Fatores relacionados ao óbito hospitalar neonatal

Abstract

OBJECTIVE: To analyze the factors related to deaths in children under 28 days old during the year of 2014 in a tertiary pediatric hospital. METHODS: observational, cross-sectional, analytical, a retrospective held at the Children’s Hospital Albert Sabin/HIAS from January to December 2014 (12 months). Deaths were included, regardless of length of hospital stay, death Declaration Windows and descriptive univariate analysis (frequency, mean, median, standard deviation). RESULTS: The sample has a record of 64 deaths, with a slight predominance of females (51.6%), average age of admission was 3.2 ± 1 days, 50% of neonates who died weighed less than 2,500 grams. The main reference reasons were prematurity (28.5%) and dyspnea (23.4%). As for the quality of such transport 73.4% were regulated and 58.7% were not accompanied by doctors. The basic cause of death was prematurity and immediate cause septic shock. CONCLUSION: The low quality of perinatal care, premature delivery, low birth weight and inadequate postnatal transport are the major contributors to neonatal mortality rates, especially before the 7th day of life.