Tendência das mortes evitáveis até o 6º dia de vida no estado de São Paulo – 2008 a 2017

Sala, Arnaldo; Luppi, Carla Gianna

doi:10.11606/s1518-8787.2020054002309

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…Condições socioeconômicas e estilo de vida também contribuem para elevar o número de óbitos nessa faixa etária. Estima-se que 75% desses óbitos são por causas preveníveis e, portanto, consideradas eventos adversos evitáveis 25 .…”

Section: Discussionunclassified

Segurança do paciente na assistência ao parto: o que é debatido nos grupos de Facebook?

et al. 2022

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A segurança do paciente no contexto da assistência ao parto é um tema que vem ocupando as pautas de discussão sobre qualidade do cuidado materno-infantil ao redor do mundo. Discutir os eventos adversos na assistência ao parto e seus fatores contribuintes, na percepção dos pacientes e familiares, reportados em grupos de Facebook. Trata-se de um estudo qualitativo que utilizou a plataforma de mídia digital Facebook como fonte de dados. Foram analisadas 55 postagens relacionadas à assistência ao parto nos meses de setembro e outubro de 2019, quanto ao conteúdo. Os achados foram classificados em duas categorias: (i) eventos adversos incluindo óbitos do recém-nascido, fetal e materno, hemorragias, infecções, lesões neurológicas, problemas relacionados à cirurgia e ao uso de medicamentos; e (ii) fatores contribuintes como atraso no atendimento, diagnóstico ou tratamento, violência obstétrica, erro diagnóstico e identificação do paciente. As plataformas de mídias digitais, podem se constituir espaços legitimados para debates e manifestações acerca de questões relacionadas à saúde incluindo aquelas ligadas à qualidade do cuidado obstétrico. Valorizar a percepção das pacientes, oriundas dessas ou de outras fontes é fundamental, mas requer o envolvimento de lideranças institucionais e profissionais na operacionalização de estratégias que facilitem a identificação precoce de fatores de risco, e possibilitem o diagnóstico e implementação do tratamento adequado oportuno com a participação ativa de pacientes e familiares.

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Section: Discussionunclassified

Segurança do paciente na assistência ao parto: o que é debatido nos grupos de Facebook?

et al. 2022

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“…Salla and Luppi (33) in the trend analysis of the causes of early neonatal infant mortality in the state of São Paulo did not see possible points of intervention in health services to support these trends. The absence of a tendency to reduce deaths preventable by caring for women during childbirth points to a possible weakness in childbirth care (33).…”

Section: Discussionmentioning

confidence: 99%

Early neonatal mortality trend in adolescent pregnant women in the State of São Paulo, Brazil, from 1996 to 2017

et al. 2021

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Background: The Infant mortality rate indicates the quality of life of a population. Infant mortality has two important components: neonatal mortality, divided into early and late and post-neonatal mortality. The more developed a country is and the greater its population's well-being, the greater the weight of the neonatal component on infant mortality. In addition several factors may determine or be associated with the occurrence of infant deaths including maternal age. The teenage pregnancy rates in Latin America and the Caribbean remain the second highest in the world, In Brazil, between 2010 and 2015, for every thousand adolescents between 15 and 19 years old, about 69 became pregnant and gave birth to their babies. Thus, the objective of this study is to evaluate the trend of Early Neonatal Mortality Rates in children of pregnant adolescents, which occurred in the period 1996-2017, in the state of São Paulo, Brazil, according to the maternal age group. Methods: This is an ecological study of time series using official mortality data obtained from the Mortality Information System and live birth data obtained from the Live Birth Information System. Deaths of newborns aged between zero and six complete days were collected by place of residence. The trends in rates per 1,000 live births were calculated by Prais-Winsten regression, obtaining their annual percentage change (VPA) and the respective 95% confidence intervals, analyzed by age group. All analyzes were processed using the STATA 15.1 software.Results: In the state of São Paulo, between 1996 and 2017, 16,161 deaths were reported in children from zero to six days old and 2,320,584 live births in mothers aged 10-19 years, living in the state of São Paulo, Brazil. Of this total, it was observed that the early neonatal mortality rate decreased until the year 2005-2006, remained stationary after, and was higher in newborns of mothers aged 10-14 years (13.18 per 1,000) compared to mothers between 15-19 years (6.75 per 1,000). Conclusions:In conclusion, although the early neonatal mortality rate showed a significant decreasing trend until approximately 2005, it remained stables after that.

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Death surveillance and contributions to an improved definition of the underlying cause of neonatal death

Pimentel

Lima

Cardoso

et al. 2021

RSD

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Objective: To analyze the improvement of the definition of the underlying cause of neonatal deaths before and after death surveillance in Recife, Pernambuco. Methods: A descriptive study that used data from medical certificates of death, confidential data sheets, summaries of investigations. The profiles and the relocation of the underlying cause of death were compared before and after the investigation through specific chapters and groups of the Tenth Revision of the International Classification of Diseases. The agreement was analyzed using the Kappa index. Results: Of the total 144 deaths investigated, 95 (66.0%) had their underlying cause redefined. During the general analysis of the neonatal component, a reasonable agreement index was identified (0.311; CI95%: 0.272-0.350). All ill-defined causes were clarified after surveillance. There was an increment of the preventability potential for all neonatal deaths, with an emphasis on early deaths, which reached 100% causes registered as preventable. Conclusion: Death surveillance made it possible to improve the specificity of the underlying causes described in the medical certificate of death and may contribute to the reorientation of the strategies to reduce neonatal mortality from the perspective of preventability.

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Tendência das mortes evitáveis até o 6º dia de vida no estado de São Paulo – 2008 a 2017

Cited by 4 publications

References 12 publications

Segurança do paciente na assistência ao parto: o que é debatido nos grupos de Facebook?

Segurança do paciente na assistência ao parto: o que é debatido nos grupos de Facebook?

Early neonatal mortality trend in adolescent pregnant women in the State of São Paulo, Brazil, from 1996 to 2017

Death surveillance and contributions to an improved definition of the underlying cause of neonatal death

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