Factors related to duration of hospitalization and death in premature newborns

Abstract

Objective: To analyze factors related to prolonged hospitalization and death in premature newborns in a border region. Method: Cross-sectional study, with retrospective data collection, which analyzed 951 medical records of premature newborns hospitalized between 2013 and 2017. The independent variables were maternal age, nationality, prenatal appointments, maternal intercurrences, gestational age, weight at birth, Apgar, complications; the dependent variables were days of hospitalization, discharge, death, and transference. The tests Pearson Chi-squared and Fisher’s Exact were employed. Results: Premature birth amounted to 10.3%; out of these, 43.3% were hospitalized. The prevalence of mortality was 21.3%. Few prenatal appointments, maternal intercurrences, low fifth minute Apgar, and the baby’s health complications increased days of hospitalization. Lower weight and gestational age, low Apgar and complications with the baby increased death. Conclusion: Understanding hospitalization aspects enabled the identification of factors that lead to complications to the premature newborn, which are relevant to efforts to overcome unfavorable outcomes and face challenges posed by the sequels throughout life. The integration between countries and their borders is a notorious condition to accelerate care processes and promote better outcomes.

Por que devemos nos preocupar com os bebês a termo internados em uma unidade de terapia intensiva neonatal

“…Embora sejam RNs a termo, o baixo peso da amostra associou-se com maior tempo de internação, sendo o ganho de peso um pré-requisito para a alta 20 . Já Rohininath et al 21 , em um estudo sobre admissões de bebês pesando mais de 2.500g na UTIN, verificaram que a porcentagem de bebês a termo foi de 54% de todas as admissões na UTIN e, desses, 12,8% não exigiam cuidados de alto nível, sendo consideradas internações potencialmente evitáveis.…”

Why we should care about full-term infants admitted to a neonatal intensive care unit

“…Despite being full-term newborns, the low weight of the sample was associated with longer hospitalization time, and weight gain was a prerequisite for discharge 20 . Rohininath et al 21 , in a study on admissions of infants weighing more than 2,500g in the NICU, found that the percentage of full-term newborns was 54% of all admissions to the NICU, and out of these, 12.8% did not require high-level care, and were considered potentially avoidable hospitalizations.…”

Elaboration and implementation of a protocol for the Golden Hour of premature newborns using an Implementation Science lens

“…The first 60 minutes of a premature NB's life, referred to as the Golden Hour, are essential for maintaining NB life. The Golden Hour strategy focuses on specific goals, developed in Neonatology (2)(3) .…”