Factors associated with the indication of neonatal echocardiography in the investigation of congenital heart diseases.

Autor: Silva MTD; Universidade Federal Fluminense (UFF). Departamento de Enfermagem. Rio das Ostras, Rio de Janeiro, Brasil., Silva ACSSD; Universidade Federal Fluminense (UFF). Departamento de Enfermagem. Rio das Ostras, Rio de Janeiro, Brasil., Santana JJ; Universidade Federal Fluminense (UFF). Departamento de Enfermagem. Rio das Ostras, Rio de Janeiro, Brasil., Góes FGB; Universidade Federal Fluminense (UFF). Departamento de Enfermagem. Rio das Ostras, Rio de Janeiro, Brasil., Assis GGT; Universidade Federal do Rio de Janeiro (UFRJ). Rio de Janeiro, Rio de Janeiro, Brasil., Matos PSD; Universidade Federal Fluminense (UFF). Escola de Enfermagem Aurora de Afonso Costa. Niterói, Rio de Janeiro, Brasil., Cunha ALD; Universidade Federal do Rio de Janeiro (UFRJ). Rio de Janeiro, Rio de Janeiro, Brasil.
Jazyk: English; Portuguese
Zdroj: Revista gaucha de enfermagem [Rev Gaucha Enferm] 2024 Jul 29; Vol. 45, pp. e20230170. Date of Electronic Publication: 2024 Jul 29 (Print Publication: 2024).
DOI: 10.1590/1983-1447.2024.20230170.en
Abstrakt: Objective: To analyze the factors associated with the indication of echocardiography for the investigation of congenital heart disease among newborns.
Method: Retrospective sectional study through the collection of 848 medical records of patients admitted to maternity hospitals in Rio de Janeiro-Brazil, respecting the time frame from September to December 2022.
Results: The average age of mothers was 26.5±6.3 years; 52.7% were classified as brown. The average age of the newborns was 3.5±5.6 days. Maternal variables: gestational age (OR=6.93, CI:3.76-12.80), number of gestational risk factors (1.90: 1.47-2.45) and number of medications (1. 97: 1.40-2.77); and neonatal variables: age (1.07: 1.03-1.02), prematurity (10.55: 5.29-21.03) and number of risk factors (2.62: 2.03-3 .38) were significantly associated with the indication for echocardiography (p<0.001).
Conclusion: It is concluded that the different maternal and neonatal variables, gestational age, number of gestational risk factors, number of medications, age, prematurity and number of risk factors, respectively, showed a significant association for the indication of echocardiography. Therefore, the identification of these factors will enable the investigation of congenital heart disease at an opportune time among newborns.
Databáze: MEDLINE