Neonatal near miss and the occurrence of negative outcomes in the first year of life: data from a national survey, Nascer no Brasil (Born in Brazil), 2011-2012 / Near miss neonatal e a ocorrência de desfechos negativos no primeiro ano de vida: dados da pesquisa nacional Nascer no Brasil, 2011-2012
Rev. Bras. Saúde Mater. Infant. (Online)
; 20(3): 779-788, July-Sept. 2020. tab
Article
in En
| SES-SP, LILACS
| ID: biblio-1136452
Responsible library:
BR663.1
ABSTRACT
Abstract Objectives:
estimate the strength of association between neonatal near miss and the nega-tive outcomes in the child's first year of life.Methods:
a prospective cohort study on neonatal survivors originating from a national survey "Nascer no Brasil (Born in Brazil), 2011-2012." Main exposure neonatal near miss (NNM). Negativeoutcomes:
breastfeeding, hospitalization, and post neonatal death (tele-phone interview). For each outcome, the odds ratio (OR) were estimated by univariate (p<0.2) and multivariate (p<0.05) logistic regression models.Results:
among 15,675 children 3.3% were neonatal near miss. Neonatal near miss was associated, after adjusting, to weaning (OR=1.8); hospitalization after hospital discharge (OR=2.2); remained hospitalized (OR=65.6) and post neonatal death (OR=52.4) The increased OR after adjusting revealed negative confounding, such as "remained hospitalized since childbirth" (ORcrude=21.1 and ORadjusted=65.6).Conclusions:
although neonatal near miss reflects a good quality of health care, avoiding neonatal death, these survivors have higher risk of negative outcomes in the first year of life.RESUMO
Resumo Objetivos:
estimar a força de associação entre near miss neonatal e desfechos negativos, no primeiro ano de vida.Métodos:
coorte prospectiva de sobreviventes neonatais, originária do inquérito nacional "Nascer no Brasil, 2011-2012." Exposição principal near miss neonatal (NMN). Desfechos negativos não amamentação, internação hospitalar e óbito pós-neonatal (entrevista tele-fônica). Para cada desfecho foram estimadas razões de chances (OR), por modelos de regressão logística univariada (p<0,2) e multivariada (p<0,05).Resultados:
das 15.675 crianças, 3,3% eram casos de NMN. NMN esteve associado, após ajuste, a desmame (OR=1,8); internação pós-alta (OR=2,2); permanecer internado (OR=65,6) e óbito pós-neonatal (OR=52,4). O aumento da OR após ajuste apontou para confundimentos negativos, no caso de "permanecer internado desde o parto" (ORbruto=21,1; ORajustado=65,6).Conclusão:
apesar do NMN refletir boa qualidade da assistência à saúde, evitando o óbito neonatal, estes sobreviventes têm maior risco de desfechos negativos no primeiro ano de vida.Key words
Full text:
1
Index:
LILACS
Main subject:
Weaning
/
Breast Feeding
/
Infant Mortality
/
Health Surveys
/
Live Birth
/
Near Miss, Healthcare
/
Hospitalization
Type of study:
Observational_studies
/
Risk_factors_studies
/
Screening_studies
Limits:
Humans
/
Infant
/
Newborn
Country/Region as subject:
America do sul
/
Brasil
Language:
En
Journal:
Rev. Bras. Saúde Mater. Infant. (Online)
Journal subject:
Sa£de P£blica
/
Sa£de da Mulher
Year:
2020
Type:
Article