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Survival at nine neonatal intensive care units in Sao Paulo, Brazil

dc.contributor.authorZullini, María Teresaes_ES
dc.contributor.authorBonati, Maurizioes_ES
dc.contributor.authorSanvito, Elenaes_ES
dc.date.accessioned2015
dc.date.available2015
dc.date.issued1997es_ES
dc.identifier.citationZullini, María Teresa,Bonati, Maurizio,Sanvito, Elena (1997) Survival at nine neonatal intensive care units in Sao Paulo, Brazil. Rev Panam Salud Publica;2(5) -,nov. 1997. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49891997001100002&lng=pt&nrm=isoes_ES
dc.identifier.urihttp://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49891997001100002&lng=pt&nrm=isoes_ES
dc.identifier.urihttps://iris.paho.org/handle/10665.2/9041
dc.format.extenttabes_ES
dc.relation.ispartofseriesRev Panam Salud Publica;2(5),nov. 1997es_ES
dc.subjectSobrevivênciaes_ES
dc.subjectTerapia Intensiva Neonatales_ES
dc.subjectRecém-Nascidoes_ES
dc.subjectColeta de Dadoses_ES
dc.subjectBrasilpt_BR
dc.titleSurvival at nine neonatal intensive care units in Sao Paulo, Braziles_ES
dc.typeJournal articlesen_US
dc.rights.holderPan American Health Organizationen_US
dc.description.notesA collaborative effort to assess factors affecting newborn survival at neonatal intensive care units (NICUs) was made by studying 1948 newborns admitted to nine NICUs in the city of Sao Paulo between 1 June and 30 November 1991. Data on the study subjects were obtained using a standardized form. This was the first activity undertaken by a network of neonatologists (the Paulista Collaborative Group on Neonatal Care) dedicated to jintly evaluating and improving neonatal care in that city. The study results showed an overall mortality of 59 deaths per 1000 neonates, with survival improving as gestational age and birthweight rose. Other variables significantly affecting survival were a poor maternal obstetric history (aprevious stillbirth or neonatal death, or two or more spontaneous abortions); birth asphyxia (Apgar at 5 minutes 7); respiratory distress syndrome; severe infections; and major malformations. However, multiple logistic regression analysis showed that the rates of neonatal survival in the nine NICUs differed even when these factors were considered. Potential sources of this variability included undetermined population differences in neonatal disease severity and medical care. These results suggest a need for greater efforts to identify and reduce risk factors associated with neonatal mortality, and to adquately evaluate the medical care providen in NICUs. Withn this context, the collaborative network of neonatologists established in Sao Paulo provides a sound organizational structure for evaluating and improving the effectiveness of neonatal careen_US


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