Screening for XXXX in a private health care network in Chile.

@entity1 @entity308
BACKGROUND: It has been demonstrated that @entity308 ( @entity308 ) has an impact on @entity1 development with repercussions in the @entity1 's cognitive, socioemotional and conduct regulation. Screening for this disorder with the Edinburgh Postnatal Depression Scale (EPDS) has been recommended because this significantly identifies more cases of @entity308 than usual clinical evaluation. AIM: To evaluate the use of the EPDS to screen mothers attending well @entity1 care visits with their @entity1 during the first 6 months of age and identifying the factors associated with its use in the largest private health care network in Chile. METHODS: Cross-sectional study, conducted by random sampling of the @entity1 's medical charts from a universe of 5700 @entity1 aged 1-6 months that attended the health care network during 2009 and 2011. Estimated sample size: 500 medical charts, assuming a recording frequency of the EPDS of 5% (confidence level of 95% and power of 80%). The descriptive data analysis of the variables was carried out using a uni and multivariate analysis. All values of P < 0.05 were considered significant (Software SPSS 17.0). RESULTS: A total of 1940 visits, belonging to 503 medical charts of @entity1 under 6 months of age were reviewed. The use of the EPDS to screen mothers was recorded in nine medical charts (1.7% of the @entity1 population). The only variable that was significantly associated with the recording of the EPDS was the background of previous @entity308 in the mother (P < 0.001). CONCLUSION: The record of the use of EPDS on mothers of @entity1 seen in the private health care network is much less than what is recommended.
