NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDY: NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDY
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Ciência Plural |
Texto Completo: | https://periodicos.ufrn.br/rcp/article/view/33895 |
Resumo: | Introduction: Necrotizing Enterocolitis is a disease that can affect the gastrointestinal tract of newborns, whose clinical manifestations can be characterized by bilious vomiting, blood in stool, abdominal distension, in addition to changes in hemodynamic parameters and thermal instability. The populations most vulnerable to this disease are low birth weight newborns exposed to the neonatal intensive care environment. Objectives: This study aimed to identify the profile of newborns and maternal and neonatal factors associated with the occurrence of deaths from necrotizing enterocolitis in a reference maternity hospital in Ceará, Brazil. Methodology: This is a retrospective cohort study seeking to describe the incidence of a particular event over time, as well as establish causal relationships between the factors associated with the event. The study population comprised newborns who died from necrotizing enterocolitis between 2019 and 2021, who had neonatal death investigation forms filled out correctly, with no newborns being excluded, totaling a sample of 29 deaths. Results: It was identified that the profile of newborns was mostly premature, of low birth weight and with risk factors for other associated diseases such as sepsis, leading to invasive procedures and hospitalization in a neonatal intensive care environment. Conclusions: Prematurity and low birth weight were relevant variables in the study and may be associated with worsening of the newborn’s clinical conditions and development of necrotizing enterocolitis. |
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NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDY: NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDYEspanhol MUERTES NEONATALES POR ENTEROCOLITIS NECROZANTE: ESTUDIO DE COHORTE RETROSPECTIVO : MUERTES NEONATALES POR ENTEROCOLITIS NECROZANTE: ESTUDIO DE COHORTE RETROSPECTIVO ÓBITOS NEONATAIS POR ENTEROCOLITE NECROSANTE: ESTUDO DE COORTE RETROSPECTIVA: NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDYIntroduction: Necrotizing Enterocolitis is a disease that can affect the gastrointestinal tract of newborns, whose clinical manifestations can be characterized by bilious vomiting, blood in stool, abdominal distension, in addition to changes in hemodynamic parameters and thermal instability. The populations most vulnerable to this disease are low birth weight newborns exposed to the neonatal intensive care environment. Objectives: This study aimed to identify the profile of newborns and maternal and neonatal factors associated with the occurrence of deaths from necrotizing enterocolitis in a reference maternity hospital in Ceará, Brazil. Methodology: This is a retrospective cohort study seeking to describe the incidence of a particular event over time, as well as establish causal relationships between the factors associated with the event. The study population comprised newborns who died from necrotizing enterocolitis between 2019 and 2021, who had neonatal death investigation forms filled out correctly, with no newborns being excluded, totaling a sample of 29 deaths. Results: It was identified that the profile of newborns was mostly premature, of low birth weight and with risk factors for other associated diseases such as sepsis, leading to invasive procedures and hospitalization in a neonatal intensive care environment. Conclusions: Prematurity and low birth weight were relevant variables in the study and may be associated with worsening of the newborn’s clinical conditions and development of necrotizing enterocolitis.Introducción: La Enterocolitis Necrotizante es enfermedad que puede afectar el tracto gastrointestinal del recién nacido, cuyas manifestaciones clínicas pueden caracterizarse por vómitos biliosos, sangre en las heces, distensión abdominal, además de cambios en los parámetros hemodinámicos e inestabilidad térmica. Las poblaciones más vulnerables a esta enfermedad son recién nacidos con bajo peso expuestos al entorno de cuidados intensivos neonatales. Objetivos: Identificar el perfil de recién nacidos y los factores maternos y neonatales asociados a la ocurrencia de muertes por enterocolitis necrotizante, en maternidad de referencia en el Ceará-Brasil. Metodología: Estudio de cohorte retrospectivo, para describir la incidencia de determinado evento a lo largo del tiempo, además de establecer relaciones causales entre los factores asociados al evento. Se incluyeron recién nacidos fallecidos por enterocolitis necrotizante entre 2019 y 2021, quienes tuvieron formulario de investigación de muerte neonatal correctamente diligenciado, no excluyéndose ningún recién nacido, totalizando muestra de 29 defunciones. Resultados: El perfil de los recién nacidos fue mayoritariamente prematuro y de bajo peso al nacer y con factores de riesgo para otras enfermedades asociadas, como sepsis, con procedimientos invasivos y hospitalización en ambiente de cuidados intensivos neonatales. Conclusiones: La prematuridad y el bajo peso al nacer fueron variables relevantes en el estudio y pueden estar asociados con empeoramiento de las condiciones clínicas de recién nacidos y desarrollo de enterocolitis necrotizante.Introdução: A enterocolite necrosante é uma doença que pode afetar o trato gastrointestinal de recém-nascidos, cujas manifestações clínicas podem ser caracterizadas por vômitos biliosos, sangue nas fezes, distensão abdominal, além de alterações nos parâmetros hemodinâmicos e instabilidade térmica. As populações mais vulneráveis a essa enfermidade são recém-nascidos de baixo peso, expostos ao ambiente de terapia intensiva neonatal. Objetivos: Identificar o perfil de recém-nascidos e os fatores maternos e neonatais associados à ocorrência de óbitos por enterocolite necrosante, em maternidade de referência do Ceará-Brasil. Metodologia: Trata-se de coorte retrospectiva, estudo que objetiva a descrição da incidência de determinado evento ao longo do tempo, além do estabelecimento de relações causais entre os fatores associados ao acontecimento. Incluíram-se recém-nascidos que tiveram óbitos por enterocolite necrosante entre 2019 e 2021, com ficha de investigação de óbitos neonatais preenchida corretamente, não sendo excluído nenhum recém-nascido, totalizando amostra de 29 óbitos. Resultados: Identificou-se que o perfil dos recém-nascidos foi, em maioria, de prematuros e com baixo peso e fatores de risco para outras doenças associadas, como a sepse, o que acarretou realização de procedimentos invasivos e internação em ambiente de terapia intensiva neonatal. Conclusões: A prematuridade e o baixo peso ao nascer foram as variáveis relevantes no estudo e podem estar associadas à piora das condições clínicas do recém-nascido e ao desenvolvimento de enterocolite necrosante. Palavras-Chave: Enterocolite necrosante; Recém-Nascido Prematuro; Neonatologia; Morte; Unidades de Terapia Intensiva Neonatal.Portal de Periódicos Eletrônicos da UFRN2023-12-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo avaliado pelos Paresapplication/pdfhttps://periodicos.ufrn.br/rcp/article/view/3389510.21680/2446-7286.2023v9n3ID33895Revista Ciência Plural; v. 9 n. 3 (2023): Revista Ciência Plural; 1-182446-728610.21680/2446-7286.2023v9n3reponame:Revista Ciência Pluralinstname:Universidade Federal do Rio Grande do Norte (UFRN)instacron:UFRNporhttps://periodicos.ufrn.br/rcp/article/view/33895/18070Copyright (c) 2023 Revista Ciência Pluralhttps://creativecommons.org/licenses/by-nc-sa/4.0info:eu-repo/semantics/openAccessFreitas, Lucas LemosNobre, Keline Soraya SantanaBrito, Lívia Karoline TorresCiarlini, Nerci de Sá CavalcanteAraújo, Adriana RochaMaia, Elaine Meireles Castro2023-12-27T02:49:52Zoai:periodicos.ufrn.br:article/33895Revistahttps://periodicos.ufrn.br/rcpPUBhttps://periodicos.ufrn.br/rcp/oai||irisdoceu.ufrn@gmail.com2446-72862446-7286opendoar:2023-12-27T02:49:52Revista Ciência Plural - Universidade Federal do Rio Grande do Norte (UFRN)false |
dc.title.none.fl_str_mv |
NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDY: NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDY Espanhol MUERTES NEONATALES POR ENTEROCOLITIS NECROZANTE: ESTUDIO DE COHORTE RETROSPECTIVO : MUERTES NEONATALES POR ENTEROCOLITIS NECROZANTE: ESTUDIO DE COHORTE RETROSPECTIVO ÓBITOS NEONATAIS POR ENTEROCOLITE NECROSANTE: ESTUDO DE COORTE RETROSPECTIVA: NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDY |
title |
NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDY: NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDY |
spellingShingle |
NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDY: NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDY Freitas, Lucas Lemos |
title_short |
NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDY: NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDY |
title_full |
NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDY: NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDY |
title_fullStr |
NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDY: NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDY |
title_full_unstemmed |
NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDY: NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDY |
title_sort |
NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDY: NEONATAL DEATHS FROM NECROTIZING ENTEROCOLITIS: A RETROSPECTIVE COHORT STUDY |
author |
Freitas, Lucas Lemos |
author_facet |
Freitas, Lucas Lemos Nobre, Keline Soraya Santana Brito, Lívia Karoline Torres Ciarlini, Nerci de Sá Cavalcante Araújo, Adriana Rocha Maia, Elaine Meireles Castro |
author_role |
author |
author2 |
Nobre, Keline Soraya Santana Brito, Lívia Karoline Torres Ciarlini, Nerci de Sá Cavalcante Araújo, Adriana Rocha Maia, Elaine Meireles Castro |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Freitas, Lucas Lemos Nobre, Keline Soraya Santana Brito, Lívia Karoline Torres Ciarlini, Nerci de Sá Cavalcante Araújo, Adriana Rocha Maia, Elaine Meireles Castro |
description |
Introduction: Necrotizing Enterocolitis is a disease that can affect the gastrointestinal tract of newborns, whose clinical manifestations can be characterized by bilious vomiting, blood in stool, abdominal distension, in addition to changes in hemodynamic parameters and thermal instability. The populations most vulnerable to this disease are low birth weight newborns exposed to the neonatal intensive care environment. Objectives: This study aimed to identify the profile of newborns and maternal and neonatal factors associated with the occurrence of deaths from necrotizing enterocolitis in a reference maternity hospital in Ceará, Brazil. Methodology: This is a retrospective cohort study seeking to describe the incidence of a particular event over time, as well as establish causal relationships between the factors associated with the event. The study population comprised newborns who died from necrotizing enterocolitis between 2019 and 2021, who had neonatal death investigation forms filled out correctly, with no newborns being excluded, totaling a sample of 29 deaths. Results: It was identified that the profile of newborns was mostly premature, of low birth weight and with risk factors for other associated diseases such as sepsis, leading to invasive procedures and hospitalization in a neonatal intensive care environment. Conclusions: Prematurity and low birth weight were relevant variables in the study and may be associated with worsening of the newborn’s clinical conditions and development of necrotizing enterocolitis. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-12-26 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigo avaliado pelos Pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.ufrn.br/rcp/article/view/33895 10.21680/2446-7286.2023v9n3ID33895 |
url |
https://periodicos.ufrn.br/rcp/article/view/33895 |
identifier_str_mv |
10.21680/2446-7286.2023v9n3ID33895 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.ufrn.br/rcp/article/view/33895/18070 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Revista Ciência Plural https://creativecommons.org/licenses/by-nc-sa/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Revista Ciência Plural https://creativecommons.org/licenses/by-nc-sa/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Portal de Periódicos Eletrônicos da UFRN |
publisher.none.fl_str_mv |
Portal de Periódicos Eletrônicos da UFRN |
dc.source.none.fl_str_mv |
Revista Ciência Plural; v. 9 n. 3 (2023): Revista Ciência Plural; 1-18 2446-7286 10.21680/2446-7286.2023v9n3 reponame:Revista Ciência Plural instname:Universidade Federal do Rio Grande do Norte (UFRN) instacron:UFRN |
instname_str |
Universidade Federal do Rio Grande do Norte (UFRN) |
instacron_str |
UFRN |
institution |
UFRN |
reponame_str |
Revista Ciência Plural |
collection |
Revista Ciência Plural |
repository.name.fl_str_mv |
Revista Ciência Plural - Universidade Federal do Rio Grande do Norte (UFRN) |
repository.mail.fl_str_mv |
||irisdoceu.ufrn@gmail.com |
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