Publications by authors named "Joao Henrique Carvalho Leme de Almeida"
Growth phenotypes of very low birth weight infants for prediction of neonatal outcomes from a Brazilian cohort: comparison with INTERGROWTH.
J Pediatr (Rio J)
January 2023
Objective: To assess the predictive value of selected growth phenotypes for neonatal morbidity and mortality in preterm infants < 30 weeks and to compare them with INTERGROWTH-21 (IG21).
Method: Retrospective analysis of data from the Brazilian Neonatal Research Network (BNRN) database for very low birth weight (VLBW) at 20 public tertiary-care university hospitals.
Outcome: the composite neonatal morbidity and mortality (CNMM) consisted of in-hospital death, oxygen use at 36 weeks, intraventricular hemorrhage grade 3 or 4, and Bell stage 2 or 3 necrotizing enterocolitis.
Temporal trends in intraventricular hemorrhage in preterm infants: A Brazilian multicenter cohort.
Eur J Paediatr Neurol
July 2022
Background: Intraventricular hemorrhage (IVH) is a serious problem in preterm infants. Brazilian national data are unknown.
Objective: To evaluate the incidence and temporal trend of IVH in very low birth weight (VLBW) preterm infants of 18 centers of the Brazilian Network on Neonatal Research.
Evaluation of the effectiveness of antenatal corticoid in preterm twin and single pregnancies: a multicenter cohort study.
J Matern Fetal Neonatal Med
September 2022
Background: The effects of antenatal corticosteroids (ANSs) on twins are not well established.
Objective: To determine the impact of ANS use according to the number of fetuses.
Methods: Retrospective cohort study of newborns between 23 and 33 weeks of gestational age, birth weight from 400 to 1499 g, without malformations, delivered at 20 public university hospitals from 2010 to 2014.
The impact of coronavirus outbreak on breastfeeding guidelines among Brazilian hospitals and maternity services: a cross-sectional study.
Int Breastfeed J
March 2021
Article Synopsis
- - The study examined how Brazilian hospitals support breastfeeding among mothers with COVID-19, revealing significant limitations, particularly in allowing skin-to-skin contact and early breastfeeding initiation, with 98.5% of facilities prohibiting these practices.
- - Data was collected from 24 hospitals from March to July 2020, revealing a lack of individualized discharge plans and insufficient support from the health community after discharge, with 83.3% not providing adequate follow-up care.
- - The findings highlight a gap in adherence to breastfeeding promotion guidelines due to the pandemic, as most hospitals allowed breast pumping but rejected breast milk donation, showing a need for improved strategies to protect vulnerable populations.
Objective: Many newborns are investigated and empirically treated for suspected early-onset sepsis (EOS). This study aimed to describe neonatologists' self-identified risk thresholds for investigating and treating EOS and assess the consistency of these thresholds with clinical decisions.
Study Design: Voluntary online survey, available in two randomized versions, sent to neonatologists from 20 centers of the Brazilian Network on Neonatal Research.
Article Synopsis
- The study aimed to compare the effectiveness of T-piece resuscitators versus self-inflating bags for ventilating preterm infants at birth, focusing on survival rates without major health issues by discharge.
- Conducted in 20 Brazilian hospitals with 1962 infants born between 23-33 weeks of gestation, the research followed standardized ventilation guidelines and adjustable logistic regression for outcomes.
- Results showed that infants ventilated with T-piece resuscitators had a higher survival rate (47%) without significant complications compared to those using self-inflating bags (35%), indicating that the T-piece may improve neonatal outcomes.