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qualidade dos servi&#231;os&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Em todo o mundo&#44; o transporte por ambul&#226;ncias &#233; a primeira linha de resposta de traslado de pacientes cr&#237;ticos entre hospitais&#46; Muitos desses pacientes s&#227;o transportados por terra&#44; ao passo que os servi&#231;os de transporte a&#233;reo m&#233;dico t&#234;m sido usados por pacientes cr&#237;ticos que exigem cuidado imediato ou quando as dificuldades geogr&#225;ficas limitam o acesso por terra&#46;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">3</span></a> V&#225;rios estudos sobre transporte a&#233;reo foram feitos em pa&#237;ses desenvolvidos&#44; principalmente nos Estados Unidos&#44; no Canad&#225; e nos da Europa&#46; Mesmo assim&#44; as evid&#234;ncias sobre esse assunto s&#227;o escassas em pa&#237;ses em desenvolvimento&#46;<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">4</span></a> Nesses pa&#237;ses&#44; as dificuldades sociais est&#227;o relacionadas a grandes desigualdades nos servi&#231;os de sa&#250;de&#46; Al&#233;m disso&#44; caracter&#237;sticas geogr&#225;ficas poderiam limitar a presta&#231;&#227;o de servi&#231;os de sa&#250;de&#44; incluindo cuidados prim&#225;rios&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">5</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Para abordar esses problemas de acessibilidade geogr&#225;fica&#44; pa&#237;ses como os Estados Unidos t&#234;m pol&#237;ticas desenvolvidas dirigidas a esfor&#231;os para melhorar o acesso e eliminar as disparidades na assist&#234;ncia m&#233;dica&#44; com a efici&#234;ncia como prioridade&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">6</span></a> Exemplos como esses n&#227;o s&#227;o adequados para a Col&#244;mbia&#46; Tr&#234;s cadeias montanhosas cortam o pa&#237;s e tornam as dist&#226;ncias entre as regi&#245;es maiores do que em outros pa&#237;ses no que diz respeito ao transporte terrestre&#46; Al&#233;m disso&#44; um estudo recente sobre as condi&#231;&#245;es das rodovias da Col&#244;mbia relatou a exist&#234;ncia de 128&#46;000<span class="elsevierStyleHsp" style=""></span>km no pa&#237;s &#40;75&#37; pavimentadas&#41; e apenas 35&#37; delas estavam em boas condi&#231;&#245;es&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">7</span></a> Al&#233;m disso&#44; durante a esta&#231;&#227;o das chuvas&#44; as rodovias frequentemente s&#227;o bloqueadas por deslizamentos e inunda&#231;&#245;es&#46; Foi mais problem&#225;tico em 2010 e 2011&#44; quando La Ni&#241;a causou muita deteriora&#231;&#227;o na infraestrutura rodovi&#225;ria<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">8</span></a> e dificultou o transporte de alguns pacientes que precisavam de cuidados m&#233;dicos especializados em hospitais mais complexos&#46; Todos esses motivos favorecem a op&#231;&#227;o de transporte a&#233;reo&#46; Em servi&#231;os de sa&#250;de&#44; o transporte a&#233;reo de pacientes para as principais cidades &#40;Bogot&#225; e Medell&#237;n&#41; &#233; relativamente frequente em companhias a&#233;reas comerciais&#44;<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">9</span></a> por&#233;m as ambul&#226;ncias a&#233;reas especializadas s&#227;o escassas&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Para melhorar os indicadores de sa&#250;de&#44; o modo de transporte e a experi&#234;ncia da equipe de transporte precisam ser considerados meios para encurtar o tempo de transporte e manter a estabilidade cl&#237;nica dos pacientes&#46; Na Col&#244;mbia&#44; no momento deste estudo&#44; o transporte a&#233;reo e o terrestre n&#227;o apresentavam rela&#231;&#245;es contratuais com hospitais de destino e os m&#233;dicos e enfermeiros especializados estavam dispon&#237;veis exclusivamente para o transporte a&#233;reo&#46; O modo de transporte &#233; mais relevante para pacientes neonatais cr&#237;ticos enviados para os hospitais com alto n&#237;vel de complexidade&#46; Ademais&#44; os dados de todo o mundo indicam que a mortalidade neonatal reduziu mais lentamente do que a mortalidade de m&#227;es e crian&#231;as entre um m&#234;s e cinco anos e &#233; ainda mais problem&#225;tica em pa&#237;ses com maior carga de doen&#231;a&#46; Assim&#44; a avalia&#231;&#227;o de fatores que determinam a sobreviv&#234;ncia&#44; como o modo de transporte&#44; &#233; uma vari&#225;vel que deve ser explorada em pa&#237;ses em desenvolvimento&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Em um estudo anterior&#44; exploramos as vari&#225;veis cl&#237;nicas associadas &#224; mortalidade intra&#8208;hospitalar&#44; mas n&#227;o os fatores relacionados ao acesso&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">10</span></a> Este estudo explora a hip&#243;tese de o transporte a&#233;reo ou terrestre e a dist&#226;ncia percorrida entre o local de origem e o hospital especializado estarem associados &#224; sobrevida hospitalar de neonatos gravemente doentes no nordeste da Col&#244;mbia&#46; Considerando suas caracter&#237;sticas geogr&#225;ficas&#44; essa regi&#227;o &#233; um bom exemplo de acesso limitado&#46;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">11</span></a></p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">M&#233;todos</span><p id="par0030" class="elsevierStylePara elsevierViewall">Um estudo observacional foi feito para comparar a sobrevida hospitalar de todos os neonatos doentes transportados para a Fundaci&#243;n Cardiovascular de Colombia &#40;FCV&#41; por transporte terrestre e a&#233;reo em seis meses&#46; Essa foi uma amostra de conveni&#234;ncia adequada para explorar grandes diferen&#231;as entre tipos de transporte por ambul&#226;ncia&#46; Os dados coletados e inclu&#237;dos no estudo foram obtidos de registros institucionais eletr&#244;nicos e um arquivo com vari&#225;veis adicionais espec&#237;fico&#46; Todos os neonatos participantes foram hospitalizados na Unidade de Terapia Intensiva Neonatal&#46; A FCV &#233; uma institui&#231;&#227;o privada que presta servi&#231;os altamente complexos a pacientes com doen&#231;as cardiovasculares&#44; neurol&#243;gicas e perinatais ou que precisam de transplantes&#46; A institui&#231;&#227;o &#233; certificada pela Joint Commission International&#46; O estudo foi aprovado pelo Comit&#234; de &#201;tica da FCV&#46;</p><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Vari&#225;veis</span><p id="par0035" class="elsevierStylePara elsevierViewall">A vari&#225;vel de resultado foi a alta do hospital com vida &#40;sim&#47;n&#227;o&#41;&#46; As vari&#225;veis independentes inclu&#237;ram dados e informa&#231;&#245;es cl&#237;nicos e sociodemogr&#225;ficos relacionados ao munic&#237;pio do qual os neonatos foram enviados&#46; As vari&#225;veis cl&#237;nicas foram&#58; idade gestacional &#40;semanas&#41;&#44; peso &#40;g&#41;&#44; sexo &#40;masculino&#47;feminino&#41;&#44; &#237;ndice de Apgar&#44; frequ&#234;ncia card&#237;aca &#40;batidas&#47;minuto&#41;&#44; press&#227;o arterial &#40;mmHg&#41; e estado &#225;cido&#8208;b&#225;sico &#40;pH&#41; no momento da interna&#231;&#227;o&#46; Outras vari&#225;veis avaliadas foram defeitos cong&#234;nitos &#40;sim&#47;n&#227;o&#41;&#44; cardiopatias &#40;sim&#47;n&#227;o&#41;&#44; hemorragia cerebral &#40;sim&#47;n&#227;o&#41;&#44; fal&#234;ncia renal &#40;sim&#47;n&#227;o&#44; &#8805; 1&#44;5<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#41; e grau de gravidade ap&#243;s o transporte de acordo com o &#205;ndice de Risco da Estabilidade Fisiol&#243;gica no Transporte &#40;TRIPS&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">12</span></a> Esses dados foram obtidos das an&#225;lises feitas no hospital&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Tamb&#233;m foram obtidas informa&#231;&#245;es sobre o tipo de previd&#234;ncia social &#40;contributiva&#44; subsidiada ou n&#227;o segurado&#41;&#44; recursos humanos na ambul&#226;ncia &#40;cl&#237;nico geral&#44; m&#233;dico rural&#44; especialista&#44; enfermeiro credenciado&#44; enfermeiro auxiliar ou outro&#41;&#44; tipo de suporte de ventila&#231;&#227;o &#40;c&#226;mara laminar&#44; c&#226;nula nasal&#44; ventilador ou n&#227;o necess&#225;rio&#41;&#44; uso de vasopressores na ambul&#226;ncia durante o transporte &#40;sim&#47;n&#227;o&#41;&#44; eventos adversos durante o transporte &#40;sim&#47;n&#227;o&#44; tipo de evento&#41; e munic&#237;pio de origem&#46; O munic&#237;pio de origem foi usado para calcular a dist&#226;ncia de carro &#40;km&#41; para o hospital com a ferramenta gratuita <a id="intr0010" class="elsevierStyleInterRef" href="http://distancescalculator.com/"><span class="elsevierStyleUnderline">http&#58;&#47;&#47;distancescalculator&#46;com&#47;</span></a>&#46; Tamb&#233;m foram obtidos dados relacionados a idade&#44; hist&#243;rico cl&#237;nico e controle materno pr&#233;&#8208;natal&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Modelos estat&#237;sticos</span><p id="par0045" class="elsevierStylePara elsevierViewall">Primeiramente&#44; as vari&#225;veis foram descritas com percentuais ou tend&#234;ncia central e dispers&#227;o&#44; de acordo com a distribui&#231;&#227;o observada com rela&#231;&#227;o a cada vari&#225;vel&#46; Ent&#227;o&#44; para cada uma das vari&#225;veis independentes&#44; o teste qui&#8208;quadrado&#44; o teste exato de Fisher ou o teste de Mann&#8208;Whitney foram usados para comparar pacientes que receberam alta hospitalar com vida com aqueles que faleceram&#46; O efeito da modifica&#231;&#227;o da intera&#231;&#227;o entre o tipo de ambul&#226;ncia &#40;terrestre&#47;a&#233;rea&#41; e a dist&#226;ncia do hospital de origem at&#233; a FCV foi avaliado e levaram&#8208;se em considera&#231;&#227;o valores de p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;15 como estatisticamente significativos&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">13</span></a> Por fim&#44; a regress&#227;o de Poisson com vari&#226;ncia robusta<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">14</span></a> foi usada para estimar a associa&#231;&#227;o &#40;taxas de preval&#234;ncia&#41; entre vari&#225;veis independentes e a situa&#231;&#227;o &#40;vivo&#47;morto&#41; ao ser liberado da FCV&#46; Todas as an&#225;lises foram feitas com o <span class="elsevierStyleItalic">software</span> de estat&#237;stica Stata 13 &#40;Stata Corporation&#44; College Station&#44; TX&#44; USA&#41;&#46;</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Resultados</span><p id="par0050" class="elsevierStylePara elsevierViewall">De 176 pacientes participantes&#44; 154 &#40;87&#44;5&#37;&#41; receberam alta hospitalar com vida e 158 &#40;89&#44;87&#37;&#41; foram transportados por terra&#44; com 92&#44;21&#37; que receberam alta hospitalar com vida&#46; Dos 18 pacientes transportados pelo ar&#44; 66&#44;67&#37; receberam alta hospitalar com vida&#46; A <a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a> apresenta as caracter&#237;sticas dos pacientes de acordo com as dist&#226;ncias percorridas de ambul&#226;ncia e o modo de transporte&#46; Foi encontrada uma diferen&#231;a nas dist&#226;ncias percorridas do local de origem &#224; FCV entre pacientes com e sem doen&#231;as cong&#234;nitas &#8211; 179<span class="elsevierStyleHsp" style=""></span>km &#40;Q<span class="elsevierStyleInf">25</span><span class="elsevierStyleInf">&#61;</span> 10&#44;4 e Q<span class="elsevierStyleInf">75</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>344&#41; para o primeiro grupo e 11&#44;3<span class="elsevierStyleHsp" style=""></span>km &#40;Q<span class="elsevierStyleInf">25</span><span class="elsevierStyleInf">&#61;</span> 10&#44;4 e Q<span class="elsevierStyleInf">75</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>214&#41; para o segundo&#46; N&#227;o houve diferen&#231;a entre pacientes com cardiopatia cong&#234;nita &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;19&#41;&#46; Dist&#226;ncias maiores foram observadas entre neonatos com previd&#234;ncia social subsidiada e sem o suporte respirat&#243;rio necess&#225;rio&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0055" class="elsevierStylePara elsevierViewall">Tamb&#233;m foi encontrada uma diferen&#231;a entre as dist&#226;ncias percorridas por pacientes transportados por terra em compara&#231;&#227;o com o transporte a&#233;reo&#44; com mediana de 11&#44;3<span class="elsevierStyleHsp" style=""></span>km &#40;Q<span class="elsevierStyleInf">25</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>10&#44;4 e Q<span class="elsevierStyleInf">75</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>174&#41; para o primeiro grupo e 237 &#40;Q<span class="elsevierStyleInf">25</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>214 e Q<span class="elsevierStyleInf">75</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>506&#41; para o segundo &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46; Essa diferen&#231;a estava relacionada a problemas de acessibilidade geogr&#225;fica superados apenas com transporte a&#233;reo&#46; Foi observado um TRIPS de 13 &#40;Q<span class="elsevierStyleInf">25</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>6 e Q<span class="elsevierStyleInf">75</span><span class="elsevierStyleInf">&#61;</span> 29&#41; para pacientes transportados por terra e 31 &#40;Q<span class="elsevierStyleInf">25</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>22 e Q<span class="elsevierStyleInf">75</span><span class="elsevierStyleInf">&#61;</span> 39&#41; para aqueles transportados por ar&#44; com diferen&#231;as significativas&#46; Isso est&#225; relacionado ao fato de que o suporte respirat&#243;rio foi mais usado no transporte a&#233;reo&#44; no qual m&#233;dicos especializados s&#227;o mais frequentes&#46; Em geral&#44; casos mais graves tendem a ser transportados por ar&#46; Note&#8208;se que a sobrevida no hospital foi mais frequentemente observada entre pacientes transportados por terra&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0060" class="elsevierStylePara elsevierViewall">Na an&#225;lise bivariada &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#44; foram encontradas associa&#231;&#245;es entre alta hospitalar com vida e peso ao nascer&#44; peso na interna&#231;&#227;o&#44; frequ&#234;ncia respirat&#243;ria&#44; satura&#231;&#227;o de oxig&#234;nio na interna&#231;&#227;o&#44; acidemia respirat&#243;ria&#44; anemia&#44; hipernatremia&#44; hipocalemia&#44; TRIPS e fal&#234;ncia renal&#46; As outras vari&#225;veis estudadas &#40;sociodemogr&#225;ficas e cl&#237;nicas&#41; n&#227;o foram significativas&#46; O n&#237;vel normal de pot&#225;ssio na interna&#231;&#227;o tamb&#233;m foi identificado como vari&#225;vel preditora de sobrevida&#46; Em nossa amostra&#44; o n&#237;vel mediano de pot&#225;ssio foi 4<span class="elsevierStyleHsp" style=""></span>mmol&#47;L&#44; ao passo que um valor de mais de 5<span class="elsevierStyleHsp" style=""></span>mmol&#47;L foi encontrado em apenas 10&#37; dos pacientes&#44; que era a popula&#231;&#227;o em risco de morte&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0065" class="elsevierStylePara elsevierViewall">Contudo&#44; a confus&#227;o pode estar presente nessas associa&#231;&#245;es anteriores&#46; Assim&#44; o ajuste foi necess&#225;rio&#46; Curiosamente&#44; nenhuma associa&#231;&#227;o foi encontrada entre o tipo de ambul&#226;ncia e a condi&#231;&#227;o na alta depois de ajustar o modelo m&#250;ltiplo pelo TRIPS&#44; peso ao nascer&#44; pela hemorragia materna durante o terceiro trimestre de gravidez e pelas concentra&#231;&#245;es de pot&#225;ssio&#46; Al&#233;m disso&#44; a an&#225;lise da intera&#231;&#227;o entre o meio de transporte e a dist&#226;ncia descobriu evid&#234;ncia de uma perda no benef&#237;cio de transporte a&#233;reo a uma determinada dist&#226;ncia &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#41;&#44; infelizmente n&#227;o bem definida em nossos dados&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Discuss&#227;o</span><p id="par0070" class="elsevierStylePara elsevierViewall">Este estudo n&#227;o encontrou diferen&#231;as na associa&#231;&#227;o de alta com vida entre neonatos transportados por ar em compara&#231;&#227;o com os transportados por terra&#46; Embora a an&#225;lise bivariada tenha mostrado que mais &#243;bitos tenham ocorrido entre os transportados por ar&#44; nenhuma diferen&#231;a foi encontrada no ajuste de outras vari&#225;veis&#46; Esse paradoxo &#233; interessante porque a interpreta&#231;&#227;o exige considerar que a diferen&#231;a original entre tipos de ambul&#226;ncia foi confundida&#46; Assim&#44; neonatos com doen&#231;as graves transportados por ar obtiveram um benef&#237;cio maior e seu risco de &#243;bito foi igualado ao de neonatos com doen&#231;as menos complicadas transportados por terra&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">O risco perinatal pode ser avaliado em condi&#231;&#245;es ideais&#44; o que permite prever quais neonatos precisar&#227;o de cuidado especializado&#46; Contudo&#44; 40&#37; das doen&#231;as de alto risco n&#227;o ser&#227;o previs&#237;veis e&#44; portanto&#44; uma quantidade de neonatos poder&#225; exigir transporte inter&#8208;hospitalar a fim de receber cuidado inicial ou devido &#224; complexidade do cuidado exigido&#46;<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">15</span></a> A seguran&#231;a durante o transporte de neonatos tem sido de preocupa&#231;&#227;o em pa&#237;ses em desenvolvimento&#44; o que pode afetar a mortalidade infantil&#46; Isso se deve &#224; falta de funcion&#225;rios com experi&#234;ncia em transporte de neonatos e pode estar relacionado a eventos adversos como hipotermia&#44; hipoglicemia e hip&#243;xia&#46;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">16</span></a> Al&#233;m disso&#44; alguns estudos mostraram que a mortalidade aumenta com o tempo de deslocamento&#46;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">17</span></a> Assim&#44; &#233; importante determinar as condi&#231;&#245;es de estabilidade com o &#205;ndice de Risco da Estabilidade Fisiol&#243;gica no Transporte &#40;TRIPS&#41;&#44; um teste que avalia a condi&#231;&#227;o fisiol&#243;gica de neonatos durante o transporte e identifica os resultados associados a diferentes equipes de transporte&#46;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">18</span></a> De acordo com um estudo recente&#44; a temperatura foi a vari&#225;vel com mais mudan&#231;as na escala de TRIPS durante o transporte&#46;<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">19</span></a></p><p id="par0080" class="elsevierStylePara elsevierViewall">Entretanto&#44; outros fatores podem influenciar o resultado final &#40;mortalidade&#41;&#44; como os meios de transporte e o tempo de deslocamento&#44; nos quais a dist&#226;ncia e o tempo de deslocamento poder&#227;o afetar resultados adversos&#46; Embora alguns estudos tenham relatado que os resultados dependem da experi&#234;ncia da equipe respons&#225;vel pelo transporte&#44; e n&#227;o da dist&#226;ncia&#44;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">17</span></a> acreditamos que&#44; no caso da Col&#244;mbia&#44; as condi&#231;&#245;es geogr&#225;ficas continuam a representar um obst&#225;culo &#224; obten&#231;&#227;o de qualidade do cuidado&#46; Por exemplo&#44; na &#205;ndia&#44; o tempo e a dist&#226;ncia m&#225;ximas de transporte foram de 560<span class="elsevierStyleHsp" style=""></span>min e 299<span class="elsevierStyleHsp" style=""></span>km&#44;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">17</span></a> ao passo que&#44; em nosso estudo&#44; o tempo m&#225;ximo de transporte terrestre foi de 1&#46;044<span class="elsevierStyleHsp" style=""></span>min e a dist&#226;ncia m&#225;xima&#44; de 660<span class="elsevierStyleHsp" style=""></span>km&#46; Isso demonstra as diferen&#231;as na geografia e&#47;ou na qualidade das rodovias&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">Considerando a distribui&#231;&#227;o da popula&#231;&#227;o e dos servi&#231;os neonatais em alguns pa&#237;ses desenvolvidos&#44; sabe&#8208;se que o uso de transporte a&#233;reo &#233; muito incomum&#46;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">20</span></a> Enquanto isso&#44; os benef&#237;cios no transporte de neonatos por ar em pa&#237;ses em desenvolvimento n&#227;o foram estudados&#44; por&#233;m esse transporte pode ser considerado uma op&#231;&#227;o de melhores cuidados m&#233;dicos&#46; Al&#233;m disso&#44; poder&#225; ser dif&#237;cil receber os cuidados oportunos devido &#224;s condi&#231;&#245;es sociais e &#224;s diferen&#231;as na qualidade dos servi&#231;os entre regi&#245;es&#44; bem como &#224;s condi&#231;&#245;es geogr&#225;ficas&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">O disposto acima &#233; aplic&#225;vel em um pa&#237;s como a Col&#244;mbia&#44; no qual os servi&#231;os s&#227;o desiguais e as dist&#226;ncias s&#227;o maiores&#46; Os dados de pa&#237;ses em desenvolvimento indicam que diversos fatores de risco de mortalidade perinatal est&#227;o relacionados ao acesso insuficiente a servi&#231;os de sa&#250;de e &#224; baixa qualidade &#40;equidade&#41;&#44; refor&#231;am&#44; assim&#44; a import&#226;ncia da melhoria da acessibilidade e da qualidade do cuidado obst&#233;trico e neonatal b&#225;sico&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">21</span></a> Os dados existentes tamb&#233;m sugerem que a implanta&#231;&#227;o de um sistema de transporte deve ser adaptada &#224;s condi&#231;&#245;es geogr&#225;ficas de cada pa&#237;s&#46;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">22</span></a> Embora o transporte a&#233;reo possa equalizar os resultados intra&#8208;hospitalares&#44; a an&#225;lise da intera&#231;&#227;o entre dist&#226;ncia e meio de transporte identifica uma tend&#234;ncia na qual os pacientes enviados de maiores dist&#226;ncias que viajam pelo ar est&#227;o associados a uma probabilidade menor de receberem alta hospitalar com vida&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Al&#233;m disso&#44; avaliamos os fatores maternos associados &#224; sobreviv&#234;ncia&#44; relatados do local de origem&#44; e descobrimos que a hemorragia durante o terceiro trimestre era o &#250;nico fator protetor da alta hospitalar com vida&#46; Embora todos saibam muito bem que esse &#233; um fator de risco de morbimortalidade materna e neonatal&#44; os riscos podem ser reduzidos caso o cuidado seja prestado de maneira r&#225;pida e oportuna&#46;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">23</span></a> Foram observadas diferen&#231;as significativas na explora&#231;&#227;o da distribui&#231;&#227;o de hemorragia de acordo com a idade gestacional&#46; Foi encontrada uma tend&#234;ncia na qual a hemorragia durante o terceiro trimestre era maior nas idades gestacionais abaixo de 32 semanas&#46; Contudo&#44; isso n&#227;o se tornou um fator adverso&#46; Portanto&#44; acreditamos que a hemorragia pode ser rapidamente observada pela m&#227;e e&#44; assim&#44; levar a uma r&#225;pida busca por cuidados m&#233;dicos resulta em melhores resultados&#44; apesar da condi&#231;&#227;o prematura&#46;<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">24</span></a> Um estudo feito no Peru com rela&#231;&#227;o aos sinais de alerta que desencadearam visitas de emerg&#234;ncia descobriu que o sangramento vaginal representou o percentual mais alto &#40;87&#37;&#41; de visitas&#44; seguido da redu&#231;&#227;o de movimentos fetais e febre&#46;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">25</span></a></p><p id="par0100" class="elsevierStylePara elsevierViewall">As limita&#231;&#245;es do modelo do estudo devem ser levadas em considera&#231;&#227;o na interpreta&#231;&#227;o desses achados&#46; Este foi um estudo observacional&#44; que poder&#225; conter resultados enviesados&#44; pois as vari&#225;veis cl&#237;nicas e terap&#234;uticas associadas ao cuidado intra&#8208;hospitalar n&#227;o foram inclu&#237;das&#46; Al&#233;m disso&#44; n&#227;o conseguimos avaliar os quadros cl&#237;nicos no local de origem&#46; Isso impediu que determin&#225;ssemos a deteriora&#231;&#227;o nas condi&#231;&#245;es durante o transporte&#46; Al&#233;m disso&#44; os pacientes n&#227;o foram avaliados por uma escala de gravidade cl&#237;nica na interna&#231;&#227;o&#46; Isso poderia ter conferido um valor adicional da gravidade da doen&#231;a na interna&#231;&#227;o e durante as primeiras horas na unidade&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Existe a possibilidade de o tamanho pequeno da amostra em nosso estudo n&#227;o permitir a identifica&#231;&#227;o de alguns preditores de sobrevida hospitalar&#46; Contudo&#44; &#233; importante lembrar que nossa principal vari&#225;vel preditora era o tipo de transporte e que os melhores resultados foram observados durante a an&#225;lise bruta entre neonatos transportados por terra&#46; O fato de que essa associa&#231;&#227;o desapareceu na an&#225;lise ajustada sugere que o tamanho da amostra foi suficiente para explorar a associa&#231;&#227;o dessa vari&#225;vel&#46; Outra limita&#231;&#227;o foi a necessidade de tempo de deslocamento longo por terra antes de chegar aos servi&#231;os de transporte a&#233;reo&#44; com mudan&#231;as de altitude de at&#233; 600 metros&#44; bem como o tempo de deslocamento de aeroportos at&#233; a institui&#231;&#227;o de sa&#250;de&#44; que leva 45 minutos na cidade estudada&#46; Por fim&#44; em nosso estudo&#44; n&#227;o avaliamos fatores adversos relacionados ao tipo de transporte como estudos anteriores&#46;<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">26</span></a></p><p id="par0110" class="elsevierStylePara elsevierViewall">Considerando as dificuldades relacionadas ao tempo&#44; seria bom fazer estudos com registros detalhados de tempo de deslocamento para cada meio de transporte&#46; Uma recomenda&#231;&#227;o dos autores &#233; que as institui&#231;&#245;es considerem os primeiros momentos no transporte do paciente o ponto de partida para a presta&#231;&#227;o de cuidados por funcion&#225;rios especializados qualificados no campo&#44; a fim de aumentar a velocidade do recebimento de cuidados por uma equipe ideal&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">N&#227;o encontramos diferen&#231;as entre o transporte a&#233;reo e terrestre em termos de alta com vida da unidade neonatal&#46; Os sistemas de transporte devem ser estabelecidos de acordo com as necessidades de cada regi&#227;o e com as possibilidades do sistema de sa&#250;de&#46; Embora a Col&#244;mbia seja um pa&#237;s em desenvolvimento&#44; o sistema de sa&#250;de permite o uso de transporte a&#233;reo&#44; independentemente do tipo de plano de sa&#250;de ou situa&#231;&#227;o socioecon&#244;mica&#46; O transporte a&#233;reo &#233; uma op&#231;&#227;o para neonatos em situa&#231;&#227;o cr&#237;tica ou onde a geografia torne o acesso dif&#237;cil&#46; Como consequ&#234;ncia dos achados deste estudo&#44; a FCV implantou em suas aeronaves uma equipe de m&#233;dicos e enfermeiros especializados em transporte a&#233;reo&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Conflitos de interesse</span><p id="par0120" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflitos de interesse&#46;</p></span></span>"
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          "titulo" => "Palavras&#8208;chave"
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          "titulo" => "M&#233;todos"
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              "titulo" => "Vari&#225;veis"
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              "titulo" => "Modelos estat&#237;sticos"
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    "pdfFichero" => "main.pdf"
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    "fechaRecibido" => "2015-03-30"
    "fechaAceptado" => "2015-07-24"
    "PalabrasClave" => array:2 [
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        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec665335"
          "palabras" => array:5 [
            0 => "Ambulance"
            1 => "Ground"
            2 => "Air"
            3 => "Transport"
            4 => "TRIPS"
          ]
        ]
      ]
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras&#8208;chave"
          "identificador" => "xpalclavsec665336"
          "palabras" => array:5 [
            0 => "Ambul&#226;ncia"
            1 => "Terrestre"
            2 => "A&#233;rea"
            3 => "Transporte"
            4 => "TRIPS"
          ]
        ]
      ]
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    "resumen" => array:2 [
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To evaluate the differences in hospital survival between modes of transport to a tertiary center in Colombia for critically ill neonates&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Observational study of seriously ill neonates transported via air or ground&#44; who required medical care at a center providing highly complex services&#46; Data on sociodemographic&#44; clinical&#44; the Transport Risk Index of Physiologic Stability &#40;TRIPS&#41;&#44; and mode of transport were collected&#46; Patients were described&#44; followed by a bivariate analysis with condition &#40;live or dead&#41; at time of discharge as the dependent variable&#46; A multiple Poisson regression with robust variance model was used to adjust associations&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A total of 176 neonates were transported by ambulance &#40;10&#46;22&#37; by air&#41; over six months&#46; The transport distances were longer by air &#40;median&#58; 237&#46;5<span class="elsevierStyleHsp" style=""></span>km&#41; than by ground &#40;median&#58; 11&#46;3<span class="elsevierStyleHsp" style=""></span>km&#41;&#46; Mortality was higher among neonates transported by air &#40;33&#46;33&#37;&#41; than by ground &#40;7&#46;79&#37;&#41;&#46; No differences in survival were found between the two groups when adjusted by the multifactorial model&#46; An interaction between mode of transport and distance was observed&#46; Live hospital discharge was found to be associated with clinical severity upon admittance&#44; birth weight&#44; hemorrhaging during the third trimester&#44; and serum potassium levels when admitted&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Mode of transport was not associated with the outcome&#46; In Colombia&#44; access to medical services through air transport is a good option for neonates in critical condition&#46; Further studies would determine the optimum distance &#40;time of transportation&#41; to obtain good clinical outcomes according type of ambulance&#46;</p></span>"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Avaliar as diferen&#231;as na sobrevida hospitalar entre os modos de transporte para um centro terci&#225;rio na Col&#244;mbia para neonatos gravemente doentes&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudo observacional de neonatos gravemente doentes transportados por ar ou terra que precisam de cuidados m&#233;dicos em um centro que oferece servi&#231;os altamente complexos&#46; Foram coletados dados sociodemogr&#225;ficos&#44; cl&#237;nicos&#44; sobre o &#205;ndice de Risco da Estabilidade Fisiol&#243;gica no Transporte &#40;TRIPS&#41; e o meio de transporte&#46; Os pacientes foram descritos e submetidos a uma an&#225;lise bivariada e a vari&#225;vel dependente foi a condi&#231;&#227;o &#40;vivo ou morto&#41; no momento da alta&#46; Uma regress&#227;o m&#250;ltipla de Poisson com modelo de vari&#226;ncia robusta foi usada para ajustar as associa&#231;&#245;es&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Foram transportados 176 neonatos por ambul&#226;ncia &#40;10&#44;22&#37; pelo ar&#41; ao longo de seis meses&#46; As dist&#226;ncias foram maiores pelo ar &#40;mediana&#58; 237&#44;5<span class="elsevierStyleHsp" style=""></span>km&#41; do que por terra &#40;mediana&#58; 11&#44;3<span class="elsevierStyleHsp" style=""></span>km&#41;&#46; A mortalidade foi mais alta entre neonatos transportados pelo ar &#40;33&#44;33&#37;&#41; do que por terra &#40;7&#44;79&#37;&#41;&#46; N&#227;o foram encontradas diferen&#231;as na sobrevida entre os dois grupos ap&#243;s o ajuste com o modelo m&#250;ltiplo&#46; Foi observada uma intera&#231;&#227;o entre o meio de transporte e a dist&#226;ncia&#46; A alta hospitalar com vida foi associada &#224; gravidade cl&#237;nica na interna&#231;&#227;o&#44; ao peso ao nascer&#44; &#224; hemorragia durante o terceiro trimestre e aos n&#237;veis de pot&#225;ssio s&#233;rico na interna&#231;&#227;o&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclus&#245;es</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">O meio de transporte n&#227;o foi associado ao resultado&#46; Na Col&#244;mbia&#44; o acesso a servi&#231;os m&#233;dicos por transporte a&#233;reo &#233; uma boa op&#231;&#227;o para neonatos em condi&#231;&#245;es cr&#237;ticas&#46; Estudos adicionais determinariam a dist&#226;ncia ideal &#40;tempo de transporte&#41; para obter bons resultados cl&#237;nicos de acordo com o tipo de ambul&#226;ncia&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0035">Como citar este artigo&#58; Alvarado&#8208;Socarras JL&#44; Idrovo AJ&#44; Bermon A&#46; Hospital survival upon discharge of ill&#8208;neonates transported by ground or air ambulance to a tertiary center&#46; J Pediatr &#40;Rio J&#41;&#46; 2016&#59;92&#58;276&#8211;82&#46;</p>"
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          "pt" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Cobertura de ambul&#226;ncias a&#233;reas usadas para transportar neonatos doentes que participaram do estudo&#46;</p>"
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">55&#44;56&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleItalic">Idade gestacional</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#60; 28 semanas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">98&#44;43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;513&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;84&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&#44;76&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;56&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;97&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>28 a 32 semanas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">117&#44;17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;506&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">9&#44;49&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;56&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>32 a 35 semanas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">122&#44;75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;660&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">24&#44;05&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">27&#44;78&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>35 a 38 semanas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">127&#44;46&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;701&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">18&#44;99&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">22&#44;22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#62; 38 semanas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">153&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;1126&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">58&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">36&#44;71&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">38&#44;89&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleItalic">Peso ao nascer</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Menos de 1&#46;000<span class="elsevierStyleHsp" style=""></span>g&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">101&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;513&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;64&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&#44;76&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;56&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Entre 1&#46;000 e 1&#46;500<span class="elsevierStyleHsp" style=""></span>g&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">134&#44;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;506&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&#44;33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">16&#44;67&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Entre 1&#46;500 e 2&#46;500<span class="elsevierStyleHsp" style=""></span>g&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">111&#44;74&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;456&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">27&#44;22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">22&#44;22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Mais de 2&#46;500<span class="elsevierStyleHsp" style=""></span>g&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">146&#44;85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;1126&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">88&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">55&#44;70&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">55&#44;56&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleItalic">Previd&#234;ncia social</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Contributiva&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">57&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;513&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#60;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">36&#44;08&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">27&#44;78&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;51&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Subsidiada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">184&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;1126&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">82&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">51&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">66&#44;67&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Outro tipo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">116&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;456&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12&#44;03&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;56&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleItalic">Recursos humanos na ambul&#226;ncia</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Especialista&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">119&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;214&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;87&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">22&#44;22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Outro&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">133&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;1126&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">152&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">96&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">77&#44;78&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Doen&#231;a cong&#234;nita&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">214&#44;70&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;701&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&#44;82&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">33&#44;33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;06&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Doen&#231;a cardiopulmonar cong&#234;nita&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">224&#44;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;620&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;80&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#44;11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="9" align="left" valign="top"><span class="elsevierStyleItalic">Suporte respirat&#243;rio</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Ventilador&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">268&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&#8208;589&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#60;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">77&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>C&#226;mara laminar ou c&#226;nula nasal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">91&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;660&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">130&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">82&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>N&#227;o necess&#225;rio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">247&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;1126&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">11&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Doen&#231;a materna&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">115&#44;23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;620&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">22&#44;15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">33&#44;33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Doen&#231;a na gravidez&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;620&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;09&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">49&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">31&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">22&#44;22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Doen&#231;a uterina&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">137&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&#44;4&#8208;456&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&#44;70&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;60&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Fator de risco materno&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">131&#44;62&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;589&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;55&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">43&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">27&#44;22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">33&#44;33&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Sem cuidado pr&#233;&#8208;natal&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;589&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&#44;59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;06&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Eventos adversos durante a transfer&#234;ncia<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#8208;660&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;66&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">17&#44;72&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>TRIPS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;5&#8208;46&#41;<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">31&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;5&#8208;58&#41;<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Dist&#226;ncia em km&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8208;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">11&#44;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">IC de 95&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">p</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Sexo</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;79&#8208;1&#44;55&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;533&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Peso</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Menos de 1&#46;000<span class="elsevierStyleHsp" style=""></span>g&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Entre 1&#46;000 e 1&#46;500<span class="elsevierStyleHsp" style=""></span>g&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;69&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;70&#8208;4&#44;08&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;242&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Entre 1&#46;500 e 2&#46;500<span class="elsevierStyleHsp" style=""></span>g&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;74&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;85&#8208;3&#44;59&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;131&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Mais de 2&#46;500<span class="elsevierStyleHsp" style=""></span>g&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;90&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;96&#8208;3&#44;76&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;066&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="char" valign="top"></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Doen&#231;a cong&#234;nita</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;82&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;53&#8208;1&#44;28&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;384&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Doen&#231;a cardiovascular cong&#234;nita</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;71&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;29&#8208;1&#44;72&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;441&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Doen&#231;as maternas</span><a class="elsevierStyleCrossRef" href="#tblfn0015"><span class="elsevierStyleSup"><span class="elsevierStyleItalic">a</span></span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;97&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;66&#8208;1&#44;41&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;868&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Doen&#231;as na gravidez</span><a class="elsevierStyleCrossRef" href="#tblfn0020"><span class="elsevierStyleSup"><span class="elsevierStyleItalic">b</span></span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;98&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;69&#8208;1&#44;39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;911&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Doen&#231;as uterinas</span><a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup"><span class="elsevierStyleItalic">c</span></span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;58&#8208;2&#44;25&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;694&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Fatores de risco maternos</span><a class="elsevierStyleCrossRef" href="#tblfn0030"><span class="elsevierStyleSup"><span class="elsevierStyleItalic">d</span></span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;96&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;68&#8208;1&#44;38&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;841&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Sem cuidado pr&#233;&#8208;natal</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;47&#8208;1&#44;52&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;576&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Meio de transporte</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Ambul&#226;ncia a&#233;rea&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Ambul&#226;ncia terrestre&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&#44;29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;1&#44;29&#8208;8&#44;41&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;013&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="char" valign="top"></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Hemorragia cerebral</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;68&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;37&#8208;1&#44;25&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;209&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Doen&#231;a card&#237;aca</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;65&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;31&#8208;1&#44;39&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;267&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Dist&#226;ncia em km</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;99&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;99&#8208;1&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;947&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Frequ&#234;ncia respirat&#243;ria</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;09&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;1&#44;03&#8208;1&#44;14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Satura&#231;&#227;o de oxig&#234;nio</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;05&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;1&#44;0&#8208;1&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;028&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Peso na interna&#231;&#227;o</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;1&#44;00&#8208;1&#44;00&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;000&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">FiO</span><span class="elsevierStyleInf"><span class="elsevierStyleItalic">2</span></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;98&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;96&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;003&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">pH &#40;inferior a 7&#44;2&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;79&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;55&#8208;1&#44;13&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;196&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">pCO2</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;97&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;95&#8208;0&#44;99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;011&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">S&#243;dio</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;1&#44;02&#8208;1&#44;23&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;018&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Pot&#225;ssio</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;63&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;43&#8208;0&#44;92&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;017&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Hemoglobina</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;34&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;1&#44;13&#8208;1&#44;59&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Hemat&#243;crito</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&#44;10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;1&#44;04&#8208;1&#44;17&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Nitrog&#234;nio ureico</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;95&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#40;0&#44;93&#8208;0&#44;98&#41;&nbsp;\t\t\t\t\t\t\n
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