产生的时间有助于早产婴儿的死亡率和发病率
Tiina Teivaanmäki1, Lotta Hallamaa2, Krista Rantakari1
1Children's Hospital, Pediatric Research Center, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
Neonatology
|September 27, 2023
概括
出生时间会影响早产婴儿的结果. 星期五出生的婴儿的死亡率较低,而夜间分娩与更高的腹腔内出血和死性肠球炎风险有关.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 产周医学 产周医学
- 公共卫生 公共卫生
背景情况:
- 了解出生时间对早产婴儿的影响对于有效的新生儿护理和资源分配至关重要.
- 以前的研究已经强调了出生时间对新生儿结果的重要性,但与死亡率和发病率的具体关联需要进一步调查.
研究的目的:
- 调查出生时间与早产婴儿早期死亡率和发病率之间的关联.
- 分析不同出生时间 (办公时间,晚上,夜间) 如何影响非常早产婴儿的结果.
主要方法:
- 该研究分析了1,610名婴儿的数据,出生体重<1,500克,妊娠年龄<32+0/7周.
- 根据出生时间,婴儿被分为三组:办公时间,晚上和夜间.
- 评估了分娩时间和死亡/发病率 (腹腔内出血,化肠球炎) 之间的关联.
主要成果:
- 周五出生婴儿的死亡率最低 (6%),周一出生婴儿的死亡率最高 (13%).
- 夜间分娩与腹腔内出血 (OR: 1.50) 和死性肠球炎 (OR: 2.11) 的几率增加有关.
- 在对共变量进行调整后,这些关联被减弱了.
结论:
- 星期五的分娩达到峰值,可能是由于预定的剖腹产,并与较低的死亡率有关.
- 周一分娩的死亡率最高,可能是由于推迟高风险手术.
- 在夜间分娩中,腹腔内出血和死性肠球炎的风险更高可能与患者群体的差异有关.
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