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http://acervodigital.unesp.br/handle/11449/73791
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DC Field | Value | Language |
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dc.contributor.author | Guinsburg, R. | - |
dc.contributor.author | Branco de Almeida, M. F. | - |
dc.contributor.author | Dos Santos Rodrigues Sadeck, L. | - |
dc.contributor.author | Marba, S. T M | - |
dc.contributor.author | Rugolo, Ligia Maria Suppo de Souza | - |
dc.contributor.author | Luz, J. H. | - |
dc.contributor.author | De Andrade Lopes, J. M. | - |
dc.contributor.author | Martinez, F. E. | - |
dc.contributor.author | Procianoy, R. S. | - |
dc.date.accessioned | 2014-05-27T11:27:17Z | - |
dc.date.accessioned | 2016-10-25T18:39:58Z | - |
dc.date.available | 2014-05-27T11:27:17Z | - |
dc.date.available | 2016-10-25T18:39:58Z | - |
dc.date.issued | 2012-12-01 | - |
dc.identifier | http://dx.doi.org/10.1038/jp.2012.28 | - |
dc.identifier.citation | Journal of Perinatology, v. 32, n. 12, p. 913-919, 2012. | - |
dc.identifier.issn | 0743-8346 | - |
dc.identifier.issn | 1476-5543 | - |
dc.identifier.uri | http://hdl.handle.net/11449/73791 | - |
dc.identifier.uri | http://acervodigital.unesp.br/handle/11449/73791 | - |
dc.description.abstract | Objective: To verify, in extremely preterm infants, if disagreement between obstetricians and neonatologists regarding proactive management is associated with early death.Study Design: Prospective cohort of 484 infants with 23 0/7 to 266/7 weeks, without malformations, born from January 2006 to December 2009 in eight Brazilian hospitals. Pro-active management was defined as indication of ≥1 dose of antenatal steroid or cesarean section (obstetrician) and resuscitation at birth according to the international guidelines (neonatologist). Main outcome was neonatal death in the first 24 h of life.Result: Obstetricians and neonatologists disagreed in 115 (24%) patients: only neonatologists were proactive in 107 of them. Disagreement between professionals increased 2.39 times the chance of death in the first day (95% confidence interval 1.40 to 4.09), adjusted for center and maternal/neonatal clinical conditions.Conclusion: In infants with 23 to 26 weeks of gestation, disagreement between obstetricians and neonatologists, translated as lack of antenatal steroids and/or vaginal delivery, despite resuscitation procedures, increases the odds of death in the first day. © 2012 Nature America, Inc. | en |
dc.format.extent | 913-919 | - |
dc.language.iso | eng | - |
dc.source | Scopus | - |
dc.subject | Cardiopulmonary resuscitation | - |
dc.subject | Cesarean section | - |
dc.subject | Fetal viability | - |
dc.subject | Infant newborn | - |
dc.subject | Neonatal mortality | - |
dc.subject | Steroids | - |
dc.subject | steroid | - |
dc.subject | cesarean section | - |
dc.subject | cohort analysis | - |
dc.subject | controlled study | - |
dc.subject | female | - |
dc.subject | gestational age | - |
dc.subject | human | - |
dc.subject | major clinical study | - |
dc.subject | male | - |
dc.subject | neonatology | - |
dc.subject | newborn | - |
dc.subject | newborn care | - |
dc.subject | newborn mortality | - |
dc.subject | obstetrics | - |
dc.subject | outcome assessment | - |
dc.subject | perinatal period | - |
dc.subject | physician attitude | - |
dc.subject | practice guideline | - |
dc.subject | prematurity | - |
dc.subject | prospective study | - |
dc.subject | resuscitation | - |
dc.subject | risk assessment | - |
dc.subject | vaginal delivery | - |
dc.subject | Adrenal Cortex Hormones | - |
dc.subject | Analysis of Variance | - |
dc.subject | Brazil | - |
dc.subject | Cardiopulmonary Resuscitation | - |
dc.subject | Cesarean Section | - |
dc.subject | Cohort Studies | - |
dc.subject | Confidence Intervals | - |
dc.subject | Delivery, Obstetric | - |
dc.subject | Female | - |
dc.subject | Fetal Viability | - |
dc.subject | Gestational Age | - |
dc.subject | Humans | - |
dc.subject | Infant Mortality | - |
dc.subject | Infant, Newborn | - |
dc.subject | Infant, Premature | - |
dc.subject | Infant, Very Low Birth Weight | - |
dc.subject | Intensive Care Units, Neonatal | - |
dc.subject | Interprofessional Relations | - |
dc.subject | Life Support Care | - |
dc.subject | Logistic Models | - |
dc.subject | Male | - |
dc.subject | Neonatology | - |
dc.subject | Obstetrics | - |
dc.subject | Odds Ratio | - |
dc.subject | Physician's Practice Patterns | - |
dc.subject | Pregnancy | - |
dc.subject | Prognosis | - |
dc.subject | Prospective Studies | - |
dc.subject | Treatment Outcome | - |
dc.title | Proactive management of extreme prematurity: Disagreement between obstetricians and neonatologists | en |
dc.type | outro | - |
dc.contributor.institution | Universidade Federal de São Paulo (UNIFESP) | - |
dc.contributor.institution | Universidade de São Paulo (USP) | - |
dc.contributor.institution | Universidade Estadual de Campinas (UNICAMP) | - |
dc.contributor.institution | Universidade Estadual Paulista (UNESP) | - |
dc.contributor.institution | Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) | - |
dc.contributor.institution | Instituto Fernandes Figueira da Fundação Oswaldo Cruz | - |
dc.contributor.institution | Universidade Federal do Rio Grande do Sul (UFRGS) | - |
dc.description.affiliation | Department of Pediatrics Escola Paulista de Medicina Universidade Federal de São Paulo, Rua Vicente Felix 77 apt 09, São Paulo, SP 01410-020 | - |
dc.description.affiliation | Department of Pediatrics Escola Paulista de Medicina Universidade Federal de São Paulo, São Paulo | - |
dc.description.affiliation | Instituto da Criança Hospital das Clínicas Universidade de São Paulo, São Paulo | - |
dc.description.affiliation | Department of Pediatrics Universidade Estadual de Campinas, Campinas | - |
dc.description.affiliation | Department of Pediatrics Faculdade de Medicina de Botucatu Universidade Estadual de São Paulo Julio de Mesquita Neto, Botucatu | - |
dc.description.affiliation | Department of Pediatrics Pontifícia Universidade Católica Do Rio Grande Do sul, Porto Alegre | - |
dc.description.affiliation | Neonatal Department Instituto Fernandes Figueira da Fundação Oswaldo Cruz, Rio de Janeiro | - |
dc.description.affiliation | Department of Pediatrics Faculdade de Medicina de Ribeirão Preto Universidade de São Paulo, Ribeirão Preto | - |
dc.description.affiliation | Department of Pediatrics Universidade Federal Do Rio Grande Do sul, Porto Alegre | - |
dc.description.affiliationUnesp | Department of Pediatrics Faculdade de Medicina de Botucatu Universidade Estadual de São Paulo Julio de Mesquita Neto, Botucatu | - |
dc.identifier.doi | 10.1038/jp.2012.28 | - |
dc.rights.accessRights | Acesso restrito | - |
dc.relation.ispartof | Journal of Perinatology | - |
dc.identifier.scopus | 2-s2.0-84870567842 | - |
Appears in Collections: | Artigos, TCCs, Teses e Dissertações da Unesp |
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