Association between birth weight, gestational age and secondary diagnoses in the hospital stay of premature newborns

Authors

  • Marina Dayrell de Oliveira Lima Universidade Federal de Minas Gerais - UFMG, Programa de Pós-graduação em Enfermagem. Belo Horizonte, MG - Brasil. https://orcid.org/0000-0002-8880-1659
  • Ariene Silva do Carmo Universidade Federal de Minas Gerais - UFMG, Faculdade de Medicina, Pós-graduação em Ciências da Saúde - Saúde da Criança e do Adolescente. Belo Horizonte, MG - Brasil. https://orcid.org/0000-0002-3421-9495
  • Thales Philipe Rodrigues Silva Universidade Federal de Minas Gerais - UFMG, Faculdade de Medicina, Pós-Graduação em Ciências da Saúde - Saúde da Criança e do Adolescente. Belo Horizonte, MG - Brasil. https://orcid.org/0000-0002-7115-0925
  • Lorena Medreiros de Almeida Mateus Universidade Federal de Minas Gerais - UFMG, Escola de Enfermagem - EE, Departamento de Enfermagem Materno-Infantil e Saúde Pública. Belo Horizonte, MG - Brasil. https://orcid.org/0000-0001-6952-6551
  • Juliana de Oliveira Marcatto Universidade Federal de Minas Gerais - UFMG, Escola de Enfermagem - EE, Departamento de Enfermagem Materno-Infantil e Saúde Pública. Belo Horizonte, MG - Brasil. https://orcid.org/0000-0002-6870-8414
  • Fernanda Penido Matozinhos Universidade Federal de Minas Gerais - UFMG, Escola de Enfermagem - EE, Departamento de Enfermagem Materno-Infantil e Saúde Pública. Belo Horizonte, MG - Brasil. https://orcid.org/0000-0003-1368-4248
  • Ana Cláudia Abreu Instituto de Acreditação e Gestão em Saúde - IAG Saúde, Departamento Grupos Diagnósticos Relacionados – DRG. Belo Horizonte, MG - Brasil. https://orcid.org/0000-0002-8025-905X
  • Renato Camargo Couto Instituto de Acreditação e Gestão em Saúde - IAG Saúde, Departamento Grupos Diagnósticos Relacionados – DRG. Belo Horizonte, MG - Brasil. https://orcid.org/0000-0003-4907-6295
  • Tânia Moreira Grillo Pedrosa Instituto de Acreditação e Gestão em Saúde - IAG Saúde, Departamento Grupos Diagnósticos Relacionados – DRG. Belo Horizonte, MG - Brasil. https://orcid.org/0000-0002-0042-8125

DOI:

https://doi.org/10.35699/reme.v26i.38663

Keywords:

Diagnosis-Related Groups, Length of Stay, Infant, Newborn, Infant, Premature

Abstract

Objective: to verify the association between birth weight, gestational age, and secondary medical diagnoses in the length of hospital stay of premature newborns. Methods: cross-sectional study, with 1,329 medical records of newborns from July 2012 to September 2015, in two hospitals in Belo Horizonte, which use the Diagnosis Related Groups Brasil system. To determine a cutoff point for birth weight and gestational age at birth that best determined the length of hospital stay, the Receive Operator Characteristic curve was used. Subsequently, the analysis of variance test and Duncan's test were used to compare the mean length of hospital stay. Results: prematurity without major problems (DRG 792) was the most prevalent category (43.12%). The longest mean length of hospital stay was 34.9 days, identified among preterm infants or infants with respiratory distress syndrome (DRG 790). The combination of lower birth weight and lower GA at birth presented the highest risk of hospital stay, increased when compared to the other profiles formed for this DRG. Conclusion: the findings may direct assistance in relation to the mobilization of physical, human and consumer goods resources, in addition to the critical analysis of conditions that influence clinical outcomes. The possibility of optimizing the use of these hospital resources, allied to improving the quality of care and patient safety, is associated with minimizing the length of hospital stay and the burden of neonatal morbidity and mortality.

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Additional Files

Published

2022-04-08

Issue

Vol. 26 (2022)

Section

Research

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Copyright (c) 2022 REME-Revista Mineira de Enfermagem

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This work is licensed under a Creative Commons Attribution 4.0 International License.

How to Cite

1.
Association between birth weight, gestational age and secondary diagnoses in the hospital stay of premature newborns. REME Rev Min Enferm. [Internet]. 2022 Apr. 8 [cited 2025 Apr. 24];26. Available from: https://periodicos-des.cecom.ufmg.br/index.php/reme/article/view/38663

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