Identificação de casos de near miss neonatal: que critérios são usados no cenário brasileiro : revisão integrativa

Abstract

Objective: Analyze the Brazilian scientific evidence on the criteria used to identify the neonatal near miss cases. Methods: Consists of an integrative review which used Pubmed/Medline, Scielo and Lilacs databases. The selection criteria consisted of original Brazilian papers who approach the neonatal near miss criteria, full text, published in Portuguese, English or Spanish between 2007 and 2017 with results, methods and populations consistent. The mesh terms used are “Near miss”, “neonatal”, “Neonatal mortality” and “Neonatal morbidity” in English and Portuguese. Results: This review contemplate five papers, 2 cross-sectional studies, 2 cohorts study, and 1 database descriptive study. It was noted an inexistence of Neonatal near miss diagnostic criteria. The 5 minute Apgar < 7 markers and the mechanical ventilation was the most concordant criteria, and variations occur among birth weight and gestational age. Conclusion: We had a restricted sample, despite the increasing local research, and is noticeable the lack of consensus about Neonatal near miss criteria, however the birth weight, gestational age, and the 5 minutes Apgar were able to predict Neonatal near miss.