{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T10:05:02Z","timestamp":1773396302124,"version":"3.50.1"},"reference-count":8,"publisher":"Universidad Nacional de Colombia","issue":"1","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. salud p\u00fablica"],"abstract":"<jats:p>Objetivo En 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.Materiales y M\u00e9todos Estudio de cohorte prospectiva.Resultados Los 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%.Conclusiones Es 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.<\/jats:p>","DOI":"10.15446\/rsap.v20n1.67974","type":"journal-article","created":{"date-parts":[[2018,7,16]],"date-time":"2018-07-16T20:34:22Z","timestamp":1531773262000},"page":"10-16","source":"Crossref","is-referenced-by-count":6,"title":["El Programa Madre Canguro de Yopal, Colombia: una oportunidad de seguimiento del ni\u00f1o prematuro"],"prefix":"10.15446","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5464-2701","authenticated-orcid":false,"given":"Adriana Del Pilar","family":"Montealegre Pomar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alina Patricia","family":"Sierra Andrade","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathalie","family":"Charpak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6146","published-online":{"date-parts":[[2018,1,1]]},"reference":[{"key":"ref1","unstructured":"Blencowe H, Cousens S, Oestergaard MZ, Chou D, Moller AB, Narwal R, et al. National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: A systematic analysis and implications. Lancet [Internet]. Elsevier Ltd; 2012; 379(9832): 2162\u201372."},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Gladstone M, Oliver C, Van den Broek N. Survival, morbidity, growth and developmental delay for babies born preterm in low and middle income countries - a systematic review of outcomes measured. PLoS One [Internet]. 2015; 10(3):e0120566. Available from: https:\/\/bit.ly\/2rw9siA.","DOI":"10.1371\/journal.pone.0120566"},{"key":"ref3","unstructured":"Ospina M, Martinez M, Pacheco O. Protocolo de Vigilancia en Salud P\u00fablica: Bajo peso al nacer [Internet]. Vol. 3, Instituto Nacional de Salud. 2015. Available from: https:\/\/bit.ly\/2gAdXTP."},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Charpak N, Montealegre-Pomar A. 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United States. 2013; 34(3): 176-82."}],"container-title":["Revista de Salud P\u00fablica"],"original-title":[],"link":[{"URL":"https:\/\/revistas.unal.edu.co\/index.php\/revsaludpublica\/article\/viewFile\/67974\/66566","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revistas.unal.edu.co\/index.php\/revsaludpublica\/article\/viewFile\/67974\/66566","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,12]],"date-time":"2024-03-12T17:27:48Z","timestamp":1710264468000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistas.unal.edu.co\/index.php\/revsaludpublica\/article\/view\/67974"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,1]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,1,1]]}},"URL":"https:\/\/doi.org\/10.15446\/rsap.v20n1.67974","relation":{},"ISSN":["2539-3596","0124-0064"],"issn-type":[{"value":"2539-3596","type":"electronic"},{"value":"0124-0064","type":"print"}],"subject":[],"published":{"date-parts":[[2018,1,1]]}}}