Avoidable deaths in the first 24 hours of life: health care reflexes

ABS Silva, ACM Araújo, PG Frias… - Revista Brasileira de …, 2022 - SciELO Brasil
ABS Silva, ACM Araújo, PG Frias, MBR Vilela, CV Bonfim
Revista Brasileira de Enfermagem, 2022SciELO Brasil
Objectives: to analyze the risks of deaths in the first 24 hours of life and their preventable
causes. Methods: cross-sectional study carried out in Pernambuco, Northeast of Brazil,
between 2000-2019, with mortality and live birth data. The avoidability was analyzed
through the Brazilian List of Avoidable Causes of Deaths due to Interventions of the Unified
Health System. For the statistical analyses, Pearson's chi-squared test and relative and
attributable risks were used. Results: 13,601 deaths were registered, of which 10,497 …
Objectives
to analyze the risks of deaths in the first 24 hours of life and their preventable causes.
Methods
cross-sectional study carried out in Pernambuco, Northeast of Brazil, between 2000-2019, with mortality and live birth data. The avoidability was analyzed through the Brazilian List of Avoidable Causes of Deaths due to Interventions of the Unified Health System. For the statistical analyses, Pearson’s chi-squared test and relative and attributable risks were used.
Results
13,601 deaths were registered, of which 10,497 (77.19%) were from preventable causes. Of the total, 5,513 (40.53%) were reducible through adequate care for women during pregnancy. The lower the gestational age, birth weight and education level, the higher the relative and attributable risk of death in the first 24 hours of life.
Conclusions
most of the deaths were considered avoidable and with high relative and attributable risks. These early deaths suggest care failures and the need to reinforce prevention and treatment measures.
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