Neonatal Resuscitation Determined by Conditions and Clinical Repercussions in Newborns Admitted to Intensive and Intermediate Care Units
Description
Objective: To verify the association between the occurrence of neonatal resuscitation and the presence of conditions in newborns treated in Neonatal Intermediate and Intensive Care Units (NICU). Methodology: This is an observational, cross-sectional study with a quantitative approach involving secondary data research to be conducted in March and April 2024. The study population consisted of neonatal patients who were treated in the NICU of the hospital up to one year before the start of data collection. The sample was composed of medical records from these patients. The Qualineo form, routinely filled out in the study setting, served as the instrument for data extraction, containing information from the mother and newborn from birth until the outcome in the unit (discharge or death). Descriptive statistics were used to address the study objective, and the Odds Ratio (OR) was calculated to investigate potential risk factors of the conditions for resuscitation. Results: The total sample comprised n=183 patient records, of which n=54 were of newborns who required resuscitation and n=129 did not have this indication. An association between resuscitation and conditions was established. Thus, resuscitation was identified as a risk factor (or vice versa) for Respiratory Distress Syndrome (RDS) (OR= 7.48, 95% CI= 3.15-17.79, p<0.001), Transient Tachypnea of the Newborn (TTN) (OR= 2.60, 95% CI= 1.30-5.17, p=0.006), and early infection (OR= 3.09, 95% CI= 1.54-6.18, p=0.001). Conclusion: There was an association between the occurrence of resuscitation and the presence of neonatal conditions. In this context, it was found that RDS, TTN, and early infections had a higher odds ratio in newborns who underwent resuscitation.