Prevalence of respiratory diseases in newborns admitted to a hospital in Serra Catarinense
DOI:
https://doi.org/10.33448/rsd-v9i7.4850Keywords:
Pediatrics; Respiratory tract diseases; Newborn.Abstract
Objective: to identify the respiratory diseases prevalent in newborns. Method: analysis of the medical records of newborn patients aged 0 to 28 days, admitted in 2017 to a medium-sized hospital in Serra Catarinense. Methodology: an analysis of the medical records of newborn patients aged 0 to 28 days, admitted in 2017 to a medium-sized hospital in Serra Catarinense. The epidemiological profile, ICD (International Disease Code) of hospitalization and ICD at hospital discharge were analyzed. These data were tabulated in a specific spreadsheet and analyzed using the SPSS statistical software (IBM). Results: they were divided into 2 groups according to the ICDs, according to "ICD J00-J99 diseases of the respiratory system" and "ICD P00-P96 some conditions originating in the perinatal period". From the results it can be seen that the incidence of diseases of the respiratory system (ICD J00-J99) was not influenced by the variables gender, age, type of delivery, weight and gestation period. The respiratory disease that had the highest prevalence was bacterial pneumonia, unspecified with 35%. The results showed that there is a possibility that respiratory diseases are related to diseases originating in the perinatal period (ICD P00-P96). In this period, respiratory distress syndrome (RDS) has the highest prevalence with 37.5%, transient tachypnea of the newborn with 17.5% and meconium aspiration syndrome with 2.5%. The clinical outcome was hospital discharge in most cases. Conclusions: shows the need for preventive measures during prenatal care, in order to avoid prematurity and all associated complications. Favor normal labor and try to avoid elective cesarean sections, also strengthen the practices used in the handling of severe newborns.
References
Avery M. E (2000). Surfactant deficiency in hyaline membrane disease: the story of discovery. American journal of respiratory and critical care medicine, 161(4 Pt 1), 1074–75. https://doi.org/10.1164/ajrccm.161.4.16142
Caughey A. B & Musci T. J (2004). Complications of term pregnancies beyond 37 weeks of gestation. Obstetrics and gynecology, 103(1), 57–62. https://doi.org/10.1097/01.AOG.0000 109216. 24211.D4
Consortium on Safe Labor, Hibbard, J. U., Wilkins, I., Sun, L., Gregory, K., Haberman, S., Hoffman, M., Kominiarek, M. A., Reddy, U., Bailit, J., Branch, D. W., Burkman, R., Gonzalez Quintero, V. H., Hatjis, C. G., Landy, H., Ramirez, M., VanVeldhuisen, P., Troendle, J., & Zhang, J. (2010). Respiratory morbidity in late preterm births. JAMA, 304(4), 419–425. https://doi.org/10.1001/jama.2010.1015
Fernandes, M. C., Rudek, M., Souto, A.S. (2015). Recém-nascidos banhados em líquido amniótico meconial: Atendimento em sala de parto e ocorrência de síndrome da aspiração meconial. Arquivos Catarinenses de Medicina, 44(4), 48-56
Finer, N., & Leone, T. (2009). Oxygen saturation monitoring for the preterm infant: the evidence basis for current practice. Pediatric research, 65(4), 375–380. https://doi.org/10.1203/PDR.0b013e318199386a
Helve, O., Pitkänen, O., Janér, C., & Andersson, S. (2009). Pulmonary fluid balance in the human newborn infant. Neonatology, 95(4), 347–352. https://doi.org/10.1159/000209300
Hooper, B.S., Pas, T.B.A., Kitchen, J.M. (2016). Respiratory transition in the newborn: a three-phase process. Arch Dis Child Fetal Neonatal, 101 (3): 266-271. DOI: http://dx.doi.org/10.1136/archdischild-2013-305704
Ierland, Y., & de Beaufort, A. J. (2009). Why does meconium cause meconium aspiration syndrome? Current concepts of MAS pathophysiology. Early human development, 85(10), 617–620. https://doi.org/10.1016/j.earlhumdev.2009.09.009
Jha, K., & Makker, K. (2020). Transient Tachypnea of the Newborn. In StatPearls. StatPearls Publishing.
Kliegman, R. M., Staton, B. F., Geme. W.J., Schor, F. N. (2018). Nelson: tratado de pediatria. (20º ed). Rio de Janeiro: Elsevier.
Levit, O., Jiang, Y., Bizzarro, M. J., Hussain, N., Buhimschi, C. S., Gruen, J. R., Zhang, H., & Bhandari, V. (2009). The genetic susceptibility to respiratory distress syndrome. Pediatric research, 66(6), 693–697. https://doi.org/10.1203/PDR.0b013e3181bbce86
Brasil (2014). Atenção à saúde do recém-nascido: guia para os profissionais de saúde, cuidados gerais. Ministério da Saúde; 2012. Disponível em: http://bvsms.saude.gov.br/bvs/ publicacoes/atencao_saude_recem_nascido_profissionais_v1.pdf
Martin, J. R., Fanaroff, A. A., Walsh, C. M. (2017). Medicina neonatal e perinatal: doenças do feto e do neonato. Cleveland, Ohio: editora Elsevier; 2017.
Mariani, G., Dik, B. P., Ezquer, A., Aguirre, A., Esteban, L. M., Perez, C., Jonusas, S.F., Fustiñana, C. (2007). Pre-ductal and post-ductal O2 saturation in healthy term neonates after birth. J Pediatr, 150 (4): 418-21. DOI: 10.1016/j.jpeds.2006.12.015
Mullowney, T., Manson, D., Kim, R., Stephens, D., Shah, V., & Dell, S. (2014). Primary ciliary dyskinesia and neonatal respiratory distress. Pediatrics, 134(6), 1160–1166. https://doi.org/10.1542/peds.2014-0808
Save the children. (2014). Ending newborn deaths: ensuring every baby survives. London: Save the Cildren Fund. Disponível em: http://www.savethechildren.org/atf/cf/%7B9def2ebe-10ae-432c-9bd0-df91d2eba74a%7D/ENDING-NEWBORN-DEATHS.PDF. Acesso em: 19 maio 2020.
Siew M L, Te Pas AB, Wallace M. J, Kitchen MJ, Lewis R. A, Fouras A, Morley C. J, Davis P. G, Yagi N, Uesugi K & Hooper S. B (2009). Positive end-expiratory pressure enhances development of a functional residual capacity in preterm rabbits ventilated from birth. Journal of applied physiology (Bethesda, Md. : 1985), 106(5), 1487–93. https://doi.org/10.1152/ japplphysiol.91591.2008
Tadielo Z. B, Neves TE, Arrué M. A, Silveira S. A, Ribeiro C. A, Tronco S. C, Neves T. A, Weis C. S. P (2013). Morbidade e mortalidade de recém-nascidos em tratamento intensivo neonatal no sul do Brasil. Rev. Soc. Bras. Enfermagem Ped.
Tita A. T, Landon M B, Spong C Y, Lai Y, Leveno KJ, Varner M W, Moawad A H, Caritis S N, Meis P J, Wapner R J, Sorokin Y, Miodovnik M, Carpenter M, Peaceman M, O'Sullivan M J, Sibai B M, Langer O, Thorp J M, Ramin S M, Mercer B M … Eunice Kennedy Shriver N I C H D Maternal-Fetal Medicine Units Network (2009). Timing of elective repeat cesarean delivery at term and neonatal outcomes. The New England journal of medicine, 360(2), 111–20. https://doi.org/10.1056/NEJMoa0803267
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