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EARLY NEONATAL NEAR MISS IN A UNIVERSITY HOSPITAL: COMPARATIVE CROSS-SECTIONAL STUDY
OBJECTIVE: To compare 2012 and 2016 data on early neonatal near miss indicators from Health Information Systems at a university hospital. METHODS: This is a cross-sectional study conducted in 2012 and 2016. We considered early neonatal near misses the live births that presented one of the following...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade de Pediatria de São Paulo
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7518722/ https://www.ncbi.nlm.nih.gov/pubmed/32996995 http://dx.doi.org/10.1590/1984-0462/2021/39/2019317 |
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author | de França, Karla Eveline Ximenes Vilela, Mirella Bezerra Rodrigues de Frias, Paulo Germano Sarinho, Silvia Wanick |
author_facet | de França, Karla Eveline Ximenes Vilela, Mirella Bezerra Rodrigues de Frias, Paulo Germano Sarinho, Silvia Wanick |
author_sort | de França, Karla Eveline Ximenes |
collection | PubMed |
description | OBJECTIVE: To compare 2012 and 2016 data on early neonatal near miss indicators from Health Information Systems at a university hospital. METHODS: This is a cross-sectional study conducted in 2012 and 2016. We considered early neonatal near misses the live births that presented one of the following risk conditions at birth: gestational age <33 weeks, birth weight <1,750g or 5-minute Apgar score <7, or Neonatal Intensive Care Unit (NICU) admission, and were alive until the 7(th) day of life. Data were collected from the Live Birth Information System, Hospital Information System, and Mortality Information System. We calculated the early neonatal mortality rate, neonatal near miss rate, severe neonatal outcome rate, early neonatal survival index, and early neonatal mortality index, compared by year of birth. RESULTS: In 2012, 304 early neonatal near misses were registered, with a higher proportion of cases with very low birth weight and mothers who had zero to three prenatal visits. In 2016, the number of cases was 243, with a predominance of more NICU admissions. The incidence of early neonatal deaths and early neonatal near misses was higher in 2012 than in 2016. CONCLUSIONS: Neonatal near miss indicators identified difference between years. The cases were more severe in 2012 and there were more NICU admissions in 2016. |
format | Online Article Text |
id | pubmed-7518722 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Sociedade de Pediatria de São Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-75187222020-10-02 EARLY NEONATAL NEAR MISS IN A UNIVERSITY HOSPITAL: COMPARATIVE CROSS-SECTIONAL STUDY de França, Karla Eveline Ximenes Vilela, Mirella Bezerra Rodrigues de Frias, Paulo Germano Sarinho, Silvia Wanick Rev Paul Pediatr Original Article OBJECTIVE: To compare 2012 and 2016 data on early neonatal near miss indicators from Health Information Systems at a university hospital. METHODS: This is a cross-sectional study conducted in 2012 and 2016. We considered early neonatal near misses the live births that presented one of the following risk conditions at birth: gestational age <33 weeks, birth weight <1,750g or 5-minute Apgar score <7, or Neonatal Intensive Care Unit (NICU) admission, and were alive until the 7(th) day of life. Data were collected from the Live Birth Information System, Hospital Information System, and Mortality Information System. We calculated the early neonatal mortality rate, neonatal near miss rate, severe neonatal outcome rate, early neonatal survival index, and early neonatal mortality index, compared by year of birth. RESULTS: In 2012, 304 early neonatal near misses were registered, with a higher proportion of cases with very low birth weight and mothers who had zero to three prenatal visits. In 2016, the number of cases was 243, with a predominance of more NICU admissions. The incidence of early neonatal deaths and early neonatal near misses was higher in 2012 than in 2016. CONCLUSIONS: Neonatal near miss indicators identified difference between years. The cases were more severe in 2012 and there were more NICU admissions in 2016. Sociedade de Pediatria de São Paulo 2020-09-25 /pmc/articles/PMC7518722/ /pubmed/32996995 http://dx.doi.org/10.1590/1984-0462/2021/39/2019317 Text en https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License |
spellingShingle | Original Article de França, Karla Eveline Ximenes Vilela, Mirella Bezerra Rodrigues de Frias, Paulo Germano Sarinho, Silvia Wanick EARLY NEONATAL NEAR MISS IN A UNIVERSITY HOSPITAL: COMPARATIVE CROSS-SECTIONAL STUDY |
title | EARLY NEONATAL NEAR MISS IN A UNIVERSITY HOSPITAL: COMPARATIVE
CROSS-SECTIONAL STUDY |
title_full | EARLY NEONATAL NEAR MISS IN A UNIVERSITY HOSPITAL: COMPARATIVE
CROSS-SECTIONAL STUDY |
title_fullStr | EARLY NEONATAL NEAR MISS IN A UNIVERSITY HOSPITAL: COMPARATIVE
CROSS-SECTIONAL STUDY |
title_full_unstemmed | EARLY NEONATAL NEAR MISS IN A UNIVERSITY HOSPITAL: COMPARATIVE
CROSS-SECTIONAL STUDY |
title_short | EARLY NEONATAL NEAR MISS IN A UNIVERSITY HOSPITAL: COMPARATIVE
CROSS-SECTIONAL STUDY |
title_sort | early neonatal near miss in a university hospital: comparative
cross-sectional study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7518722/ https://www.ncbi.nlm.nih.gov/pubmed/32996995 http://dx.doi.org/10.1590/1984-0462/2021/39/2019317 |
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