Physiotherapeutic perception of the epidemiological profile of newborns admitted to a Neonatal Intensive Care Unit
DOI:
https://doi.org/10.17267/2238-2704rpf.2025.e6350Keywords:
Neonatal Intensive Care Units, Premature Infant, Epidemiology, Health Profile, PhysiotherapyAbstract
BACKGROUND: The Neonatal Intensive Care Unit (NICU) provides care for critically ill or at-risk newborns who require continuous medical assistance. However, there is limited data on physiotherapists' perception of the epidemiological profile of this population to guide specific actions. Thus, this study aimed to identify, from the perspective of physiotherapists, the epidemiological profile of newborns admitted to NICUs in Mossoró/RN. METHODS: This cross-sectional, descriptive, and mixed-methods study was conducted between October and November 2022 among physiotherapists working in NICUs using an electronic questionnaire. Data were analyzed using Jamovi 2.4.14.0 statistical software and presented as means, standard deviations, and frequencies. RESULTS: Eleven professionals participated in the study, reporting respiratory disorders as the most frequent occurrences (100%) and cesarean section as the predominant type of delivery (100%). The leading cause of admission was respiratory distress syndrome (63.3%), and the most commonly used technique was pulmonary re-expansion therapy (63.6%). The city's mortality rate ranges from low to moderate, with cardiac disorders being the leading cause of death (27.3%). CONCLUSIONS: Understanding the epidemiological profile allows for better planning, adjustments in interventions, and the strengthening of strategies to improve patient survival rates.
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1. Zulian AC, Lisboa DDJ, Batista JS, Lisboa RR. Perfil dos pacientes internados na Unidade de Terapia Intensiva Neonatal. JCS HU-UFPI [Internet]. 2018;1(3):38-48. Available from: https://scholar.google.com/citations?view_op=view_citation&hl=pt-BR&user=Y1sGYVwAAAAJ&citation_for_view=Y1sGYVwAAAAJ:qjMakFHDy7sC
2. Silveira TB, Tavella RA, Fernandez JB, Ribeiro APFA, Garcia EM, Silva Junior FMR. . Epidemiological profile of newborns admitted to Neonatal Intensive Care Units in university hospitals in the extreme south of Brazil. Vittalle. 2020;32(2):46-54. https://doi.org/10.14295/vittalle.v32i2.9815
3. Dol J, Hughes B, Bonet M, Dorey R, Dorling J, Grant A, et al. Timing of neonatal mortality and severe morbidity during the postnatal period: a systematic review. JBI Evid Synth. 2023;21(1):98–199. https://doi.org/10.11124/JBIES-21-00479
4. Pitilin EB, Rosa GFD, Hanauer MC, Kappes S, Silva DTR, Oliveira PP. Perinatal factors associated with prematurity in neonatal intensive care unit. Texto contexto – enferm. 2021;30:e20200031. https://doi.org/10.1590/1980-265X-TCE-2020-0031
5. World Health Organization. Preterm birth [Internet]. Geneva: World Health Organization; [updated 2023 May 10; cited 2021 May 9] Available from: https://www.who.int/news-room/fact-sheets/detail/preterm-birth
6. Melo TCLC, Alves PCA, Santos JLR, Félix TA, Ferreira FV. Profile of newborns hospitalized in a Neonatal Intensive Care Unit. CLCS. 2023;16(8):8548 61. https://doi.org/10.55905/revconv.16n.8-020
7. Gumboski J, Silva DI, Henrique LUC, Schultz LF. Clinical and demographic profile of newborns admitted to a neonatal unit. J Contemp Nurs. 2022;11:e4655. https://doi.org/10.17267/2317-3378rec.2022.e4655
8. Nascimento TM, Omena IS, França AMB, Soares ACO, Oliveira MM. Caracterização das causas de internações de recém-nascidos em uma unidade de terapia intensiva neonatal. Ciênc Biol Saúde Unit [Internet]. 2020;6(1):63 74. Available from: https://periodicos.set.edu.br/cdgsaude/article/view/6568
9. Ministério da Saúde. Dia mundial da prematuridade: “Separação zero: aja agora! Mantenha pais e bebês prematuros juntos” [internet]. Brasília: Ministério da Saúde; 2021. [cited 2022 Mar 7]. Available from: https://bvsms.saude.gov.br/17-11-dia-mundial-da-prematuridade-separacao-zero-aja-agora-mantenha-pais-e-bebes-prematuros
10. Freitas MCN, Sousa AOB, Cabral SAAO, Alencar MCB, Guedes MSSE, Oliveira GF. Characterization Newborn Hospitalized in Intensive Care Units. Id on Line Rev Mult Psic. 2018;12(40):228-42. https://doi.org/10.14295/idonline.v12i40.1110
11. Siqueira ACF. Perfil epidemiológico da unidade neonatal: Revisão integrativa [trabalho de conclusão de curso] [Internet]. Niterói: Universidade Federal Fluminense; 2016. [cited 2022 Aug. 22]. Available from: https://app.uff.br/riuff/handle/1/2568
12. Pereira MG. Epidemiologia: Teoria e Prática. Rio de Janeiro: Editora Guanabara Koogan, 2024.
13. Santos RPB, Lourenço A, Santos LF, Neves AIA, Alencar CP, Pinheiro YT. Effects of respiratory physiotherapy on babies of risk under special care. Arch Health Invest. 2019;8(3):150-6. https://doi.org/10.21270/archi.v8i3.3179
14. Santos ABMS, Almeida LL, Andrade MC, Silva VS. Physiotherapy in neonatology: sensory and cognitive development in cases of neonatal respiratory distress syndrome (RDS). REASE [Internet]. 2024;10(8):2292-303. Available from: https://periodicorease.pro.br/rease/article/view/15256
15. Silva SMR, Motta GCP, Nunes CR, Schardosim JM, Cunha MLC. Late-onset neonatal sepsis in preterm infants with birth weight under 1.500 g. Rev Gaúcha Enferm [Internet]. 2015;36(4):84-9. Available from: https://lume.ufrgs.br/handle/10183/132179
16. Biazus GF, Kupke CC. Clinical profile of newborns undergoing physical therapy in a neonatal intensive care unit. Fisioter Mov. 2016;29(3):553-60. https://doi.org/10.1590/1980-5918.029.003.AO13
17. Marcuartú AC, Malveira SS. Profile of Premature Newborns with Very Low Birth Weight Admitted to a Neonatal Intensive Care Unit. R bras ci Saúde. 2017;21(1):5-10. https://doi.org/10.22478/ufpb.2317-6032.2017v21n1.28551
18. Matos AGA. Perfil epidemiológico de pacientes de uma Unidade de Terapia Intensiva Neonatal em um hospital de referência [Trabalho de Conclusão de Curso] [Internet]. Curitiba: Faculdade Evangélica Mackenzie do Paraná; 2020. Available from:
http://dspace.mackenzie.br/handle/10899/27987
19. Teixeira JAM, Araújo WRM, Maranhão AGK, Cortez-Escalante JJ, Rezende LFM, Matijasevich A. Mortality on the first day of life: trends, causes of death and avoidability in eight Brazilian Federative Units, between 2010 and 2015. Epidemiol Serv Saúde. 2019;28(1):e2018132. https://doi.org/10.5123/S1679-49742019000100006
20. Silva RMM, Zilly A, Ferreira H, Panciere L, Pina JC, Mello DF. Factors related to duration of hospitalization and death in premature newborns. Rev Esc Enferm. 2021;55:e03704. https://doi.org/10.1590/S1980-220X2019034103704
21. Sacramento DDS, Ferreira CKHAP, Souza MOLS, Boulhosa FJS. Profile of Low Birth Newborns in an Intensive Care Unit. Rev Med Minas Gerais [Internet]. 2019;29:e2006. Available from: https://www.rmmg.org/artigo/detalhes/2486
22. Baptista GC, Poton WL. Evolution of neonatal mortality by preventable causes over the past ten years in Espírito Santo State. Rev Bras Saúde Mater Infant. 2021;21(1):45-54. https://doi.org/10.1590/1806-93042021000100003
23. Silveira CK, Brasil LMC, Cerqueira JVC, Crispim PTB, Carvalho ASD. Epidemiological Profile of a Neonatal Intensive Care Unit in a Region of the Brazilian Amazon. Residência Pediátrica. 2023;13(2):1-9. https://doi.org/10.25060/residpediatr-2023.v13n2-768
24. Pereira MUL, Lamy-Filho F; Anunciação PS, Lamy ZC, Gonçalves LLM, Madeira HGR. Neonatal death in the city of São Luís: causes and factors associated with early neonatal death. Rev Pesq Saúde. 2017;18(1):18-23. Available from: https://periodicoseletronicos.ufma.br/index.php/revistahuufma/article/view/7874
25. Martinelli KG, Dias BAS, Leal ML, Belotti L, Garcia EM, Santos Neto ET. Preterm births in Brazil between 2012 and 2019: data from the Information System on Live Births. R Bras Est Pop [Internet]. 2021;38:1 15. https://doi.org/10.20947/S0102-3098a0173
26. Arakaki VSNM, Gimenez IL, Correa RM, Santos RS, Sant’anna CC, Ferreira HC. Demographic mapping and characterization of physical therapy care profile offered in Neonatal Intensive Care Units in the City of Rio de Janeiro, Brazil. Fisioter pesqui. 2017;24(2):143-8. https://doi.org/10.1590/1809-2950/16470124022017
27. Oliveira TC, Moda GSM, Ribeiro AKPL, Nunes SED, Araujo RA, Gaia VSC.Bronchic hygiene techniques in newborns and infants in the intensive care unit: systematic review of clinical trials. J Physiother Res. 2018;8(3):420-9. https://doi.org/10.17267/2238-2704rpf.v8i3.1958
28. Martins R, Silva MEM, Honório GJS, Paulin E, Schivinski CIS. Respiratory physiotherapy techniques: the effect on cardio-respiratory parameters and pain in stable newborns in neonatal intensive care. Rev Bras Saúde Mater Infant [Internet]. 2013;13(4):317-27. Available from: https://www.scielo.br/j/rbsmi/a/sPxr9PdZ56jmwhf4LYQMmFp/?format=pdf&lang=pt
29. Bernardino FCS, Gonçalves TM, Pereira TID, Xavier JS, Freitas BHBM, Gaíva MAM. Trends in neonatal mortality in Brazil from 2007 to 2017. Ciênc Saúde Coletiva. 2022;27(2):567-78. https://doi.org/10.1590/1413-81232022272.41192020
30. Medeiros VAB, Bezerra INS, Mota LM, Monteiro FS. Profire of neonatal mortality in Alagoas in the period 2008 to 2017. Revista Ciência Plural. 2019;5(2):16-31. https://doi.org/10.21680/2446-7286.2019v5n2ID16212
31. Malveira SS, Moraes AN, Chermont AG, Costa DLF, Silva TF. Recém-nascidos de muito baixo peso em um hospital de referência. Revista Paraense de Medicina. 2006;20(1):41-46. Available from: http://scielo.iec.gov.br/scielo.php?script=sci_arttext&pid=S0101-59072006000100007
32. Sousa DS, Sousa Júnior AS, Santos ADR, Melo EV, Lima SO, Almeida-Santos MA, et al. Morbidity in extreme low birth weight newborns hospitalized in a high risk public maternity. Rev Bras Saúde Matern Infant. 2017;17(1):149-57. https://doi.org/10.1590/1806-93042017000100008
33. Lima RG, Vieira VC, Medeiros DS. Determinants of preterm infants’ deaths at the Neonatal Intensive Care Units in the Northeast Countryside in Brazil. Rev Bras Saúde Mater Infant. 2020;20(2):545-54. https://doi.org/10.1590/1806-93042020000200012
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Copyright (c) 2025 Ruana Glicya Lima Silva, Alice Anny Diniz Rocha, Jaíza Marques Medeiros e Silva, Gustavo Coringa de Lemos
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
