Fatores associados a necessidade de terapia intensiva neonatal em prematuros tardios

Abstract

Objective: To describe the factors associated with the need for admission to the Neonatal Intensive Care Unit in a population of late preterm infants. Method: Cross-sectional analytical study, from the project database that followed 123 preterm infants late in their first year of life, in southern Brazil. The independent variable was considered the need for intensive care, and the comparison variables were obstetric and neonatal. For statistical analysis the Qui-square and Odds ratio tests were used. Results: The main reasons for NICU hospitalizations of late preterm infants were respiratory distress (57%), underweight (23%) and hypoglycemia (17.1%). In addition, premature PIG / GIG were 2.5 times more likely to be admitted, compared to AIG (P <0.01). Also, factors such as cesarean delivery, complications during delivery, need for neonatal resuscitation, were obstetric factors associated with the need for assistance in neonatal intensive care (p <0.05). Conclusions: The factors associated with admission to the NICU in the population of late preterm infants were low weight, apgar <4, birth by cesarean delivery, which are considered to be factors resulting from the physiological immaturity of the preterm infant.