# Qualineo Strategy Indicators Associated with Neonatal Death: A Cross-Sectional Study

## TL;DR

This study identifies factors associated with neonatal death in a Brazilian hospital using the Qualineo Strategy to improve neonatal care.

## Contribution

The study identifies specific care indicators from the Qualineo Strategy that predict neonatal mortality in term and premature newborns.

## Key findings

- Variables like maternal drug use and NICU admission predict neonatal death in term newborns.
- Premature newborns with low Apgar scores and NICU admission are at higher risk of death.
- All neonatal variables showed significant association with neonatal death (p < 0.05).

## Abstract

Context: The Qualineo Strategy is an effective measure for reducing neonatal mortality in regions with the highest death rates. In addition, it is a relevant Brazilian tool for strengthening teamwork and neonatal assistance. This study aims to analyze the predictors of neonatal death in the indicators of care provided by the Qualineo Strategy at a reference maternity hospital in Piauí, in the years 2021 to 2022. Methods: This is a retrospective study of 1856 newborn records. Pearson’s chi-squared test was used to assess the association between the variables; a predictive regression model was used to identify the variables that predict neonatal mortality. Results: There was a significant association between all neonatal variables and the outcome of death (p < 0.05). The predictor variables for death in term newborns were the use of drugs by the mother and admission to the Neonatal Intensive Care Unit. For premature newborns, the predictor variables were, as follows: the use of cannula ventilation, an Apgar score in the 1st minute <7; and admission to the Neonatal Intensive Care Unit. Conclusions: The results will make it possible to visualize better strategies for the reality analyzed and reinforce the importance of prenatal care.