Cumulative incidence of lethal congenital anomalies in Peru.

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Title: Cumulative incidence of lethal congenital anomalies in Peru.
Alternate Title: Incidencia acumulada de anomalías fetales incompatibles con la vida en Perú.
Authors: Taype-Rondan, Alvaro1, Zafra-Tanaka, Jessica Hanae2, Guevara-Ríos, Enrique3, Chávez-Alvarado, Susana4 susana@promdsr.org
Source: Revista Facultad de Medicina de la Universidad Nacional de Colombia. ene-mar2020, Vol. 68 Issue 1, p44-50. 7p.
Subjects: CONGENITAL disorders, HUMAN abnormalities, HEALTH facilities, URBAN hospitals, MEDICAL records
Geographic Terms: PERU, LIMA (Peru)
Abstract (English): Introduction: Lethal congenital anomalies (LCA) are anomalies associated with early stillbirth or newborn death. Currently, there are no data on the incidence of LCAs in Peru. Objectives: To estimate the cumulative incidence of LCAs in Peru, the Department of Lima, and six hospitals located in the city of Lima (Peru), and to describe the characteristics of LCA cases reported between 2012 and 2016 at Instituto Nacional Materno Perinatal (INMP), located in Lima, Perú. Materials and methods: Cumulative incidence of LCAs in Peru was determined based on the cases reported in a five-year period, which varied depending on data accessibility (2011-2015 and 2012-2016). In addition, the medical records of neonates with LCA registered at INMP were reviewed to identify the characteristics of these cases. Results: Cumulative incidence of LCAs in Peru was 0.89 cases per 10 000 newborns, while at INMP it was 7.19 cases. Out of 48 newborns with LCAs treated at INMP during the study period, 54.2% were born with neonatal depression, and 83.3% died during their hospital stay. Conclusion: Cumulative incidences of LCAs reported here (Lima, Department of Lima, and Peru) were lower than those described by international epidemiological surveillance systems, which might be caused due to shortcomings related to the registration of these cases in the health institutions and records analyzed here. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción. Las anomalías fetales incompatibles con la vida (AFIV) son aquellas que se asocian con la muerte temprana del feto o del recién nacido. En la actualidad, se desconoce la magnitud de este problema en Perú. Objetivos. Estimar la incidencia acumulada de AFIV en Perú, en el departamento de Lima y en seis hospitales de la ciudad de Lima, y describir las características de este tipo de anomalías reportadas entre 2012 y 2016 en el Instituto Nacional Materno Perinatal (INMP) de Lima, Perú. Materiales y métodos. Se determinó la incidencia acumulada de las AFIV reportadas en un período de cinco años en Perú, el cual varió dependiendo de la disponibilidad de los datos (2011-2015 y 2012-2016). Además, se revisaron las historias clínicas de los neonatos con AFIV registradas en el INMP para obtener sus características. Resultados. La incidencia acumulada de AFIV en todo el Perú fue de 0.89 por cada 10 000 recién nacidos y en el INMP fue 7.19. De los 48 recién nacidos con AFIV atendidos en el INMP, 54.2% nacieron con depresión neonatal y 83.3% fallecieron en el hospital. Conclusión. Las incidencias acumuladas de AFIV encontradas fueron menores a las reportadas por los sistemas internacionales de vigilancia epidemiológica, lo que podría deberse a falencias en su registro en las instituciones de salud y registros analizados. [ABSTRACT FROM AUTHOR]
Copyright of Revista Facultad de Medicina de la Universidad Nacional de Colombia is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Cumulative incidence of lethal congenital anomalies in Peru.
– Name: TitleAlt
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  Data: Incidencia acumulada de anomalías fetales incompatibles con la vida en Perú.
– Name: Author
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  Data: <searchLink fieldCode="AR" term="%22Taype-Rondan%2C+Alvaro%22">Taype-Rondan, Alvaro</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Zafra-Tanaka%2C+Jessica+Hanae%22">Zafra-Tanaka, Jessica Hanae</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Guevara-Ríos%2C+Enrique%22">Guevara-Ríos, Enrique</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Chávez-Alvarado%2C+Susana%22">Chávez-Alvarado, Susana</searchLink><relatesTo>4</relatesTo><i> susana@promdsr.org</i>
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  Data: <searchLink fieldCode="JN" term="%22Revista+Facultad+de+Medicina+de+la+Universidad+Nacional+de+Colombia%22">Revista Facultad de Medicina de la Universidad Nacional de Colombia</searchLink>. ene-mar2020, Vol. 68 Issue 1, p44-50. 7p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22CONGENITAL+disorders%22">CONGENITAL disorders</searchLink><br /><searchLink fieldCode="DE" term="%22HUMAN+abnormalities%22">HUMAN abnormalities</searchLink><br /><searchLink fieldCode="DE" term="%22HEALTH+facilities%22">HEALTH facilities</searchLink><br /><searchLink fieldCode="DE" term="%22URBAN+hospitals%22">URBAN hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+records%22">MEDICAL records</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22PERU%22">PERU</searchLink><br /><searchLink fieldCode="DE" term="%22LIMA+%28Peru%29%22">LIMA (Peru)</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Introduction: Lethal congenital anomalies (LCA) are anomalies associated with early stillbirth or newborn death. Currently, there are no data on the incidence of LCAs in Peru. Objectives: To estimate the cumulative incidence of LCAs in Peru, the Department of Lima, and six hospitals located in the city of Lima (Peru), and to describe the characteristics of LCA cases reported between 2012 and 2016 at Instituto Nacional Materno Perinatal (INMP), located in Lima, Perú. Materials and methods: Cumulative incidence of LCAs in Peru was determined based on the cases reported in a five-year period, which varied depending on data accessibility (2011-2015 and 2012-2016). In addition, the medical records of neonates with LCA registered at INMP were reviewed to identify the characteristics of these cases. Results: Cumulative incidence of LCAs in Peru was 0.89 cases per 10 000 newborns, while at INMP it was 7.19 cases. Out of 48 newborns with LCAs treated at INMP during the study period, 54.2% were born with neonatal depression, and 83.3% died during their hospital stay. Conclusion: Cumulative incidences of LCAs reported here (Lima, Department of Lima, and Peru) were lower than those described by international epidemiological surveillance systems, which might be caused due to shortcomings related to the registration of these cases in the health institutions and records analyzed here. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducción. Las anomalías fetales incompatibles con la vida (AFIV) son aquellas que se asocian con la muerte temprana del feto o del recién nacido. En la actualidad, se desconoce la magnitud de este problema en Perú. Objetivos. Estimar la incidencia acumulada de AFIV en Perú, en el departamento de Lima y en seis hospitales de la ciudad de Lima, y describir las características de este tipo de anomalías reportadas entre 2012 y 2016 en el Instituto Nacional Materno Perinatal (INMP) de Lima, Perú. Materiales y métodos. Se determinó la incidencia acumulada de las AFIV reportadas en un período de cinco años en Perú, el cual varió dependiendo de la disponibilidad de los datos (2011-2015 y 2012-2016). Además, se revisaron las historias clínicas de los neonatos con AFIV registradas en el INMP para obtener sus características. Resultados. La incidencia acumulada de AFIV en todo el Perú fue de 0.89 por cada 10 000 recién nacidos y en el INMP fue 7.19. De los 48 recién nacidos con AFIV atendidos en el INMP, 54.2% nacieron con depresión neonatal y 83.3% fallecieron en el hospital. Conclusión. Las incidencias acumuladas de AFIV encontradas fueron menores a las reportadas por los sistemas internacionales de vigilancia epidemiológica, lo que podría deberse a falencias en su registro en las instituciones de salud y registros analizados. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Revista Facultad de Medicina de la Universidad Nacional de Colombia is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.15446/revfacmed.v68n1.71589
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      – Code: eng
        Text: English
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      – SubjectFull: CONGENITAL disorders
        Type: general
      – SubjectFull: HUMAN abnormalities
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      – SubjectFull: HEALTH facilities
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      – SubjectFull: URBAN hospitals
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      – SubjectFull: MEDICAL records
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      – SubjectFull: PERU
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      – SubjectFull: LIMA (Peru)
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      – TitleFull: Cumulative incidence of lethal congenital anomalies in Peru.
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