Translating Neonatal Resuscitation Guidelines Into Practice in Brazil

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dc.contributor.authorde Almeida, Maria Fernanda B
dc.contributor.authorGuinsburg, Ruth
dc.contributor.authorWeiner, Gary M.
dc.contributor.authorPenido, Marcia G.
dc.contributor.authorFerreira, Daniela M L M
dc.contributor.authorAlves, José Mariano S
dc.contributor.authorEmbrizi, Laís F
dc.contributor.authorGimenes, Carolina B.
dc.contributor.authorMello E Silva, Nathalia M.
dc.contributor.authorFerrari, Lígia L
dc.contributor.authorVenzon, Paulyne S.
dc.contributor.authorGomez, Dafne B.
dc.contributor.authordo Vale, Marynéa S
dc.contributor.authorBentlin, Maria Regina [UNESP]
dc.contributor.authorSadeck, Lilian R.
dc.contributor.authorDiniz, Edna M A
dc.contributor.authorFiori, Humberto H.
dc.contributor.authorCaldas, Jamil P S
dc.contributor.authorde Almeida, João Henrique C L
dc.contributor.authorDuarte, José Luis M B
dc.contributor.authorGonçalves-Ferri, Walusa A.
dc.contributor.authorProcianoy, Renato S.
dc.contributor.authorLopes, José Maria A
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUniversity of Michigan
dc.contributor.institutionUniversidade Federal de Minas Gerais (UFMG)
dc.contributor.institutionUniversidade Federal de Uberlândia (UFU)
dc.contributor.institutionFaculdade de Ciências Médicas de Minas Gerais
dc.contributor.institutionHospital Estadual de Sumaré
dc.contributor.institutionHospital Geral de Pirajussara
dc.contributor.institutionHospital Estadual de Diadema
dc.contributor.institutionUniversidade Estadual de Londrina (UEL)
dc.contributor.institutionUniversidade Federal do Paraná (UFPR)
dc.contributor.institutionInstituto de Medicina Integral Prof Fernando Figueira
dc.contributor.institutionUniversidade Federal do Maranhão
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionPontifícia Universidade Católica do Rio Grande do Sul
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)
dc.contributor.institutionda Criança e do Adolescente Fernandes Figueira
dc.contributor.institutionUniversidade do Estado do Rio de Janeiro (UERJ)
dc.contributor.institutionUniversidade Federal do Rio Grande do Sul
dc.date.accessioned2023-03-02T03:34:39Z
dc.date.available2023-03-02T03:34:39Z
dc.date.issued2022-06-01
dc.description.abstractBACKGROUND AND OBJECTIVES: The Brazilian Neonatal Resuscitation Program releases guidelines based on local interpretation of international consensus on science and treatment recommendations. We aimed to analyze whether guidelines for preterm newborns were applied to practice in the 20 Brazilian Network on Neonatal Research centers of this middle-income country. METHODS: Prospectively collected data from 2014 to 2020 were analyzed for 8514 infants born at 230/7 to 316/7 weeks' gestation. The frequency of procedures was evaluated by gestational age (GA) category, including use of a thermal care bundle, positive pressure ventilation (PPV), PPV with a T-piece resuscitator, maximum fraction of inspired oxygen (Fio2) concentration during PPV, tracheal intubation, chest compressions and medications, and use of continuous positive airway pressure in the delivery room. Logistic regression, adjusted by center and year, was used to estimate the probability of receiving recommended treatment. RESULTS: For 3644 infants 23 to 27 weeks' GA and 4870 infants 28 to 31 weeks' GA, respectively, the probability of receiving care consistent with guidelines per year increased, including thermal care (odds ratio [OR], 1.52 [95% confidence interval (CI) 1.44-1.61] and 1.45 [1.38-1.52]) and PPV with a T-piece (OR, 1.45 [95% CI 1.37-1.55] and 1.41 [1.32-1.51]). The probability of receiving PPV with Fio2 1.00 decreased equally in both GA groups (OR, 0.89; 95% CI, 0.86-0.93). CONCLUSIONS: Between 2014 and 2020, the resuscitation guidelines for newborns <32 weeks' GA on thermal care, PPV with a T-piece resuscitator, and decreased use of Fio2 1.00 were translated into clinical practice.en
dc.description.affiliationEscola Paulista de Medicina Universidade Federal de São Paulo
dc.description.affiliationUniversity of Michigan
dc.description.affiliationFaculdade de Medicina Universidade Federal de Minas Gerais
dc.description.affiliationUniversidade Federal de Uberlândia
dc.description.affiliationFaculdade de Ciências Médicas de Minas Gerais
dc.description.affiliationHospital Estadual de Sumaré
dc.description.affiliationHospital Geral de Pirajussara
dc.description.affiliationHospital Estadual de Diadema
dc.description.affiliationUniversidade Estadual de Londrina
dc.description.affiliationUniversidade Federal do Paraná
dc.description.affiliationInstituto de Medicina Integral Prof Fernando Figueira
dc.description.affiliationUniversidade Federal do Maranhão
dc.description.affiliationFaculdade de Medicina de Botucatu Universidade Estadual Paulista
dc.description.affiliationFaculdade de Medicina Universidade de São Paulo
dc.description.affiliationHospital Universitário da Universidade de São Paulo
dc.description.affiliationPontifícia Universidade Católica do Rio Grande do Sul
dc.description.affiliationFaculdade de Ciências Médicas da Universidade Estadual de Campinas
dc.description.affiliationInstituto Nacional de Saúde da Mulher da Criança e do Adolescente Fernandes Figueira
dc.description.affiliationUniversidade do Estado do Rio de Janeiro
dc.description.affiliationFaculdade de Medicina de Ribeirão Preto Universidade de São Paulo
dc.description.affiliationHospital de Clínicas de Porto Alegre Universidade Federal do Rio Grande do Sul
dc.description.affiliationUnespFaculdade de Medicina de Botucatu Universidade Estadual Paulista
dc.identifierhttp://dx.doi.org/10.1542/peds.2021-055469
dc.identifier.citationPediatrics, v. 149, n. 6, 2022.
dc.identifier.doi10.1542/peds.2021-055469
dc.identifier.issn1098-4275
dc.identifier.scopus2-s2.0-85131223966
dc.identifier.urihttp://hdl.handle.net/11449/241905
dc.language.isoeng
dc.relation.ispartofPediatrics
dc.sourceScopus
dc.titleTranslating Neonatal Resuscitation Guidelines Into Practice in Brazilen
dc.typeArtigo

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Artigos - Pediatria - FMB