在早产后的短期和长期死亡风险
Asma M Ahmed1, Sonia M Grandi2, Eleanor Pullenayegum2
1Department of Epidemiology and Prevention, Wake Forest University School of Medicine, Winston-Salem, North Carolina.
JAMA network open
|November 20, 2024
概括
过早出生 (PTB) 增加了整个童年和成年期的死亡风险. 这种风险在婴儿期是最高的,并且随着年龄的增长而下降,突出显示PTB是一个重要的长期健康问题.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 围产儿医学 围产儿医学
背景情况:
- 早产 (PTB) 是新生儿死亡的主要原因.
- 关于PTB幸存者的新生期以外的死亡风险的数据有限,特别是在北美.
研究的目的:
- 调查PTB与从出生到36岁的所有原因和特定原因死亡率之间的关联.
主要方法:
- 加拿大的一项基于人口的匹配队列研究包括1983年至1996年的活产婴儿,并追踪到2019年.
- 怀孕年龄特定的PTB (24-37周) 与满期分娩 (37-41周) 相比较.
- 统计分析包括日志双项和考克斯比例危险回归,与混的粗制精确匹配.
主要成果:
- 在所有研究的年龄区间 (0-36岁) 中,PTB与增加的死亡风险有关.
- 在婴儿期 (0-11个月) 和幼儿期 (1-5岁) 观察到的风险最高.
- 增加的死亡风险与呼吸,循环,消化,神经系统,内分泌,传染病,癌症和围产期疾病有关.
结论:
- 过早出生的人面临着延伸到生命的第四个十年的死亡风险.
- 死亡风险与妊娠年龄相反相关.
- 应将PTB视为长期死亡的重要风险因素,为制定预防策略提供信息.
相关概念视频
Actuarial Approach
63
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
63
Teratogenicity
2.4K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.4K
Introduction To Survival Analysis
184
Survival analysis is a statistical method used to study time-to-event data, where the "event" might represent outcomes like death, disease relapse, system failure, or recovery. A unique feature of survival data is censoring, which occurs when the event of interest has not been observed for some individuals during the study period. This requires specialized techniques to handle incomplete data effectively.
The primary goal of survival analysis is to estimate survival time—the time...
The primary goal of survival analysis is to estimate survival time—the time...
184
Hazard Rate
89
The hazard rate, also known as the hazard function or failure rate, is a statistical measure used to describe the instantaneous rate at which an event occurs, given that the event has not yet happened. From a probabilistic perspective, it represents the likelihood that a subject will experience the event in a very small time interval, conditional on surviving up to the beginning of that interval. In terms of frequency, the hazard rate can be viewed as the ratio of the number of events to the...
89
Relative Risk
117
Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
117
Assumptions of Survival Analysis
97
Survival models analyze the time until one or more events occur, such as death in biological organisms or failure in mechanical systems. These models are widely used across fields like medicine, biology, engineering, and public health to study time-to-event phenomena. To ensure accurate results, survival analysis relies on key assumptions and careful study design.
97


