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
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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/ |
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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 |
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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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 |