Sobrevida em menores de um ano e seus fatores de risco mediante linkage entre sistemas de informação em Aracaju, 2011

Abstract

Objective. To analyze the factors associated with the survival of children born in Aracaju (SE), in 2011. Methods. This is a cohort study with secondary population-based data from the information system on live births and mortality information system. The live births were considered in the period from January 1 to December 31, 2011, being followed up to 364 days of life. The deaths were observed, after the pairing of the Declaration of Live Birth with the Declaration of Death. The associated risk factors were analyzed through multivariate analysis. Results. Of the 9680 live births, 139 died (14.36 deaths per thousand live births). After the multivariate analysis, risk factors for infant mortality, apgar less than or equal to seven in the first one (RR = 13.11, 95% CI 9.12-18.85) and fifth minutes (RR = 24.17, 95% CI, 16.92- 34.54) were considered risk factors (RR = 22.8, 95% CI 15.72-33.00), gestational age <37 weeks (RR = 27.5, 95% CI 18.3-41.4) and the presence of congenital anomaly (RR = 11.73, 95% CI 6.37-21.58). Conclusion. Thus, these variables were defined as risk factors for survival in children under one year. Surveillance and early identification of these conditions are suggested in the prepartum, delivery and postpartum periods, through the provision and adequate access to health services.