CRIB score for predicting neonatal mortality risk

Lúcia, Ana; Sarquis, F.; Miyaki, Mitsuru

doi:10.2223/jped.835

Cited by 18 publications

(17 citation statements)

References 12 publications

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“…19,20 We also collected data on patient characteristics and diseases that have been shown to affect mortality. These data include GA, birth weight, antenatal steroid exposure, Apgar score at 5 minutes, gender, IVH grades III to IV, NEC (Bell stages II-III), and cultureproven sepsis.…”

Section: Methodsmentioning

confidence: 99%

Failure of Ductus Arteriosus Closure Is Associated With Increased Mortality in Preterm Infants

et al. 2009

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Section: Methodsmentioning

confidence: 99%

Failure of Ductus Arteriosus Closure Is Associated With Increased Mortality in Preterm Infants

et al. 2009

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“…In Brazil, some initiatives attempted to evaluate the quality of neonatal intensive care using this methodology. [4][5][6][7] However, the use of individual-based scoring systems for health system evaluations with a large number of health facilities may not be feasible.…”

Section: Neonatal Near Miss Approach In the 2005 Who Global Survey Brmentioning

confidence: 99%

Abordagem do near miss neonatal no 2005 WHO Global Survey Brazil

Pileggi¹,

Souza²,

Cecatti³

et al. 2010

J. Pediatr. (Rio J.)

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Objectives: To explore the use of the neonatal near miss concept as a tool to evaluate the quality of neonatal care, as 3 million early neonatal deaths occur every year around the world and the majority of these deaths are avoidable and take place in developing countries.Methods: This is a secondary analysis of the 2005 WHO Global Survey on Maternal and Perinatal Health, a crosssectional study, using data from 19 randomly selected Brazilian hospitals. A pragmatic definition of neonatal near miss was developed and tested. Near miss indicators were calculated.Results: Among the 15,169 live born infants included in this analysis, 424 presented at least one of the following conditions: very low birth weight, less than 30 gestational weeks at birth or an Apgar score at the 5th minute of life less than 7. According to the operational definition, these survivors from life-threatening conditions were considered neonatal near miss cases. The early neonatal mortality rate was 8.2/1,000 live births, the neonatal near miss rate was 21.4 neonatal near miss cases/1,000 live births. Substantial variations in the mortality among neonates with life-threatening conditions at birth were observed suggesting intra-hospital quality of care issues. Conclusion:The near miss concept and indicators provided information that could be useful to evaluate the quality of care and set priorities for further assessments and health care improvement for newborn infants. J Pediatr (Rio J). 2010;86(1):21-26:Neonatal near miss, early neonatal mortality, quality care evaluation.

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“…O sistema para a avaliação do grau de gravidade durante as primeiras horas de internação na unidade de tratamento intensivo neonatal, denominado Clinical Risk Index Babies (CRIB), mostrou uma importante associação com a mortalidade neonatal, tendo uma acurácia melhor que o peso e a idade gestacional 26,27,28 .…”

Section: Introductionunclassified

Fatores associados à morte neonatal em recém-nascidos de muito baixo peso em quatro maternidades no Município do Rio de Janeiro, Brasil

Duarte

Mendonça

2005

Cad. Saúde Pública

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Os recém-nascidos de muito baixo peso representam a grande maioria das mortes no período neonatal, constituindo o maior percentual da mortalidade infantil no Brasil. Este estudo, do tipo longitudinal, incluiu um total de 487 recém-nascidos e propôs uma análise dos fatores associados à mortalidade em recém-nascidos de muito baixo peso até completarem 27 dias de vida. Foram calculados os riscos relativos de óbito para cada uma das variáveis estudada, e as que se mostraram estatisticamente significativas foram selecionadas para o modelo multivariado, no qual se calcularam as razões de chances (OR) com a regressão logística. Os fatores associados à diminuição do risco de morte foram: uso de corticosteróide antenatal (OR = 0,40; IC90%: 0,23-0,74) e uso de nutrição parenteral total (OR = 0,06; IC90%: 0,02-0,15). Os fatores associados ao risco de morte foram: recém-nascido do sexo masculino (OR = 2,19; IC90%: 1,27-4,00); hemorragia materna (OR = 4,28; IC90%: 1,27-14,46) e uso de ventilação mecânica (OR = 18,83; IC90%: 5,15-68,87); escore de CRIB (OR = 4,48; IC90%: 2,43-8,27) e peso ao nascimento. O uso de corticosteróide antenatal deve ser mais difundido, visando à diminuição da morbi-mortalidade neonatal.

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CRIB score for predicting neonatal mortality risk

Cited by 18 publications

References 12 publications

Failure of Ductus Arteriosus Closure Is Associated With Increased Mortality in Preterm Infants

Failure of Ductus Arteriosus Closure Is Associated With Increased Mortality in Preterm Infants

Abordagem do near miss neonatal no 2005 WHO Global Survey Brazil

Fatores associados à morte neonatal em recém-nascidos de muito baixo peso em quatro maternidades no Município do Rio de Janeiro, Brasil

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