使用出生缺陷监测计划来加强现有的死产监测
Journal of registry management
|June 1, 2023
概括
将出生缺陷监测与胎儿死亡证明相结合,可以显著改善死产病例的确诊和患病率估计. 结合数据来源,可以更全面地了解死胎监测.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 围产期健康 围产期健康
背景情况:
- 胎儿死亡证明 (FDC) 是美国死胎监测的主要来源.
- 之前的研究表明,FDC可能有不完整的病例调查.
- 准确的死胎监测对于理解和减轻胎儿死亡率至关重要.
研究的目的:
- 评估是否使用大都会亚特兰大先天性缺陷计划 (MACDP) 进行死胎监测可以提高病例确诊率.
- 为了比较使用MACDP和FDC数据的死胎患病率估计,无论是独立的还是组合的.
主要方法:
- 在2009年至2015年期间,在亚特兰大大都会地区,使用MACDP和FDC确定了死胎.
- 采用捕获-重新捕获方法来评估每个数据源的贡献.
- 使用每个来源单独计算流行率估计,然后将其结合起来.
主要成果:
- 总共有3,031个死胎被FDC和MACDP确定.
- 据估计,总共发生了2,610例死产,这解释了FDC中潜在的错误分类.
- 综合数据得出死亡出生率为每1000个活产子中10.0个,加上死亡出生.
结论:
- 扩大出生缺陷监测计划,包括死胎,可以增强现有的监测系统.
- 将出生缺陷监测数据与FDC联系起来,可以改善整体的死胎确诊.
- 综合数据来源为死产患病率提供了更可靠的估计.
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