Avaliação da qualidade da informação do Sistema de Informação Perinatal (SIP-CLAP /OPAS) para monitoramento da assistência perinatal hospitalar, Belo Horizonte, 2004

Rego, Maria Albertina Santiago; França, Elisabeth Barboza; Afonso, Deise Campos Cardoso

doi:10.1590/s1519-38292009000300006

Cited by 5 publications

(3 citation statements)

References 20 publications

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“…The outcome variable "hospital mortality" (total deaths during the first hospitalization, independent of the age at which it occurred) was characterized according to the age at which it occurred as "neonatal death" (in the first 27 days after birth) or as "early death" subset of this variable (in the first 6 days after birth). ( 15 , 35 )…”

Section: Methodsmentioning

confidence: 99%

Características epidemiológicas e óbitos de prematuros atendidos em hospital de referência para gestante de alto risco

Freitas¹,

Sant’Ana²,

Longo³

et al. 2012

Rev. bras. ter. intensiva

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ObjectiveTo analyze the process of care provided to premature infants in a neonatal intensive care unit and the factors associated with their mortality. MethodsCross-sectional retrospective study of premature infants in an intensive care unit between 2008 and 2010. The characteristics of the mothers and premature infants were described, and a bivariate analysis was performed on the following characteristics: the study period and the "death" outcome (hospital, neonatal and early) using Pearson's chi-square test, Fisher's exact test or a chi-square test for linear trends. Bivariate and multivariable logistic regression analyses were performed using a stepwise backward logistic regression method between the variables with p<0.20 and the "death" outcome. A p value <0.05 was considered to be significant. ResultsIn total, 293 preterm infants were studied. Increased access to complementary tests (transfontanellar ultrasound and Doppler echocardiogram) and breastfeeding rates were indicators of improving care. Mortality was concentrated in the neonatal period, especially in the early neonatal period, and was associated with extreme prematurity, small size for gestational age and an Apgar score <7 at 5 minutes after birth. The late-onset sepsis was also associated with a greater chance of neonatal death, and antenatal corticosteroids were protective against neonatal and early deaths. ConclusionsAlthough these results are comparable to previous findings regarding mortality among premature infants in Brazil, the study emphasizes the need to implement strategies that promote breastfeeding and reduce neonatal mortality and its early component.

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Section: Methodsmentioning

confidence: 99%

Características epidemiológicas e óbitos de prematuros atendidos em hospital de referência para gestante de alto risco

Freitas¹,

Sant’Ana²,

Longo³

et al. 2012

Rev. bras. ter. intensiva

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“…A utilização de fonte eletrônica dos dados de domínio público como o SIP/CLAP representou um grande avanço neste estudo, por ser informação qualificada e com dados validados 28 , a qual fundamentou a realização do diagnóstico de saúde perinatal da instituição nos dois períodos estudados. A informação foi obtida no local onde o cuidado era fornecido, e isso representa uma estratégia fundamental de avaliação da implementação de práticas clínicas potencialmente melhores.…”

Section: Idadeunclassified

Assessment of the profile of births and deaths in a referral hospital

Rego¹,

França

Travassos³

et al. 2010

J Pediatr (Rio J)

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Important differences were verified concerning health care assistance procedures and perinatal results, and they are compatible with the global improvement in neonatal health observed in the 2003-2006 period. However, the persistence of unfortunate neonatal incidents that can be reduced with the use of available perinatal technologies reveals the need for constant monitoring of perinatal hospital care for all groups of newborns.

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“…The use of a publicly accessible, electronic data source such as SIP/CLAP represented an important advance in this study, because it offered qualified information and validated data, 28 which supported our assessment of perinatal health care provided by the institution in the two periods studied.…”

Section: Total Birthsmentioning

confidence: 75%

Avaliação do perfil de nascimentos e óbitos em hospital de referência

Rego¹,

França²,

Travassos³

et al. 2010

J. Pediatr. (Rio J.)

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Objective: To compare perinatal health indicators in a referral hospital in Belo Horizonte, Brazil. Methods:Perinatal results and indicators of single live births in Hospital das Clínicas of Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil, were compared for two periods, 1995-1998 and 2003-2006. The chi-square test and Student's t test were applied with 5% significance level and 95% confidence interval. Data were obtained from the Perinatal Information System (Sistema Informático Perinatal, SIP), Latin American Center for Perinatology (Centro Latinoamericano de Perinatología, CLAP), Pan American Health Organization (PAHO), Hospital das Clínicas, and from medical records. Results:Mothers were approximately 26 years old on average. The number of prenatal appointments had an average increase of one appointment, regardless of birth weight, and there was a significant decrease in the number of caesarean deliveries in the second period. The average gestational age was 38 weeks in both periods, with a high rate of premature births (17.0 and 16.7%, respectively). The rate of newborns < 2,500 g was high in both periods (17.6 and 16.6%, respectively) with a decrease in the rate of newborns considered small for their gestational age. When congenital malformations were excluded, early neonatal mortality risk decreased from 12.4 per 1,000 live births in the first period to 8.0 per 1,000 live births in the second period, with considerable decrease for newborns with gestational age < 34 weeks.Conclusions: Important differences were verified concerning health care assistance procedures and perinatal results, and they are compatible with the global improvement in neonatal health observed in the 2003-2006 period. However, the persistence of unfortunate neonatal incidents that can be reduced with the use of available perinatal technologies reveals the need for constant monitoring of perinatal hospital care for all groups of newborns.J Pediatr (Rio J). 2010;86(4):295-302: Health services evaluation, information systems, neonatal mortality, infant mortality.

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Avaliação da qualidade da informação do Sistema de Informação Perinatal (SIP-CLAP /OPAS) para monitoramento da assistência perinatal hospitalar, Belo Horizonte, 2004

Cited by 5 publications

References 20 publications

Características epidemiológicas e óbitos de prematuros atendidos em hospital de referência para gestante de alto risco

Características epidemiológicas e óbitos de prematuros atendidos em hospital de referência para gestante de alto risco

Assessment of the profile of births and deaths in a referral hospital

Avaliação do perfil de nascimentos e óbitos em hospital de referência

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