Association between birth weight, gestational age and secondary diagnoses in the hospital stay of premature newborns
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2022 |
| Outros Autores: | , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | por eng |
| Título da fonte: | Reme (Online) |
| DOI: | 10.35699/2316-9389.2022.38663 |
| Texto Completo: | https://periodicos.ufmg.br/index.php/reme/article/view/38663 |
Resumo: | Objective: to verify the association between birth weight, gestational age, and secondary medical diagnoses in the length of hospital stay of premature newborns. Methods: cross-sectional study, with 1,329 medical records of newborns from July 2012 to September 2015, in two hospitals in Belo Horizonte, which use the Diagnosis Related Groups Brasil system. To determine a cutoff point for birth weight and gestational age at birth that best determined the length of hospital stay, the Receive Operator Characteristic curve was used. Subsequently, the analysis of variance test and Duncan's test were used to compare the mean length of hospital stay. Results: prematurity without major problems (DRG 792) was the most prevalent category (43.12%). The longest mean length of hospital stay was 34.9 days, identified among preterm infants or infants with respiratory distress syndrome (DRG 790). The combination of lower birth weight and lower GA at birth presented the highest risk of hospital stay, increased when compared to the other profiles formed for this DRG. Conclusion: the findings may direct assistance in relation to the mobilization of physical, human and consumer goods resources, in addition to the critical analysis of conditions that influence clinical outcomes. The possibility of optimizing the use of these hospital resources, allied to improving the quality of care and patient safety, is associated with minimizing the length of hospital stay and the burden of neonatal morbidity and mortality. |
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Association between birth weight, gestational age and secondary diagnoses in the hospital stay of premature newbornsAsociación entre peso al nacimiento, edad gestacional y diagnóstico secundario en estancia hospitalaria de recién nacido prematuroAssociação entre peso ao nascer, idade gestacional e diagnósticos secundários na permanência hospitalar de recém-nascidos prematurosGrupos Diagnósticos RelacionadosRecém-NascidoRecém-Nascido PrematuroTempo de InternaçãoDiagnosis-Related GroupsLength of StayInfant, NewbornInfant, PrematureGrupos Diagnósticos RelacionadosRecién NacidoRecién Nacido PrematuroTiempo de InternaciónObjective: to verify the association between birth weight, gestational age, and secondary medical diagnoses in the length of hospital stay of premature newborns. Methods: cross-sectional study, with 1,329 medical records of newborns from July 2012 to September 2015, in two hospitals in Belo Horizonte, which use the Diagnosis Related Groups Brasil system. To determine a cutoff point for birth weight and gestational age at birth that best determined the length of hospital stay, the Receive Operator Characteristic curve was used. Subsequently, the analysis of variance test and Duncan's test were used to compare the mean length of hospital stay. Results: prematurity without major problems (DRG 792) was the most prevalent category (43.12%). The longest mean length of hospital stay was 34.9 days, identified among preterm infants or infants with respiratory distress syndrome (DRG 790). The combination of lower birth weight and lower GA at birth presented the highest risk of hospital stay, increased when compared to the other profiles formed for this DRG. Conclusion: the findings may direct assistance in relation to the mobilization of physical, human and consumer goods resources, in addition to the critical analysis of conditions that influence clinical outcomes. The possibility of optimizing the use of these hospital resources, allied to improving the quality of care and patient safety, is associated with minimizing the length of hospital stay and the burden of neonatal morbidity and mortality.Objetivo: verificar la asociación entre el peso al nacer, la edad gestacional y los diagnósticos médicos secundarios en la duración de la estancia hospitalaria de los recién nacidos prematuros. Métodos: estudio transversal, con 1.329 registros de recién nacidos de julio de 2012 a septiembre de 2015, en dos hospitales de Belo Horizonte, que utilizan el sistema Diagnosis Related Groups Brasil. Para determinar un punto de corte para el peso al nacer y la edad gestacional al nacer que mejor determina la duración de la estadía, se utilizó la curva Receive Operator Characteristic. Posteriormente, se utilizó la prueba de análisis de varianza y la prueba de Duncan para comparar la duración media de la estancia hospitalaria. Resultados: la prematuridad sin mayores problemas (DRG792) fue la categoría más prevalente (43,12%). La estancia media más larga fue de 34,9 días, identificada entre los recién nacidos prematuros o aquellos con síndrome de dificultad respiratoria (DRG 790). La combinación de menor peso al nacer y menor IG al nacer presentó el mayor riesgo de estancia hospitalaria, que se incrementó en comparación con los otros perfiles formados para este DRG. Conclusión: los hallazgos pueden orientar la atención en relación con la movilización de recursos físicos, humanos y de bienes de consumo, además del análisis crítico de las condiciones que influyen en los resultados clínicos. La posibilidad de optimizar el uso de estos recursos hospitalarios, aliada a mejorar la calidad de la atención y la seguridad del paciente, está asociada a minimizar la duración de la estancia hospitalaria y la carga de morbilidad y mortalidad neonatal.Objetivo: verificar a associação entre peso ao nascer, idade gestacional e diagnósticos médicos secundários no tempo de permanência hospitalar de recém-nascidos prematuros. Métodos: estudo transversal, com 1.329 prontuários de recém-nascidos no período de julho de 2012 a setembro de 2015, em dois hospitais de Belo Horizonte, que utilizam o sistema Diagnosis Related Groups Brasil. Para determinar um ponto de corte para o peso ao nascer e a idade gestacional no nascimento que melhor determinasse o tempo de internação foi utilizada a curva Receive Operator Characteristic. Posteriormente, utilizou-se o teste de Análise de Variância e teste de Duncan para a comparação entre a média de tempo de permanência hospitalar. Resultados: a prematuridade sem problemas maiores (DRG792) foi a categoria mais prevalente (43,12%). O maior tempo médio de internação foi de 34,9 dias, identificado entre os recém-nascidos prematuros ou com Síndrome da angústia respiratória (DRG 790). A combinação de menor peso ao nascer e menor IG ao nascimento apresentaram o maior risco de permanência hospitalar, aumentada quando comparados ao demais perfis formados para esse DRG. Conclusão: os achados poderão direcionar a assistência em relação à mobilização de recursos físicos, humanos e de bens de consumo, além da análise crítica de condições que influenciam os desfechos clínicos. A possibilidade da otimização do uso desses recursos hospitalares aliada à melhoria da qualidade dos atendimentos e da segurança dos pacientes está associada a uma minimização do tempo de permanência hospitalar e da carga de morbidade e mortalidade neonatal.Universidade Federal de Minas Gerais2022-04-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://periodicos.ufmg.br/index.php/reme/article/view/3866310.35699/2316-9389.2022.38663REME-Revista Mineira de Enfermagem; Vol. 26 (2022)REME-Revista Mineira de Enfermagem; Vol. 26 (2022)REME-Revista Mineira de Enfermagem; v. 26 (2022)2316-93891415-2762reponame:Reme (Online)instname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGporenghttps://periodicos.ufmg.br/index.php/reme/article/view/38663/30056https://periodicos.ufmg.br/index.php/reme/article/view/38663/30057Copyright (c) 2022 REME-Revista Mineira de Enfermagemhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLima, Marina Dayrell de OliveiraCarmo, Ariene Silva doSilva, Thales Philipe RodriguesMateus, Lorena Medreiros de AlmeidaMarcatto, Juliana de OliveiraMatozinhos, Fernanda PenidoAbreu, Ana CláudiaCouto, Renato CamargoPedrosa, Tânia Moreira Grillo2023-03-30T17:09:02Zoai:periodicos.ufmg.br:article/38663Revistaremeufmg@gmail.comPUBhttps://periodicos.ufmg.br/index.php/reme/oairemeufmg@gmail.com2316-93891415-2762opendoar:2023-03-30T17:09:02Reme (Online) - Universidade Federal de Minas Gerais (UFMG)false |
| dc.title.none.fl_str_mv |
Association between birth weight, gestational age and secondary diagnoses in the hospital stay of premature newborns Asociación entre peso al nacimiento, edad gestacional y diagnóstico secundario en estancia hospitalaria de recién nacido prematuro Associação entre peso ao nascer, idade gestacional e diagnósticos secundários na permanência hospitalar de recém-nascidos prematuros |
| title |
Association between birth weight, gestational age and secondary diagnoses in the hospital stay of premature newborns |
| spellingShingle |
Association between birth weight, gestational age and secondary diagnoses in the hospital stay of premature newborns Association between birth weight, gestational age and secondary diagnoses in the hospital stay of premature newborns Lima, Marina Dayrell de Oliveira Grupos Diagnósticos Relacionados Recém-Nascido Recém-Nascido Prematuro Tempo de Internação Diagnosis-Related Groups Length of Stay Infant, Newborn Infant, Premature Grupos Diagnósticos Relacionados Recién Nacido Recién Nacido Prematuro Tiempo de Internación Lima, Marina Dayrell de Oliveira Grupos Diagnósticos Relacionados Recém-Nascido Recém-Nascido Prematuro Tempo de Internação Diagnosis-Related Groups Length of Stay Infant, Newborn Infant, Premature Grupos Diagnósticos Relacionados Recién Nacido Recién Nacido Prematuro Tiempo de Internación |
| title_short |
Association between birth weight, gestational age and secondary diagnoses in the hospital stay of premature newborns |
| title_full |
Association between birth weight, gestational age and secondary diagnoses in the hospital stay of premature newborns |
| title_fullStr |
Association between birth weight, gestational age and secondary diagnoses in the hospital stay of premature newborns Association between birth weight, gestational age and secondary diagnoses in the hospital stay of premature newborns |
| title_full_unstemmed |
Association between birth weight, gestational age and secondary diagnoses in the hospital stay of premature newborns Association between birth weight, gestational age and secondary diagnoses in the hospital stay of premature newborns |
| title_sort |
Association between birth weight, gestational age and secondary diagnoses in the hospital stay of premature newborns |
| author |
Lima, Marina Dayrell de Oliveira |
| author_facet |
Lima, Marina Dayrell de Oliveira Lima, Marina Dayrell de Oliveira Carmo, Ariene Silva do Silva, Thales Philipe Rodrigues Mateus, Lorena Medreiros de Almeida Marcatto, Juliana de Oliveira Matozinhos, Fernanda Penido Abreu, Ana Cláudia Couto, Renato Camargo Pedrosa, Tânia Moreira Grillo Carmo, Ariene Silva do Silva, Thales Philipe Rodrigues Mateus, Lorena Medreiros de Almeida Marcatto, Juliana de Oliveira Matozinhos, Fernanda Penido Abreu, Ana Cláudia Couto, Renato Camargo Pedrosa, Tânia Moreira Grillo |
| author_role |
author |
| author2 |
Carmo, Ariene Silva do Silva, Thales Philipe Rodrigues Mateus, Lorena Medreiros de Almeida Marcatto, Juliana de Oliveira Matozinhos, Fernanda Penido Abreu, Ana Cláudia Couto, Renato Camargo Pedrosa, Tânia Moreira Grillo |
| author2_role |
author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Lima, Marina Dayrell de Oliveira Carmo, Ariene Silva do Silva, Thales Philipe Rodrigues Mateus, Lorena Medreiros de Almeida Marcatto, Juliana de Oliveira Matozinhos, Fernanda Penido Abreu, Ana Cláudia Couto, Renato Camargo Pedrosa, Tânia Moreira Grillo |
| dc.subject.por.fl_str_mv |
Grupos Diagnósticos Relacionados Recém-Nascido Recém-Nascido Prematuro Tempo de Internação Diagnosis-Related Groups Length of Stay Infant, Newborn Infant, Premature Grupos Diagnósticos Relacionados Recién Nacido Recién Nacido Prematuro Tiempo de Internación |
| topic |
Grupos Diagnósticos Relacionados Recém-Nascido Recém-Nascido Prematuro Tempo de Internação Diagnosis-Related Groups Length of Stay Infant, Newborn Infant, Premature Grupos Diagnósticos Relacionados Recién Nacido Recién Nacido Prematuro Tiempo de Internación |
| description |
Objective: to verify the association between birth weight, gestational age, and secondary medical diagnoses in the length of hospital stay of premature newborns. Methods: cross-sectional study, with 1,329 medical records of newborns from July 2012 to September 2015, in two hospitals in Belo Horizonte, which use the Diagnosis Related Groups Brasil system. To determine a cutoff point for birth weight and gestational age at birth that best determined the length of hospital stay, the Receive Operator Characteristic curve was used. Subsequently, the analysis of variance test and Duncan's test were used to compare the mean length of hospital stay. Results: prematurity without major problems (DRG 792) was the most prevalent category (43.12%). The longest mean length of hospital stay was 34.9 days, identified among preterm infants or infants with respiratory distress syndrome (DRG 790). The combination of lower birth weight and lower GA at birth presented the highest risk of hospital stay, increased when compared to the other profiles formed for this DRG. Conclusion: the findings may direct assistance in relation to the mobilization of physical, human and consumer goods resources, in addition to the critical analysis of conditions that influence clinical outcomes. The possibility of optimizing the use of these hospital resources, allied to improving the quality of care and patient safety, is associated with minimizing the length of hospital stay and the burden of neonatal morbidity and mortality. |
| publishDate |
2022 |
| dc.date.none.fl_str_mv |
2022-04-08 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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https://periodicos.ufmg.br/index.php/reme/article/view/38663 10.35699/2316-9389.2022.38663 |
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https://periodicos.ufmg.br/index.php/reme/article/view/38663 |
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10.35699/2316-9389.2022.38663 |
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por eng |
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por eng |
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https://periodicos.ufmg.br/index.php/reme/article/view/38663/30056 https://periodicos.ufmg.br/index.php/reme/article/view/38663/30057 |
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Copyright (c) 2022 REME-Revista Mineira de Enfermagem https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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Copyright (c) 2022 REME-Revista Mineira de Enfermagem https://creativecommons.org/licenses/by/4.0 |
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openAccess |
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application/pdf application/pdf |
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Universidade Federal de Minas Gerais |
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Universidade Federal de Minas Gerais |
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REME-Revista Mineira de Enfermagem; Vol. 26 (2022) REME-Revista Mineira de Enfermagem; Vol. 26 (2022) REME-Revista Mineira de Enfermagem; v. 26 (2022) 2316-9389 1415-2762 reponame:Reme (Online) instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
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Universidade Federal de Minas Gerais (UFMG) |
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UFMG |
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UFMG |
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Reme (Online) |
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Reme (Online) |
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Reme (Online) - Universidade Federal de Minas Gerais (UFMG) |
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remeufmg@gmail.com |
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1822182069672869888 |
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10.35699/2316-9389.2022.38663 |