ET VITA Vol. 14 - N° 1 Enero - Junio 2019
996
Rev Et Vita 2019 Vol 14 N° 1
COMPARACION ENTRE EL TEST PERUANO DE DESARROLLO DEL NIÑO Y EL TEST DE DENVER II EN
NIÑOS MENORES DE 30 MESES DE EDAD CON ANTECEDENTE DE APGAR MENOR A 7 AL QUINTO MINUTO DE VIDA EN EL HOSPITAL HIPÓLITO UNANUE DE
TACNA ENTRE AGOSTO 2016 - FEBRERO 2019
COMPARISON BETWEEN THE PERUVIAN TEST OF DEVELOPMENT OF THE CHILD AND THE TEST OF DENVER II IN CHILDREN UNDER 30 MONTHS OF AGE WITH A HISTORY APGAR LESS THAN 7 TO THE FIFTH MINUTE OF LIFE IN THE HOSPITAL HIPÓLITO UNANUE
DE TACNA AMONG AUGUST 2016 - FEBRUARY 201 9
Yraida Isabel Chávez Soto 4
RESUMEN
Objetivo: Comparar la evaluación del Test Peruano de Desarrollo del niño (TPD) y el Test de DENVER II (DDST- II) en niños menores de 30 meses de edad con antecedente de APGAR menor a 7 al quinto minuto de vida en el Hospital Hipólito Unanue de Tacna entre Agosto 2016 – Febrero 2019. Materiales y métodos : El estudio fue observacional analítico retrospectivo de corte transversal, teniendo como población a 44 niños nacidos en el Hospital Hipolito Unanue de Tacna entre Agosto 2016 – Febrero 2019. Resultados: Se evaluó a 44 niños con antecedente de APGAR menor a 7 al quinto minuto de vida, el 61.36%
correspondieron al sexo masculino, con respecto al tipo de parto el 56.8% fue por cesárea de emergencia, el 11.36%
falleció antes del primer mes de vida. El 100% de los niños según el Test Peruano fueron catalogados con Trastorno del Desarrollo; mientras que el Test de DENVER II califico al 30.77% como anormal y el 41.03% como dudoso. En base a las desviación izquierda se planteó una clasificación con fines prácticos en el que el 89.74% de los niños presentaba desviación izquierda en dos o más hitos del Test Peruano. El análisis bivariado mostró significancia estadística del APGAR al quinto minuto de vida con el Test de DENVER II (p = 0.002) y de la clasificación alternativa del Test Peruano con el Test de DEVER II (p = 0.004).
Conclusiones: Existe una relación estadísticamente significativa entre los resultados del Test de DENVER II y la clasificación utilizada con fines prácticos del Test Peruano de Desarrollo del Niño.
Palabras Claves: Desarrollo Infantil, Desempeño psicomotor, Puntaje de APGAR
4 Bachiller en Medicina Humana Egresado de la Universidad Privada de Tacna
ABSTRACT
Objective: To compare the evaluation of the Peruvian Child Development Test (TPD) and the DENVER II Test (DDST- II) in children under 30 months of age with a history of APGAR less than 7 to the fifth minute of life at Hipólito Hospital Unanue de Tacna between August 2016 - February 2019. Materials and methods: The study was a cross-sectional retrospective analytical observatory, with 44 children born at the Hipolito Unanue de Tacna Hospital between August 2016 - February 2019. Results: A 44 children with a history of APGAR less than 7 at the fifth minute of life, 61.36% corresponded to the male sex, with respect to the type of delivery 56.8% was due to emergency caesarean section, 11.36% died before the first month of life. 100% of the children according to the Peruvian Test were cataloged with Developmental Disorder; while the DENVER II Test rated 30.77% as abnormal and 41.03% as doubtful. Based on the left deviation, a classification was proposed for practical purposes in which 89.74% of the children had left deviation in two or more milestones of the Peruvian Test. The bivariate analysis showed statistical significance of APGAR at the fifth minute of life with the DENVER II Test (p = 0.002) and of the alternative classification of the Peruvian Test with the DEVER II Test (p = 0.004). Conclusions: There is a statistically significant relationship between the results of the DENVER II Test and the classification used for practical purposes of the Peruvian Child Development Test.
Keywords: Child Development, Psychomotor Performance, APGAR score.
,1752'8&&,Ï1
(Q ORV ~OWLPRV WLHPSRV ORV HVWXGLRV VREUH FUHFLPLHQWR \ GHVDUUROOR KDQ DGTXLULGR JUDQ LPSRUWDQFLDDHVFDODPXQGLDOGHHVWDIRUPDHV TXHQDFHODDSOLFDFLyQGHWHVWGHVFUHHQLQJSDUD HYDOXDU \ WHQHU XQ VHJXLPLHQWR GHO GHVDUUROOR SVLFRPRWRU GHO QLxR GHVGH HO QDFLPLHQWR KDVWD VXV SULPHURV DxRV GH YLGD HQ GRQGH VH GD OD Pi[LPD H[SUHVLyQ GH VX GHVHQYROYLPLHQWR \D VHD PRWRU GH OHQJXDMH LQWHUDFFLyQ SHUVRQDO VRFLDO\HQORFRJQLWLYR
(QHO3HU~ODHYDOXDFLyQGHOGHVDUUROORVHUHDOL]D D WRGR QLxR R QLxD GH DFXHUGR D OD HGDG \ SHULRGLFLGDG LQGLFDGD EDMR HO HVTXHPD YLJHQWH
³7HVW3HUXDQRGH'HVDUUROORGHO1LxR´SDUDQLxRV GH D PHVHV GH HGDG$FWXDOPHQWH QR HV FRQRFLGRHOQ~PHURGHQLxRVFRQUHWUDVRHQHO GHVDUUROOR PHQWDO PRWRU VRFLDO \ HPRFLRQDO FRPR FRQVHFXHQFLD GHO GH¿FLHQWH HVWDGR GH V D O X G Q X W U L F L y Q \ G H O D P E L H Q W H I t V L F R GHVIDYRUDEOHTXHORVURGHD\ORVSULPHURVDxRV GH YLGD HQ FRQGLFLRQHV GH H[FOXVLyQ 6LQ HPEDUJR GH DFXHUGR D ORV UHVXOWDGRV GH OD
~OWLPDHQFXHVWD(1'(6HOGHQLxRV
\ QLxDV SUHVHQWDQ ULHVJR HQ HO GHVDUUROOR SVLFRPRWRU\HOUHWUDVRVHHYLGHQFLDHQHO GHORVQLxRV
([LVWHQ HVWLPDFLRQHV GH OD 2UJDQL]DFLyQ 0XQGLDOGHOD6DOXG206GHTXHDOUHGHGRU GHO GH OD SREODFLyQ GH FXDOTXLHU SDtV HVWiFRQVWLWXLGDSRUSHUVRQDVFRQDOJ~QWLSRGH GH¿FLHQFLD (Q $PpULFD /DWLQD FRQ XQD SREODFLyQHVWLPDGDGHPLOORQHVSDUDHO H[LVWHQ DSUR[LPDGDPHQWH PLOORQHV GH SHUVRQDVFRQDOJ~QSUREOHPDGHGHVDUUROOR 'DGDODJUDQLPSRUWDQFLDGHFRQRFHUHOQLYHOGH GHVDUUROOR SVLFRPRWRU GH QXHVWUD SREODFLyQ LQIDQWLO HV TXH HO SURSyVLWR GH OD SUHVHQWH LQYHVWLJDFLyQ HV FRQRFHU VL H[LVWH GLIHUHQFLD HQWUH OD HYDOXDFLyQ GHO 7HVW 3HUXDQR GH 'HVDUUROORGHOQLxR73'\HO7HVWGH'(19(5,, ''67,,FRQHOREMHWRGHGHWHFWDUSUHFR]PHQWH
\WUDWDUHQIRUPDRSRUWXQDUHWUDVRVRDOWHUDFLRQHV HQ QLxRV PHQRUHV GH PHVHV GH HGDG FRQ DQWHFHGHQWH GH $3*$5 PHQRU D DO TXLQWR PLQXWRGHYLGDHQHO+RVSLWDO+LSyOLWR8QDQXHGH 7DFQD HQWUH $JRVWR ± )HEUHUR GLVPLQX\HQGRDVtVXVVHFXHODV
0$7(5,$/<0e72'26
(OGLVHxRGHOHVWXGLRIXHREVHUYDFLRQDODQDOtWLFR UHWURVSHFWLYRGHFRUWHWUDQVYHUVDO
2EVHUYDFLRQDOSRUTXHQRVHPRGL¿FDURQQLQJXQD GHODVYDULDEOHVHQHOHVWXGLR
$QDOtWLFRSRUTXHVHEXVFyUHODFLyQHQWUHHO7HVW 3HUXDQRGH'HVDUUROORGHOQLxR73'\HO7HVWGH '(19(5,,''67,,
5HWURVSHFWLYR SRUTXH VH UHYLVDURQ KLVWRULDV
FOtQLFDV GH QLxRV FRQ DQWHFHGHQWH GH $3*$5 PHQRU D DO TXLQWR PLQXWR GH YLGD GXUDQWH HO SHULRGR$JRVWR±)HEUHUR
'HFRUWHWUDQVYHUVDOSRUTXHVRORVHUHFROHFWDURQ ORVGDWRVXQDYH]HQHOWLHPSR+RVSLWDO+LSyOLWR 8QDQXH 7DFQD 6HUYLFLR GH 1HRQDWRORJtD SDFLHQWHV QDFLGRV GXUDQWH HO SHULRGR $JRVWR
±)HEUHUR
(OSUHVHQWHWUDEDMRGHLQYHVWLJDFLyQVHUHDOL]yHQ QLxRV PHQRUHV GH PHVHV GH HGDG FRQ DQWHFHGHQWH GH $3*$5 PHQRU D DO TXLQWR PLQXWR GH YLGD HQ HO +RVSLWDO +LSyOLWR 8QDQXH 7DFQDHQWUH$JRVWR±)HEUHUR
7HQLHQGRFRPRSREODFLyQQLxRVGHORVFXDOHV DO PRPHQWR GH OD HYDOXDFLyQ VH UHSRUWy TXH IDOOHFLHURQ GXUDQWH HO SULPHU PHV GH YLGD 6H XWLOL]DURQORVVLJXLHQWHVLQVWUXPHQWRV 7HVW 3HUXDQRGH'HVDUUROORGHOQLxR73'\HO7HVW GH'(19(5,,''67,,
5(68/7$'26
(QODWDEODORVQLxRVHVWXGLDGRVODPHGLDQDGH ODHGDGDFWXDOIXHGHPHVHVFRQXQUDQJR LQWHUFXDUWLOLFR GH ± OD HGDG JHVWDFLRQDO WXYRXQDPHGLDQDGHVHPDQD(OSHVR\OD WDOODWXYLHURQXQDPHGLD\PHGLDQDGH JUDPRV\FPUHVSHFWLYDPHQWH3RU~OWLPR OD PHGLD GH OD HGDG GH OD PDGUH IXH GH DxRVFRQXQDGHVYLDFLyQHVWiQGDUGH
7$%/$ 1UR &DUDFWHUtVWLFDV JHQHUDOHV GH ORV QLxRV SDUWLFLSDQWHV HQ HO HVWXGLR ³&RPSDUDFLyQ HQWUH HO WHVW 3HUXDQR GH 'HVDUUROOR GHO QLxR \ HO WHVW GH '(19(5 ,, HQ QLxRV PHQRUHV GH PHVHV GH HGDG FRQ DQWHFHGHQWH GH$3*$U PHQRUDDOTXLQWRPLQXWRGHYLGDHQHOKRVSLWDO +LSyOLWR 8QDQXH GH 7DFQD HQWUH DJRVWR
±IHEUHUR´
&$5$&7(5Ë67,&$6
*(1(5$/(6 Q
('$'$&78$/'(/
1,f2PHVHV ±
('$'*(67$&,21$/
VHPDQDV ±
7$//$$/1$&(5FP ± 3(62$/1$&(5JU ('$''(/$0$'5(
DxRV
9DULDEOH121250$/HYDOXDGDPHGLDQWHODSUXHEDGH 6KDSLUR:LON6HGHQRWDPHGLDQD\UDQJRLQWHUFXDUWtOLFR
9DULDEOH1250$/HYDOXDGDPHGLDQWHODSUXHEDGH 6KDSLUR:LON6HGHQRWDPHGLD\GHVYLDFLyQHVWiQGDU )XHQWH(ODERUDFLyQSURSLD
7$%/$ 1UR 'LVWULEXFLyQ GH UHVXOWDGRV GHO WHVW SHUXDQR GH GHVDUUROOR GHO QLxR 73' HQ ORV QLxRV SDUWLFLSDQWHV HQ HO HVWXGLR ³&RPSDUDFLyQ HQWUH HO WHVW 3HUXDQR GH 'HVDUUROOR GHO QLxR \ HO WHVW GH '(19(5 ,, HQ QLxRV PHQRUHV GH PHVHV GH HGDG FRQ DQWHFHGHQWH GH $3*$5 PHQRU D DO TXLQWR PLQXWR GH YLGD HQ HO KRVSLWDO +LSyOLWR 8QDQXHGH7DFQDHQWUHDJRVWR±IHEUHUR´
(Q OD WDEOD 6HJ~Q HO 7HVW 3HUXDQR GHO 'HVDUUROOR GHO 1LxR 73' WRGRV ORV QLxRV HYDOXDGRV FRUUHVSRQGHQ D OD FDWHJRUtD GH 7UDVWRUQRGHOGHVDUUROOR
(Q OD WDEOD 6HJ~Q HO 7HVW GH '(19(5 ,, HO GHORVQLxRVIXHFDOL¿FDGRFRPRGXGRVR HO FRPR DQRUPDO \ HO FRPR QRUPDO7$%/$
(Q OD WDEOD DO FRPSDUDU HO 7HVW 3HUXDQR GH 'HVDUUROORGHO1LxRFRQHO7HVWGH'(19(5,, UHFRUGDQGR DGHPiV TXH WRGRV ORV QLxRV HYDOXDGRV VHJ~Q 73' VH FDOL¿FDURQ FRQ 75$672512 '(/ '(6$552//2 (O FRUUHVSRQGHDGXGRVRHODDQRUPDO\HO DQRUPDO
&RPSDUDQGR OD FODVL¿FDFLyQ SDUD ¿QHV GH HVWXGLRGHO7HVW3HUXDQRGH'HVDUUROORGHO1LxR\
HO7HVWGH'(19(5,,FRQODSUXHED([DFWDGH )LVKHUVHREWLHQHXQYDORUS FRQORTXH SRGHPRV FRQFOXLU TXH KD\ XQD UHODFLyQ VLJQL¿FDWLYD
',6&86,Ï1
(O GHVDUUROOR PRWRU LQYROXFUD OD DGTXLVLFLyQ SURJUHVLYDGHKDELOLGDGHVPRWRUDVTXHSHUPLWHQ PDQWHQHU XQ DGHFXDGR FRQWURO SRVWXUDO GHVSOD]DPLHQWR \ GHVWUH]D PDQXDO 'LIHUHQWHVHVWXGLRVKDQHYDOXDGR\FRPSDUDGR ORV GLVWLQWRV 7HVW XWLOL]DGRV SDUD LGHQWL¿FDU XQ DGHFXDGR GHVDUUROOR SVLFRPRWRU HVWRV QR KDQ VLGRVLPLODUHVUHVSHFWRDODSREODFLyQHYDOXDGD
*DUFtD 0 HQ VX HVWXGLR HYDOXy D QLxRV 5LYHUD5HWDOUHDOL]RHYDOXDFLRQHVVLQ HPEDUJRWDPELpQVHUHDOL]DURQHVWXGLRVFRPRHO GH +HUQiQGH] 1 HW DO FRQ SDFLHQWHV HVWXGLDGRV (O SUHVHQWH HVWXGLR HYDOXy D QLxRV PHQRUHV GH PHVHV WRPDQGR FRPR FULWHULRGHLQFOXVLyQSULQFLSDOHO$3*$5PHQRUD DO TXLQWR PLQXWR GH YLGD VLPLODU D OR TXH KL]R 6RX]D0/HWDOHQHOTXHDGHPiVWRPRFRPR YDULDEOHV HO SDUWR SUHPDWXUR HO EDMR SHVR DO QDFHU \ OR FDWHJRUL]y SRU OD HGDG GH OD PDGUH 2WURHVWXGLRTXHWRPDHQFXHQWDHO$3*$5 HVHOGH+HUQDQGH]1HWDOSHURVXREMHWLYRHUD HYDOXDU HO GHVDUUROOR SVLFRPRWRU HQ QLxRV FRQ DV¿[LD DO QDFHU /RV UHVXOWDGRV GH HVWH HVWXGLR LQGLFDQ TXH KD\ XQD VLJQL¿FDQFLD HVWDGtVWLFDGHO$3*$5DOTXLQWRPLQXWRGHYLGD FRQ ODV FDWHJRUtDV GHO 7HVW GH '(19(5 ,,
$3*$5 GH DOWR ULHVJR VH UHODFLRQD FRQ OD FDWHJRUtDDQRUPDO
2WUDVYDULDEOHVLQPHUVDVHQHOHVWXGLRIXHURQHO VH[RGHOQLxRHOWLSRGHSDUWRODHGDGGHODPDGUH
\ODPRUWDOLGDGDOSULPHUPHVGHYLGDGH ORV QLxRV HO HVWXGLR GH &RUUDOHV $ HW DO FRQFOX\y FRQ XQ JUXSR GH QLxRV FRQ VLPLODUHV FDUDFWHUtVWLFDV TXH SUHVHQWDQ HOHYDGD VXSHUYLYHQFLD'HLJXDOPDQHUD+HUQiQGH]
1HWDOHYDO~DYDULDEOHVVLPLODUHVOOHJDQGRDOD FRQFOXVLyQ TXH DOWHUDFLRQHV HQ HO GHVDUUROOR SVLFRPRWRU HV SUHGRPLQDQWH HQ HO VH[R PDVFXOLQRHOSDUWRSRUFHViUHDHQHOHVWXGLROD FHViUHD GH HPHUJHQFLD FRUUHVSRQGH D OD PD\RUtDGHFDVRV1RH[LVWHQPXFKRVHVWXGLRV
7 ( 6 7 3 ( 5 8 $ 1 2 ' ( ' ( 6 $ 5 5 2 / / 2' ( / 1 , f 2
Q
' H VD UU R OOR Q R UP D O 5 LH VJ R S D U D WUD VWR UQ R
G H OG H VD UU R OOR
7 U D VWRUQ R G H O G H VD UU R OOR
7 2 7 $ /
7$%/$1UR'LVWULEXFLyQGHODVFDWHJRUtDVGHO WHVWGH'(19(5,,HQORVQLxRVSDUWLFLSDQWHVGHO HVWXGLR ³&RPSDUDFLyQ HQWUH HO WHVW SHUXDQR GH GHVDUUROOR GHO QLxR \ HO WHVW GH '(19(5 ,, HQ QLxRV PHQRUHV GH PHVHV GH HGDG FRQ DQWHFHGHQWH GH $3*$5 PHQRU D DO TXLQWR PLQXWR GH YLGD HQ HO +RVSLWDO +LSyOLWR 8QDQXH GH7DFQDHQWUHDJRVWR±IHEUHUR´
7 ( 6 7 ' (
' ( 1 9 ( 5 ,, Q
1 2 5 0 $/
' 8' 2 6 2
$1 2 5 0 $/
7 2 7 $ /
)XHQWH(ODERUDFLyQSURSLD )XHQWH(ODERUDFLyQSURSLD
7$%/$1UR&RPSDUDFLyQGHUHVXOWDGRVGHOWHVW GH '(19(5 ,, FRQ ORV UHVXOWDGRV GHO WHVW 3HUXDQR GH 'HVDUUROOR GHO QLxR 73' HQ QLxRV PHQRUHV GH PHVHV GH HGDG FRQ DQWHFHGHQWH GH $3*$5 PHQRU D DO TXLQWR PLQXWR GH YLGD HQ HO +RVSLWDO +LSyOLWR 8QDQXH GH 7DFQD HQWUH DJRVWR±IHEUHUR
)XHQWH(ODERUDFLyQSURSLD
7$%/$1UR3UXHEDH[DFWDGH),6+6(5SDUD HYDOXDU OD UHODFLyQ HQWUH ORV UHVXOWDGRV GH OD FODVL¿FDFLyQSDUD¿QHVSUiFWLFRVGHOWHVWSHUXDQR GHGHVDUUROORGHOQLxR\HOWHVWGH'(19(5,,HQ HO HVWXGLR ³&RPSDUDFLyQ HQWUH HO WHVW 3HUXDQR GH'HVDUUROORGHOQLxR\HOWHVWGH'(19(5,,HQ QLxRV PHQRUHV GH PHVHV GH HGDG FRQ DQWHFHGHQWH GH $3*$5 PHQRU D DO TXLQWR PLQXWR GH YLGD HQ HO +RVSLWDO +LSyOLWR 8QDQXH GH7DFQDHQWUHDJRVWR±IHEUHUR´
)LVKHUVH[DFW S )XHQWH(ODERUDFLyQSURSLD
<KM@K8Mfc%(+$E(<e\if$Ale`f)'(0
00.
HQ ORV TXH VH FRPSDUH HO 7HVW 3HUXDQR GH 'HVDUUROOR GHO 1LxR FRQ RWUDV HVFDODV D QLYHO LQWHUQDFLRQDO%DXWLVWD0HWDOORFRPSDUyFRQ XQD HVFDOD GH &DOLGDG GHO &XLGDGR GH (QIHUPHUtDDGDSWDGDXWLOL]DGRHQXQ&HQWURGH 6DOXG GH &KRVLFD HQFRQWUDQGR XQD DVRFLDFLyQ VLJQL¿FDWLYDHQWUHDPERV
1DUYDH]5HQVXWHVLVORFRPSDUDFRQOD(VFDOD GH (YDOXDFLyQ GHO 'HVDUUROOR 3VLFRPRWRU (('3FRQFOX\HQGRTXHHQODPLVPDPXHVWUD HQ IRUPD SRUFHQWXDO OD (('3 GHWHFWD PD\RU SRUFHQWDMH GH QLxRV FRQ GHVDUUROOR QRUPDO \ HO 73' PD\RU SRUFHQWDMH GH QLxRV FRQ WUDVWRUQR 6LQHPEDUJRQRVHHQFRQWUyDQWHFHGHQWHV TXHFRPSDUHQUHVXOWDGRVGHO7HVWGH'(19(5,,
\HO73'HOSULPHURXWLOL]DGRHQYDULRVHVWXGLRV FRPR HO GH 5LYHUD 5 HQ 0p[LFR HO GH
$SDUHFLGD GH 2OLYHLUD &XVWRGLR HQ QLxRV SUH WpUPLQRV\WDPELpQKDVLGRFRPSDUDGRFRQ RWUDVHVFDODVFRPR3581$3(HQHOWUDEDMRGH
*DUFtD0
/RVUHVXOWDGRVGHHVWHWUDEDMRGHPXHVWUDQTXH KD\XQDUHODFLyQHQWUHHO$3*$5GHDOWRULHVJR
\HO'(19(5,,HQODFDWHJRUtDDQRUPDO3RU RWUR ODGR HO73' FDOL¿Fy D WRGRV ORV QLxRV FRQ 7UDVWRUQR GHO 'HVDUUROOR KDELHQGR VHJ~Q '(19(5 ,, QLxRV FDOL¿FDGRV FRPR QRUPDOHV +XERODQHFHVLGDGSRUHQGHGHFUHDUXQDHVFDOD HQEDVHDODGHVYLDFLyQL]TXLHUGDHQORVKLWRVGHO 73' SDUD SRGHU FRPSDUDU ORV UHVXOWDGRV HVWDGtVWLFDPHQWH DVt PLVPR VH WRPD XQD SRVWXUDVLPLODUDODUHFRPHQGDFLyQGH*XWLpUUH]
( GH LPSOHPHQWDU SURJUDPDV GH HVWLPXODFLyQWHPSUDQD
&21&/86,21(6
(QHOSHULRGR$JRVWR±)HEUHURVH HQFRQWUDURQ QLxRV FRQ DQWHFHGHQWH GH
$3*$5 EDMR DO TXLQWR PLQXWR GH YLGD GH ORV FXDOHVIDOOHFLHURQDSUR[LPDGDPHQWHDOPHVGH YLGD
6HJ~QHO7HVW3HUXDQRGH'HVDUUROORGHO1LxRORV QLxRV HYDOXDGRV IXHURQ FDWDORJDGRV FRQ 7UDVWRUQRGHO'HVDUUROOR
6HXWLOL]yXQDFODVL¿FDFLyQSDUD¿QHVSUiFWLFRVHQ EDVHDODGHVYLDFLyQL]TXLHUGDGHORVKLWRVeVWD WXYR FRPR FDWHJRUtDV QRUPDO GHVYLDFLyQ D OD L]TXLHUGDHQXQKLWR\GHVYLDFLyQDODL]TXLHUGDHQ GRV R PiV KLWRV WHQLHQGR HO HQ HVD
~OWLPDFDWHJRUtD\HQQLQJXQRFRPRQRUPDO 6HJ~QHO7HVWGH'(19(5,,HOGHORV QLxRV IXHURQ FDWDORJDGRV FRPR QRUPDO HO FRPR GXGRVR \ HO FRPR DQRUPDO
(OGHORVQLxRVTXHIDOOHFLHURQWXYLHURQXQ
$3*$5DOTXLQWRPLQXWRGHYLGDFDOL¿FDGRFRPR GHDOWRULHVJR
+XERXQDUHODFLyQHVWDGtVWLFDPHQWHVLJQL¿FDWLYD HQWUHHO$3*$5GHDOWRULHVJR\ODFDWHJRUtD DQRUPDOGHO7HVWGH'(19(5,,
( [ L V W H X Q D U H O D F L y Q H V W D G t V W L F D P H Q W H VLJQL¿FDWLYD HQWUH ORV UHVXOWDGRV GHO 7HVW GH '(19(5,,\ODFODVL¿FDFLyQXWLOL]DGDFRQ¿QHV SUiFWLFRV GHO 7HVW 3HUXDQR GH 'HVDUUROOR GHO 1LxR
5()(5(1&,$6%,%/,2*5È),&$6
,QVWLWXWR 1DFLRQDO GH (VWDGtVWLFD H ,QIRUPiWLFD ,1(, 1RUPD7pFQLFDGH6DOXGSDUDHO&RQWUROGHO&UHFLPLHQWR
\'HVDUUROORGHODQLxD\HOQLxRPHQRUGHFLQFRDxRV
> , Q W H U Q H W @ ' L V S R Q L E O H H Q KWWSSUR\HFWRVLQHLJRESHHQGHV
*DUFtD6DOD]DU07RUUHV0HUD$7HVLV³8VRGHO7HVW GH 'HQYHU SDUD OD GHWHFFLyQ GH DOWHUDFLRQHV GHO GHVDUUROOR SVLFRPRWRU FRPSDUDGR FRQ HO 7HVW GH 3UXQDSHHQQLxRVGHORVFHQWURVLQIDQWLOHVGHOEXHQYLYLU GHO VHFWRU &DUDSXQJR \ ´ 5HSRVLWRULR GH 7HVLV GH
*UDGR \ 3RVWJUDGR 3RQWL¿FLD 8QLYHUVLGDG &DWyOLFD GH ( F X D G R U ' L V S R Q L E O H H Q KWWSUHSRVLWRULRSXFHHGXHF[POXLKDQGOH
5LYHUD*RQ]iOH]56iQFKH]&&RUUDO*XLOOH,HWDO (GDGGHSUHVHQWDFLyQGHORVUHDFWLYRVGHO7HVWGH'HQYHU ,,HQ1LxRVGHDDxRVGHHGDGGHO(VWDGRGH0RUHORV 6DOXG0HQW
'H&66HUYHU'HVDUUROOR,QIDQWLO>,QWHUQHW@'LVSRQLEOHHQ KWWSGHFVEYVEUFJLELQZ[LVH[HGHFVVHUYHU 'H&6 6HUYHU 'HVHPSHxR 3VLFRPRWRU >,QWHUQHW@
' L V S R Q L E O H H Q K W W S G H F V E Y V E U F J L ELQZ[LVH[HGHFVVHUYHU
'H&66HUYHU3XQWDMH$SJDU>,QWHUQHW@'LVSRQLEOHHQ KWWSGHFVEYVEUFJLELQZ[LVH[HGHFVVHUYHU 'H&6 6HUYHU /DFWDQWH >,QWHUQHW@ 'LVSRQLEOH HQ
KWWSGHFVEYVEUFJLELQZ[LVH[HGHFVVHUYHU 'H&6 6HUYHU 3UHHVFRODU >,QWHUQHW@ 'LVSRQLEOH HQ
KWWSGHFVEYVEUFJLELQZ[LVH[HGHFVVHUYHU 5L]]ROL&yUGRED$6FKQDDV$UULHWD//LHQGR9DOOHMRV
6%XHQURVWUR0iUTXH]*5RPR3DUGR%&DUUHyQ
*DUFtD - HW DO 9DOLGDFLyQ GH XQ LQVWUXPHQWR SDUD OD GHWHFFLyQ RSRUWXQD GH SUREOHPDV GH GHVDUUROOR HQ PHQRUHV GH DxRV HQ 0p[LFR %RO 0pG +RVS ,QIDQW 0p[LFRMXQLRGH
$SDUHFLGDGH2OLYHLUD&XVWyGLR=$SDUHFLGD&UHSDOGL 0 0RUDHV &UX] 5 'HYHORSPHQW RI FKLOGUHQ ERUQ SUHWHUPHYDOXDWHGE\WKH'HQYHU,,WHVWDUHYLHZRIWKH
%UD]LOLDQ VFLHQWL¿F SURGXFWLRQ 3VLFRO 5HÀH[ ( &UtWLFD
+HUQiQGH] 9HOi]TXH] 1 /DQGURYH %RUMDV , $QGUpV 0DWRV$'HVDUUROORSVLFRPRWRUDODxRGHHGDGHQQLxRV FRQDQWHFHGHQWHVGHDV¿[LDDOQDFHU&RUUHR&LHQWt¿FR 0pGVHSWLHPEUHGH
&RUUDOHV *XWLpUUH]$ 6XDUH] *RQ]DOH] -$ &DEUHUD 'HOJDGR 05 %HQDYLGHV &DVDO 0( 5HVXOWDGRV SHULQDWDOHVGHXQSURWRFRORGHDWHQFLyQSDUDJHVWDQWHV FRQULHVJRGHSUHPDWXULGDGH[WUHPD&OtQLFD(,QYHVWLJ (Q*LQHFRO2EVWHWGHDEULOGH 'H6RX]D0GH//\QQ)$-RKQVWRQ/7DYDUHV(&7
%UJJHPDQQ 20 %RWHOKR /- )HUWLOLW\ UDWHV DQG SHULQDWDO RXWFRPHV RI DGROHVFHQW SUHJQDQFLHV D UHWURVSHFWLYH SRSXODWLRQEDVHG VWXG\ 5HY /DW $P (QIHUPDJHPGHDEULOGHH
*XWLHUUH](//D]DUWH)$ODUFRQ*/DLPSRUWDQFLDGHOD HYDOXDFLyQ GHO QHXURGHVDUUROOR HQ QLxRV PHQRUHV GH WUHLQWDPHVHVHQHOFRQWH[WRSHUXDQR$&7$0(',&$
3HUXGHPDU]RGH
%DXWLVWD0HOHQGH]0(VStULWX5DPRV7+XDPFKRTXH
&KXFWD\D + &DOLGDG GHO FXLGDGR GH HQIHUPHUtD \ OD HYDOXDFLyQGHOGHVDUUROORSVLFRPRWRUGHOQLxRPHQRUGH FLQFRDxRVHQHO&HQWURGH6DOXG³9LUJHQGHO&DUPHQ´
/D(UD/XULJDQFKR&KRVLFD/LPD5HY&LHQWt¿FD&LHQF 6DOXGGHDJRVWRGH
1DUYDH]6DUFFR57HVLV&RPSDUDFLyQGHODHVFDODGH HYDOXDFLyQ GHO GHVDUUROOR SVLFRPRWRU \ WHVW SHUXDQR DSOLFDGRHQQLxRVGHPHVHVGHHGDGHQHO+RVSLWDO 6DQ -XDQ GH 'LRV GH$\DYLUL 3XQR 8QLY 1DF
$OWLSODQR>,QWHUQHW@GHGLFLHPEUHGH'LVSRQLEOH HQKWWSUHSRVLWRULRXQDSHGXSHKDQGOH81$3 0HGLQD$OYD0&DUR.DKQ,0XxR]+XHUWD3HWDO
1HXURGHVDUUROOR LQIDQWLO FDUDFWHUtVWLFDV QRUPDOHV \ VLJQRVGHDODUPDHQHOQLxRPHQRUGHFLQFRDxRV5HY 3HUX 0HG ([S 6DOXG 3~EOLFD GH VHSWLHPEUH GH
0DUWtQH](->/LEUR@'HVDUUROORSVLFRPRWRUHQHGXFDFLyQ LQIDQWLO%DVHVSDUDODLQWHUYHQFLyQHQSVLFRPRWULFLGDG ,6%18QLYHUVLGDG$OPHUtD S
/ySH]/ySH]1,GHQWL¿FDFLyQGHIDFWRUHVGHULHVJRHQHO QHXURGHVDUUROORHQQLxRVGHPHVHVHQODFLXGDG GH6DQWD)H8QLYHUVLGDG1DFLRQDOGHO/LWRUDO GH GLFLHPEUH GH ' L V S R Q L E O H
H Q
KWWSELEOLRWHFDYLUWXDOXQOHGXDUFROHFFLRQHV[P OXLKDQGOH
0HGLFLQHQHW >3iJLQD :HE@ 'H¿QLWLRQ RI 7HVW 'HQYHU 'HYHORSPHQWDO6FUHHQLQJ 'LVSRQLEOH H Q KWWSVZZZPHGLFLQHQHWFRPVFULSWPDLQDUWDVS"DUWLFO HNH\
0HGOLQH3OXVHQFLFORSHGLDPpGLFD>,QWHUQHW@/DSUXHED
GH$SJDUGHVHSWLHPEUH GHO
'LVSRQLEOH H Q
KWWSVPHGOLQHSOXVJRYVSDQLVKHQF\DUWLFOHKW P
(QYLDGR
$FHSWDGR
<KM@K8Mfc%(+$E(<e\if$Ale`f)'(0