Impacto de la implementación del plan auge en la detección antenatal de cardiopatías congénitas

Abstract

Background: The AUGE plan (spanish initials for Universal Access with Explicit Guarantees in Health), is the realization of a screening through obstetric ultrasonography to detect congenital hearth disease (CHD) and fetal echocardiography to confirm diagnosis. These elements are indispensable to be able to inform appropriately to the families and to organize in good form the prenatal care, establishing continuity with the postnatal handling and to improve the opportunity of life of the newly born. Objective: To determine the impact of the plan peak in the frequency of prenatal detection of CHD, through a comparative study of the incidence of these pathologies detected in the period 2000-2002 (pre AUGE) and 2003-2005 (AUGE), registered in the Neonatology Unit of the Hospital San José, evaluating the resolution of the clinical cases in the Hospital Roberto del Río. Method: Descriptive study, non experimental, retrospective of longitudinal court, with a non probabilistic sample, picked up by accumulation of clinical records of the Hospital San José (prenatal detection) and the data of surgical resolution of the Hospital Roberto del Río of 231 newborns. Results: There were significant statistically differences (p < 0.0001) as for the incidence of the prenatal and postnatal detection of CHD in AUGE and in the prenatal detection of congenital hearth diseases, among the periods pre AUGE and AUGE (p = 0.0467). Conclusions: Implementing the AUGE, produced a greater number of CHD diagnoses, all this produced a higher neonatal survival.