{
    "abstract": "In Colombia, the incidence of prematurity and low birth weight (LBW) is 12.8%. To describe a standardized follow-up until 12 months of 1138 premature and/or LBW included in the Yopal KMCP (2014 -2015).\nProspective cohort.\nthe patients are from the subsidized health care system (Colombia government), 58.2% live in the city and 24.6% at more than two hours from the city; 80.6% of parents are stable couples and 78.9% are employed; 69% of mothers started prenatal control from the first trimester. The most frequent obstetric pathologies were urinary tract infection and pre-eclampsia; 97% of deliveries were in the hospital; 55% by caesarean section. Majority of infants were late preterm; 13.3% passed through the Neonatal Intensive Care Unit (NICU) with 27% ventilated and 5.9% oxygen-dependent at discharge. At 6 months more than 50% had exclusive breastfeeding. Ophthalmology screening was performed in 54% (4.6% retinopathy), optometry in 72% and audiology in 70% (4.7% with hearing deficit). At 12 months 4.4% had abnormal neurological exam and 95% complete vaccines schedule. Lost to follow up was 35% and mortality 0.4%.\nIt is important to implement KMCP in intermediate and isolated cities to ensure a high-risk follow-up for all LBW and / or premature babies, to detect somatic, sensory or neuro-psychomotor development anomalies and to perform timely interventions.\nEn Colombia, la incidencia de prematurez y bajo peso al nacer (BPN) es del 12,8%. El objetivo del estudio fue describir el seguimiento estandarizado hasta 12 meses de 1 138 prematuros y/o BPN, atendidos en el Programa Madre Canguro (PMC) de Yopal durante 2014 y 2015.\nEstudio de cohorte prospectiva.\nLos pacientes eran del sistema subsidiado. El 58,2% viv\u00eda en la ciudad y 24,6% a m\u00e1s de dos horas de la ciudad. El 80,6% de los padres eran parejas estables y 78,9% ten\u00eda empleo. El 69% de las madres inici\u00f3 control prenatal desde el primer trimestre. Las patolog\u00edas obst\u00e9tricas m\u00e1s frecuentes fueron la infecci\u00f3n urinaria y la pre-eclampsia. El 47% de los partos fueron intrahospitalarios, 55% por ces\u00e1rea. La mayor\u00eda eran prematuros tard\u00edos. El 13,3% pasaron por cuidados intensivos con 27% ventilados y 5,9% ox\u00edgeno-dependientes al egreso. A los seis meses, m\u00e1s del 50% ten\u00eda lactancia materna exclusiva. Se realiz\u00f3 tamizado de oftalmolog\u00eda en 54% (4,6% retinopat\u00eda), de optometr\u00eda en 72% y de audiolog\u00eda en 70% (4,7% con d\u00e9ficit de audici\u00f3n). A los 12 meses 4,4% ten\u00edan examen neurol\u00f3gico anormal y 95% vacunas completas. La deserci\u00f3n fue de 35% y la mortalidad de 0,4%.\nEs importante implementar PMC en las ciudades intermedias de Colombia que manejan BPN y/o prematuros para asegurar un seguimiento de alto riesgo que detecte anomal\u00edas del desarrollo som\u00e1tico, sensorial o neuro-psicomotor y realizar intervenciones oportunas.",
    "authors": [
        {
            "affiliation": "AM: Pediatra Neonat\u00f3loga. M. Sc. Epidemiolog\u00eda Cl\u00ednica. Pontificia. Universidad Javeriana. Hospital Universitario San Ignacio. Grupo de Investigaci\u00f3n de la Fundaci\u00f3n Canguro. Bogot\u00e1, Colombia. montealegre.a@javeriana.edu.co.",
            "firstname": "Adriana",
            "initials": "A",
            "lastname": "Montealegre-Pomar"
        },
        {
            "affiliation": "AS: MD. Pediatra. Hospital Regional de Yopal. Yopal, Colombia. alinasierra81@hotmail.com.",
            "firstname": "Alina P",
            "initials": "AP",
            "lastname": "Sierra-Andrade"
        },
        {
            "affiliation": "NC: MD. Pediatra. Directora Fundaci\u00f3n Canguro. Bogot\u00e1, Colombia. ncharpak@gmail.com.",
            "firstname": "Nathalie",
            "initials": "N",
            "lastname": "Charpak"
        }
    ],
    "conclusions": "It is important to implement KMCP in intermediate and isolated cities to ensure a high-risk follow-up for all LBW and / or premature babies, to detect somatic, sensory or neuro-psychomotor development anomalies and to perform timely interventions.",
    "copyrights": null,
    "doi": "10.15446/rsap.V20n1.67974",
    "journal": "Revista de salud publica (Bogota, Colombia)",
    "keywords": [],
    "methods": null,
    "publication_date": "2018-09-06",
    "pubmed_id": "30183879",
    "results": "the patients are from the subsidized health care system (Colombia government), 58.2% live in the city and 24.6% at more than two hours from the city; 80.6% of parents are stable couples and 78.9% are employed; 69% of mothers started prenatal control from the first trimester. The most frequent obstetric pathologies were urinary tract infection and pre-eclampsia; 97% of deliveries were in the hospital; 55% by caesarean section. Majority of infants were late preterm; 13.3% passed through the Neonatal Intensive Care Unit (NICU) with 27% ventilated and 5.9% oxygen-dependent at discharge. At 6 months more than 50% had exclusive breastfeeding. Ophthalmology screening was performed in 54% (4.6% retinopathy), optometry in 72% and audiology in 70% (4.7% with hearing deficit). At 12 months 4.4% had abnormal neurological exam and 95% complete vaccines schedule. Lost to follow up was 35% and mortality 0.4%.",
    "title": "[The Kangaroo Mother Care Program of Yopal, Colombia: an opportunity to keep track of preterm infants].",
    "xml": "<Element 'PubmedArticle' at 0x7885007ce0c0>"
}