墨西哥新生儿危重先天性心脏病的全国调查:来自76家公共卫生服务医院单位的数据。

IF 4 Q1 GENETICS & HEREDITY
Nina Mendez-Dominguez, Ely Sanchez-Felix, Joan Johnson-Herrera, Miguel Santaularia-Tomas, Andres Ku-Gonzalez, Luis Baeza-Herrera, Adriel Ismael Alonso-Batun, Marcos Rivero-Peraza, Humberto Camara-Conde, Amonario Olivera-Mar, Russel Camara-Beltran
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引用次数: 0

摘要

在资源充足的情况下,应该在子宫内检测出严重的先天性心脏病(CCHDs);然而,在出生时较晚发现它们仍然可以减少负面结果和风险。本研究旨在评估在墨西哥公共卫生服务部门的全国医院样本中实施心脏筛查的程度。进行了一项横断面调查,以确定76家医院样本中新生儿筛查的障碍和促进因素。描述性统计和相关性分析,p < 0.05为显著性。只有12%的医院报告常规实施CCHD筛查,而20%的医院采用可变筛查标准。潜在的强制性实施CCHD筛查与将缺乏方案和指南视为障碍的可能性增加有关。最常报告的障碍包括缺乏以下方面:设备、指定的物理空间、训练有素的人员和适当的培训。然而,所确定的促进者表明,如果与标准化的指导方针和协议相结合,可能可以在全国范围内实现常规实施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nationwide Survey on Neonatal Critical Congenital Cardiopathies in Mexico: Data from 76 Public Health Service Hospital Units.

When the resources are available, critical congenital heart diseases (CCHDs) should ideally be detected in utero; however, their later detection at birth can still reduce negative outcomes and risks. This study aimed to assess the extent of cardiac screening implementation in a national sample of hospitals within Mexico's public health services. A cross-sectional survey was conducted to identify the barriers and facilitators to neonatal screening using a sample of 76 hospitals. The descriptive statistics and associations were analyzed, with significance set at p < 0.05. Only 12% of hospitals reported the routine implementation of CCHD screening, while 20% used variable screening criteria. A potential mandatory implementation of CCHD screening was associated with increased odds of perceiving the lack of protocols and guidelines as a barrier. The most frequently reported obstacles involved a lack of the following: equipment, designated physical space, trained personnel, and adequate training. Nevertheless, the facilitators identified suggest that when combined with standardized guidelines and protocols, routine nationwide implementation may be achievable.

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来源期刊
International Journal of Neonatal Screening
International Journal of Neonatal Screening Medicine-Pediatrics, Perinatology and Child Health
CiteScore
6.70
自引率
20.00%
发文量
56
审稿时长
11 weeks
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