 recién nacidos vivos.. La prevalencia de las CC moderadas y severas que se manifiestan precozmente en los primeros días de vida fue del  44 % (3 a 3.5/1000),  similar a la publicada en la literatura. Los defectos septales interventriculares  fueron las cardiopatías congénitas leves más frecuentemente encontradas. El 14%  del total de Cardiopatías Congénitas presentaron  malformaciones extracardíacas asociadas. No se encontró diferencia en la distribución por sexo

Background: Congenital heart defects (CHD) are among the most common congenital diseases with great impact in infantmorbidity and mortality; however, their real incidence in our country is unknown. The Ministry of Health created the NationalCongenital Heart Defect Program to contribute to the reduction of infant mortality for this cause. Therefore, determiningthe incidence and the relative frequency of CHD at the Hospital Materno Infantil Ramón Sardá, a public tertiary institutionspecialized in high risk pregnancies and congenital defects would provide information to the Program.Objectives: 1) To determine the incidence and relative frequency of CHD in liveborn (LB) infants at the Hospital MaternoInfantil Ramón Sardá in the beginning of the PNCC program. 2) To evaluate the association with other congenital defects.3) To analyze the distribution of CHD by sex.Methods: The study has a descriptive, observational and retrospective design. The digital clinical records of 1,161 LB infantswith confirmed diagnosis of CHD from the Section of Pediatric Cardiology, Hospital Materno Infantil Ramón Sardá, betweenJanuary 1, 1998 and December 31, 2011, evaluated during hospitalization and follow-up at the outpatient clinic, were analyzed.Congenital heart defects were classified based on their severity according to the meta-analysis published by Hoffman andKaplan in USA assessing their incidence and relative frequency.Categorical data are presented as number of absolute cases and percentage.Results: From a total of 92,725 LB infants during the study period, CHD were present in 1,161 of cases (12.5/1000). Afterexcluding small muscular ventricular septal defects, the prevalence decreased to 7/1000 LB infants.The prevalence of moderate and severe CHD was 44% (3 to 3.5/1000).Ventricular septal defects were the most common CHD.Conclusion: Despite being a tertiary center for high risk pregnancy and congenital defect, the incidence of CHD determinedat the Hospital Materno Infantil Ramón Sardá is similar to the one published worldwid

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 83, No 1 (2015); 42-48, Argentine Journal of Cardiology; Vol 83, No 1 (2015); 42-48

Citación

Oppizzi, Yamila; Maternidad Sarda.CABA. y Chernovetzky, Graciela, “Incidencia de cardiopatías congénitas en una maternidad pública durante el período 1998-2011 en los inicios del Programa Nacional de Cardiopatías Congénitas,” Archivo PPCT, consulta 4 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/8748.

Dublin Core

Materia

Autor

Oppizzi, Yamila; Maternidad Sarda.CABA.
Chernovetzky, Graciela

Fuente

Revista Argentina de Cardiología; Vol 83, No 1 (2015); 42-48
Argentine Journal of Cardiology; Vol 83, No 1 (2015); 42-48

Editor

Sociedad Argentina de Cardiología

Fecha

2015-03-03

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

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eng
spa

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info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion