Qualineo Strategy Indicators Associated with Neonatal Death: A Cross-Sectional Study
Camila Evangelista de Sousa Campelo1, Cynthia Roberta Dias Torres Silva2, Rejane Corrêa Marques1
1Nursing Graduate School, Universidade Federal do Piauí, Teresina 64049-550, Brazil.
Summary
Maternal drug use and Neonatal Intensive Care Unit (NICU) admission predict term newborn deaths. For premature infants, NICU admission, low Apgar scores, and cannula ventilation are key predictors of mortality.
Area of Science:
- Neonatal Medicine
- Public Health
- Epidemiology
Background:
- The Qualineo Strategy is a Brazilian initiative to reduce neonatal mortality in high-risk areas.
- It also serves to enhance teamwork and neonatal care.
- This study focuses on a reference maternity hospital in Piauí, Brazil.
Purpose of the Study:
- To analyze predictors of neonatal death within the Qualineo Strategy's care indicators.
- To identify specific risk factors contributing to mortality in newborns.
- To inform targeted interventions for neonatal mortality reduction.
Main Methods:
- Retrospective analysis of 1856 newborn records from 2021-2022.
- Application of Pearson's chi-squared test for variable association.
- Utilized a predictive regression model to identify mortality predictors.
Main Results:
- Significant associations (p < 0.05) were found between neonatal variables and mortality.
- For term newborns, maternal drug use and NICU admission were significant predictors.
- For premature newborns, predictors included cannula ventilation, Apgar score <7 at 1 minute, and NICU admission.
Conclusions:
- Findings highlight critical factors influencing neonatal mortality.
- Results can inform the development of more effective, context-specific strategies.
- Reinforces the crucial role of prenatal care in neonatal outcomes.
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