欧洲国家新生儿死亡率怀孕年龄的差异
Victor Sartorius1,2, Marianne Philibert1, Kari Klungsoyr3,4
1CRESS, Obstetrical Perinatal and Paediatric Epidemiology Research Team, EPOPe, INSERM, INRA, Université Paris Cité, Paris, France.
JAMA network open
|August 7, 2024
概括
新生儿死亡率在欧洲国家之间差异很大,与妊娠年龄分布和死亡率相关的显著差异. 了解这些模式是制定有针对性的干预措施以减少婴儿死亡的关键.
科学领域:
- 围产期流行病学 围产期流行病学
- 公共卫生 公共卫生
- 新生儿护理 新生儿护理
背景情况:
- 在欧洲各国的新生儿死亡率 (NMR) 中存在显著差异.
- 将高死亡率国家与低死亡率基准进行比较,可以为干预策略提供信息.
研究的目的:
- 调查新生儿死亡率差异与妊娠年龄 (GA) 分布之间的关联.
- 分析与整体NMR变异相关的GA特异性死亡率.
主要方法:
- 使用来自14个欧洲国家的常规数据 (2015-2020年) 进行横截面研究.
- 对活产 (GA ≥22周) 和新生儿死亡的分析.
- 利用Kitagawa方法将过剩的死亡率按GA分布和GA特定率进行分割.
主要成果:
- 总体NMR为每1000个活产儿2.32;过度死亡率因国家而异.
- 过多的死亡集中在早产 (<28周GA),但早产也有所贡献.
- 归因于GA分布的过度死亡率与GA特异性死亡率的比例在各国显示异质模式.
结论:
- 在欧洲仍然存在广泛的NMR差异,受不同的GA分布和GA特异性死亡率的影响.
- 这些发现凸显了为减少新生儿死亡率而制定定制策略的必要性.
- 了解GA相关模式对于新生儿护理中有效的公共卫生干预至关重要.
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