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DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | - |
dc.contributor.author | SALUTIANO, Eugenia Maria Assuncao | - |
dc.contributor.author | CAMPOS, Juliana Alvares Duarte Bonini | - |
dc.contributor.author | IBIDI, Silvia Maria | - |
dc.contributor.author | RUANO, Rodrigo | - |
dc.contributor.author | ZUGAIB, Marcelo | - |
dc.date.accessioned | 2013-07-30T15:08:56Z | - |
dc.date.available | 2013-07-30T15:08:56Z | - |
dc.date.issued | 2012 | - |
dc.identifier.citation | REVISTA DA ASSOCIACAO MEDICA BRASILEIRA, v.58, n.5, p.587-593, 2012 | - |
dc.identifier.issn | 0104-4230 | - |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/800 | - |
dc.description.abstract | Objective: To evaluate the association between Apgar scores of less than seven at five minutes (AS(5min) < 7) and antenatal factors and postnatal outcomes. Methods: A retrospective cohort and case-control study of 27,252 consecutive term newborns in a low risk obstetrical population between January 2003 and December 2010. Maternal and infant databases were reviewed from all cases with AS(5min) < 7 (n = 121; 0.4%) and 363 cases with AS(5min) >= 7 at 5 minutes who were randomly selected by a computer program. The main outcomes were neonatal death, newborn respiratory distress, need for orotracheal intubation and neonatal intensive care unit (NICU), and hypoxic-ischemic-encephalopathy. Results: After multiple regression analysis, repeated late decelerations on cardiotocography (OR: 2.4; 95% CI: 1.4-4.1) and prolonged second stage of labor (OR: 3.3; 95% CI: 1.3-8.3) were associated with AS(5min) < 7, as well as neonatal respiratory distress (OR: 3.0; 95% CI: 1.3-6.9), orotracheal intubation (OR: 2.5; 95% CI: 1.2-4.8), need for NICU (OR: 9.5; 95% CI: 6.7-16.8), and hypoxic-ischemic-encephalopathy (OR: 14.1; 95% CI: 3.6-54.7). No other antenatal factors were associated with AS(5min) < 7 (p > 0.05). Conclusion: Repeated late decelerations and prolonged second stage of labor in the low-risk population are predictors of AS(5min) < 7, a situation associated with increased risk of neonatal respiratory distress, need for mechanical ventilatory support and NICU, and hypoxic-ischemic-encephalopathy. | - |
dc.description.abstract | Objetivo Avaliar a associação entre índice de Apgar menor que sete no 5° minuto, os fatores pré-natais e resultados pós-natais. Métodos Trata-se de estudo retrospectivo com 27.252 recém-nascidos em maternidade escola com população de baixo risco obstétrico, de janeiro de 2003 a dezembro de 2010. Prontuários de todos os casos com índice de Apgar < 7 no 5° minuto (n = 121; – 0,4%) e de 363 casos com Apgar ≥ 7 no 5° minuto, escolhidos ao acaso, foram revisados. Os principais desfechos estudados foram: óbito neonatal, insuficiência respiratória neonatal, necessidade de intubação orotraqueal e de unidade terapia intensiva (UTI) neonatal e encefalopatia hipóxico-isquêmica. Resultados Após análise de regressão múltipla, desacelerações tardias (DIP II) (OR: 2,4; IC95%: 1,4–4,1) e período expulsivo prolongado (OR: 3,3; IC 95%: 1,3–8,3) se associaram com Apgar < 7 no 5° minuto; assim como com insuficiência respiratória ao nascimento (OR: 3,0; IC 95%: 1,3–6,9), intubação traqueal (OR: 2,5; IC 95%: 1,2–4,8), necessidade de UTI neonatal (OR: 9,5; IC 95%: 6,7–16,8) e encefalopatia hipóxico-isquêmica (OR: 14,1; IC 95%: 3,6–54,7). Nenhuma outra variável prénatal se associou com Apgar < 7 no 5° minuto (p < 0,05). Conclusão DIP II e período expulsivo prolongado estão associados com Apgar < 7 no 5° minuto em população obstétrica de baixo risco; situação essa relacionada com maior risco de insuficiência respiratória no parto, necessidade de suporte ventilatório e encefalopatia hipóxico-isquêmica. | - |
dc.language.iso | eng | - |
dc.publisher | ASSOC MEDICA BRASILEIRA | - |
dc.relation.ispartof | Revista da Associacao Medica Brasileira | - |
dc.rights | openAccess | - |
dc.subject | Apgar scores | - |
dc.subject | term | - |
dc.subject | asphyxia | - |
dc.subject | neonatal mortality | - |
dc.subject | hypoxic-ischemic-encephalopathy | - |
dc.subject | Índice de Apgar | - |
dc.subject | parto | - |
dc.subject | asfixia | - |
dc.subject | mortalidade neonatal | - |
dc.subject | encefalopatia hipóxicoisquêmica | - |
dc.subject.other | randomized controlled-trial | - |
dc.subject.other | birth-weight infants | - |
dc.subject.other | umbilical artery | - |
dc.subject.other | cerebral-palsy | - |
dc.subject.other | delivery | - |
dc.subject.other | labor | - |
dc.subject.other | complications | - |
dc.subject.other | newborns | - |
dc.subject.other | cohort | - |
dc.subject.other | association | - |
dc.title | Low Apgar scores at 5 minutes in a low risk population: maternal and obstetrical factors and postnatal outcome | - |
dc.title.alternative | Baixos índices de Apgar no quinto minuto de vida em população de baixo risco: fatores maternos e obstétricos e resultados pós-natais | - |
dc.type | article | - |
dc.rights.holder | Copyright ASSOC MEDICA BRASILEIRA | - |
dc.identifier.doi | 10.1590/S0104-42302012000500017 | - |
dc.identifier.pmid | 23090231 | - |
dc.subject.wos | Medicine, General & Internal | - |
dc.type.category | original article | - |
dc.type.version | publishedVersion | - |
hcfmusp.author.external | CAMPOS, Juliana Alvares Duarte Bonini:niv Sao Paulo, Univ Hosp, Div Clin Obstet, Dept Obstet & Gynecol,Med Sch, BR-05508000 Sao Paulo, Brazil | - |
hcfmusp.author.external | IBIDI, Silvia Maria:Univ Estadual Paulista Julio de Mesquita Filho UN, Dept Social Odontol, Araraquara, SP, Brazil | - |
hcfmusp.description.beginpage | 587 | - |
hcfmusp.description.endpage | 593 | - |
hcfmusp.description.issue | 5 | - |
hcfmusp.description.volume | 58 | - |
hcfmusp.origem | WOS | - |
hcfmusp.origem.id | WOS:000310116100016 | - |
hcfmusp.origem.id | 2-s2.0-84875485804 | - |
hcfmusp.origem.id | SCIELO:S0104-42302012000500017 | - |
hcfmusp.publisher.city | SAO PAULO | - |
hcfmusp.publisher.country | BRAZIL | - |
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dc.description.index | MEDLINE | - |
hcfmusp.lim.ref | 2012 | - |
hcfmusp.citation.scopus | 36 | - |
hcfmusp.scopus.lastupdate | 2024-04-12 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MOG Artigos e Materiais de Revistas Científicas - HC/ICHC Artigos e Materiais de Revistas Científicas - LIM/57 |
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