| Journal: | Boletín médico del Hospital Infantil de México |
| Database: | PERIÓDICA |
| System number: | 000378867 |
| ISSN: | 1665-1146 |
| Authors: | Pérez Cuevas, Ricardo1 Vladislavovna Doubova, Svetlana2 Jasso Gutiérrez, Luis3 Flores Hernández, Sergio4 O'Shea Cuevas, Gabriel5 Aranza Doniz, Carlos5 González Guerra, Eduardo6 Muñoz Hernández, Onofre7 |
| Institutions: | 1Banco Interamericano de Desarrollo, División de Protección Social y Salud, México, Distrito Federal. México 2Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, México, Distrito Federal. México 3Hospital Infantil de México "Federico Gómez", Departamento de Evaluación y Análisis de Medicamentos, México, Distrito Federal. México 4Instituto Nacional de Salud Pública, Centro de Investigación en Salud Poblacional, Cuernavaca, Morelos. México 5Secretaría de Salud, Comisión Nacional de Protección Social en Salud, México, Distrito Federal. México 6Universidad Nacional Autónoma de México, Facultad de Medicina, México, Distrito Federal. México 7Hospital Infantil de México "Federico Gómez", Dirección de Investigación, México, Distrito Federal. México |
| Year: | 2014 |
| Season: | Mar-Abr |
| Volumen: | 71 |
| Number: | 2 |
| Pages: | 76-82 |
| Country: | México |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Aplicado |
| English abstract | In Mexico there is an important gap of information regarding the quality of care for neonates with necrotizing enterocolitis (NEC). This study aimed at evaluating the quality of care for neonates with NEC affiliated with the program Medical Insurance Century XXI (MIC-XXI), which is a branch of Seguro Popular. Methods: From December 2011 to March 2012, a cross-sectional study took place in 61 hospitals of the Ministry of Health located in 22 Mexican states. A set of 16 quality indicators based on a literature review served for the evaluation. Results: We reviewed 262 medical records of neonates with NEC. More than half were male and born by caesarean section; 55.8% were premature, 55.3% had low birth weight and 12.2% died. Regarding the quality of care, 72.5% were breastfed before being diagnosed with NEC. Most cases had abdominal radiography (90%), 75.0% had diagnosis of NEC according to Bell's criteria, but only 30% had reported symptoms that met the criteria for the recorded stage. Suspension of enteral feeding and administration of antibiotics reached 95.8% and 93.9%, respectively. Twenty six neonates underwent surgery, of which 34% had reported radiographic findings |
| Disciplines: | Medicina |
| Keyword: | Gastroenterología, Pediatría, Salud pública, Enterocolitis necrosante, Recién nacidos, Atención a la salud, Calidad de la atención, Evaluación de la calidad, Indicadores, Seguro popular de salud |
| Keyword: | Medicine, Gastroenterology, Pediatrics, Public health, Necrotizing enterocolitis, Newborn, Health care, Care quality, Quality evaluation, Indicators, Popular health insurance |
| Full text: | Texto completo (Ver HTML) |
