{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T12:17:09Z","timestamp":1648642629623},"reference-count":25,"publisher":"FapUNIFESP (SciELO)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Sa\u00fade P\u00fablica"],"published-print":{"date-parts":[[2007,12]]},"abstract":"<jats:p>OBJETIVO: Analisar a mortalidade intra-hospitalar dos rec\u00e9m-nascidos de muito baixo peso, considerando a evolu\u00e7\u00e3o cl\u00ednica e os fatores associados \u00e0 mortalidade. M\u00c9TODOS: Estudo longitudinal que incluiu 360 rec\u00e9m-nascidos com peso entre 500 e 1.500g, em Londrina, Paran\u00e1, de 1\/1\/2002 a 30\/6\/2004. Os dados foram coletados por meio de entrevistas com as m\u00e3es, an\u00e1lise dos prontu\u00e1rios e acompanhamento dos rec\u00e9m-nascidos. Para determina\u00e7\u00e3o de associa\u00e7\u00e3o entre as vari\u00e1veis utilizou-se o teste do qui-quadrado e an\u00e1lise de regress\u00e3o log\u00edstica com modelo hierarquizado, com n\u00edvel de signific\u00e2ncia de 5%. RESULTADOS: A taxa de mortalidade foi de 32,5%. Na an\u00e1lise bivariada, as vari\u00e1veis associadas ao \u00f3bito oram: n\u00e3o uso de corticoster\u00f3ide antenatal, aus\u00eancia de hipertens\u00e3o arterial\/pr\u00e9-eclampsia, presen\u00e7a de trabalho de parto, parto normal, apresenta\u00e7\u00e3o n\u00e3o cef\u00e1lica, Apgar &lt; 3 no primeiro e quinto minutos, Clinical Risk Index for Babies &gt; 5, reanima\u00e7\u00e3o na sala de parto, sexo masculino, idade gestacional &lt; 28 semanas, peso &lt; 750g, s\u00edndrome do desconforto respirat\u00f3rio, pneumot\u00f3rax, hemorragia intracraniana e ventila\u00e7\u00e3o mec\u00e2nica. Ap\u00f3s regress\u00e3o log\u00edstica, permaneceram como fatores de risco: baixa renda per capita, n\u00e3o uso de corticoster\u00f3ide antenatal e n\u00e3o uso de press\u00e3o positiva cont\u00ednua de vias a\u00e9reas. CONCLUS\u00d5ES: Mesmo com o uso de tecnologias, a mortalidade observada nos rec\u00e9m-nascidos de muito baixo peso foi alta quando comparada com os pa\u00edses desenvolvidos. A maior utiliza\u00e7\u00e3o do corticoster\u00f3ide antenatal poder\u00e1 diminuir a morbidade e mortalidade de rec\u00e9m-nascidos de muito baixo peso.<\/jats:p>","DOI":"10.1590\/s0034-89102007000600016","type":"journal-article","created":{"date-parts":[[2007,12,5]],"date-time":"2007-12-05T20:01:18Z","timestamp":1196884878000},"page":"1003-1012","source":"Crossref","is-referenced-by-count":9,"title":["Assist\u00eancia \u00e0 sa\u00fade e mortalidade de rec\u00e9m-nascidos de muito baixo peso"],"prefix":"10.1590","volume":"41","author":[{"given":"Ana Berenice Ribeiro de","family":"Carvalho","sequence":"first","affiliation":[{"name":"Universidade Estadual de Londrina,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c2ngela Sara Jamusse de","family":"Brito","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Londrina,  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