<?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>0120-8705</journal-id>
<journal-title><![CDATA[CES Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[CES Med.]]></abbrev-journal-title>
<issn>0120-8705</issn>
<publisher>
<publisher-name><![CDATA[Universidad CES]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-87052023000100012</article-id>
<article-id pub-id-type="doi">10.21615/cesmedicina.7020</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores asociados a casos probables de hipotiroidismo congénito en neonatos nacidos en Bucaramanga, Colombia]]></article-title>
<article-title xml:lang="en"><![CDATA[Factors associated with probable cases of congenital hypothyroidism in neonates born in Bucaramanga, Colombia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fonseca-Martínez]]></surname>
<given-names><![CDATA[Sofía Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arenas-Millán]]></surname>
<given-names><![CDATA[Laura Natalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rincón-Orozco]]></surname>
<given-names><![CDATA[Bladimiro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Vega]]></surname>
<given-names><![CDATA[Ruth Aralí]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Industrial de Santander Escuela de Microbiología Grupo de Investigación en Inmunología y Epidemiología (GIEM)]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Laboratorio IDIME S.A.  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Industrial de Santander Facultad de Salud Departamento de Ciencias Básicas. Escuela de Medicina]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Santander Facultad de Ciencias Médicas y de la Salud Escuela de Medicina]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2023</year>
</pub-date>
<volume>37</volume>
<numero>1</numero>
<fpage>12</fpage>
<lpage>28</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-87052023000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-87052023000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-87052023000100012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  el hipotiroidismo congénito es un trastorno de la glándula tiroides en neonatos que se caracteriza por una baja producción de las hormonas tiroideas y conduce a daños irreversibles en el desarrollo psicomotor y cognitivo cuando se detecta tardíamente. El diagnóstico temprano de esta condición permite establecer un tratamiento y seguimiento efectivo del caso para evitar las consecuencias irreversibles inherentes a esta enfermedad.  Métodos:  estudio de casos y controles (1:4) anidado en una cohorte de neonatos del Hospital Universitario de Santander entre junio de 2014 y diciembre de 2016. Se consideraron casos probables de HC los neonatos con niveles de hormona estimulante de tiroides &gt;15µU/mL en sangre de cordón o &gt;10µU/mL en sangre de talón. Como controles se seleccionaron aleatoriamente 226 neonatos con niveles normales de hormona estimulante de tiroides. La información clínica y demográfica se consultó en las historias clínicas.  Resultados:  se tamizaron 6.180 neonatos detectándose 55 casos probables de HC para una prevalencia de 8,90 por 1 000 nacidos vivos (IC95 % 6,71-11,57). Los factores asociados con casos probables de HC fueron el control prenatal completo (ORa 0,30; IC95 % 0,11-0,87) y control x prenatal incompleto (ORa 0,34; IC95 % 0,13-0,88) comparado con ningún control, ser madre primigestante (ORa 2,08; IC95 % 1,08-4,02), APGAR a los 5 minutos &lt;9 (ORa 3,69; IC95 % 1,46-9,33) y bajo peso al nacer (ORa 3,04; IC95 % 1,13-8,19).  Conclusiones:  la prevalencia de HC fue más alta que e estudios previos, sin embargo, la prueba confirmatoria de tiroxina T4 no se realizó en el hospital. Estos factores se pueden utilizar para vigilar estrechamente que en todos los recién nacidos con estas características se realice la tamización, así como para priorizar la confirmación de los casos probables de HC.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  congenital hypothyroidism is a thyroid gland disorder where a newborn has a decrease or absent thyroid function and leads to irreversible damage of the psychomotor and cognitive development when is detected late. Early diagnosis of this condition allows for establishing treatment and effective monitoring of the case to avoid inherent irreversible consequences.  Methods:  we conducted a nested case control study (1:4) in the Hospital Universitario de Santander from June 2014 to December 2016. Neonates with thyroid-stimulating hormone &gt;15 µU/mL from cord blood samples or thyroid-stimulating hormone &gt; 10 µU/mL from heel prick collected in Guthrie cards were considered as probable cases of congenital hypothyroidism (cases), and 226 newborns with normal thyroid-stimulating hormone levels were randomly chosen as controls. We consulted clinical and demographic data from medical records.  Results:  a total of 6,180 newborns were screened. Fifty-five cases were detected. The prevalence of probable cases of congenital hypothyroidism was 0.89 % (CI 95 % 6,71 - 11,57). The associated factors were complete antenatal care (ORa 0.30 CI95 % 0.11 - 0.87) and partial antenatal care (ORa 0.34 CI9 5% 0.13-0.88), first pregnancy (ORa 2.08 CI95 % 1.08-4.02), APGAR 5 min &lt;9 (ORa 3.69 CI95 % 1.46-9.33), and low birth weight (ORa 3.04; CI95 % 1.13 - 8.19).  Conclusions:  the congenital hypothyroidism prevalence was higher than in previous studies. However, the confirmatory thyroxine T4 test was not done in this hospital. These associated factors could be used to closely monitor that all newborns with these characteristics are screened, as well as to prioritize the confirmation of probable cases of congenital hypothyroidism.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hipotiroidismo congénito]]></kwd>
<kwd lng="es"><![CDATA[tamizaje neonatal]]></kwd>
<kwd lng="es"><![CDATA[Colombia]]></kwd>
<kwd lng="en"><![CDATA[congenital hypothyroidism]]></kwd>
<kwd lng="en"><![CDATA[neonatal screening]]></kwd>
<kwd lng="en"><![CDATA[Colombia]]></kwd>
</kwd-group>
</article-meta>
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