Factors associated with neonatal near miss and death in public referral maternity hospitals

Detalhes bibliográficos
Autor(a) principal: Carvalho,Ocília Maria Costa
Data de Publicação: 2020
Outros Autores: Viana Junior,Antônio Brazil, Augusto,Matheus Costa Carvalho, Xavier,Ana Tallita Oliveira, Gouveia,Ana Paula Mendes, Lopes,Fernanda Nogueira Barbosa, Carvalho,Francisco Herlânio Costa
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Saúde Materno Infantil (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292020000300839
Resumo: Abstract Objectives: to evaluate factors associated with neonatal near miss and death in reference hospitals. Methods: this case-control study included 364 cases and 728 controls among 4,929 births. Cases were identified by Apgar < 7 at 5 minutes, weight < 1500 g, gestational age <32 weeks, mechanical ventilation or congenital malformation. After follow-up, outcomes were reclassified into: true controls, near miss and neonatal death. Hierarchically, variables with a p-value < 0.20 were included in the multiple logistic regression. Results: the neonatal near miss rate was 54.1 per 1,000 live births, and the near-miss-to-death ratio was 2.75. Between the control and near miss groups, the predictor variables were neonatal intensive care admission [OR = 35.6 (16.7 - 75.9)] and central venous access [OR= 74.8 (29.4 - 190.4)]. Between the control and death groups, neonatal intensive care admission [OR = 100.4 (18.8 - 537.0)] and central venous access [OR = 12.7 (3.7 - 43.2)] were significant. Between the near miss and death groups, only Apgar < 7 at 5 minutes [OR = 4.1 (1.6 - 10.6)] and vasoactive drug use [OR = 42.2 (17.1 - 104.5)] were significant. Conclusion: factors associated with a greater chance of near miss and/or neonatal death were: Apgar score <7 at 5 minutes, neonatal intensive care confinement, having central venous access, and use of vasoactive drugs.
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spelling Factors associated with neonatal near miss and death in public referral maternity hospitalsNear missChild mortalityInfant low birth weightAbstract Objectives: to evaluate factors associated with neonatal near miss and death in reference hospitals. Methods: this case-control study included 364 cases and 728 controls among 4,929 births. Cases were identified by Apgar < 7 at 5 minutes, weight < 1500 g, gestational age <32 weeks, mechanical ventilation or congenital malformation. After follow-up, outcomes were reclassified into: true controls, near miss and neonatal death. Hierarchically, variables with a p-value < 0.20 were included in the multiple logistic regression. Results: the neonatal near miss rate was 54.1 per 1,000 live births, and the near-miss-to-death ratio was 2.75. Between the control and near miss groups, the predictor variables were neonatal intensive care admission [OR = 35.6 (16.7 - 75.9)] and central venous access [OR= 74.8 (29.4 - 190.4)]. Between the control and death groups, neonatal intensive care admission [OR = 100.4 (18.8 - 537.0)] and central venous access [OR = 12.7 (3.7 - 43.2)] were significant. Between the near miss and death groups, only Apgar < 7 at 5 minutes [OR = 4.1 (1.6 - 10.6)] and vasoactive drug use [OR = 42.2 (17.1 - 104.5)] were significant. Conclusion: factors associated with a greater chance of near miss and/or neonatal death were: Apgar score <7 at 5 minutes, neonatal intensive care confinement, having central venous access, and use of vasoactive drugs.Instituto de Medicina Integral Prof. Fernando Figueira2020-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292020000300839Revista Brasileira de Saúde Materno Infantil v.20 n.3 2020reponame:Revista Brasileira de Saúde Materno Infantil (Online)instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)instacron:IMIPFF10.1590/1806-93042020000300010info:eu-repo/semantics/openAccessCarvalho,Ocília Maria CostaViana Junior,Antônio BrazilAugusto,Matheus Costa CarvalhoXavier,Ana Tallita OliveiraGouveia,Ana Paula MendesLopes,Fernanda Nogueira BarbosaCarvalho,Francisco Herlânio Costaeng2020-10-28T00:00:00Zoai:scielo:S1519-38292020000300839Revistahttp://www.scielo.br/rbsmihttps://old.scielo.br/oai/scielo-oai.php||revista@imip.org.br1806-93041519-3829opendoar:2020-10-28T00:00Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)false
dc.title.none.fl_str_mv Factors associated with neonatal near miss and death in public referral maternity hospitals
title Factors associated with neonatal near miss and death in public referral maternity hospitals
spellingShingle Factors associated with neonatal near miss and death in public referral maternity hospitals
Carvalho,Ocília Maria Costa
Near miss
Child mortality
Infant low birth weight
title_short Factors associated with neonatal near miss and death in public referral maternity hospitals
title_full Factors associated with neonatal near miss and death in public referral maternity hospitals
title_fullStr Factors associated with neonatal near miss and death in public referral maternity hospitals
title_full_unstemmed Factors associated with neonatal near miss and death in public referral maternity hospitals
title_sort Factors associated with neonatal near miss and death in public referral maternity hospitals
author Carvalho,Ocília Maria Costa
author_facet Carvalho,Ocília Maria Costa
Viana Junior,Antônio Brazil
Augusto,Matheus Costa Carvalho
Xavier,Ana Tallita Oliveira
Gouveia,Ana Paula Mendes
Lopes,Fernanda Nogueira Barbosa
Carvalho,Francisco Herlânio Costa
author_role author
author2 Viana Junior,Antônio Brazil
Augusto,Matheus Costa Carvalho
Xavier,Ana Tallita Oliveira
Gouveia,Ana Paula Mendes
Lopes,Fernanda Nogueira Barbosa
Carvalho,Francisco Herlânio Costa
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Carvalho,Ocília Maria Costa
Viana Junior,Antônio Brazil
Augusto,Matheus Costa Carvalho
Xavier,Ana Tallita Oliveira
Gouveia,Ana Paula Mendes
Lopes,Fernanda Nogueira Barbosa
Carvalho,Francisco Herlânio Costa
dc.subject.por.fl_str_mv Near miss
Child mortality
Infant low birth weight
topic Near miss
Child mortality
Infant low birth weight
description Abstract Objectives: to evaluate factors associated with neonatal near miss and death in reference hospitals. Methods: this case-control study included 364 cases and 728 controls among 4,929 births. Cases were identified by Apgar < 7 at 5 minutes, weight < 1500 g, gestational age <32 weeks, mechanical ventilation or congenital malformation. After follow-up, outcomes were reclassified into: true controls, near miss and neonatal death. Hierarchically, variables with a p-value < 0.20 were included in the multiple logistic regression. Results: the neonatal near miss rate was 54.1 per 1,000 live births, and the near-miss-to-death ratio was 2.75. Between the control and near miss groups, the predictor variables were neonatal intensive care admission [OR = 35.6 (16.7 - 75.9)] and central venous access [OR= 74.8 (29.4 - 190.4)]. Between the control and death groups, neonatal intensive care admission [OR = 100.4 (18.8 - 537.0)] and central venous access [OR = 12.7 (3.7 - 43.2)] were significant. Between the near miss and death groups, only Apgar < 7 at 5 minutes [OR = 4.1 (1.6 - 10.6)] and vasoactive drug use [OR = 42.2 (17.1 - 104.5)] were significant. Conclusion: factors associated with a greater chance of near miss and/or neonatal death were: Apgar score <7 at 5 minutes, neonatal intensive care confinement, having central venous access, and use of vasoactive drugs.
publishDate 2020
dc.date.none.fl_str_mv 2020-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292020000300839
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1806-93042020000300010
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dc.publisher.none.fl_str_mv Instituto de Medicina Integral Prof. Fernando Figueira
publisher.none.fl_str_mv Instituto de Medicina Integral Prof. Fernando Figueira
dc.source.none.fl_str_mv Revista Brasileira de Saúde Materno Infantil v.20 n.3 2020
reponame:Revista Brasileira de Saúde Materno Infantil (Online)
instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)
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instname_str Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)
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reponame_str Revista Brasileira de Saúde Materno Infantil (Online)
collection Revista Brasileira de Saúde Materno Infantil (Online)
repository.name.fl_str_mv Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)
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