Apgar score and neonatal mortality in a hospital located in the southern area of São Paulo City, Brazil
Objective: To correlate the Apgar score, and neonatal mortality andits causes at a hospital located in the southern area of São Paulo City. Methods: A retrospective study performed by analysis of medicalcharts (n=7,094) of all live newborns during the period of 2005 to2009, with data up to 28 days o...
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| Format: | Article |
| Language: | English |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
2012-03-01
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| Series: | Einstein (São Paulo) |
| Subjects: | |
| Online Access: | http://apps.einstein.br/revista/arquivos/PDF/1917-22-28.pdf |
| _version_ | 1817985632955269120 |
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| author | Tatiana Gandolfi de Oliveira Paula Vieira Freire Flávia Thomé Moreira Juliana da Silva Bemfeito de Moraes Raquel Coris Arrelaro Sarah Rossi Viviane Alves Ricardi Yara Juliano Neil Ferreira Novo José Ricardo Dias Bertagnon |
| author_facet | Tatiana Gandolfi de Oliveira Paula Vieira Freire Flávia Thomé Moreira Juliana da Silva Bemfeito de Moraes Raquel Coris Arrelaro Sarah Rossi Viviane Alves Ricardi Yara Juliano Neil Ferreira Novo José Ricardo Dias Bertagnon |
| author_sort | Tatiana Gandolfi de Oliveira |
| collection | DOAJ |
| description | Objective: To correlate the Apgar score, and neonatal mortality andits causes at a hospital located in the southern area of São Paulo City. Methods: A retrospective study performed by analysis of medicalcharts (n=7,094) of all live newborns during the period of 2005 to2009, with data up to 28 days of life in reference to weight, Apgarscore, survival and cause of mortality. Cases were analyzed by theX² test (p < 0.05). Results: In 7,094 births, there were 139 deaths,58.3% during the first week, and 3.6% of them with Apgar < 4 inthe 1st minute. A positive association was found between mortalityand this variable, with significantly declining values up to 2,000 gin weight. In the group with weight < 1,000 g, the association withApgar < 4 in the 1st minute with mortality was three-fold greaterthan in the 1,000-1,500 g weight group, and 35-fold greater than inthe ≥ 3,000 g group. Among newborns with Apgar 8-10, the rate ofmortality and low weight was two times greater than in those withweight > 2,499 g. Fetal distress and prematurity were associated withearly neonatal death; malformations and fetal distress to late mortality. The predictive value of death with Apgar < 4 varied, according to weight, from 62.74% in the < 1,000 g group to 5.5%, in the > 3,000 g group. Conclusions: The Apgar score proved linked to factors both epidemiological and related to attention given to the birth and neonatal mortality, and was associated with extremely low birth weight. |
| first_indexed | 2024-04-14T00:00:36Z |
| format | Article |
| id | doaj.art-c1c2e41b540a402ab9ee19a1d3635b0e |
| institution | Directory Open Access Journal |
| issn | 1679-4508 |
| language | English |
| last_indexed | 2024-04-14T00:00:36Z |
| publishDate | 2012-03-01 |
| publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
| record_format | Article |
| series | Einstein (São Paulo) |
| spelling | doaj.art-c1c2e41b540a402ab9ee19a1d3635b0e2022-12-22T02:23:44ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)1679-45082012-03-011012228Apgar score and neonatal mortality in a hospital located in the southern area of São Paulo City, BrazilTatiana Gandolfi de OliveiraPaula Vieira FreireFlávia Thomé MoreiraJuliana da Silva Bemfeito de MoraesRaquel Coris ArrelaroSarah RossiViviane Alves RicardiYara JulianoNeil Ferreira NovoJosé Ricardo Dias BertagnonObjective: To correlate the Apgar score, and neonatal mortality andits causes at a hospital located in the southern area of São Paulo City. Methods: A retrospective study performed by analysis of medicalcharts (n=7,094) of all live newborns during the period of 2005 to2009, with data up to 28 days of life in reference to weight, Apgarscore, survival and cause of mortality. Cases were analyzed by theX² test (p < 0.05). Results: In 7,094 births, there were 139 deaths,58.3% during the first week, and 3.6% of them with Apgar < 4 inthe 1st minute. A positive association was found between mortalityand this variable, with significantly declining values up to 2,000 gin weight. In the group with weight < 1,000 g, the association withApgar < 4 in the 1st minute with mortality was three-fold greaterthan in the 1,000-1,500 g weight group, and 35-fold greater than inthe ≥ 3,000 g group. Among newborns with Apgar 8-10, the rate ofmortality and low weight was two times greater than in those withweight > 2,499 g. Fetal distress and prematurity were associated withearly neonatal death; malformations and fetal distress to late mortality. The predictive value of death with Apgar < 4 varied, according to weight, from 62.74% in the < 1,000 g group to 5.5%, in the > 3,000 g group. Conclusions: The Apgar score proved linked to factors both epidemiological and related to attention given to the birth and neonatal mortality, and was associated with extremely low birth weight.http://apps.einstein.br/revista/arquivos/PDF/1917-22-28.pdfAsphyxia neonatorumNeonatal mortality (Public Health)Hospitalpublic |
| spellingShingle | Tatiana Gandolfi de Oliveira Paula Vieira Freire Flávia Thomé Moreira Juliana da Silva Bemfeito de Moraes Raquel Coris Arrelaro Sarah Rossi Viviane Alves Ricardi Yara Juliano Neil Ferreira Novo José Ricardo Dias Bertagnon Apgar score and neonatal mortality in a hospital located in the southern area of São Paulo City, Brazil Einstein (São Paulo) Asphyxia neonatorum Neonatal mortality (Public Health) Hospital public |
| title | Apgar score and neonatal mortality in a hospital located in the southern area of São Paulo City, Brazil |
| title_full | Apgar score and neonatal mortality in a hospital located in the southern area of São Paulo City, Brazil |
| title_fullStr | Apgar score and neonatal mortality in a hospital located in the southern area of São Paulo City, Brazil |
| title_full_unstemmed | Apgar score and neonatal mortality in a hospital located in the southern area of São Paulo City, Brazil |
| title_short | Apgar score and neonatal mortality in a hospital located in the southern area of São Paulo City, Brazil |
| title_sort | apgar score and neonatal mortality in a hospital located in the southern area of sao paulo city brazil |
| topic | Asphyxia neonatorum Neonatal mortality (Public Health) Hospital public |
| url | http://apps.einstein.br/revista/arquivos/PDF/1917-22-28.pdf |
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