Mortality from gastroschisis in the state of Rio de Janeiro: a 10-year series Article Swipe
Camilla Ferreira Catarino
,
Maria Auxiliadora de Souza Mendes Gomes
,
Saint Clair Gomes
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.11606/s1518-8787.2020054001757
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.11606/s1518-8787.2020054001757
OBJECTIVE: To analyze mortality and associated factors in a series of gastroschisis at birth in the state of Rio de Janeiro in a 10-year period (2005 to 2014). METHOD: A retrospective cohort study, which related the databases of the Live Births Information System and the Mortality Information System by probabilistic linkage. Final database was constructed in two stages: preparation of the two initial databases and establishment of relationships between them. RESULTS: Preterm newborns and those with low birthweight had higher risk of death, with statistical significance (p = 0.03 and p = 0.006, respectively). Regarding place of birth, although death frequency was higher in maternity units than in general hospitals (p = 0.04; OR = 0.5; 95%CI 0.3–1.0), it was observed that a unit characterized as a general hospital had a high birth frequency (61.2%). Furthermore, the comparative analysis of the risk of death between this unit and others showed a 7.5 higher risk of death in general hospitals and 3.2 higher in maternity units, with statistical significance (p < 0.001). Moreover, births in level II intensive care units had 3.9 times more risk of death compared with level III (p < 0.001). CONCLUSION: This study foments the discussion of two possible strategies in the treatment of gastroschisis in newborns. First, the centralization of care in tertiary units, enabling malformation care to be analyzed in a more detailed and standardized manner. Second, and perhaps more feasible, the elaboration of clinical guidelines to standardize immediate care for gastroschisis in babies born outside tertiary centers, as well as the standardization of their transportation until arrival at the tertiary center.
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Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.11606/s1518-8787.2020054001757
- https://www.revistas.usp.br/rsp/article/download/172383/161997
- OA Status
- gold
- Cited By
- 1
- References
- 23
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3033343364
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3033343364Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.11606/s1518-8787.2020054001757Digital Object Identifier
- Title
-
Mortality from gastroschisis in the state of Rio de Janeiro: a 10-year seriesWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-07-13Full publication date if available
- Authors
-
Camilla Ferreira Catarino, Maria Auxiliadora de Souza Mendes Gomes, Saint Clair GomesList of authors in order
- Landing page
-
https://doi.org/10.11606/s1518-8787.2020054001757Publisher landing page
- PDF URL
-
https://www.revistas.usp.br/rsp/article/download/172383/161997Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.revistas.usp.br/rsp/article/download/172383/161997Direct OA link when available
- Concepts
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Gastroschisis, Medicine, Neonatal intensive care unit, Retrospective cohort study, Pediatrics, Statistical significance, Demography, Obstetrics, Pregnancy, Surgery, Fetus, Internal medicine, Biology, Sociology, GeneticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
- Citations by year (recent)
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2023: 1Per-year citation counts (last 5 years)
- References (count)
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23Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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