Banca de QUALIFICAÇÃO: FELIPE CAMILO SANTIAGO VELOSO

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : FELIPE CAMILO SANTIAGO VELOSO
DATE: 28/09/2021
TIME: 14:00
LOCAL: google meet
TITLE:

Preparation of a neonatal death prediction score using Data from SINASC and
SIM of the State of Alagoas between 2016 and 2020: a case-control study.

KEY WORDS:

perinatal death. risk factors. case studies and controls

PAGES: 35
BIG AREA: Ciências da Saúde
AREA: Medicina
SUMMARY:

Context. Being born in Brazil is a challenge. In 2019, approximately 24,000 neonatal deaths
were registered in the country. There are almost three deaths per hour in the country, something worrisome and that
needs attention. Health professionals have several tools to assist in
prediction of this outcome. However, such tools are mostly based on
in-hospital aspects, focused on the points of intensive care, and based on
data from developed countries. Goal. Develop a neonatal death prediction score
using data present in the declarations of live birth and death of the State of Alagoas
between 2016 and 2020. Methods. This is a case-control study, which
involved newborns whose death occurred between birth and 27 full days of life
(case) and surviving newborns at the same period (control). Data collection was
held at the Health Surveillance Superintendence of the Health Department of the State of
between December 2020 and February 2021. The sample size
based on the absolute number of neonatal deaths between 2016 and 2020. The variable
dependent was neonatal death. The independent variables corresponded to the
present in the DAndd. The statistical analysis included descriptive analysis of the data, as well as
bivariate and multivariate analysis, in addition to sensitivity, specificity and
construction of the ROC curve. Findings. There were 1,338 neonatal deaths between 2016 and
2020 in Alagoas. The weight < 2500 g obtained an adjusted OR of 7.52 (5.86 – 9.74); the presence
congenital malformation 28.15 (16.73 - 47.36); gestational age < 37 weeks 6.06 (4.72
– 7.78), APGAR < 7 in the 5th minute 61.61 (38.01 - 99.88) and prenatal care with < 7 consultations 1.29
(1.04 – 1.59). The VK-10 score, whose best cut-off point found was greater than or equal to five,
obtained an AUC of 89.6%, in addition to a sensitivity of 72.28%, a specificity of
95.61%, a positive likelihood ratio of 16.46 and a likelihood ratio
negative of 0.28. Conclusion. The VK-10 score is shown as a proposal to be valued,
once it presented a high AUC. Moreover, because it has a reason for likelihood
positive high, a score above five points should be valued, that is, when there is a
higher chance of death.

BANKING MEMBERS:
Interno - 1506475 - ALYSSON WAGNER FERNANDES DUARTE
Interno - 1108003 - REGINALDO JOSE PETROLI
Externo à Instituição - RICARDO QUEROZ GURGEL
Presidente - 384.145.544-15 - SAMIR BUAINAIN KASSAR - UNCISAL