Nursing Care to Newborns with Respiratory Distress Syndrome in Intensive Care Unit

Torres, Larissa Mendonça; Paiva, Anelly Barbara Feitosa de; Diniz, Antonia Emanuella Oliveira; Moreira, Brenda Carla de Oliveira; Sousa, Yanna Gomes de; Medeiros, Soraya Maria de; Carvalho, Jovanka Bittencourt Leite de

doi:10.3823/1951

Cited by 1 publication

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“… 32 In Brazil, the partnership among 49 neonatal units, all over the country, with the Vermont-Oxford Network, shows the increasing pursuit for offering better neonatal care. 33 On the other hand, several Brazilian neonatal intensive care teams are still composed by high number of nonspecialist nurses, working in units without continued education initiatives, and with inadequate ratio of patients per nurse, which are problems that may impair the quality of care 34 and contribute to the high frequency of RDS-associated neonatal deaths during the first few days after birth in vulnerable preterm live births.…”

Section: Discussionmentioning

confidence: 99%

Temporal Trend and Risk Factors for Respiratory Distress Syndrome–Associated Neonatal Mortality in Preterm Infants: A Population-Based Study in a Middle-Income Country

et al. 2022

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Objective This article aimed to report a temporal series of respiratory distress syndrome (RDS)-associated neonatal mortality rates in preterm live births in São Paulo state, Brazil, and to identify social, maternal, and neonatal characteristics associated with these deaths. Study Design This is a population-based study of all live births with gestational age (GA) between 22 and 36 weeks, birth weight ≥400 g, without congenital anomalies from mothers living in São Paulo state during 2004 to 2015. RDS-associated neonatal mortality was defined as death up to 27 days after birth with ICD-10 codes P22.0 or P28.0. RDS-associated neonatal mortality rate (annual percent change [APC] with 95% confidence intervals [95% CIs]) was analyzed by Prais–Winsten. Kaplan–Meier estimator identified the time after birth that the RDS-associated neonatal death occurred. Poisson's regression model compared social maternal and neonatal characteristics between preterm live births that survived the neonatal period and those with RDS-associated neonatal deaths, with results expressed in incidence rate ratio and 95% CI. Results A total of 645,276 preterm live births were included in the study, of which 612,110 survived and 11,078 had RDS-associated neonatal deaths. RDS-associated neonatal mortality rate was 17.17 per thousand preterm live births, with a decreasing annual trend (APC: −6.50%; 95% CI: −9.11 to −3.82%). The median time of these deaths was 48 hours after birth. The following risk factors for RDS-associated neonatal death were identified: maternal schooling ≤7 years (1.18; 1.09–1.29), zero to three prenatal care visits (1.25; 1.18–1.32), multiple pregnancy (1.24; 1.16–1.33), vaginal delivery (1.29; 1.22–1.36), GA 22 to 27 weeks (106.35; 98.36–114.98), GA 28 to 31 weeks (20.12; 18.62–21.73), male sex (1.16; 1.10–1.22), and 5-minute Apgar scores of 0 to 3 (6.74; 6.08–7.47) and 4 to 6 (3.97; 3.72–4.23). Conclusion During the study period, RDS-associated neonatal mortality rates showed significant reduction. The relationship between RDS-associated neonatal deaths and social, maternal, and neonatal factors suggests the need for perinatal strategies to reduce prematurity and to improve the initial management of preterm infants. Key Points

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Section: Discussionmentioning

confidence: 99%

Temporal Trend and Risk Factors for Respiratory Distress Syndrome–Associated Neonatal Mortality in Preterm Infants: A Population-Based Study in a Middle-Income Country

et al. 2022

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Nursing Care to Newborns with Respiratory Distress Syndrome in Intensive Care Unit

Abstract: Objective: To identify the main procedures performed by nursing staff to newborns with respiratory distress syndrome.

Cited by 1 publication

References 5 publications

Temporal Trend and Risk Factors for Respiratory Distress Syndrome–Associated Neonatal Mortality in Preterm Infants: A Population-Based Study in a Middle-Income Country

Temporal Trend and Risk Factors for Respiratory Distress Syndrome–Associated Neonatal Mortality in Preterm Infants: A Population-Based Study in a Middle-Income Country

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