mortalidad por defectos en el cierre del tubo neural en menores de 5 años de edad en méxico de 1998 a 2006
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2010
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Abstract
Objetivos. Analizar la mortalidad por defectos en el cierre del tubo neural (DTN) en niños menores de 5 años de edad, en México de 1998 a 2006 en municipios prioritarios y compararla con la relativa a defectos al nacimiento (DAN). Material y métodos. Las fuentes de datos fueron la Secretaría de Salud y el Instituto Nacional de Estadística, Geografía e Informática. Se utilizó el análisis espacial para la selección de municipios y los criterios se basaron en percentiles. Resultados. Las defunciones por DTN representaron entre 39.63 y 56.91% de los defectos del sistema nervioso y disminuyeron 53%. La tasa descendió 59%. De las muertes, entre 86 y 93% correspondieron a menores de 5 años. La tasa en menores de 1 año descendió 51%; en los de 1 a 4 años, 60%. 205 municipios resultaron de alta prioridad, concentrando 63.23% de fallecimientos. El índice Kappa entre municipios prioritarios DAN/DTN fue 0.75. Conclusión. En los municipios seleccionados se deben enfatizar las acciones contra los DTN.
Objectives. To analyze mortality due to neural-tube defects (NTD) in children under 5 years of age, 1998-2006 and select priority municipalities and compare them to those selected for birth defects (BD). Materials and Methods. Sources of data were the Secretary of Health and the National Institute of Statistics and Geography. Spatial analysis was used to select municipalities and criteria were based on percentiles. Results. Deaths due to NTD represented 39.63% - 56.91% of nervous system defects and decreased 53%; the rate decreased 59%. Regarding deaths, 86-93% occurred in children under 5 years of age. The rate for children under 1 year of age decreased 51%, and 60% for 1-4 years of age. A total of 205 municipalities resulted in being high priority, where 63.23% of deaths were concentrated. The Kappa index between BD/NTD priority municipalities was 0.75. Conclusion. Actions against NTD should be emphasized in the selected municipalities.
Objectives. To analyze mortality due to neural-tube defects (NTD) in children under 5 years of age, 1998-2006 and select priority municipalities and compare them to those selected for birth defects (BD). Materials and Methods. Sources of data were the Secretary of Health and the National Institute of Statistics and Geography. Spatial analysis was used to select municipalities and criteria were based on percentiles. Results. Deaths due to NTD represented 39.63% - 56.91% of nervous system defects and decreased 53%; the rate decreased 59%. Regarding deaths, 86-93% occurred in children under 5 years of age. The rate for children under 1 year of age decreased 51%, and 60% for 1-4 years of age. A total of 205 municipalities resulted in being high priority, where 63.23% of deaths were concentrated. The Kappa index between BD/NTD priority municipalities was 0.75. Conclusion. Actions against NTD should be emphasized in the selected municipalities.
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| Authors | ;Javier Valdés-Hernández;Sonia Canún-Serrano;Aldelmo E Reyes-Pablo;Eduardo Navarrete-Hernández |
| Journal | journal of anatomy |
| Year | 2010 |
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