ROP 辅导计划对哥伦比亚农村地区的影响。

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-10-01 DOI:10.1016/j.jaapos.2024.104013

Claudia Zuluaga-Botero MD , Jose Maria Solano MD , Carolina Serrano-Calderon MD , Marudis Mestra MD , Maria Camila Rojas MD , José Moreno-Montoya PhD , Alexandra Porras MD , Julian Trujillo-Trujillo MD , Juan Carlos Silva MD, MPH , Clare Gilbert MD

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引用次数: 0

摘要

目的：评估早产儿视网膜病变（ROP）指导计划在 2011 年至 2019 年间对哥伦比亚四个农村地区 31 个新生儿科的影响：评估采用国家计划推荐的指标：符合条件的早产新生儿筛查覆盖率、筛查出任何阶段视网膜病变的比例以及筛查出的婴儿接受治疗的比例。此外，还收集了提供早产儿视网膜病变服务的单位数量、接受治疗婴儿的出生体重（BW）和胎龄（GA）等数据。有关早产儿数量、接受筛查婴儿的出生体重及其视网膜病变状况（任何/无）的数据均来自国家卫生信息系统。各地区的眼科医生提供了筛查和治疗人数的数据。采用线性-线性统计法评估指导前和指导期间各项指标的变化趋势：结果：在 31 个新生儿科中，提供早产儿视网膜病变服务的数量从 7 个（23%）增加到 26 个（84%）。在研究期间，四个地区符合条件的新生儿数量（共计 33521 名）保持稳定，接受筛查的比例从 14% 增加到 41%，筛查出患有任何早产儿视网膜病变的比例随着时间的推移呈下降趋势，接受治疗的比例从 9% 下降到 3%，各地区之间存在一定差异。到第 3 年，体重≥2000 克或孕期大于 36 周的婴儿均未接受治疗：结论：在我们的研究中，指导农村医疗服务提供者被证明是一项非常有价值的策略，它可以诱导新的筛查计划、提高覆盖率并改善当地新生儿护理和早产儿视网膜病变服务的能力。

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Impact of a ROP mentoring program in rural regions of Colombia

Purpose

To assess the impact of a retinopathy of prematurity (ROP) mentoring program in four rural regions with 31 neonatal units in Colombia between 2011 and 2019.

Methods

Indicators recommended by the national program were used for assessment: screening coverage of eligible preterm newborns, proportion screened with any stage of ROP, and proportion of screened infants treated. Data were also collected on the number of units with ROP services and birth weight (BW) and gestational age (GA) of babies treated. Data on the number of preterm births, BWs of infants screened, and their ROP status (any/none) were extracted from the national health information system. Ophthalmologists in each region provided data on the number screened and treated. A linear-by-linear statistic was used to assess trends in the indicators before and during mentoring.

Results

Of the 31 neonatal units, the number providing ROP services increased from 7 (23%) to 26 (84%). The number of eligible infants born in the four regions (total 33,521) was stable over the study period, the proportion screened increased from 14% to 41%, the proportion of those screened who were found to have any ROP tended to decrease over time, and the proportion of those screened who were treated declined from 9% to 3%, with some regional variation. By year 3 no infant with a BW ≥2000 g or GA of >36 weeks was treated.

Conclusions

In our study, mentoring rural providers proved a valuable strategy for inducing new screening programs, increasing coverage, and improving local capacities in neonatal care and ROP services.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.