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Escala de vulnerabilidad de muerte por infección respiratoria aguda, en menores de un año, en Bogotá según determinantes sociales de la salud.

Nuñez Forero, Lilian Maritza (2017) Escala de vulnerabilidad de muerte por infección respiratoria aguda, en menores de un año, en Bogotá según determinantes sociales de la salud. Maestría thesis, Universidad Nacional de Colombia - Sede Bogotá.

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Objetivos: Desarrollar una escala de probabilidad de morir por Infección respiratoria aguda en menores de un año, según los determinantes sociales de la salud. Metodología: Se revisó y analizó la información de la base de datos de la cohorte de nacidos vivos del 2011 en Bogotá, incluyendo 106.758 menores de edad, para establecer un modelo de regresión de Cox, que prediga la mortalidad por infección respiratoria aguda. Resultados: El riesgo de morir fue 2,5 veces entre los de bajo peso al nacer, (< 2500 gr), (IC 95% 1.3-4.66), en presencia de prematurez, HR 2,67 (IC 95% 1.4-5.09), pertenecer al sistema general de seguridad social subsidiado, riesgo HR 2.6 (IC 95% 1.62-4.15) y residir en localidades tales como: Bosa, Ciudad Bolívar, Santa Fe, Usme, Rafael Uribe, Barrios Unidos y Teusaquillo, riesgo HR 4,8 (IC95% 1.9-12). La escala de vulnerabilidad, predijo mejor el riesgo de morir por IRA, al comparar con los no fallecidos, que al comparar con los fallecidos por otras causas y presentó una discriminación aceptable. Conclusiones: Este estudio permitió identificar y cuantificar el peso de determinantes que se pueden relacionar con la predicción de muerte por IRA en menores de un año en Bogotá, los cuales han sido descritos por otros estudios a nivel mundial. Palabras clave: (MeSH terms): Proportional hazards models, Infant mortality, Respiratory Tract Diseases, Pneumonia, Social Determinants of Health., Abstract. Objectives: To develop a scale of probability of dying for acute respiratory infection in children under one year, according to the social determinants of health. Methodology: Data from the 2011 live birth cohort database in Bogotá, including 106,758 minors, were reviewed and analyzed to establish a Cox regression model predicting mortality from acute respiratory infection. Results: The risk of dying was 2.5 times among those with low birth weight (<2500 g), (95% CI 1.3-4.66), in the presence of prematurity, HR 2.67 (95% CI 1.4-5.09 ), belong to the general subsidized social security system, risk HR 2.6 (IC 95% 1.62-4.15) and to reside in localities such as Bosa, Ciudad Bolívar, Santa Fe, Usme, Rafael Uribe, Barrios Unidos and Teusaquillo, risk HR 4,8 (95% CI 1.9-12). The vulnerability scale, better predicted the risk of dying from ARI, compared with those who did not died, compared to those who died from other causes and presented acceptable discrimination. Conclusions: This study allowed us to identify and quantify the weight of determinants that can be related to the prediction of ARI death in children under one year of age in Bogotá, which have been described by other studies worldwide. Key words: (MeSH terms): Proportional hazards models, Infant mortality, Respiratory Tract Diseases, Pneumonia, Social Determinants of Health.

Tipo de documento:Tesis/trabajos de grado - Thesis (Maestría)
Colaborador / Asesor:Eslava Schmalbach, Javier Hernando
Información adicional:Magíster en Epidemiología Clínica.
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Temática:3 Ciencias sociales / Social sciences > 32 Ciencia política / Political science
5 Ciencias naturales y matemáticas / Science > 51 Matemáticas / Mathematics
6 Tecnología (ciencias aplicadas) / Technology > 61 Ciencias médicas; Medicina / Medicine & health
Unidad administrativa:Sede Bogotá > Facultad de Medicina > Instituto de Investigaciones Clínicas
Código ID:59174
Enviado por : Lilian Maritza Nuñez Forero
Enviado el día :10 Noviembre 2017 14:30
Ultima modificación:10 Noviembre 2017 14:30
Ultima modificación:10 Noviembre 2017 14:30
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