Identification of the severity and use of interventions in neonates with perinatal asphyxia

Keywords: Neonatal Nursing; Intensive Care Units, Neonatal; Asphyxia Neonatorum; Neonatology.

Abstract

Objective: to identify the severity and the use of interventions in neonates with perinatal asphyxia. Methods: this is a documentary study carried out with 48 records of newborns with perinatal asphyxia in the Neonatal Intensive Care Unit, based on the neonatal therapeutic intervention score system. Data were analyzed using descriptive and inferential statistics. Results: preterm newborns presented complications such as presumed neonatal infection (63.2%), respiratory failure (59.1%), sepsis (38.7%) and seizure (39.7%). During hospitalization, 35.4% of them died. The most used interventions were transport and vital signs (100.0%), thermoregulated environment (97.9%), invasive mechanical ventilation (91.6%), antibiotics (77.0%), intubation (75.0%), phlebotomy (72.9%) and central venous catheter (68.7%). Conclusion: the mean score of the Neonatal Therapeutic Intervention Scoring System was 19.9, with statistically different means verified between the categories of variables Duration of hospitalization, Clinical outcome and Mother’s education.

References

Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Departamento de Ações Programáticas e Estratégicas. Manual AIDPI neonatal. Brasília: Ministério da Saúde; 2014.

Nuñez A, Benavente I, Blanco D, Boix H, Cabañas F, Chaffanel M, et al. Oxidative stress in perinatal asphyxia and hypoxic-ischaemic encephalopathy. An Pediatr (Barc). 2017; 17:30206-0. doi: https://doi.org/10.1016/j.anpedi.2017.05.005

Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Atenção à saúde do recém-nascido: guia para os profissionais de saúde. Brasília: Ministério da Saúde; 2014.

França EB, Lansky S, Rego MAS, Malta DC, França JS, Teixeira R, et al. Leading causes of child mortality in Brazil, in 1990 and 2015: estimates from the Global Burden of Disease study. Rev Bras Epidemiol. 2017; 20(suppl1):46-60. doi: http://dx.doi.org/10.1590/1980-5497201700050005

Aluvaala J, Collins GS, Maina M, Berkley JA, English M. A systematic review of neonatal treatment intensity scores and their potential application in low-resource setting hospitals for predicting mortality, morbidity and estimating resource use. Syst Rev. 2017; 6(1):248. doi: http://dx.doi.org/10.1186/s13643-017-0649-6

Curan GRF, Rossetto EG. Scoring system for neonatal therapeutic intervention: a descriptive study. Online Braz J Nurs [Internet]. 2014 [cited 2017 Nov 13]; 13(4):622-33. Available from: http://www.objnursing.uff.br/index.php/nursing/article/view/4632

Nascimento IB, Pacheco VC, Souza MLR, Pinheiro EB, Silva TR, Fleig R, et al. Prenatal care and perinatal outcome. Rev Bras Promoç Saúde. 2017; 30(2):187-94. doi: http://dx.doi.org/10.5020/18061230.2017.p187

Lansky S, Friche AAL, Silva AAM, Campos D, Bittencourt SDA, Carvalho ML, et al. Birth in Brazil survey: neonatal mortality, pregnancy and childbirth quality of care. Cad Saúde Pública. 2014; 30(Suppl1):192-207. http://dx.doi.org/10.1590/0102-311X00133213

Oliveira CS, Casagrande GA, Grecco LC, Golin MO. Perfil de recém-nascidos pré-termo internados na unidade de terapia intensiva do hospital de alta complexidade. ABCS Health Sci. 2015; 40(1):28-32. doi: http://dx.doi.org/10.7322/abcshs.v40i1.700

Daripa M, Caldas HMG, Flores LP O, Waldvogel BC, Guinsburg R, Almeida MFB. Perinatal asphyxia associated with early neonatal mortality: populational study of avoidable deaths. Rev Paul Pediatr. 2013; 31(1):37-45. doi: http://dx.doi.org/10.1590/S0103-05822013000100007

Yashchenko YB, Buriak OG, Zabolotna IE. Application integrated systems assessment severity of a newborn in critical condition. Sovremennaya Pediatr. 2016; 73(1):67-70. doi: http://dx.doi.org/10.15574/sp.2016.73.67

Santos SPC, Lansky S, Ishitani LH, França EB. Óbitos infantis evitáveis em Belo Horizonte: análise de concordância da causa básica, 2010-2011. Rev Bras Saúde Mater Infant. 2015; 15(4):389-99. doi: http://dx.doi.org/10.1590/S1519-38292015000400003

Pérez-Cuevas CR, Vladislavovna DS, Jasso-Gutiérrez L, Flores-Hernández S, O’Shea CG, Aranza-Doniz C, et al. Evaluation of the quality of care of neonates with necrotizing enterocolitis affiliated with Seguro Popular in Mexico. Bol Med Hosp Infant Mex [Internet]. 2014 [cited 2017 Dec. 13]; 71(2):76-82. Available from: http://www.scielo.org.mx/pdf/bmim/v71n2/v71n2a3.pdf

Wu PL, Lee WT, Lee PL, Chen HL. Predictive power of serial neonatal therapeutic intervention scoring system scores for short-term mortality in very-low-birth-weight infants. Pediatr Neonatol. 2015; 56(2):108-13. doi: http://dx.doi.org/10.1016/j.pedneo.2014.06.00

Hoscheidt LM, Moraes MAP, Witkowski MC. Complexidade dos cuidados de enfermagem em crianças submetidas à cirurgia cardíaca. Rev Pesq Saúde [Internet]. 2014 [citado 2018 fev. 14]; 15(1):203-7. Disponível em: http://www.periodicoseletronicos.ufma.br/index.php/revistahuufma/article/view/3049/4080

Gois RP, Pinto FJM, Crisóstomo SV. Encefalopatia hipóxicoisquêmica: aspectos clínicos de gravidade. Pediatr Mod [Internet]. 2015 [citado 2017 dez. 13]; 51(2):54-60. Disponível em: http://www.moreirajr.com.br/revistas.asp?fase=r003&id_materia=6033

Carvalho EAA, Costa MHM. Enteral diet in critically ill newborns: a practical protocol. Rev Med Minas Gerais. 2014; 24(2):248-53. doi: http://dx.doi.org/10.5935/2238-3182.20140058

Agência Nacional de Vigilância Sanitária. Medidas de prevenção de infecção relacionada à assistência à saúde. Brasília: Anvisa; 2017.

Published
2018-04-10
Section
Research Article