Avoidable deaths in the first four years of life among children in the 2004 Pelotas (Brazil) birth cohort study
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4546 |
Resumo: | Avoidable deaths have been employed as indicators of health care quality. The aim of this study was to identify factors associated with avoidable deaths from birth to four years of age among children from the 2004 Pelotas (Brazil) birth cohort study. From January 1st, 2004, to December 31st, 2005, deaths were monitored on a daily basis and the causes were investigated and classified according to avoidability. After the first year, deaths were monitored through the Mortality Information System. A total of 94 children died during this period. It was possible to classify 92 deaths, 70 of which were preventable. Low family income, fewer prenatal visits and poor-quality prenatal care, preterm birth, low 5-minute Apgar score, and no breastfeeding in the first 24 hours of life were associated with increased risk of death. Prematurity was present in 39 deaths, but only five of these would have been prevented by measures provided during prenatal care. Although limited, compliance with antenatal care program guidelines is still the most important strategy for preventing avoidable deaths in childhood, particularly among the poorest children. |
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Avoidable deaths in the first four years of life among children in the 2004 Pelotas (Brazil) birth cohort studyNeonatal Mortality (Public Health)Infant MortalityEvaluationAvoidable deaths have been employed as indicators of health care quality. The aim of this study was to identify factors associated with avoidable deaths from birth to four years of age among children from the 2004 Pelotas (Brazil) birth cohort study. From January 1st, 2004, to December 31st, 2005, deaths were monitored on a daily basis and the causes were investigated and classified according to avoidability. After the first year, deaths were monitored through the Mortality Information System. A total of 94 children died during this period. It was possible to classify 92 deaths, 70 of which were preventable. Low family income, fewer prenatal visits and poor-quality prenatal care, preterm birth, low 5-minute Apgar score, and no breastfeeding in the first 24 hours of life were associated with increased risk of death. Prematurity was present in 39 deaths, but only five of these would have been prevented by measures provided during prenatal care. Although limited, compliance with antenatal care program guidelines is still the most important strategy for preventing avoidable deaths in childhood, particularly among the poorest children.Os óbitos evitáveis têm sido utilizados como indicadores de qualidade da atenção à saúde. Este estudo teve como objetivo identificar os fatores associados aos óbitos evitáveis até os 4 anos de idade entre as crianças da Coorte de Nascimentos de Pelotas, Rio Grande do Sul, Brasil, de 2004. De 1º de janeiro de 2004 a 31 de dezembro de 2005, os óbitos foram monitorados diariamente, as causes, investigadas e classificadas conforme a evitabilidade. Após o primeiro ano, os óbitos foram monitorados por meio do Sistema de Informações sobre Mortalidade. Até os 4 anos, ocorreram 94 óbitos, sendo possível classificar 92, dos quais 70 seriam evitáveis. Baixa renda, menor número de consultas pré-natais, pré-natal de pior qualidade, prematuridade, baixo Apgar no 5º minuto e não mamar nas primeiras 24 horas associaram-se a risco aumentado de morrer por cause evitável. Prematuridade estava presente em 39 óbitos, mas somente 5 desses teriam sido prevenidos por intervenções no pré-natal. Embora limitada, a adesão às normas do programa de atenção pré-natal, especialmente entre as mais pobres, ainda é a principal estratégia para a prevenção das mortes evitáveis na infância.Reports in Public HealthCadernos de Saúde Pública2011-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4546Reports in Public Health; Vol. 27 No. 14 (2011): Supplement 2Cadernos de Saúde Pública; v. 27 n. 14 (2011): Suplemento 21678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4546/9269https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4546/9270Santos, Iná S.Matijasevich, AliciaBarros, Aluísio J. D.Albernaz, Elaine P.Domingues, Marlos RodriguesValle, Neiva C. J.Malta, Deborah CarvalhoGorgot, Luís Ramón M. R.Barros, Fernando C.info:eu-repo/semantics/openAccess2024-03-06T15:28:14Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/4546Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:05:14.595114Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Avoidable deaths in the first four years of life among children in the 2004 Pelotas (Brazil) birth cohort study |
title |
Avoidable deaths in the first four years of life among children in the 2004 Pelotas (Brazil) birth cohort study |
spellingShingle |
Avoidable deaths in the first four years of life among children in the 2004 Pelotas (Brazil) birth cohort study Santos, Iná S. Neonatal Mortality (Public Health) Infant Mortality Evaluation |
title_short |
Avoidable deaths in the first four years of life among children in the 2004 Pelotas (Brazil) birth cohort study |
title_full |
Avoidable deaths in the first four years of life among children in the 2004 Pelotas (Brazil) birth cohort study |
title_fullStr |
Avoidable deaths in the first four years of life among children in the 2004 Pelotas (Brazil) birth cohort study |
title_full_unstemmed |
Avoidable deaths in the first four years of life among children in the 2004 Pelotas (Brazil) birth cohort study |
title_sort |
Avoidable deaths in the first four years of life among children in the 2004 Pelotas (Brazil) birth cohort study |
author |
Santos, Iná S. |
author_facet |
Santos, Iná S. Matijasevich, Alicia Barros, Aluísio J. D. Albernaz, Elaine P. Domingues, Marlos Rodrigues Valle, Neiva C. J. Malta, Deborah Carvalho Gorgot, Luís Ramón M. R. Barros, Fernando C. |
author_role |
author |
author2 |
Matijasevich, Alicia Barros, Aluísio J. D. Albernaz, Elaine P. Domingues, Marlos Rodrigues Valle, Neiva C. J. Malta, Deborah Carvalho Gorgot, Luís Ramón M. R. Barros, Fernando C. |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Santos, Iná S. Matijasevich, Alicia Barros, Aluísio J. D. Albernaz, Elaine P. Domingues, Marlos Rodrigues Valle, Neiva C. J. Malta, Deborah Carvalho Gorgot, Luís Ramón M. R. Barros, Fernando C. |
dc.subject.por.fl_str_mv |
Neonatal Mortality (Public Health) Infant Mortality Evaluation |
topic |
Neonatal Mortality (Public Health) Infant Mortality Evaluation |
description |
Avoidable deaths have been employed as indicators of health care quality. The aim of this study was to identify factors associated with avoidable deaths from birth to four years of age among children from the 2004 Pelotas (Brazil) birth cohort study. From January 1st, 2004, to December 31st, 2005, deaths were monitored on a daily basis and the causes were investigated and classified according to avoidability. After the first year, deaths were monitored through the Mortality Information System. A total of 94 children died during this period. It was possible to classify 92 deaths, 70 of which were preventable. Low family income, fewer prenatal visits and poor-quality prenatal care, preterm birth, low 5-minute Apgar score, and no breastfeeding in the first 24 hours of life were associated with increased risk of death. Prematurity was present in 39 deaths, but only five of these would have been prevented by measures provided during prenatal care. Although limited, compliance with antenatal care program guidelines is still the most important strategy for preventing avoidable deaths in childhood, particularly among the poorest children. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4546 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4546 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4546/9269 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4546/9270 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 27 No. 14 (2011): Supplement 2 Cadernos de Saúde Pública; v. 27 n. 14 (2011): Suplemento 2 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1798943369055961088 |