<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-3347</journal-id>
<journal-title><![CDATA[Colombian Journal of Anestesiology]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. colomb. anestesiol.]]></abbrev-journal-title>
<issn>0120-3347</issn>
<publisher>
<publisher-name><![CDATA[SCARE-Sociedad Colombiana de Anestesiología y Reanimación]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-33472019000400236</article-id>
<article-id pub-id-type="doi">10.1097/cj9.0000000000000131</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[The panorama for children with heart disease in Colombia]]></article-title>
<article-title xml:lang="es"><![CDATA[El panorama de los niños con enfermedades cardiacas en Colombia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Enríquez]]></surname>
<given-names><![CDATA[Luis Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Prada]]></surname>
<given-names><![CDATA[Milena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Basto-Duarte]]></surname>
<given-names><![CDATA[María Constanza]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A4"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz-Pérez]]></surname>
<given-names><![CDATA[Yamile]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Médico Imbanaco Congenital Heart Disease Program ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Colombian Society of Anesthesiology and Resuscitation Cardiovascular Anesthesia Committee ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Fundación Cardiovascular de Colombia  ]]></institution>
<addr-line><![CDATA[ Santander]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Colombian Society of Anesthesiology and Resuscitation Bioethics Committee ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,CardioVID  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>47</volume>
<numero>4</numero>
<fpage>236</fpage>
<lpage>242</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-33472019000400236&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-33472019000400236&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-33472019000400236&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Notwithstanding the availability of human and technological resources, the care deficit in the diagnosis and treatment of patients with congenital heart diseases in Colombia is estimated at 50%. Barriers to healthcare delivery and access, both at the basic and specialized level, means that patients progress and reach advanced stages of the disease, with a direct impact on morbidity and mortality, and on the cost of care. Problems in early detection and diagnosis, poor access to specialized institutions, administrative constraints to authorize surgeries, diagnostic tests, and medical services, in addition to the lack of government recognition of national referral centers for the specialized management of these patients, compromise both the quality-of-life and the survival of patients. The purpose of this study is to highlight the current situation of patients and outline the diagnostic impact of the tools widely available in our environment for the detection of these pathologies.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen En Colombia se estima un déficit de atención para el diagnóstico y tratamiento de los pacientes con cardiopatías congénitas del 50%, a pesar de contar con el equipo humano y tecnológico. Las barreras en el acceso a los servicios de salud, tanto en el nivel básico como en el especializado, hacen que los pacientes evolucionen hasta estadios avanzados, con impacto directo en la morbimortalidad y costo de atención. Los problemas en la detección y el diagnóstico temprano, la falta de acceso a centros especializados, las fallas administrativas en las autorizaciones quirúrgicas, diagnósticas y médicas, así como la falta de reconocimiento por parte del Estado de centros de referencia nacional para el manejo especializado de dichos pacientes hacen que tanto la calidad de vida como la sobrevida se encuentren comprometidas. El objetivo de este artículo es resaltar la problemática actual de los pacientes y describir el impacto diagnóstico de las herramientas ampliamente disponibles en nuestro medio para la detección de dichas enfermedades.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Cardiovascular Diag-nostic Techniques]]></kwd>
<kwd lng="en"><![CDATA[Congenital Heart Disease]]></kwd>
<kwd lng="en"><![CDATA[Massive Screen-ing]]></kwd>
<kwd lng="en"><![CDATA[Pediatric Health Services]]></kwd>
<kwd lng="es"><![CDATA[Cardiopatías congénitas]]></kwd>
<kwd lng="es"><![CDATA[Tamizaje masivo]]></kwd>
<kwd lng="es"><![CDATA[Técnicas de diagnóstico cardiovascular]]></kwd>
<kwd lng="es"><![CDATA[Servicios de salud del niño]]></kwd>
</kwd-group>
</article-meta>
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