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- Title
Factors associated with neonatal near miss and death in public referral maternity hospitals.
- Authors
Costa Carvalho, Ocília Maria; Brazil Viana Junior, Antônio; Costa Carvalho Augusto, Matheus; Oliveira Xavier, Ana Tallita; Mendes Gouveia, Ana Paula; Nogueira Barbosa Lopes, Fernanda; Herlânio Costa Carvalho, Francisco
- 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 7 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.
- Subjects
WOMEN'S hospitals; NEONATAL death; NEONATAL intensive care; ARTIFICIAL respiration; APGAR score
- Publication
Brazilian Journal of Mother & Child Health (BJMCH) / Revista Brasileira de Saude Materno Infantil (RBSMI), 2020, Vol 20, Issue 3, p839
- ISSN
1519-3829
- Publication type
Article
- DOI
10.1590/1806-93042020000300010