ArticleRevista panamericana de salud publica = Pan American journal of public health2021
[Evidence synthesis: evidence-based clinical practice guidelines for monitoring at-risk newbornsSíntese de evidência: diretrizes de prática clínica baseada em evidência para o acompanhamento de recém-nascidos em risco].
Article in Revista panamericana de salud publica = Pan American journal of public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionThe World Health Organization recommends focusing attention on the neonatal period, eliminating mortality from preventable causes, and providing quality care. It is essential to know which conditions have a high probability of occurring in that population in order to monitor them systematically, detect them early, and provide timely treatment and rehabilitation.
objectivesSynthesize the recommendations contained in
methodsThe guidelines and recommendations were synthesized and a systematic search was conducted in PubMed, Lilacs, Health Systems Evidence, Epistemonikos, and gray literature for studies carried out in the Region of the Americas with a view to identifying barriers, facilitators, and implementation strategies.
resultsA total of 21 recommendations and 14 good practices were formulated for application to newborns with at-risk conditions (prematurity and congenital or acquired conditions) up to 2 years of age. The barriers identified as standing in the way of their implementation were insufficient availability of screening tests, deficiencies in the referral system, and lack of awareness of the recommendations.
conclusionsThe guidelines include recommendations for discharge criteria, screening, and frequency of monitoring for at-risk newborns up to 2 years of age in the Region of the Americas, as well as information and support for parents and caregivers.
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