{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:11:54Z","timestamp":1760145114830,"version":"build-2065373602"},"reference-count":38,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2024,6,23]],"date-time":"2024-06-23T00:00:00Z","timestamp":1719100800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>Despite advances in neonatology, neonatal mortality from preventable causes remains high in the North and Northeast regions of Brazil. This study aimed to analyze the determinants associated with neonatal and postneonatal mortality in newborns admitted to a neonatal intensive care unit. A cohort study was carried out in a capital in the Brazilian Northeast from 2013 to 2018. The outcome studied was death. Poisson regression was performed in the multivariate analysis of variables. Four hundred and eighty newborns were eligible, and 8.1% (39 newborns) died. Among them, 34 died in the neonatal period. The determinants that remained significantly associated with neonatal and postneonatal mortality in the final adjustment model (p &lt; 0.05) were history of abortion, perinatal asphyxia, early neonatal sepsis and umbilical venous catheterization. All causes of this outcome were preventable. The neonatal mortality rate, although it did not include twins, neonates with malformations incompatible with life and other conditions, was 3.47 deaths per thousand live births (95% CI:1.10\u22128.03\u2030), well below the national average. In this study, pregnant women from different social classes had in common a private plan for direct access to health services, which provided them with excellent care throughout pregnancy and postnatal care. These results indicate that reducing neonatal mortality is possible through public policies with strategies that promote improvements in access to health services.<\/jats:p>","DOI":"10.3390\/healthcare12131249","type":"journal-article","created":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T03:53:43Z","timestamp":1719201223000},"page":"1249","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Determinants of Neonatal and Postneonatal Mortality in Northeastern Brazil: A Cohort Study of Newborns Admitted to the Neonatal Intensive Care Unit"],"prefix":"10.3390","volume":"12","author":[{"given":"Maria Goretti Policarpo","family":"Barreto","sequence":"first","affiliation":[{"name":"Faculdade de Ci\u00eancias e Tecnologia Universidade Fernando Pessoa, Pra\u00e7a 9 de Abril 349, 4249-004 Porto, Portugal"},{"name":"Hospital Regional Unimed Fortaleza (HRU), Avenida Visconde do Rio Branco, 400, S\u00e3o Jo\u00e3o do Tauape, Fortaleza 60420-570, CE, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9777-8406","authenticated-orcid":false,"given":"Cl\u00e1udia","family":"Silva","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancias da Sa\u00fade, RISE-Health, Universidade Fernando Pessoa, Rua Carlos da Maia, 296, 4200-150 Porto, Portugal"},{"name":"FP-I3ID, FP-BHS, Universidade Fernando Pessoa, Pra\u00e7a de 9 de Abril 349, 4249-004 Porto, Portugal"}]},{"given":"Renata Policarpo","family":"Barreto","sequence":"additional","affiliation":[{"name":"Hospital Regional Unimed Fortaleza (HRU), Avenida Visconde do Rio Branco, 400, S\u00e3o Jo\u00e3o do Tauape, Fortaleza 60420-570, CE, Brazil"},{"name":"Centro de Ci\u00eancias da Sa\u00fade, Universidade de Fortaleza (UNIFOR), Avenida Washington Soares, 1321, Edson Queiroz, Fortaleza 60811-905, CE, Brazil"}]},{"given":"Roberta Policarpo","family":"Barreto","sequence":"additional","affiliation":[{"name":"Hospital Regional Unimed Fortaleza (HRU), Avenida Visconde do Rio Branco, 400, S\u00e3o Jo\u00e3o do Tauape, Fortaleza 60420-570, CE, Brazil"},{"name":"Centro de Ci\u00eancias da Sa\u00fade, Universidade Federal do Cear\u00e1 (UFC), Avenida da Universidade, 2853, Benfica, Fortaleza 60020-181, CE, Brazil"}]},{"given":"Lara Moreira Teles","family":"de Vasconcelos","sequence":"additional","affiliation":[{"name":"Hospital Regional Unimed Fortaleza (HRU), Avenida Visconde do Rio Branco, 400, S\u00e3o Jo\u00e3o do Tauape, Fortaleza 60420-570, CE, Brazil"},{"name":"Centro de Ci\u00eancias da Sa\u00fade, Universidade de Fortaleza (UNIFOR), Avenida Washington Soares, 1321, Edson Queiroz, Fortaleza 60811-905, CE, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1774-1337","authenticated-orcid":false,"given":"Maria Concei\u00e7\u00e3o","family":"Manso","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancias da Sa\u00fade, RISE-Health, Universidade Fernando Pessoa, Rua Carlos da Maia, 296, 4200-150 Porto, Portugal"},{"name":"FP-I3ID, FP-BHS, Universidade Fernando Pessoa, Pra\u00e7a de 9 de Abril 349, 4249-004 Porto, Portugal"},{"name":"REQUIMTE-LAQV (Laborat\u00f3rio Associado de Qu\u00edmica Verde), Universidade do Porto, 4050-313 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2713","DOI":"10.1590\/1413-81232018238.15142016","article-title":"Risk factors for neonatal death in an inland region in the State of S\u00e3o Paulo Brazil","volume":"23","author":"Sleutjes","year":"2018","journal-title":"Cien. 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