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欧洲经济区和瑞士新生儿死亡原因:基于世卫组织的分析和系统审查
Elizabeth E la Cour1, Veronica N E Malange1, Tasnim Mohaissen1,2
1Department for Congenital Disorders, Statens Serum Institut, 5 Artillerivej DK2300S, Copenhagen, Denmark.
European journal of pediatrics
|September 21, 2025
概括
新生儿死亡率在欧洲地区正在下降,早产和先天异常是导致死亡的主要原因. 改进数据收集和标准化分类对于更好的婴儿存活跟踪至关重要.
科学领域:
- 新生儿健康新生儿健康
- 公共卫生监督是对公共卫生的监督.
- 流行病学 流行病学
背景情况:
- 新生儿死亡率 (NMR) 在欧洲有所下降,但区域差异仍然存在.
- 了解新生儿死亡的具体原因对于有针对性的干预措施至关重要.
研究的目的:
- 确定欧洲地区新生儿死亡报告的原因.
- 检查随着时间的推移,特定原因新生儿死亡率的趋势.
主要方法:
- 对28个欧洲国家的世卫组织公共数据集 (2000-2021) 的分析.
- 来自主要科学数据库 (PubMed,Embase等) 的研究的系统审查和元分析. 在2024年8月之前.
主要成果:
- 在2000年至2021年期间,平均NMR下降至每1000例活产儿2.63例.
- 在世卫组织数据中发现的首要原因是早产 (41.2%) 和先天性异常 (28.9%).
- 分析证实早产 (31%) 和先天性异常 (30%) 是主要原因;感染和呼吸/心血管疾病在极度早产婴儿中是显著的.
结论:
- 在整个欧洲地区,NMR正在下降.
- 过早生育和先天异常是新生儿死亡的主要原因.
- 需要标准化分类系统,以提高新生儿死亡监测数据的细节性和可比性.
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