Exploring the prevalence of birth defects of the gastrointestinal tract in newborns: A Six-year analysis in Bogotá, Colombia
Background: Birth defects (BD) occur in 3–6 % of live births (LB) and constitute significant morbimortality and disability. Some BD of the gastrointestinal (GI) tract requires surgical interventions during the first days of life. Knowing the prevalence in different city areas could guide decision-ma...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Journal of Pediatric Surgery Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S294971162300093X |
| _version_ | 1827590913250033664 |
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| author | Catalina Correa Sandra Pastrán María Camila León-Sanabria María Paula Aguilera-Pena José Nieto Ana María Urueña-S fgerrano Ignacio Zarante |
| author_facet | Catalina Correa Sandra Pastrán María Camila León-Sanabria María Paula Aguilera-Pena José Nieto Ana María Urueña-S fgerrano Ignacio Zarante |
| author_sort | Catalina Correa |
| collection | DOAJ |
| description | Background: Birth defects (BD) occur in 3–6 % of live births (LB) and constitute significant morbimortality and disability. Some BD of the gastrointestinal (GI) tract requires surgical interventions during the first days of life. Knowing the prevalence in different city areas could guide decision-makers in developing public policies that guarantee timely attention. This study aims to determine the prevalence of 7 GI defects in LB in Bogotá, Colombia, and to explore factors related to their occurrence. Methods: We conducted an analytical cross-sectional observational study based on data from the BD database of the Public Health Surveillance System (PHSS) of Bogotá between 2015 and 2021, using all available records where BD of the GI tract was reported. We performed descriptive analyses in Jamovi and correlation analyses in SPSS. Results: We included 869 cases in the study. GI defects occurred more frequently in males (50.5 %). Esophageal atresia was the BD most frequently reported (25.9 %), followed by gastroschisis and anorectal malformation (19 %). GI defects are more frequent in the city's center-east area of Bogota. The prevalence of GI defects in Bogota during the period studied was 14.2 per 10,000 LB. Of the LB with GI defects, 93.8 % had low socioeconomic status. Conclusions: The results of this study point to the importance of centralizing neonatal surgical care services for these pathologies in the sub-network that serves this population. Prenatal care, housing conditions, and substance use in the home were related to a higher prevalence of GI defects. |
| first_indexed | 2024-03-09T01:24:24Z |
| format | Article |
| id | doaj.art-73b1b6b63fe14b1a9b20696bb9d6d09d |
| institution | Directory Open Access Journal |
| issn | 2949-7116 |
| language | English |
| last_indexed | 2024-03-09T01:24:24Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Open |
| spelling | doaj.art-73b1b6b63fe14b1a9b20696bb9d6d09d2023-12-10T06:19:58ZengElsevierJournal of Pediatric Surgery Open2949-71162023-12-014100096Exploring the prevalence of birth defects of the gastrointestinal tract in newborns: A Six-year analysis in Bogotá, ColombiaCatalina Correa0Sandra Pastrán1María Camila León-Sanabria2María Paula Aguilera-Pena3José Nieto4Ana María Urueña-S fgerrano5Ignacio Zarante6Hospital Militar Central, Bogotá, Colombia; Universidad CES, Medellin, Colombia; Universidad del Rosario, Bogotá, ColombiaUniversidad CES, Medellin, Colombia; Universidad del Rosario, Bogotá, ColombiaInstituto de Genética Humana de la Pontificia Universidad Javeriana, Bogotá, Colombia; Hospital Universitario San Ignacio, Bogotá, Colombia; Corresponding author at: Instituto de Genética Humana de la Pontificia Universidad Javeriana, Bogotá, Colombia.Instituto de Genética Humana de la Pontificia Universidad Javeriana, Bogotá, ColombiaUniversidad Militar Nueva Granada, Bogotá, ColombiaSecretaria de Salud de Bogotá, ColombiaInstituto de Genética Humana de la Pontificia Universidad Javeriana, Bogotá, Colombia; Hospital Universitario San Ignacio, Bogotá, ColombiaBackground: Birth defects (BD) occur in 3–6 % of live births (LB) and constitute significant morbimortality and disability. Some BD of the gastrointestinal (GI) tract requires surgical interventions during the first days of life. Knowing the prevalence in different city areas could guide decision-makers in developing public policies that guarantee timely attention. This study aims to determine the prevalence of 7 GI defects in LB in Bogotá, Colombia, and to explore factors related to their occurrence. Methods: We conducted an analytical cross-sectional observational study based on data from the BD database of the Public Health Surveillance System (PHSS) of Bogotá between 2015 and 2021, using all available records where BD of the GI tract was reported. We performed descriptive analyses in Jamovi and correlation analyses in SPSS. Results: We included 869 cases in the study. GI defects occurred more frequently in males (50.5 %). Esophageal atresia was the BD most frequently reported (25.9 %), followed by gastroschisis and anorectal malformation (19 %). GI defects are more frequent in the city's center-east area of Bogota. The prevalence of GI defects in Bogota during the period studied was 14.2 per 10,000 LB. Of the LB with GI defects, 93.8 % had low socioeconomic status. Conclusions: The results of this study point to the importance of centralizing neonatal surgical care services for these pathologies in the sub-network that serves this population. Prenatal care, housing conditions, and substance use in the home were related to a higher prevalence of GI defects.http://www.sciencedirect.com/science/article/pii/S294971162300093XCongenital anomalies of the gastrointestinal tractGastrointestinal defectsCongenital abnormalitiesBirth defectsPublic health surveillanceEpidemiology |
| spellingShingle | Catalina Correa Sandra Pastrán María Camila León-Sanabria María Paula Aguilera-Pena José Nieto Ana María Urueña-S fgerrano Ignacio Zarante Exploring the prevalence of birth defects of the gastrointestinal tract in newborns: A Six-year analysis in Bogotá, Colombia Journal of Pediatric Surgery Open Congenital anomalies of the gastrointestinal tract Gastrointestinal defects Congenital abnormalities Birth defects Public health surveillance Epidemiology |
| title | Exploring the prevalence of birth defects of the gastrointestinal tract in newborns: A Six-year analysis in Bogotá, Colombia |
| title_full | Exploring the prevalence of birth defects of the gastrointestinal tract in newborns: A Six-year analysis in Bogotá, Colombia |
| title_fullStr | Exploring the prevalence of birth defects of the gastrointestinal tract in newborns: A Six-year analysis in Bogotá, Colombia |
| title_full_unstemmed | Exploring the prevalence of birth defects of the gastrointestinal tract in newborns: A Six-year analysis in Bogotá, Colombia |
| title_short | Exploring the prevalence of birth defects of the gastrointestinal tract in newborns: A Six-year analysis in Bogotá, Colombia |
| title_sort | exploring the prevalence of birth defects of the gastrointestinal tract in newborns a six year analysis in bogota colombia |
| topic | Congenital anomalies of the gastrointestinal tract Gastrointestinal defects Congenital abnormalities Birth defects Public health surveillance Epidemiology |
| url | http://www.sciencedirect.com/science/article/pii/S294971162300093X |
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