Survival at nine neonatal intensive care units in Sao Paulo, Brazil

Maria Teresa Zullini, Maurizio Bonati, Elena Sanvito, Martha S C Campos, Yassuhiko Okay, Maria Do Carmo D Oliveira, José Lauro A Ramos, Maria Delizete B Spallicci, Flavio Adolfo C Vaz, João Coriolano R Barros, Roberto Bittar, Durval A. Damel Filho, Sidney J. Bruno, Sergio Daré, Glória Celeste V R Fernandes, Bettina Barbosa D Figueira, Suzana Altikes Hazzan, Manoel Reginaldo R De Holanda, Josina Maria Pereira Hordones, Elise M. KamiguchiEgle T. Leoncio, Eliane Paula B Martins, Maria Joseé G Mattar, Maria De Lourdes Mendes Menezes, Eduardo A. Merbin, Laiz Moises, Ana Maria Alves De Rezende, Claudia Serafin, Elizabeth Antunes Silveira, Marli Da Costa Taraia, Ricardo Ushiro, Agenor F. Luiz, Cheung H L Russo, Maria Fernanda B De Almeida, Ruth Guinsburg, Jane Kanstorawitz, Milton M. Miyoshi, Sineida A. Rodrigues, Leila Raquel R Brunoni, Ana Maria A G P Melo, Helenilce De P F Costa, Suely Donato, Renilce Pedrosa, Maria M F Tavares, Newton R G Da Silva, Maria Do Rosário D O Latorre

Research output: Contribution to journalArticlepeer-review

Abstract

A collaborative effort to assess factors affecting newborn survival at neonatal intensive care units (NICUs) was made by studying 1948 newborns admitted to nine NICUs in the city of Sao Paulo between 1 June and 30 November 1991. Data on the study subjects were obtained using a standardized form. This was the first activity undertaken by a network of neonatologists (the Paulista Collaborative Group on Neonatal Care) dedicated to jointly evaluating and improving neonatal care in that city. The study results showed an overall mortality of 59 deaths per 1000 neonates, with survival improving as gestational age and birthweight rose. Other variables significantly affecting survival were a poor maternal obstetric history (a previous stillbirth or neonatal death, or two or more spontaneous abortions); birth asphyxia (Apgar at 5 minutes

Original languageEnglish
Pages (from-to)303-309
Number of pages7
JournalRevista Panamericana de Salud Publica/Pan American Journal of Public Health
Volume2
Issue number5
Publication statusPublished - Nov 1997

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Geography, Planning and Development

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