Mortality from gastroschisis in the state of Rio de Janeiro: a 10-year series
Main Author: | |
---|---|
Publication Date: | 2020 |
Other Authors: | , |
Format: | Article |
Language: | eng |
Source: | Revista de Saúde Pública |
Download full: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100247 |
Summary: | ABSTRACT OBJECTIVE To analyze mortality and associated factors in a series of gastroschisis at birth in the state of Rio de Janeiro in a 10-year period (2005 to 2014). METHOD A retrospective cohort study, which related the databases of the Live Births Information System and the Mortality Information System by probabilistic linkage. Final database was constructed in two stages: preparation of the two initial databases and establishment of relationships between them. RESULTS Preterm newborns and those with low birthweight had higher risk of death, with statistical significance (p = 0.03 and p = 0.006, respectively). Regarding place of birth, although death frequency was higher in maternity units than in general hospitals (p = 0.04; OR = 0.5; 95%CI 0.3–1.0), it was observed that a unit characterized as a general hospital had a high birth frequency (61.2%). Furthermore, the comparative analysis of the risk of death between this unit and others showed a 7.5 higher risk of death in general hospitals and 3.2 higher in maternity units, with statistical significance (p < 0.001). Moreover, births in level II intensive care units had 3.9 times more risk of death compared with level III (p < 0.001). CONCLUSION This study foments the discussion of two possible strategies in the treatment of gastroschisis in newborns. First, the centralization of care in tertiary units, enabling malformation care to be analyzed in a more detailed and standardized manner. Second, and perhaps more feasible, the elaboration of clinical guidelines to standardize immediate care for gastroschisis in babies born outside tertiary centers, as well as the standardization of their transportation until arrival at the tertiary center. |
id |
USP-23_2c81dcebdf3279b5b020dac10eda1c4f |
---|---|
oai_identifier_str |
oai:scielo:S0034-89102020000100247 |
network_acronym_str |
USP-23 |
network_name_str |
Revista de Saúde Pública |
repository_id_str |
|
spelling |
Mortality from gastroschisis in the state of Rio de Janeiro: a 10-year seriesGastroschisis, mortalityMortality, trendsRisk FactorsHealth Information SystemsTertiary Health CareRetrospective StudiesABSTRACT OBJECTIVE To analyze mortality and associated factors in a series of gastroschisis at birth in the state of Rio de Janeiro in a 10-year period (2005 to 2014). METHOD A retrospective cohort study, which related the databases of the Live Births Information System and the Mortality Information System by probabilistic linkage. Final database was constructed in two stages: preparation of the two initial databases and establishment of relationships between them. RESULTS Preterm newborns and those with low birthweight had higher risk of death, with statistical significance (p = 0.03 and p = 0.006, respectively). Regarding place of birth, although death frequency was higher in maternity units than in general hospitals (p = 0.04; OR = 0.5; 95%CI 0.3–1.0), it was observed that a unit characterized as a general hospital had a high birth frequency (61.2%). Furthermore, the comparative analysis of the risk of death between this unit and others showed a 7.5 higher risk of death in general hospitals and 3.2 higher in maternity units, with statistical significance (p < 0.001). Moreover, births in level II intensive care units had 3.9 times more risk of death compared with level III (p < 0.001). CONCLUSION This study foments the discussion of two possible strategies in the treatment of gastroschisis in newborns. First, the centralization of care in tertiary units, enabling malformation care to be analyzed in a more detailed and standardized manner. Second, and perhaps more feasible, the elaboration of clinical guidelines to standardize immediate care for gastroschisis in babies born outside tertiary centers, as well as the standardization of their transportation until arrival at the tertiary center.Faculdade de Saúde Pública da Universidade de São Paulo2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100247Revista de Saúde Pública v.54 2020reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.11606/s1518-8787.2020054001757info:eu-repo/semantics/openAccessBarreiros,Camilla Ferreira CatarinoGomes,Maria Auxiliadora de Souza MendesGomes Júnior,Saint Clair dos Santoseng2020-06-09T00:00:00Zoai:scielo:S0034-89102020000100247Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2020-06-09T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Mortality from gastroschisis in the state of Rio de Janeiro: a 10-year series |
title |
Mortality from gastroschisis in the state of Rio de Janeiro: a 10-year series |
spellingShingle |
Mortality from gastroschisis in the state of Rio de Janeiro: a 10-year series Barreiros,Camilla Ferreira Catarino Gastroschisis, mortality Mortality, trends Risk Factors Health Information Systems Tertiary Health Care Retrospective Studies |
title_short |
Mortality from gastroschisis in the state of Rio de Janeiro: a 10-year series |
title_full |
Mortality from gastroschisis in the state of Rio de Janeiro: a 10-year series |
title_fullStr |
Mortality from gastroschisis in the state of Rio de Janeiro: a 10-year series |
title_full_unstemmed |
Mortality from gastroschisis in the state of Rio de Janeiro: a 10-year series |
title_sort |
Mortality from gastroschisis in the state of Rio de Janeiro: a 10-year series |
author |
Barreiros,Camilla Ferreira Catarino |
author_facet |
Barreiros,Camilla Ferreira Catarino Gomes,Maria Auxiliadora de Souza Mendes Gomes Júnior,Saint Clair dos Santos |
author_role |
author |
author2 |
Gomes,Maria Auxiliadora de Souza Mendes Gomes Júnior,Saint Clair dos Santos |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Barreiros,Camilla Ferreira Catarino Gomes,Maria Auxiliadora de Souza Mendes Gomes Júnior,Saint Clair dos Santos |
dc.subject.por.fl_str_mv |
Gastroschisis, mortality Mortality, trends Risk Factors Health Information Systems Tertiary Health Care Retrospective Studies |
topic |
Gastroschisis, mortality Mortality, trends Risk Factors Health Information Systems Tertiary Health Care Retrospective Studies |
description |
ABSTRACT OBJECTIVE To analyze mortality and associated factors in a series of gastroschisis at birth in the state of Rio de Janeiro in a 10-year period (2005 to 2014). METHOD A retrospective cohort study, which related the databases of the Live Births Information System and the Mortality Information System by probabilistic linkage. Final database was constructed in two stages: preparation of the two initial databases and establishment of relationships between them. RESULTS Preterm newborns and those with low birthweight had higher risk of death, with statistical significance (p = 0.03 and p = 0.006, respectively). Regarding place of birth, although death frequency was higher in maternity units than in general hospitals (p = 0.04; OR = 0.5; 95%CI 0.3–1.0), it was observed that a unit characterized as a general hospital had a high birth frequency (61.2%). Furthermore, the comparative analysis of the risk of death between this unit and others showed a 7.5 higher risk of death in general hospitals and 3.2 higher in maternity units, with statistical significance (p < 0.001). Moreover, births in level II intensive care units had 3.9 times more risk of death compared with level III (p < 0.001). CONCLUSION This study foments the discussion of two possible strategies in the treatment of gastroschisis in newborns. First, the centralization of care in tertiary units, enabling malformation care to be analyzed in a more detailed and standardized manner. Second, and perhaps more feasible, the elaboration of clinical guidelines to standardize immediate care for gastroschisis in babies born outside tertiary centers, as well as the standardization of their transportation until arrival at the tertiary center. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
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=S0034-89102020000100247 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100247 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.11606/s1518-8787.2020054001757 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
dc.source.none.fl_str_mv |
Revista de Saúde Pública v.54 2020 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1748936505713229824 |