Fatores prognósticos de menores de um ano com condições de risco de vida ao nascer

• Ano de defesa: 2017
• Autor(a) principal: Libório, Lílian dos Santos
• Orientador(a): Nunes, Marco Antônio Prado
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Programa de Pós-Graduação: Pós-Graduação em Ciências da Saúde
• Palavras-chave em Português: Mortalidade infantil; Prognóstico; Fatores prognósticos
• Palavras-chave em Inglês: Infant mortality; Prognostic factors
• Área do conhecimento CNPq: CIENCIAS DA SAUDE
• Link de acesso: https://ri.ufs.br/handle/riufs/6664

The reduction of infant mortality is still a challenge for health services and society as a whole since it reflects the living conditions of society and the quality of health services provided during pregnancy, childbirth, and postpartum. The identification of risk factors associated with early childhood mortality is important to help to reduce high rates in low- and middle-income countries. The objective of this study was to analyze the prognostic factors of newborns with life-threatening conditions at birth, through the identification of maternal characteristics, postpartum complications and evaluation of postpartum care factors. A cohort study was conducted with emphasis on the outcome for infant death. Initially, newborns were selected from pre-determined birth-risk criteria, which were birth weight <1500g, Apgar of the 5th minute <7 and gestational age <32 weeks, after evaluating live births of pregnant women who admitted to delivering and residing in Sergipe, from March through September 2015. After this identification, was performed the gathering of information through interviews with mothers of newborns, and also, the verification of the charts and cards of pregnant women, followed by the evolution of these infants during hospitalization up to the 6th full day of birth and by the state Mortality Information System (SIM) up to one year of age. For the analysis of the data, the descriptive statistics was used, represented by absolute and relative frequencies, measures of central tendency and variability. The associations were evaluated using the chi-square test (χ2) and the Mann Whitney test with significance level α = 0.05. Then, a logistic regression analysis was performed, considering the variables, with p <0.05. The analysis was performed with the variables pre-selected in the previous step, according to the hierarchy presented in the conceptual model, in order to remain in the model, a value of p <0.05 was considered. Of the 144 babies who were born with any of the risk conditions stablished on this survey, 50 died within 364 days of birth. It was observed that there was a higher risk of infant death in infants who were reanimated (RR = 3.79) and who received blood transfusion (RR = 2.86), but 99% of the newborns survived when submitted to NICU admission. Assistance features such as resuscitation and use of blood transfusion were factors significantly associated with infant mortality, while hospitalization in the NICU was a protective factor for the outcome of death.