Characteristics and Factors Associated with Health Care in Children Younger than 1 Year with Very Low Birth Weight

Melo, Ana M.C.; Kassar, Samir Buainain; Lira, Pedro Israel Cabral de; Coutinho, Sônia Bechara; Eickmann, Sophie Helena; Lima, Marília C.

doi:10.1016/j.jped.2013.02.012

Cited by 5 publications

(5 citation statements)

References 26 publications

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“…Low socioeconomic and education levels have already been correlated with low supplement adherence elsewhere. Moreover, micronutrient deficiencies are more prevalent in groups of lower socioeconomic status because they have greater risk factor exposure 10 .…”

Section: Discussionmentioning

confidence: 99%

“…Preemies are at greater risk of developing iron, zinc and vitamin A deficiencies because they have low stores of these nutrients 7 and because they are suddenly exposed to an environment that exacerbates existing nutritional deficiencies after umbilical cord clamping 6 . Their vulnerability is also increased by low successful breastfeeding rates 8 , unknown nutritional requirements 9 , and quantitatively and qualitatively inadequate monitoring by their families and health care teams at the various levels of care 10 .…”

Section: Introductionmentioning

confidence: 99%

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Micronutrient supplementation adherence and influence on the prevalences of anemia and iron, zinc and vitamin A deficiencies in preemies with a corrected age of six months

Freitas¹,

Lima²,

Moreira³

et al. 2016

Clinics

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OBJECTIVE:To analyze adherence to the recommended iron, zinc and multivitamin supplementation guidelines for preemies, the factors associated with this adherence, and the influence of adherence on the occurrence of anemia and iron, zinc and vitamin A deficiencies.METHODS:This prospective cohort study followed 58 preemies born in 2014 until they reached six months corrected age. The preemies were followed at a referral secondary health service and represented 63.7% of the preterm infants born that year. Outcomes of interest included high or low adherence to iron, zinc and multivitamin supplementation guidelines; prevalence of anemia; and prevalences of iron, zinc, and vitamin A deficiencies. The prevalence ratios were calculated by Poisson regression.RESULTS:Thirty-eight (65.5%) preemies presented high adherence to micronutrient supplementation guidelines. At six months of corrected age, no preemie had vitamin A deficiency. The prevalences of anemia, iron deficiency and zinc deficiency were higher in the low-adherence group but also concerning in the high-adherence group. Preemies with low adherence to micronutrient supplementation guidelines were 2.5 times more likely to develop anemia and 3.1 times more likely to develop zinc deficiency. Low maternal education level increased the likelihood of nonadherence to all three supplements by 2.2 times.CONCLUSIONS:Low maternal education level was independently associated with low adherence to iron, zinc and vitamin A supplementation guidelines in preemies, which impacted the prevalences of anemia and iron and zinc deficiencies at six months of corrected age.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Micronutrient supplementation adherence and influence on the prevalences of anemia and iron, zinc and vitamin A deficiencies in preemies with a corrected age of six months

Freitas¹,

Lima²,

Moreira³

et al. 2016

Clinics

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“…NB survival reflects the service structure for pregnant women and newborn infants in various regions and countries. Current studies indicate that neonatal intensive care reduces the rate of neonatal mortality and morbidity, especially in high risk NB groups, including premature babies, patients with severe congenital malformations, and patients with diseases requiring surgery (2).…”

Section: ' Introductionmentioning

confidence: 99%

“…The increase in the survival rate of premature infants, especially among infants with VLBW, has been observed in developed, as well as developing countries. The vulnerability of these babies, the risk of dying, and the incidence of sequels resulting from the conditions of their birth highlight the need for monitoring and evaluating their long-term prognoses (2).…”

Section: ' Introductionmentioning

confidence: 99%

“…The scores predicted death accurately in a large cohort of 14,610 infants in the original validation (1). Since then, SNAP-II and SNAPPE-II have facilitated the comparison of practices and outcomes in two very large neonatal networks, namely the Canadian Neonatal Network and the Kaiser Permanente network of NICUs in California (2,3). These scores were validated and re-applied in various studies and in various countries (1)(2)(3)(4)(5).…”

Section: ' Introductionmentioning

confidence: 99%

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Survival prognosis of newborns from an intensive care unit through the SNAP-PE II risk score

Lima¹,

Ribeiro²,

Juliano³

et al. 2020

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Although child mortality has declined significantly in recent decades, the reduction of neonatal mortality remains a major challenge as neonatal mortality represents 2/3 of the mortality rate in this population. The objective of this study was to evaluate the utility of the Score for Neonatal Acute Physiology Perinatal Extension II (SNAP-PE II) score for evaluating the survival prognosis of newborns admitted to a neonatal intensive care unit (NICU). METHODS: The study design involved an observational cross-sectional retrospective collection, as well as a prospective component. The sample included all newborns admitted to the NICU validated by the SNAP-PE II tool from January 1 to December 31, 2014. RESULTS: A predominance of young mothers (25.4 years), underwent prenatal care (86.2%), however a considerable percentage (49.4%) of mothers received insufficient medical consultation (less than six consults during their pregnancy). A prevalence of male admissions (62.4%) were noted in the NICU. Premature (61.7%) and underweight (weight o2,500 grams) newborns were also prevalent. The SNAP-PE II score showed an association between the infants who were discharged from the neonatal unit and the non-survivors. An increased prevalence of low birth weight and hypothermia was noted in the group of non-survivors. The mean arterial pressure appears to be a significant risk factor in the newborn group that progressed to death. Hypothermia, mean arterial pressure, and birth weight were the most significant variables associated with death. CONCLUSION: The SNAP-PE II was a beneficial indicator of neonatal mortality. The prevention of prematurity and hypothermia by improving maternity care and newborn care can decisively influence neonatal mortality.

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Qualidade de vida relacionada à saúde de recém-nascidos prematuros de muito baixo peso no primeiro ano pós-termo

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de²

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Characteristics and Factors Associated with Health Care in Children Younger than 1 Year with Very Low Birth Weight

Cited by 5 publications

References 26 publications

Micronutrient supplementation adherence and influence on the prevalences of anemia and iron, zinc and vitamin A deficiencies in preemies with a corrected age of six months

Micronutrient supplementation adherence and influence on the prevalences of anemia and iron, zinc and vitamin A deficiencies in preemies with a corrected age of six months

Survival prognosis of newborns from an intensive care unit through the SNAP-PE II risk score

Qualidade de vida relacionada à saúde de recém-nascidos prematuros de muito baixo peso no primeiro ano pós-termo

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