[Estimation of coronary heart disease risk in Chilean subjects based on adapted Framingham equations]. / Estimación de riesgo de enfermedad coronaria mediante la función de Framingham adaptada para la población chilena.

BACKGROUND: Cardiovascular disease is the leading cause of morbidity and mortality in Chile and worldwide. Framingham functions were developed to calculate overall coronary heart disease risk. However these functions overestimate the risk in some countries like Chile. AIM: To develop Chilean risk tables to assess the overall 10-year risk of coronary heart disease. MATERIAL AND METHODS: The Framingham function was adapted for a population aged 35 to 74 years, based on an estimate of Chilean incidence of coronary heart disease and the prevalence of coronary heart disease risk factors such as age, sex, total cholesterol, high-density lipoprotein cholesterol, blood pressure, diabetes and smoking. RESULTS: The 10-year incidence of coronary heart disease in Chile (2.7% in men, 1.096 in women) was lower than the incidence in the United States (10.096/3.896) and Spain (4.996/2.296), but higher than China (1.196/0.496). Framingham tables have more than 50% of cells in the risk category of 10% or greater. In contrast, Chilean tables have less than 10% of cells in the same risk category. CONCLUSIONS: Adapted tables use local information to calculate overall coronary heart disease risk. A validation study should be conducted to assess their predictive power.

Estimación de riesgo de enfermedad coronaria mediante la función de Framingham adaptada para la población chilena / Estimation of coronary heart disease risk in Chilean subjects based on adapted Framingham equations

Background: Cardiovascular disease is the leading cause of morbidity and mortality in Chile and worldwide. Framingham functions were developed to calculate overall coronary heart disease risk However these functions overestimate the risk in some countries ¡ike Chile. Aim To develop Chilean risk tables to assess the overall 10-year risk of coronary heart disease. Material and methods: The Framingham function was adapted for a population aged 35 to 74 years, based on an estimate of Chilean incidence of coronary heart disease and the prevalence of coronary heart disease risk factors such as age, sex, total cholesterol, high-density lipoprotein cholesterol, blood pressure, diabetes and smoking. Results: The 10-year incidence of coronary heart disease in Chile (2.7 percent in men, 1.096 in women) was lower than the incidence in the United States (10.096/3.896) and Spain (4.996/2.296), but higher than China (1.196/0.496). Framingham tables have more than 50 percent of cells in the risk category of 10 percent or greater. In contrast, Chilean tables have less than 10 percent of cells in the same risk category. Conclusions: Adapted tables use local information to calculate overall coronary heart disease risk. A validation study should be conducted to assess their predictive power.

Interconsultas de pediatría a psiquiatría infantil / Pediatric referral to child psychiatry

Este trabalho informa sobre la demanda por interconsulta al Servicio de Psiquiatria Infantil del Hospital Luis Calvo Mackenna. Este estudio forma parte de una evaluación más amplia de salud mental infantil en el SSMO, con el objeto de detectar necesidades de capacitación. Se muestra que los problemas psiquiátricos infantiles constituyen una demanda importante y difícil de atender en el nivel secundario. Los diagnósticos principales son los trastornos emocionales, síndrome hiperquinético/déficit atencional y trastornos de la conducta. La demanda satisfecha es cercana e un 40%, y la concordancia diagnóstica entre el médico de atención primaria y el especialista es alta (73,4%). Se efectúan algunas consideraciones acerca de las líneas de trabajo a futuro: perfeccionamiento y ampliación de normas, organización del servicio especializado y programa de capacitación primario