Early neonatal deaths associated with perinatal asphyxia in infants ≥2500 g in Brazil,

Detalhes bibliográficos
Autor(a) principal: Almeida,Maria Fernanda Branco de
Data de Publicação: 2017
Outros Autores: Kawakami,Mandira Daripa, Moreira,Lícia Maria Oliveira, Santos,Rosa Maria Vaz dos, Anchieta,Lêni Márcia, Guinsburg,Ruth
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Jornal de Pediatria (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572017000600576
Resumo: Abstract Objective: To assess the annual burden of early neonatal deaths associated with perinatal asphyxia in infants weighing ≥2500 g in Brazil from 2005 to 2010. Methods: The population study enrolled all live births of infants with birth weight ≥2500 g and without malformations who died up to six days after birth with perinatal asphyxia, defined as intrauterine hypoxia, asphyxia at birth, or meconium aspiration syndrome. The cause of death was written in any field of the death certificate, according to International Classification of Diseases,10th Revision (P20.0, P21.0, and P24.0). An active search was performed in 27 Brazilian federative units. The chi-squared test for trend was applied to analyze early neonatal mortality ratios associated with perinatal asphyxia by study year. Results: A total of 10,675 infants weighing ≥2500 g without malformations died within six days after birth with perinatal asphyxia. Deaths occurred in the first 24 h after birth in 71% of the infants. Meconium aspiration syndrome was reported in 4076 (38%) of these deaths. The asphyxia-specific early neonatal mortality ratio decreased from 0.81 in 2005 to 0.65 per 1000 live births in 2010 in Brazil (p < 0.001); the meconium aspiration syndrome-specific early neonatal mortality ratio remained between 0.20 and 0.29 per 1000 live births during the study period. Conclusions: Despite the decreasing rates in Brazil from 2005 to 2010, early neonatal mortality rates associated with perinatal asphyxia in infants in the better spectrum of birth weight and without congenital malformations are still high, and meconium aspiration syndrome plays a major role.
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spelling Early neonatal deaths associated with perinatal asphyxia in infants ≥2500 g in Brazil,Asphyxia neonatorumEarly neonatal mortalityMeconium aspiration syndromeInfantNewbornBrazilAbstract Objective: To assess the annual burden of early neonatal deaths associated with perinatal asphyxia in infants weighing ≥2500 g in Brazil from 2005 to 2010. Methods: The population study enrolled all live births of infants with birth weight ≥2500 g and without malformations who died up to six days after birth with perinatal asphyxia, defined as intrauterine hypoxia, asphyxia at birth, or meconium aspiration syndrome. The cause of death was written in any field of the death certificate, according to International Classification of Diseases,10th Revision (P20.0, P21.0, and P24.0). An active search was performed in 27 Brazilian federative units. The chi-squared test for trend was applied to analyze early neonatal mortality ratios associated with perinatal asphyxia by study year. Results: A total of 10,675 infants weighing ≥2500 g without malformations died within six days after birth with perinatal asphyxia. Deaths occurred in the first 24 h after birth in 71% of the infants. Meconium aspiration syndrome was reported in 4076 (38%) of these deaths. The asphyxia-specific early neonatal mortality ratio decreased from 0.81 in 2005 to 0.65 per 1000 live births in 2010 in Brazil (p < 0.001); the meconium aspiration syndrome-specific early neonatal mortality ratio remained between 0.20 and 0.29 per 1000 live births during the study period. Conclusions: Despite the decreasing rates in Brazil from 2005 to 2010, early neonatal mortality rates associated with perinatal asphyxia in infants in the better spectrum of birth weight and without congenital malformations are still high, and meconium aspiration syndrome plays a major role.Sociedade Brasileira de Pediatria2017-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572017000600576Jornal de Pediatria v.93 n.6 2017reponame:Jornal de Pediatria (Online)instname:Sociedade Brasileira de Pediatria (SBP)instacron:SBPE10.1016/j.jped.2016.11.008info:eu-repo/semantics/openAccessAlmeida,Maria Fernanda Branco deKawakami,Mandira DaripaMoreira,Lícia Maria OliveiraSantos,Rosa Maria Vaz dosAnchieta,Lêni MárciaGuinsburg,Rutheng2017-12-08T00:00:00Zoai:scielo:S0021-75572017000600576Revistahttp://www.jped.com.br/https://old.scielo.br/oai/scielo-oai.php||jped@jped.com.br1678-47820021-7557opendoar:2017-12-08T00:00Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP)false
dc.title.none.fl_str_mv Early neonatal deaths associated with perinatal asphyxia in infants ≥2500 g in Brazil,
title Early neonatal deaths associated with perinatal asphyxia in infants ≥2500 g in Brazil,
spellingShingle Early neonatal deaths associated with perinatal asphyxia in infants ≥2500 g in Brazil,
Almeida,Maria Fernanda Branco de
Asphyxia neonatorum
Early neonatal mortality
Meconium aspiration syndrome
Infant
Newborn
Brazil
title_short Early neonatal deaths associated with perinatal asphyxia in infants ≥2500 g in Brazil,
title_full Early neonatal deaths associated with perinatal asphyxia in infants ≥2500 g in Brazil,
title_fullStr Early neonatal deaths associated with perinatal asphyxia in infants ≥2500 g in Brazil,
title_full_unstemmed Early neonatal deaths associated with perinatal asphyxia in infants ≥2500 g in Brazil,
title_sort Early neonatal deaths associated with perinatal asphyxia in infants ≥2500 g in Brazil,
author Almeida,Maria Fernanda Branco de
author_facet Almeida,Maria Fernanda Branco de
Kawakami,Mandira Daripa
Moreira,Lícia Maria Oliveira
Santos,Rosa Maria Vaz dos
Anchieta,Lêni Márcia
Guinsburg,Ruth
author_role author
author2 Kawakami,Mandira Daripa
Moreira,Lícia Maria Oliveira
Santos,Rosa Maria Vaz dos
Anchieta,Lêni Márcia
Guinsburg,Ruth
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Almeida,Maria Fernanda Branco de
Kawakami,Mandira Daripa
Moreira,Lícia Maria Oliveira
Santos,Rosa Maria Vaz dos
Anchieta,Lêni Márcia
Guinsburg,Ruth
dc.subject.por.fl_str_mv Asphyxia neonatorum
Early neonatal mortality
Meconium aspiration syndrome
Infant
Newborn
Brazil
topic Asphyxia neonatorum
Early neonatal mortality
Meconium aspiration syndrome
Infant
Newborn
Brazil
description Abstract Objective: To assess the annual burden of early neonatal deaths associated with perinatal asphyxia in infants weighing ≥2500 g in Brazil from 2005 to 2010. Methods: The population study enrolled all live births of infants with birth weight ≥2500 g and without malformations who died up to six days after birth with perinatal asphyxia, defined as intrauterine hypoxia, asphyxia at birth, or meconium aspiration syndrome. The cause of death was written in any field of the death certificate, according to International Classification of Diseases,10th Revision (P20.0, P21.0, and P24.0). An active search was performed in 27 Brazilian federative units. The chi-squared test for trend was applied to analyze early neonatal mortality ratios associated with perinatal asphyxia by study year. Results: A total of 10,675 infants weighing ≥2500 g without malformations died within six days after birth with perinatal asphyxia. Deaths occurred in the first 24 h after birth in 71% of the infants. Meconium aspiration syndrome was reported in 4076 (38%) of these deaths. The asphyxia-specific early neonatal mortality ratio decreased from 0.81 in 2005 to 0.65 per 1000 live births in 2010 in Brazil (p < 0.001); the meconium aspiration syndrome-specific early neonatal mortality ratio remained between 0.20 and 0.29 per 1000 live births during the study period. Conclusions: Despite the decreasing rates in Brazil from 2005 to 2010, early neonatal mortality rates associated with perinatal asphyxia in infants in the better spectrum of birth weight and without congenital malformations are still high, and meconium aspiration syndrome plays a major role.
publishDate 2017
dc.date.none.fl_str_mv 2017-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572017000600576
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572017000600576
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.jped.2016.11.008
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Pediatria
publisher.none.fl_str_mv Sociedade Brasileira de Pediatria
dc.source.none.fl_str_mv Jornal de Pediatria v.93 n.6 2017
reponame:Jornal de Pediatria (Online)
instname:Sociedade Brasileira de Pediatria (SBP)
instacron:SBPE
instname_str Sociedade Brasileira de Pediatria (SBP)
instacron_str SBPE
institution SBPE
reponame_str Jornal de Pediatria (Online)
collection Jornal de Pediatria (Online)
repository.name.fl_str_mv Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP)
repository.mail.fl_str_mv ||jped@jped.com.br
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