| Neonatal near miss approach in the 2005 WHO Global Survey Brazil. | |
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MedLine Citation:
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PMID: 20151094 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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 cross-sectional 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. |
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Authors:
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Cynthia Pileggi; João P Souza; Jose G Cecatti; Anibal Faúndes |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
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Title: Jornal de pediatria Volume: 86 ISSN: 1678-4782 ISO Abbreviation: J Pediatr (Rio J) Publication Date: 2010 Jan-Feb |
Date Detail:
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Created Date: 2010-02-12 Completed Date: 2010-10-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 2985188R Medline TA: J Pediatr (Rio J) Country: Brazil |
Other Details:
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Languages: eng Pagination: 21-6 Citation Subset: IM |
Affiliation:
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Independent consultant, Perinatology and Newborn Health, Geneva, Switzerland. cynthiapileggi@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Apgar Score Asphyxia Neonatorum / epidemiology* Brazil / epidemiology Cross-Sectional Studies Female Gestational Age Humans Infant Mortality* Infant, Low Birth Weight / physiology Infant, Newborn Live Birth / epidemiology Maternal Health Services / standards* Outcome and Process Assessment (Health Care) / methods* Pregnancy World Health Organization |
| Comments/Corrections | |
Comment In:
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J Pediatr (Rio J). 2010 Jan-Feb;86(1):1-2
[PMID:
20151097
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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