Neonatal near miss in the Birth in Brazil survey
Neonatal near miss in the Birth in Brazil survey
复制标题
DOI：
10.1590/0102-311x00129613
复制
发表时间：
2014-08-01
期刊：
影响因子：
--
通讯作者：
Leal, Maria do Carmo
中科院分区：
文献类型：
--
作者：
Silva, Antônio Augusto Moura da;Leite, Álvaro Jorge Madeiro;Leal, Maria do Carmo
这项研究使用了巴西出生调查的数据，这是一项全国性的医院研究，涉及24，197名产后妇女及其新生儿，收集于2011年2月至2012年7月之间。采用三阶段整群抽样设计（医院、天数、妇女），包括按地理区域、市政府类型（首都或非首都）和医院融资类型分层。Logistic回归分析用于确定变量是新生儿死亡率和新生儿未遂指标的潜在预测因子。在测试了19个变量后，选择了5个组成一组新生儿未遂指标（出生体重<1，500 g，出生后第5分钟Apgar评分<7，使用机械通气，胎龄<32周和先天畸形）。在巴西出生调查中，新生儿未遂事故率为每千名活产39.2例，比新生儿死亡率（每千名11.1例）高3.5倍。这些新生儿未遂事件指标能够确定新生儿死亡风险高的情况。
This study used data from the Birth in Brazil survey, a nationwide hospital-based study of 24,197 postpartum women and their newborns, collected between February 2011 and July 2012. A three-stage cluster sampling design (hospitals, days, women) was used consisting of stratification by geographic region, type of municipality (capital or non-capital), and type of hospital financing. Logistic regression was used to identify variables that were potential predictors of neonatal mortality and neonatal near miss indicators. After testing nineteen variables, five were chosen to compose a set of neonatal near miss indicators (birth weight of less than 1,500g, Apgar score of less than 7 in the 5th minute of life, use of mechanical ventilation, gestational age of less than 32 weeks and congenital malformations). The neonatal near miss rate in the Birth in Brazil survey was 39.2 per thousand live births, three and a half times higher than the neonatal mortality rate (11.1 per thousand). These neonatal near miss indicators were able to identify situations with a high risk of neonatal death.