管理印度的Kernicterus死亡率的历史负担
Ramesh Vidavalur1, Vinod K Bhutani2
1Department of Clinical Pediatrics, Cayuga Medical Center/Weill Cornell Medicine, 101 Dates Drive, Ithaca, NY, 14850, USA. rameshvidavalur@gmail.com.
Indian journal of pediatrics
|August 21, 2024
概括
印度新生儿极端高白血病 (EHB) 死亡人数从1990年到2019年减少了60%. 尽管取得了进展,但严重的经济损失凸显了持续实施公共卫生战略以预防婴儿死亡的必要性.
科学领域:
- 公共卫生 公共卫生
- 新生儿医学 新生儿医学
- 卫生经济学 卫生经济学
背景情况:
- 新生儿胆红素损伤可以通过系统方法预防.
- 印度面临着新生儿高 bilirubinemia 和婴儿死亡率的各种经验.
- 有效的策略包括产前查,风险评估和光疗.
研究的目的:
- 检查印度新生儿极端高 bilirubinemia (EHB) 相关的婴儿死亡率的国家和地方趋势.
- 评估EBH-IMR与社会人口统计因素和卫生支出的相关性.
- 估计与EBH相关的婴儿死亡率造成的经济损失,以告知政策.
主要方法:
- 利用全球疾病负担 (GBD) 数据库从1990年到2019年的数据.
- 分析了与EHB相关的婴儿死亡率,死亡时间和疾病负担的趋势.
- 与社会人口统计指数和人均卫生支出相关联的EBH-IMR.
主要成果:
- 印度与EBH相关的婴儿死亡人数减少了60% (1990年为57,773人,2019年为19,664人).
- 早期新生儿死亡 (0-6天) 构成了大部分 (61%) 的EBH死亡率.
- 由于EBH相关的死亡率造成的经济损失在2019年估计在72亿至117亿美元之间.
结论:
- 印度已经在所有州实现了与EBH相关的婴儿死亡率的显著下降.
- 针对性的公共卫生战略仍然至关重要,因为EBH的经济影响很大.
- 需要继续努力,以进一步降低因黄的新生儿死亡率.
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