Follow-up of Kangaroo Mother Care programmes in the last 28 years : results from a cohort of 57 154 low-birth-weight infants in Colombia

Q1

Autores:
Charpak, Nathalie
Montealegre, Adriana
Tipo de recurso:
Article of journal
Fecha de publicación:
2023
Institución:
Pontificia Universidad Javeriana
Repositorio:
Repositorio Universidad Javeriana
Idioma:
eng
OAI Identifier:
oai:repository.javeriana.edu.co:10554/65361
Acceso en línea:
https://gh.bmj.com/content/8/5/e011192
http://hdl.handle.net/10554/65361
http://dx.doi.org/10.1136/bmjgh-2022-011192
Palabra clave:
Rights
License
Atribución-NoComercial 4.0 Internacional
id JAVERIANA2_c87bb62fa2e57e8dae054edc01176de5
oai_identifier_str oai:repository.javeriana.edu.co:10554/65361
network_acronym_str JAVERIANA2
network_name_str Repositorio Universidad Javeriana
repository_id_str
dc.title.spa.fl_str_mv Follow-up of Kangaroo Mother Care programmes in the last 28 years : results from a cohort of 57 154 low-birth-weight infants in Colombia
title Follow-up of Kangaroo Mother Care programmes in the last 28 years : results from a cohort of 57 154 low-birth-weight infants in Colombia
spellingShingle Follow-up of Kangaroo Mother Care programmes in the last 28 years : results from a cohort of 57 154 low-birth-weight infants in Colombia
title_short Follow-up of Kangaroo Mother Care programmes in the last 28 years : results from a cohort of 57 154 low-birth-weight infants in Colombia
title_full Follow-up of Kangaroo Mother Care programmes in the last 28 years : results from a cohort of 57 154 low-birth-weight infants in Colombia
title_fullStr Follow-up of Kangaroo Mother Care programmes in the last 28 years : results from a cohort of 57 154 low-birth-weight infants in Colombia
title_full_unstemmed Follow-up of Kangaroo Mother Care programmes in the last 28 years : results from a cohort of 57 154 low-birth-weight infants in Colombia
title_sort Follow-up of Kangaroo Mother Care programmes in the last 28 years : results from a cohort of 57 154 low-birth-weight infants in Colombia
dc.creator.fl_str_mv Charpak, Nathalie
Montealegre, Adriana
dc.contributor.author.none.fl_str_mv Charpak, Nathalie
Montealegre, Adriana
dc.contributor.corporatename.spa.fl_str_mv Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Pediatría
dc.contributor.javerianateacher.none.fl_str_mv Montealegre, Adriana
description Q1
publishDate 2023
dc.date.accessioned.none.fl_str_mv 2023-08-31T14:49:43Z
dc.date.available.none.fl_str_mv 2023-08-31T14:49:43Z
dc.date.created.none.fl_str_mv 2023-05-19
dc.type.local.spa.fl_str_mv Artículo de revista
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_6501
format http://purl.org/coar/resource_type/c_6501
dc.identifier.spa.fl_str_mv https://gh.bmj.com/content/8/5/e011192
dc.identifier.issn.spa.fl_str_mv 2059-7908
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10554/65361
dc.identifier.doi.spa.fl_str_mv http://dx.doi.org/10.1136/bmjgh-2022-011192
dc.identifier.instname.spa.fl_str_mv instname:Pontificia Universidad Javeriana
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional - Pontificia Universidad Javeriana
dc.identifier.repourl.spa.fl_str_mv repourl:https://repository.javeriana.edu.co
url https://gh.bmj.com/content/8/5/e011192
http://hdl.handle.net/10554/65361
http://dx.doi.org/10.1136/bmjgh-2022-011192
identifier_str_mv 2059-7908
instname:Pontificia Universidad Javeriana
reponame:Repositorio Institucional - Pontificia Universidad Javeriana
repourl:https://repository.javeriana.edu.co
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.citationstartpage.spa.fl_str_mv 1
dc.relation.citationendpage.spa.fl_str_mv 10
dc.relation.ispartofjournal.spa.fl_str_mv BMJ Global Health
dc.relation.citationvolume.spa.fl_str_mv 8
dc.relation.citationissue.spa.fl_str_mv 5
dc.rights.licence.*.fl_str_mv Atribución-NoComercial 4.0 Internacional
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.coar.spa.fl_str_mv http://purl.org/coar/access_right/c_abf2
rights_invalid_str_mv Atribución-NoComercial 4.0 Internacional
http://creativecommons.org/licenses/by-nc/4.0/
http://purl.org/coar/access_right/c_abf2
dc.format.spa.fl_str_mv PDF
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.coverage.spatial.spa.fl_str_mv Colombia
dc.coverage.temporal.spa.fl_str_mv 1994-2021
dc.coverage.city.spa.fl_str_mv Bogotá (Colombia)
Medellín (Colombia)
institution Pontificia Universidad Javeriana
bitstream.url.fl_str_mv http://repository.javeriana.edu.co/bitstream/10554/65361/1/Follow-up%20of%20Kangaroo%20Mother%20Care%20programmes%20in%20the%20last%2028%20years%20results%20from%20a%20cohort%20of%2057%20154%20low-birth-weight%20infants%20in%20Colombia.pdf
http://repository.javeriana.edu.co/bitstream/10554/65361/2/license.txt
http://repository.javeriana.edu.co/bitstream/10554/65361/3/Follow-up%20of%20Kangaroo%20Mother%20Care%20programmes%20in%20the%20last%2028%20years%20results%20from%20a%20cohort%20of%2057%20154%20low-birth-weight%20infants%20in%20Colombia.pdf.jpg
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repository.name.fl_str_mv Repositorio Institucional - Pontificia Universidad Javeriana
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spelling Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2Charpak, NathalieMontealegre, AdrianaPontificia Universidad Javeriana. Facultad de Medicina. Departamento de PediatríaMontealegre, AdrianaColombia1994-2021Bogotá (Colombia)Medellín (Colombia)2023-08-31T14:49:43Z2023-08-31T14:49:43Z2023-05-19https://gh.bmj.com/content/8/5/e0111922059-7908http://hdl.handle.net/10554/65361http://dx.doi.org/10.1136/bmjgh-2022-011192instname:Pontificia Universidad Javerianareponame:Repositorio Institucional - Pontificia Universidad Javerianarepourl:https://repository.javeriana.edu.coPDFapplication/pdfengFollow-up of Kangaroo Mother Care programmes in the last 28 years : results from a cohort of 57 154 low-birth-weight infants in ColombiaArtículo de revistahttp://purl.org/coar/resource_type/c_6501Q1Q1Bebés prematurosBackground: Kangaroo Mother Care (KMC) is an evidence-based intervention focused on premature and low-birth-weight (LBW) infants. In different healthcare systems, outpatient KMC programmes (KMCPs) have been pioneers in the follow-up of these high-risk newborns.Here, we describe an overview analysis performed in an unprecedented data set comprising Colombian infants and spanning 28 years. Methods: Cohort study of 57 154 infants discharged home in kangaroo position (KP) for follow-up in four KMCPs between 1993 and 2021. Results: At birth and at hospital discharge to a KMCP, median gestational age and weight were 34.5 and 36 weeks, 2000 g and 2200 g, respectively. Chronological age at admission was 8 days. Over time, anthropometric measures at birth and somatic growth during follow-up improved; on the other hand, percentages of mechanical ventilation, intraventricular haemorrhage and need for intensive care decreased as neuropsychomotor, sensory disorders and bronchopulmonary dysplasia incidence at 40 weeks. Risk of cerebral palsy and teenage mothers’ frequency was higher in the poorest population. Early home discharge in KP in less than 72 hours was possible in 19% of the cohort. During the COVID-19 pandemic, we observed a more than twofold increase in exclusive breast feeding at 6 months and a reduction in readmission rates. Conclusion: This study provides a general overview of KMCPs follow-up during the last 28 years within the Colombian healthcare system. These descriptive analyses have allowed us to structure KMC as an evidence-based method. KMCPs allow close monitoring with regular feedback about preterm or LBW infants’ perinatal care, quality of care over time and health status during their first year of life. Monitoring these outcomes is challenging but guarantees access to high-risk infants’ care with equity.https://orcid.org/0000-0001-6697-5837https://orcid.org/0000-0001-5464-2701Revista Internacional - IndexadaA1No110BMJ Global Health85ORIGINALFollow-up of Kangaroo Mother Care programmes in the last 28 years results from a cohort of 57 154 low-birth-weight infants in Colombia.pdfFollow-up of Kangaroo Mother Care programmes in the last 28 years results from a cohort of 57 154 low-birth-weight infants in Colombia.pdfArtículoapplication/pdf553527http://repository.javeriana.edu.co/bitstream/10554/65361/1/Follow-up%20of%20Kangaroo%20Mother%20Care%20programmes%20in%20the%20last%2028%20years%20results%20from%20a%20cohort%20of%2057%20154%20low-birth-weight%20infants%20in%20Colombia.pdf3fbd7f637689c6fd3bb822f21c894c5fMD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-82603http://repository.javeriana.edu.co/bitstream/10554/65361/2/license.txt2070d280cc89439d983d9eee1b17df53MD52open accessTHUMBNAILFollow-up of Kangaroo Mother Care programmes in the last 28 years results from a cohort of 57 154 low-birth-weight infants in Colombia.pdf.jpgFollow-up of Kangaroo Mother Care programmes in the last 28 years results from a cohort of 57 154 low-birth-weight infants in Colombia.pdf.jpgIM Thumbnailimage/jpeg15871http://repository.javeriana.edu.co/bitstream/10554/65361/3/Follow-up%20of%20Kangaroo%20Mother%20Care%20programmes%20in%20the%20last%2028%20years%20results%20from%20a%20cohort%20of%2057%20154%20low-birth-weight%20infants%20in%20Colombia.pdf.jpgd6a257f646381def7b40571e7709cc18MD53open access10554/65361oai:repository.javeriana.edu.co:10554/653612023-09-01 03:03:18.174Repositorio Institucional - Pontificia Universidad Javerianarepositorio@javeriana.edu.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