在英格兰的新生儿健康和儿童死亡率
David Odd1,2, Tom Williams1, Sylvia Stoianova1
1National Child Mortality Database, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
JAMA network open
|October 17, 2023
概括
大多数儿童死亡与新生儿疾病有关,这凸显了改善围产期护理的必要性,以减少死亡率. 解决新生儿疾病可能会对儿童健康结果产生重大影响.
科学领域:
- 新生儿健康新生儿健康
- 儿童死亡率 儿童死亡率
- 流行病学 流行病学
背景情况:
- 新生儿疾病对儿童死亡率的长期影响尚不清楚.
- 了解新生儿疾病与随后的儿童死亡之间的联系对于公共卫生至关重要.
研究的目的:
- 确定新生儿疾病与10岁以下儿童死亡之间的关联.
- 为了确定死于新生儿疾病后的儿童的潜在疾病.
主要方法:
- 一项基于人口的队列研究,使用英国国家儿童死亡率数据库.
- 纳入标准:在2019年4月至2021年3月期间,在10岁之前死亡的儿童.
- 分析涉及比较新生儿疾病状况分层的死亡风险.
主要成果:
- 在10岁之前死亡的儿童中,超过71%的儿童有新生儿疾病的证据.
- 新生儿疾病显著增加了10岁前死亡的风险 (RR, 13.82).
- 患有新生儿疾病的儿童更有可能患有发育,神经或呼吸系统疾病.
结论:
- 新生儿疾病与大量的儿童死亡有关.
- 围产期护理的改善和新生儿发病率的降低可以显著降低儿童死亡率.
- 需要进一步研究新生儿疾病后死亡的具体原因.
相关概念视频
Life Tables
111
A life table is a statistical tool that summarizes the mortality and survival patterns of a population, providing detailed insights into the likelihood of survival or death across different age intervals within a cohort. By organizing data on survival probabilities and mortality rates, life tables offer a clear snapshot of population dynamics over time. They are extensively used in demography, public health, actuarial science, and ecology to analyze life expectancy, design health interventions,...
111
Applications of Life Tables
73
Life tables are versatile across various fields, providing a quantitative basis for analyzing mortality and survival rates. Whether used by demographers, actuaries, epidemiologists, or sociologists, life tables offer valuable insights into the dynamics of life and death, facilitating informed decisions in public health, insurance, conservation, and beyond. Their broad applicability highlights the interconnectedness of demographic data with practical outcomes in everyday life and strategic...
73
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
Fetal Circulation
1.0K
Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
1.0K
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K


