Validade, confiabilidade e evitabilidade da causa básica dos óbitos neonatais ocorridos em unidade de cuidados intensivos da Rede Norte-Nordeste de Saúde Perinatal

Abstract

Abstract

Agreement on underlying causes of infant death between original records and after investigation: analysis of two biennia in the years 2000

“…Several studies have assessed the quality of information about underlying causes of infant death described in the DC [3][4][5][6][7][8][9] . Comparisons between the causes originally reported in statements with those defined after investigation in hospital records, in results of medical autopsies, and in interviews with relatives represent the most used kinds of evaluation.…”

Concordância da causa básica e da evitabilidade dos óbitos infantis antes e após a investigação no Recife, Pernambuco, 2014*

“…25,26 Altering the epidemiological profile of these deaths can help achieve decisive changes in health interventions aimed at optimizing the prognosis of newborns and avoiding an unfavorable outcome. 5 The causes of death that were not clearly preventable and ill-defined were also reduced after the investigation. This finding reinforces the idea that the investigation of deaths through the conduction of audits on mortality and verbal autopsy has contributed to the quality of information on vital events.…”

“…Studies point out that changes in the cause of death and their classification regarding preventability redirect actions to achieve it, constituting a defining element of greater or lesser possibility of success in coping with and preventing infant deaths. 1,5,20 After investigation and reclassification of deaths according to the preventability criteria, it was found that nine out of ten deaths were considered preventable by SUS interventions. Among these deaths, the early neonatal component presented the highest percentage of preventable causes when compared to the other components, both before and after the investigation.…”

“…1 The adequate classification and record of the underlying cause of death favors the assignment of preventability criteria to infant deaths. 5 This classification allows the monitoring of the quality of health services, the analysis of the mortality trends and the planning of actions to reduce them. 6 In order to improve the quality of the DC information, the Ministry of Health and the state and municipal health departments have developed a number of strategies, 7 among them the training of physicians, the strengthening of the Death Verification Services (SVO) and the Forensic Medicine Institutes (FMI).…”

Nursing In Front Of Technology As A Care Fundament On UTI Obstetric/Neonatal

“…In these technological innovation services for care, only pregnant women with complications and premature neonates were admitted, with the minimum of intervention and handling by the professionals, which aimed to prevent infections and recovery of the body through measures of temperature control, rest, hygiene, nutrition, stillness and other [13].…”