Author | Suárez-Idueta, Lorena | |
Author | Blencowe, Hannah | |
Author | Okwaraji, Yemisrach B. | |
Author | Yargawa, Judith | |
Author | Bradley, Ellen | |
Author | Gordon, Adrienne | |
Author | Flenady, Vicki | |
Author | Paixão, Enny S. | |
Author | Barreto, Mauricio L. | |
Author | Lisonkova, Sarka | |
Author | Wen, Qi | |
Author | Velebil, Petr | |
Author | Jírová, Jitka | |
Author | Horváth-Puhó, Erzsebet | |
Author | Sørensen, Henrik Toft | |
Author | Sakkeus, Luule | |
Author | Abuladze, Liili | |
Author | Yunis, Khalid A. | |
Author | Bizri, Ayah Al | |
Author | Barranco, Arturo | |
Author | Broeders, Lisa | |
Author | Dijk, Aimée E. van | |
Author | Alyafei, Fawziya | |
Author | Olukade, Tawa O. | |
Author | Razaz, Neda | |
Author | Söderling, Jonas | |
Author | Smith, Lucy K. | |
Author | Draper, Elizabeth S. | |
Author | Lowry, Estelle | |
Author | Rowland, Neil | |
Author | Wood, Rachael | |
Author | Monteath, Kirsten | |
Author | Pereyra, Isabel | |
Author | Pravia, Gabriella | |
Author | Ohuma, Eric O. | |
Author | Lawn, Joy E. | |
Access date | 2024-02-22T12:55:33Z | |
Available date | 2024-02-22T12:55:33Z | |
Document date | 2023 | |
Citation | SUAREZ-IDUETA, Lorena et al. Neonatal mortality risk for vulnerable newborn types in 15 countries using 125.5 million nationwide birth outcome records, 2000–2020. BJOG: An International Journal of Obstetrics and Gynaecology, p.1-11, 2023. | en_US |
ISSN | 1471-0528 | en_US |
URI | https://www.arca.fiocruz.br/handle/icict/62735 | |
Sponsorship | Children's Investment Fund Foundation.
Wellcome Trust UK.
Swedish Research Council.
programa MBRRACE-UK. | en_US |
Language | eng | en_US |
Publisher | Wiley | en_US |
Rights | open access | en_US |
Subject in Portuguese | Mortalidade neonatal | en_US |
Subject in Portuguese | Nascimento prematuro | en_US |
Subject in Portuguese | Tamanho para idade gestacional | en_US |
Subject in Portuguese | Recém-nascido vulnerável | en_US |
Title | Neonatal mortality risk for vulnerable newborn types in 15 countries using 125.5 million nationwide birth outcome records, 2000–2020 | en_US |
Type | Article | en_US |
DOI | 10.1111/1471-0528.17506 | |
Abstract | Objective: To compare neonatal mortality associated with six novel vulnerable newborn types in 125.5 million live births across 15 countries, 2000-2020. Design: Population-based, multi-country study. Setting: National data systems in 15 middle- and high-income countries. Methods: We used individual-level data sets identified for the Vulnerable Newborn Measurement Collaboration. We examined the contribution to neonatal mortality of six newborn types combining gestational age (preterm [PT] versus term [T]) and size-for-gestational age (small [SGA], <10th centile, appropriate [AGA], 10th-90th centile or large [LGA], >90th centile) according to INTERGROWTH-21st newborn standards. Newborn babies with PT or SGA were defined as small and T + LGA was considered as large. We calculated risk ratios (RRs) and population attributable risks (PAR%) for the six newborn types. Main outcome measures: Mortality of six newborn types. Results: Of 125.5 million live births analysed, risk ratios were highest among PT + SGA (median 67.2, interquartile range [IQR] 45.6-73.9), PT + AGA (median 34.3, IQR 23.9-37.5) and PT + LGA (median 28.3, IQR 18.4-32.3). At the population level, PT + AGA was the greatest contributor to newborn mortality (median PAR% 53.7, IQR 44.5-54.9). Mortality risk was highest among newborns born before 28 weeks (median RR 279.5, IQR 234.2-388.5) compared with babies born between 37 and 42 completed weeks or with a birthweight less than 1000 g (median RR 282.8, IQR 194.7-342.8) compared with those between 2500 g and 4000 g as a reference group. Conclusion: Preterm newborn types were the most vulnerable, and associated with the highest mortality, particularly with co-existence of preterm and SGA. As PT + AGA is more prevalent, it is responsible for the greatest burden of neonatal deaths at population level. | en_US |
Affilliation | Mexican Society of Public Health. Mexico City, Mexico. | en_US |
Affilliation | Maternal, Adolescent. Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK. | en_US |
Affilliation | Maternal, Adolescent. Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK. | en_US |
Affilliation | Maternal, Adolescent. Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK. | en_US |
Affilliation | Maternal, Adolescent. Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK. | en_US |
Affilliation | Faculty of Medicine and Health. University of Sydney. Sydney, New South Wales, Australia. | en_US |
Affilliation | Centre of Research Excellence in Stillbirth. Mater Research Institute. The University of Queensland. Brisbane, Queensland, Australia. | en_US |
Affilliation | Maternal, Adolescent. Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para Saúde. BA, Salvador, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para Saúde. BA, Salvador, Brasil. | en_US |
Affilliation | Department of Obstetrics & Gynaecology. University of British Columbia. Vancouver, British Columbia, Canada. | en_US |
Affilliation | Department of Obstetrics & Gynaecology. University of British Columbia. Vancouver, British Columbia, Canada. | en_US |
Affilliation | Department of Obstetrics and Gynaecology. Institute for the Care of Mother and Child. Prague, Czech Republic. | en_US |
Affilliation | Department of Data Analysis. Institute of Health Information and Statistics of the Czech Republic. Prague, Czech Republic. | en_US |
Affilliation | Department of Clinical Epidemiology. Aarhus University and Aarhus University Hospital. Aarhus N, Denmark. | en_US |
Affilliation | Department of Clinical Epidemiology. Aarhus University and Aarhus University Hospital. Aarhus N, Denmark. | en_US |
Affilliation | School of Governance. Law and Society. Estonian Institute for Population Studies. Tallinn University. Tallinn, Estonia. | en_US |
Affilliation | School of Governance. Law and Society. Estonian Institute for Population Studies. Tallinn University. Tallinn, Estonia / Finnish Population Research Institute. Vaestoliitto, Helsinki, Finland. | en_US |
Affilliation | Department of Paediatrics and Adolescent Medicine. American University of Beirut. Beirut, Lebanon. | en_US |
Affilliation | Department of Paediatrics and Adolescent Medicine. American University of Beirut. Beirut, Lebanon. | en_US |
Affilliation | Directorate of Health Information. Ministry of Health. Mexico City, Mexico. | en_US |
Affilliation | Perined. Utrecht, The Netherlands. | en_US |
Affilliation | Perined. Utrecht, The Netherlands. | en_US |
Affilliation | Hamad Medical Corporation. Doha, Qatar. | en_US |
Affilliation | Hamad Medical Corporation. Doha, Qatar. | en_US |
Affilliation | Clinical Epidemiology Division. Department of Medicine Solna. Karolinska Institutet. Stockholm, Sweden. | en_US |
Affilliation | Clinical Epidemiology Division. Department of Medicine Solna. Karolinska Institutet. Stockholm, Sweden. | en_US |
Affilliation | Department of Population Health Sciences. College of Life Sciences. University of Leicester. Leicester, UK. | en_US |
Affilliation | Department of Population Health Sciences. College of Life Sciences. University of Leicester. Leicester, UK. | en_US |
Affilliation | School of Natural and Built Environment. Queen's University Belfast. Belfast, UK. | en_US |
Affilliation | Queen's Management School. Queen's University Belfast. Belfast, UK. | en_US |
Affilliation | Public Health Scotland. Edinburgh, UK / Usher Institute. University of Edinburgh. Edinburgh, UK. | en_US |
Affilliation | Pregnancy, Birth and Child Health Team. Public Health Scotland. Edinburgh, UK. | en_US |
Affilliation | Department of Wellness and Health. Catholic University of Uruguay. Montevideo, Uruguay. | en_US |
Affilliation | Department of Wellness and Health. Catholic University of Uruguay. Montevideo, Uruguay. | en_US |
Affilliation | Maternal, Adolescent. Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK. | en_US |
Affilliation | Maternal, Adolescent. Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK. | en_US |
Subject | Neonatal mortality | en_US |
Subject | Reterm birth | en_US |
Subject | Size for gestational age | en_US |
Subject | Vulnerable newborn | en_US |
DeCS | Mortalidade Neonatal Precoce | en_US |
DeCS | Nascimento Prematuro | en_US |
DeCS | Recém-Nascido Pequeno para a Idade Gestacional | en_US |