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Please use this identifier to cite or link to this item: http://acervodigital.unesp.br/handle/11449/73791
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dc.contributor.authorGuinsburg, R.-
dc.contributor.authorBranco de Almeida, M. F.-
dc.contributor.authorDos Santos Rodrigues Sadeck, L.-
dc.contributor.authorMarba, S. T M-
dc.contributor.authorRugolo, Ligia Maria Suppo de Souza-
dc.contributor.authorLuz, J. H.-
dc.contributor.authorDe Andrade Lopes, J. M.-
dc.contributor.authorMartinez, F. E.-
dc.contributor.authorProcianoy, R. S.-
dc.date.accessioned2014-05-27T11:27:17Z-
dc.date.accessioned2016-10-25T18:39:58Z-
dc.date.available2014-05-27T11:27:17Z-
dc.date.available2016-10-25T18:39:58Z-
dc.date.issued2012-12-01-
dc.identifierhttp://dx.doi.org/10.1038/jp.2012.28-
dc.identifier.citationJournal of Perinatology, v. 32, n. 12, p. 913-919, 2012.-
dc.identifier.issn0743-8346-
dc.identifier.issn1476-5543-
dc.identifier.urihttp://hdl.handle.net/11449/73791-
dc.identifier.urihttp://acervodigital.unesp.br/handle/11449/73791-
dc.description.abstractObjective: 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.extent913-919-
dc.language.isoeng-
dc.sourceScopus-
dc.subjectCardiopulmonary resuscitation-
dc.subjectCesarean section-
dc.subjectFetal viability-
dc.subjectInfant newborn-
dc.subjectNeonatal mortality-
dc.subjectSteroids-
dc.subjectsteroid-
dc.subjectcesarean section-
dc.subjectcohort analysis-
dc.subjectcontrolled study-
dc.subjectfemale-
dc.subjectgestational age-
dc.subjecthuman-
dc.subjectmajor clinical study-
dc.subjectmale-
dc.subjectneonatology-
dc.subjectnewborn-
dc.subjectnewborn care-
dc.subjectnewborn mortality-
dc.subjectobstetrics-
dc.subjectoutcome assessment-
dc.subjectperinatal period-
dc.subjectphysician attitude-
dc.subjectpractice guideline-
dc.subjectprematurity-
dc.subjectprospective study-
dc.subjectresuscitation-
dc.subjectrisk assessment-
dc.subjectvaginal delivery-
dc.subjectAdrenal Cortex Hormones-
dc.subjectAnalysis of Variance-
dc.subjectBrazil-
dc.subjectCardiopulmonary Resuscitation-
dc.subjectCesarean Section-
dc.subjectCohort Studies-
dc.subjectConfidence Intervals-
dc.subjectDelivery, Obstetric-
dc.subjectFemale-
dc.subjectFetal Viability-
dc.subjectGestational Age-
dc.subjectHumans-
dc.subjectInfant Mortality-
dc.subjectInfant, Newborn-
dc.subjectInfant, Premature-
dc.subjectInfant, Very Low Birth Weight-
dc.subjectIntensive Care Units, Neonatal-
dc.subjectInterprofessional Relations-
dc.subjectLife Support Care-
dc.subjectLogistic Models-
dc.subjectMale-
dc.subjectNeonatology-
dc.subjectObstetrics-
dc.subjectOdds Ratio-
dc.subjectPhysician's Practice Patterns-
dc.subjectPregnancy-
dc.subjectPrognosis-
dc.subjectProspective Studies-
dc.subjectTreatment Outcome-
dc.titleProactive management of extreme prematurity: Disagreement between obstetricians and neonatologistsen
dc.typeoutro-
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)-
dc.contributor.institutionUniversidade de São Paulo (USP)-
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)-
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)-
dc.contributor.institutionPontifícia Universidade Católica do Rio Grande do Sul (PUCRS)-
dc.contributor.institutionInstituto Fernandes Figueira da Fundação Oswaldo Cruz-
dc.contributor.institutionUniversidade Federal do Rio Grande do Sul (UFRGS)-
dc.description.affiliationDepartment of Pediatrics Escola Paulista de Medicina Universidade Federal de São Paulo, Rua Vicente Felix 77 apt 09, São Paulo, SP 01410-020-
dc.description.affiliationDepartment of Pediatrics Escola Paulista de Medicina Universidade Federal de São Paulo, São Paulo-
dc.description.affiliationInstituto da Criança Hospital das Clínicas Universidade de São Paulo, São Paulo-
dc.description.affiliationDepartment of Pediatrics Universidade Estadual de Campinas, Campinas-
dc.description.affiliationDepartment of Pediatrics Faculdade de Medicina de Botucatu Universidade Estadual de São Paulo Julio de Mesquita Neto, Botucatu-
dc.description.affiliationDepartment of Pediatrics Pontifícia Universidade Católica Do Rio Grande Do sul, Porto Alegre-
dc.description.affiliationNeonatal Department Instituto Fernandes Figueira da Fundação Oswaldo Cruz, Rio de Janeiro-
dc.description.affiliationDepartment of Pediatrics Faculdade de Medicina de Ribeirão Preto Universidade de São Paulo, Ribeirão Preto-
dc.description.affiliationDepartment of Pediatrics Universidade Federal Do Rio Grande Do sul, Porto Alegre-
dc.description.affiliationUnespDepartment of Pediatrics Faculdade de Medicina de Botucatu Universidade Estadual de São Paulo Julio de Mesquita Neto, Botucatu-
dc.identifier.doi10.1038/jp.2012.28-
dc.rights.accessRightsAcesso restrito-
dc.relation.ispartofJournal of Perinatology-
dc.identifier.scopus2-s2.0-84870567842-
Appears in Collections:Artigos, TCCs, Teses e Dissertações da Unesp

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