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Determinants of Neonatal and Postneonatal Mortality in Northeastern Brazil: A Cohort Study of Newborns Admitted to the Neonatal Intensive Care Unit.
- Source :
- Healthcare (2227-9032); Jul2024, Vol. 12 Issue 13, p1249, 15p
- Publication Year :
- 2024
-
Abstract
- Despite advances in neonatology, neonatal mortality from preventable causes remains high in the North and Northeast regions of Brazil. This study aimed to analyze the determinants associated with neonatal and postneonatal mortality in newborns admitted to a neonatal intensive care unit. A cohort study was carried out in a capital in the Brazilian Northeast from 2013 to 2018. The outcome studied was death. Poisson regression was performed in the multivariate analysis of variables. Four hundred and eighty newborns were eligible, and 8.1% (39 newborns) died. Among them, 34 died in the neonatal period. The determinants that remained significantly associated with neonatal and postneonatal mortality in the final adjustment model (p < 0.05) were history of abortion, perinatal asphyxia, early neonatal sepsis and umbilical venous catheterization. All causes of this outcome were preventable. The neonatal mortality rate, although it did not include twins, neonates with malformations incompatible with life and other conditions, was 3.47 deaths per thousand live births (95% CI:1.10−8.03‰), well below the national average. In this study, pregnant women from different social classes had in common a private plan for direct access to health services, which provided them with excellent care throughout pregnancy and postnatal care. These results indicate that reducing neonatal mortality is possible through public policies with strategies that promote improvements in access to health services. [ABSTRACT FROM AUTHOR]
- Subjects :
- RISK assessment
HEALTH services accessibility
PEARSON correlation (Statistics)
INFANT mortality
PATIENTS
GOVERNMENT policy
MEDICAL quality control
MATERNAL health services
STATISTICAL significance
NEONATAL intensive care units
HOSPITAL admission & discharge
FISHER exact test
MULTIPLE regression analysis
NEONATAL intensive care
TERTIARY care
MULTIVARIATE analysis
CATHETERIZATION
CHI-squared test
MANN Whitney U Test
DESCRIPTIVE statistics
LONGITUDINAL method
MATHEMATICAL models
STATISTICS
CONFIDENCE intervals
THEORY
ASPHYXIA neonatorum
HEALTH promotion
QUALITY assurance
HEALTH equity
DATA analysis software
ABORTION
NEONATAL sepsis
UMBILICAL cord
Subjects
Details
- Language :
- English
- ISSN :
- 22279032
- Volume :
- 12
- Issue :
- 13
- Database :
- Complementary Index
- Journal :
- Healthcare (2227-9032)
- Publication Type :
- Academic Journal
- Accession number :
- 178690988
- Full Text :
- https://doi.org/10.3390/healthcare12131249