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1. EVALUATION OF USABILITY OF A NEONATAL HEALTH INFORMATION SYSTEM ACCORDING TO THE USER’S PERCEPTION

Author

Lucio Padrini-Andrade, Rita de Cássia Xavier Balda, Kelsy Catherina Nema Areco, Paulo Bandiera-Paiva, Marynéa do Vale Nunes, Sérgio Tadeu Martins Marba, Werther Brunow de Carvalho, Ligia Maria Suppo de Souza Rugolo, João Henrique Carvalho de Almeida, Renato Soibelmann Procianoy, José Luiz Muniz Bandeira Duarte, Maria Albertina Santiago Rego, Daniela Marques de Lima Mota Ferreira, Navantino Alves Filho, Ruth Guinsburg, Edna Maria de Albuquerque Diniz, Juliana Paula Ferraz dos Santos, Daniela Testoni, Nathalia Moura de Mello e Silva, Maria Rafaela Conde Gonzales, Regina Vieira Cavalcante da Silva, Jucille Meneses, Walusa Assad Gonçalves-Ferri, Ricardo Perussi-e-Silva, and Olga Bomfim

Subjects
Medical informatics, Information systems, Health information systems, Systems analysis, Information science, Health personnel, Pediatrics, RJ1-570
Abstract

ABSTRACT Objective: To measure the level of satisfaction regarding the usability of a neonatal health information system and identify if demographic factors can influence the usability of a health information system. Methods: A cross-sectional, exploratory study was carried out with a convenience sample of 50 users of the Brazilian Neonatal Research Network. The instrument chosen for the usability evaluation was the System Usability Scale between February and March 2017. The statistical analysis of the collected variables was carried out in order to describe the sample, to quantify the level of satisfaction of the users and to identify the variables associated with the level of satisfaction. Results: The female gender represented 75% of the sample. The mean age was 52.8 years; 58% had a doctoral degree, average time of graduation was 17 years, with area of practice in medicine (neonatology), with intermediate knowledge in computer science (74%) and mean system use time of 52 months. Regarding usability, 94% rated the system as “good”, “excellent” or “better than imaginable”. The usability of the system was not associated with age, gender, education, profession, area of practice, knowledge in computer science and time of system use. Conclusion: The level of satisfaction of the computerized health system user was considered good. No demographic factors were associated with the satisfaction of the users.

Published
2018
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2. Valor preditivo da ultra-sonografia do cérebro em recém-natos com diagnóstico de meningite bacteriana neonatal: seguimento de 12 anos Predictive value of cerebral ultrasound with respect to clinical outcome in infants diagnoses on neonatal meningitis: a focus 12 years later

Author

Alexandra Maria Vieira Monteiro and Olga Bomfim

Subjects
ultra-sonografia, cérebro, meningite neonatal, cerebral, ultrasound, neonatal meningitis, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
Abstract

OBJETIVO: Avaliar o valor preditivo da ultra-sonografia do cérebro, para o dano cerebral, em crianças com diagnóstico de meningite neonatal. MÉTODO: Estudo retrospectivo realizado no Instituto Fernandes Figueira (FIOCRUZ-RJ) em 16 crianças que realizaram ultra-sonografia do cérebro por diagnóstico de meningite no período neonatal e tiveram seguimento neurológico até 12 anos. Foram calculados: valores preditivos positivo e negativo, sensibilidade e especificidade. RESULTADOS: 56,25% eram do sexo masculino e 81,25% prematuros. Hidrocefalia foi o achado mais freqüente (56,25%), seguido pelo exame normal (43,75%). Achados de hidrocefalia (9), somente em um havendo evolução favorável e achados normais (7), em 4 (57,14%) não havendo déficit neurológico. Achados de ventriculite (4) e abscesso cerebral (2): todos evoluíram com dano cerebral. Diagnóstico de encefalomalácia (2); em 50% havendo desenvolvimento cognitivo satisfatório. Diagnostico de atrofia (2), todos com dano cerebral severo. CONCLUSÃO: Valor preditivo positivo de 88,89%, negativo de 57,14%, sensibilidade de 72,73% e especificidade de 80%.OBJECTIVE: To evaluate the predictive value of cerebral ultrasound in infants diagnoses on meningitis neonatal to the neurological outcome. METHOD: A retrospective study of 16 children admitted at Institute Fernandes Figueira RJ - Brazil, who had neonatal meningitis and were examined by cerebral ultrasound. The neurologic outcome was evaluated until 12 years of age. Positive and negative predictive values, sensitivity and specificity were calculated. RESULTS: 56.25% were male and 81.25% premature. Hydrocephalus was the most frequent finding (56.25%) followed by normal exam (43.75%). Findings of hydrocephalus (9) only one had good neurologic outcome; and normal exam (7): only 57.14% without brain damage. Findings of ventriculitis (4) and brain abscesses (2) all had neurologic damage. Diagnosis of encephalomalacia (2): only one had good cognitive function. Findings of cerebral atrophy (2) all with severe outcome. CONCLUSION: The positive and predictive values were: 88.89%; 57.14% negative; sensitivity was 72.73% and specificity 80%.

Published
2006
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3. Uso antenatal de corticosteróide e condições de nascimento de pré-termos nos hospitais da Rede Brasileira de Pesquisas Neonatais

Author

Francisco Eulógio Martinez, Marisa Márcia Mussi-Pinhata, Nelson José Linhares, Sérgio Marba, Abimael A Neto, Renato Procianoy, Natacha T. Uchoa, José Maria Andrade Lopes, Olga Bomfim, Cléa R Leone, Lílian S R Sadeck, Flávio Adolfo Costa Vaz, Ruth Guinsburg, Maria Fernanda B Almeida, Joice Fabíola Meneguel, Milton Miyoshi, Renato M Fiori, Tatiana T Garcia, Jorge H Luz, Cleide Enoir Petean Trindade, and Maria Regina Betlin

Subjects
Corticosteróide antenatal, Prematuridade, Baixo peso, Pré-termo, Gynecology and obstetrics, RG1-991
Abstract

OBJETIVOS: avaliar o uso de corticosteróide antenatal (CA) nas mães e as suas repercussões nas condições de nascimento das crianças nascidas pré-termo nas oito unidades neonatais universitárias da Rede Brasileira de Pesquisas Neonatais. MÉTODOS: estudo observacional do tipo coorte prospectivo. Foram avaliadas 463 gestantes com idade gestacional (IG) entre 23 e 34 semanas e seus 514 recém-nascidos no período de 1 de agosto a 31 de dezembro de 2001. Os dados foram obtidos por entrevista materna, análise de prontuário e acompanhamento dos recém-nascidos, e analisados pelos testes do chi2, Mann-Whitney, ANOVA e regressão logística múltipla, com nível de significância de 0,05. RESULTADOS: 60,1% (282/463) das gestantes (variação de 12,5 a 87,3% entre as unidades) receberam ao menos uma dose de CA. A freqüência do uso de CA foi diretamente associada ao número de consultas de pré-natal, hipertensão materna e uso antenatal de tocolíticos. Quando as gestantes foram tratadas, os RN apresentaram maior peso de nascimento (1379±421 vs 1244±543 g), idade gestacional mais avançada (30,9±2,0 vs 29,5±3,5 semanas), melhores valores do escore de Apgar no 1º e 5º minuto e menor freqüência de intervenção na sala de parto. O uso de CA, a IG e o fato de ser pequeno para a IG melhoraram, de forma independente, as condições de nascimento. CONCLUSÕES: o uso de CA, na maioria dos centros, foi feito em freqüência abaixo da desejada e em metade das vezes de forma inadequada. O tratamento foi mais aplicado a mães com melhor acompanhamento durante o pré-natal e foi associado com melhores condições de nascimento.

Published
2004
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4. Variability on red blood cell transfusion practices among Brazilian neonatal intensive care units

Author

Amélia M N, dos Santos, Ruth, Guinsburg, Renato S, Procianoy, Lílian dos S R, Sadeck, Abimael Aranha, Netto, Ligia M, Rugolo, Jorge H, Luz, Olga, Bomfim, Francisco E, Martinez, Maria Fernanda B, de Almeida, and Maria Lúcia Silveira, Ferlin

Subjects
Pediatrics, medicine.medical_specialty, Blood transfusion, Birth weight, medicine.medical_treatment, Immunology, Infant, Newborn, Diseases, law.invention, Hospitals, University, Pregnancy, law, Intensive Care Units, Neonatal, Intensive care, medicine, Humans, Infant, Very Low Birth Weight, Immunology and Allergy, Prospective cohort study, Hospitals, Public, business.industry, Infant, Newborn, Hypertension, Pregnancy-Induced, Hematology, Odds ratio, Length of Stay, medicine.disease, Intensive care unit, Diabetes, Gestational, Logistic Models, Intraventricular hemorrhage, Multivariate Analysis, Practice Guidelines as Topic, Apgar Score, Female, Guideline Adherence, Erythrocyte Transfusion, business, Brazil, Infant, Premature
Abstract

BACKGROUND: Guidelines for red blood cell (RBC) transfusions exist; however, transfusion practices vary among centers. This study aimed to analyze transfusion practices and the impact of patients and institutional characteristics on the indications of RBC transfusions in preterm infants. STUDY DESIGN AND METHODS: RBC transfusion practices were investigated in a multicenter prospective cohort of preterm infants with a birth weight of less than 1500 g born at eight public university neonatal intensive care units of the Brazilian Network on Neonatal Research. Variables associated with any RBC transfusions were analyzed by logistic regression analysis. RESULTS: Of 952 very-low-birth-weight infants, 532 (55.9%) received at least one RBC transfusion. The percentages of transfused neonates were 48.9, 54.5, 56.0, 61.2, 56.3, 47.8, 75.4, and 44.7%, respectively, for Centers 1 through 8. The number of transfusions during the first 28 days of life was higher in Center 4 and 7 than in other centers. After 28 days, the number of transfusions decreased, except for Center 7. Multivariate logistic regression analysis showed higher likelihood of transfusion in infants with late onset sepsis (odds ratio [OR], 2.8; 95% confidence interval [CI], 1.8-4.4), intraventricular hemorrhage (OR, 9.4; 95% CI, 3.3-26.8), intubation at birth (OR, 1.7; 95% CI, 1.0-2.8), need for umbilical catheter (OR, 2.4; 95% CI, 1.3-4.4), days on mechanical ventilation (OR, 1.1; 95% CI, 1.0-1.2), oxygen therapy (OR, 1.1; 95% CI, 1.0-1.1), parenteral nutrition (OR, 1.1; 95% CI, 1.0-1.1), and birth center (p

Published
2010

5. Antenatal corticosteroid use and birth conditions of preterm infants at hospitals belonging to the Brazilian Network of Neonatal Research

Author

Maria Fernanda B. Almeida, Flávio Adolfo Costa Vaz, Ruth Guinsburg, Olga Bomfim, Tatiana T Garcia, Cleide Enoir Petean Trindade, José Maria de Andrade Lopes, Lilian S. R. Sadeck, Cléa Rodrigues Leone, Milton Harumi Miyoshi, Sérgio Tadeu Martins Marba, Nelson José Linhares, Abimael A Neto, Maria Regina Betlin, Joice Fabíola Meneguel, Marisa Márcia Mussi-Pinhata, Francisco Eulógio Martinez, Renato Machado Fiori, Jorge Hecker Luz, Natacha T. Uchoa, and Renato S. Procianoy

Subjects
Pediatrics, medicine.medical_specialty, Tocolytic agent, Birth weight, Prenatal care, lcsh:Gynecology and obstetrics, Pré-termo, Statistical significance, medicine, Maternal hypertension, Prospective cohort study, Prematuridade, lcsh:RG1-991, Antenatal glucocorticoids, Obstetrics, business.industry, Obstetrics and Gynecology, Gestational age, Gynecology and obstetrics, Low birth weight, Corticosteróide antenatal, RG1-991, Baixo peso, medicine.symptom, business, Prematurity
Abstract

OBJETIVOS: avaliar o uso de corticosteróide antenatal (CA) nas mães e as suas repercussões nas condições de nascimento das crianças nascidas pré-termo nas oito unidades neonatais universitárias da Rede Brasileira de Pesquisas Neonatais. MÉTODOS: estudo observacional do tipo coorte prospectivo. Foram avaliadas 463 gestantes com idade gestacional (IG) entre 23 e 34 semanas e seus 514 recém-nascidos no período de 1 de agosto a 31 de dezembro de 2001. Os dados foram obtidos por entrevista materna, análise de prontuário e acompanhamento dos recém-nascidos, e analisados pelos testes do chi2, Mann-Whitney, ANOVA e regressão logística múltipla, com nível de significância de 0,05. RESULTADOS: 60,1% (282/463) das gestantes (variação de 12,5 a 87,3% entre as unidades) receberam ao menos uma dose de CA. A freqüência do uso de CA foi diretamente associada ao número de consultas de pré-natal, hipertensão materna e uso antenatal de tocolíticos. Quando as gestantes foram tratadas, os RN apresentaram maior peso de nascimento (1379±421 vs 1244±543 g), idade gestacional mais avançada (30,9±2,0 vs 29,5±3,5 semanas), melhores valores do escore de Apgar no 1º e 5º minuto e menor freqüência de intervenção na sala de parto. O uso de CA, a IG e o fato de ser pequeno para a IG melhoraram, de forma independente, as condições de nascimento. CONCLUSÕES: o uso de CA, na maioria dos centros, foi feito em freqüência abaixo da desejada e em metade das vezes de forma inadequada. O tratamento foi mais aplicado a mães com melhor acompanhamento durante o pré-natal e foi associado com melhores condições de nascimento. PURPOSE: to assess the use of antenatal corticosteroid (AC) by mothers and its repercussion on the birth conditions of preterm babies at the eight university neonatal units belonging to the Brazilian Network of Neonatal Research. METHODS: an observational prospective cohort study. All 463 pregnant women with a gestational age (GA) of 23 to 34 weeks and their 514 newborn babies were evaluated during the period from August 1 to December 31, 2001. The data were obtained by maternal interview, by the analysis of the medical records and by the follow-up of the newborn infants, and analyzed statistically using chi2, Mann-Whitney and ANOVA tests and multiple logistic regression, with the level of significance set at 0.05. RESULTS: 60.1% (282/463) of the pregnant women (a variation from 12.5 to 87.3% among units) received at least one AC dose. The AC use was directly associated with the number of prenatal visits, with maternal hypertension and with the antenatal use of tocolytic agents. Babies from treated pregnant women presented higher birth weight (1,379±421 vs 1,244±543 g), longer gestational age (30.9±2.0 vs 29.5±3.5 weeks), better Apgar scores at the 1st and 5th minute, and a reduced need for intervention in the delivery room. The use of AC, the GA and a baby small for GA independently improved the birth conditions. CONCLUSIONS: at most centers, AC was administered at frequencies below the desired ones, and in 50% of cases in an inadequate manner. Treatment was applied more to mothers who received appropriate prenatal care and was associated with better birth conditions.

Published
2004

6. Uso antenatal de corticosteóide e evolução clínica de recém-nascidos pré-termo

Author

Lilian S. R. Sadeck, Nelson José Linhares, Renato S. Procianoy, Cleide Enoir Petean Trindade, Abimael Aranha Netto, Ruth Guinsburg, Sérgio Tadeu Martins Marba, Olga Bomfim, Maria Regina Betlin, Humberto Holmer Fiori, Natacha T. Uchoa, José Maria de Andrade Lopes, Maria Fernanda B. Almeida, Renato Machado Fiori, Manuel R. Pereira, Joice Fabíola Meneguel, Flávio Adolfo Costa Vaz, Maria Lúcia Silveira Ferlin, Cléa Rodrigues Leone, Milton Harumi Miyoshi, Francisco Eulógio Martinez, Universidade de São Paulo (USP), Universidade Estadual de Campinas (UNICAMP), Universidade Federal do Rio Grande do Sul (UFRGS), Fundação Oswaldo Cruz, Universidade Federal de São Paulo (UNIFESP), Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), and Universidade Estadual Paulista (Unesp)

Subjects
Male, multivariate logistic regression analysis, medicine.medical_treatment, medical record review, sepsis, Cohort Studies, Mechanical ventilation, birth, newborn, newborn sepsis, Adrenal Cortex Hormones, Pregnancy, rank sum test, Maternal hypertension, antibiotic agent, Prospective Studies, gestational age, Antenatal glucocorticoids, evaluation, Obstetrics, adult, disease course, delivery room, Gestational age, artificial ventilation, clinical trial, Prenatal Care, indometacin, cohort analysis, high birth weight, female, health care quality, Apgar score, oxygenation, medicine.symptom, Infection, Prematurity, Infant, Premature, Cohort study, prospective study, medicine.medical_specialty, corticosteroid, analysis of variance, Respiratory Therapy, Adolescent, Birth weight, surfactant, uterus spasmolytic agent, dexamethasone, betamethasone, medical record, Sepsis, Student t test, blood, medicine, follow up, Humans, controlled study, human, Quality of Health Care, necrotizing enterocolitis, controlled clinical trial, business.industry, statistical model, Infant, Newborn, birth weight, interview, scoring system, medicine.disease, maternal hypertension, infant, major clinical study, prenatal period, Low birth weight, pregnant woman, hyaline membrane disease, multicenter study, Logistic Models, Pediatrics, Perinatology and Child Health, business, chi square test
Abstract

Submitted by Vitor Silverio Rodrigues (vitorsrodrigues@reitoria.unesp.br) on 2014-05-27T11:21:06Z No. of bitstreams: 0Bitstream added on 2014-05-27T14:45:23Z : No. of bitstreams: 1 2-s2.0-16644374418.pdf: 161396 bytes, checksum: 04a0f69ab935ed7c1da144338baff11b (MD5) Made available in DSpace on 2014-05-27T11:21:06Z (GMT). No. of bitstreams: 0 Previous issue date: 2004-07-01 Objectives: To describe the use of antenatal corticosteroid and clinical evolution of preterm babies. Methods: An observational prospective cohort study was carried out. All 463 pregnant women and their 514 newborn babies with gestational age ranging from 23 to 34 weeks, born at the Brazilian Neonatal Research Network units, were evaluated from August 1 to December 31, 2001. The data were obtained through maternal interview, analysis of medical records, and follow-up of the newborn infants. Data analysis was performed with the use of chi-square, t Student, Mann-Whitney, and ANOVA tests and multiple logistic regression, with level of significance set at 5%. Results: Treatment was directly associated with the number of prenatal visits, with maternal hypertension and with the antenatal use of tocolytic agents. Babies from treated pregnant women presented better Apgar scores at the 1st and 5th minute, reduced need for intervention in the delivery room and lower SNAPPE II. They were born with higher birth weight, longer gestational age and needed less surfactant use, ventilation, and oxygenation time. After multiple logistic regression, the use of antenatal corticosteroid independently improved birth conditions, decreased ventilation time, being related to increased occurrence of neonatal sepsis. Conclusions: The use of corticosteroid was associated with better prenatal care and birth conditions, better preterm evolution but higher risk of infection. Copyright © 2004 by Sociedade Brasileira de Pediatria. Hospital Das Clínicas Faculdade de Medicina de Ribeirão Preto Universidade de São Paulo (USP), Ribeirão Preto, SP Centro de Atenção Integral à Saúde da Mulher Universidade Estadual de Campinas (UNICAMP), Campinas, SP Hospital de Clínicas de Porto Alegre Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS Instituto Fernandes Figueira Fundação Oswaldo Cruz, Rio de Janeiro, RJ Hospital São Paulo Escola Paulista de Medicina Universidade Federal de São Paulo (UNIFESP), São Paulo, SP Berçário Anexo à Maternidade do Hospital Das Clínicas de São Paulo Universidade de São Paulo (USP), São Paulo, SP Hospital São Lucas Pontifícia Universidade do Rio Grande do Sul (PUCRS), Porto Alegre, RS Hospital Das Clínicas Faculdade de Medicina de Botucatu Universidade do Estado de São Paulo (UNESP), Botucatu, SP Departamento de Puericultura e Pediatria Faculdade de Medicina de Ribeirão Preto - USP, Av. Bandeirantes, 3900, CEP 14049-900 - Ribeirao Preto, SP Hospital Das Clínicas Faculdade de Medicina de Botucatu Universidade do Estado de São Paulo (UNESP), Botucatu, SP

Published
2004

7. Endotracheal Intubation (EOT) in the Delivery room : Should It Be a Routine Procedure for the Extreme Low Birth Weight Infant?

Author

Maria Elizabeth Lopes Moreira, Guilherme M. Sant'Anna, José Maria de Andrade Lopes, José R. M. Ramos, Olga Bomfim, and Joao Henrique Leme

Subjects
Low birth weight, business.industry, Anesthesia, Pediatrics, Perinatology and Child Health, Delivery room, medicine, Endotracheal intubation, medicine.symptom, business
Abstract

Endotracheal Intubation (EOT) in the Delivery room : Should It Be a Routine Procedure for the Extreme Low Birth Weight Infant?

Published
1999

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