Por favor, use este identificador para citar o enlazar este ítem:
https://www.arca.fiocruz.br/handle/icict/62735
Tipo
ArtículoDerechos de autor
Acceso abierto
Colecciones
Metadatos
Mostrar el registro completo del ítem
NEONATAL MORTALITY RISK FOR VULNERABLE NEWBORN TYPES IN 15 COUNTRIES USING 125.5 MILLION NATIONWIDE BIRTH OUTCOME RECORDS, 2000–2020
Nascimento prematuro
Tamanho para idade gestacional
Recém-nascido vulnerável
Reterm birth
Size for gestational age
Vulnerable newborn
Nascimento Prematuro
Recém-Nascido Pequeno para a Idade Gestacional
Autor
Suárez-Idueta, Lorena
Blencowe, Hannah
Okwaraji, Yemisrach B.
Yargawa, Judith
Bradley, Ellen
Gordon, Adrienne
Flenady, Vicki
Paixão, Enny S.
Barreto, Mauricio L.
Lisonkova, Sarka
Wen, Qi
Velebil, Petr
Jírová, Jitka
Horváth-Puhó, Erzsebet
Sørensen, Henrik Toft
Sakkeus, Luule
Abuladze, Liili
Yunis, Khalid A.
Bizri, Ayah Al
Barranco, Arturo
Broeders, Lisa
Dijk, Aimée E. van
Alyafei, Fawziya
Olukade, Tawa O.
Razaz, Neda
Söderling, Jonas
Smith, Lucy K.
Draper, Elizabeth S.
Lowry, Estelle
Rowland, Neil
Wood, Rachael
Monteath, Kirsten
Pereyra, Isabel
Pravia, Gabriella
Ohuma, Eric O.
Lawn, Joy E.
Blencowe, Hannah
Okwaraji, Yemisrach B.
Yargawa, Judith
Bradley, Ellen
Gordon, Adrienne
Flenady, Vicki
Paixão, Enny S.
Barreto, Mauricio L.
Lisonkova, Sarka
Wen, Qi
Velebil, Petr
Jírová, Jitka
Horváth-Puhó, Erzsebet
Sørensen, Henrik Toft
Sakkeus, Luule
Abuladze, Liili
Yunis, Khalid A.
Bizri, Ayah Al
Barranco, Arturo
Broeders, Lisa
Dijk, Aimée E. van
Alyafei, Fawziya
Olukade, Tawa O.
Razaz, Neda
Söderling, Jonas
Smith, Lucy K.
Draper, Elizabeth S.
Lowry, Estelle
Rowland, Neil
Wood, Rachael
Monteath, Kirsten
Pereyra, Isabel
Pravia, Gabriella
Ohuma, Eric O.
Lawn, Joy E.
Afiliación
Mexican Society of Public Health. Mexico City, Mexico.
Maternal, Adolescent. Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Maternal, Adolescent. Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Maternal, Adolescent. Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Maternal, Adolescent. Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Faculty of Medicine and Health. University of Sydney. Sydney, New South Wales, Australia.
Centre of Research Excellence in Stillbirth. Mater Research Institute. The University of Queensland. Brisbane, Queensland, Australia.
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.
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para Saúde. BA, Salvador, Brasil.
Department of Obstetrics & Gynaecology. University of British Columbia. Vancouver, British Columbia, Canada.
Department of Obstetrics & Gynaecology. University of British Columbia. Vancouver, British Columbia, Canada.
Department of Obstetrics and Gynaecology. Institute for the Care of Mother and Child. Prague, Czech Republic.
Department of Data Analysis. Institute of Health Information and Statistics of the Czech Republic. Prague, Czech Republic.
Department of Clinical Epidemiology. Aarhus University and Aarhus University Hospital. Aarhus N, Denmark.
Department of Clinical Epidemiology. Aarhus University and Aarhus University Hospital. Aarhus N, Denmark.
School of Governance. Law and Society. Estonian Institute for Population Studies. Tallinn University. Tallinn, Estonia.
School of Governance. Law and Society. Estonian Institute for Population Studies. Tallinn University. Tallinn, Estonia / Finnish Population Research Institute. Vaestoliitto, Helsinki, Finland.
Department of Paediatrics and Adolescent Medicine. American University of Beirut. Beirut, Lebanon.
Department of Paediatrics and Adolescent Medicine. American University of Beirut. Beirut, Lebanon.
Directorate of Health Information. Ministry of Health. Mexico City, Mexico.
Perined. Utrecht, The Netherlands.
Perined. Utrecht, The Netherlands.
Hamad Medical Corporation. Doha, Qatar.
Hamad Medical Corporation. Doha, Qatar.
Clinical Epidemiology Division. Department of Medicine Solna. Karolinska Institutet. Stockholm, Sweden.
Clinical Epidemiology Division. Department of Medicine Solna. Karolinska Institutet. Stockholm, Sweden.
Department of Population Health Sciences. College of Life Sciences. University of Leicester. Leicester, UK.
Department of Population Health Sciences. College of Life Sciences. University of Leicester. Leicester, UK.
School of Natural and Built Environment. Queen's University Belfast. Belfast, UK.
Queen's Management School. Queen's University Belfast. Belfast, UK.
Public Health Scotland. Edinburgh, UK / Usher Institute. University of Edinburgh. Edinburgh, UK.
Pregnancy, Birth and Child Health Team. Public Health Scotland. Edinburgh, UK.
Department of Wellness and Health. Catholic University of Uruguay. Montevideo, Uruguay.
Department of Wellness and Health. Catholic University of Uruguay. Montevideo, Uruguay.
Maternal, Adolescent. Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Maternal, Adolescent. Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Maternal, Adolescent. Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Maternal, Adolescent. Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Maternal, Adolescent. Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Maternal, Adolescent. Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Faculty of Medicine and Health. University of Sydney. Sydney, New South Wales, Australia.
Centre of Research Excellence in Stillbirth. Mater Research Institute. The University of Queensland. Brisbane, Queensland, Australia.
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.
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para Saúde. BA, Salvador, Brasil.
Department of Obstetrics & Gynaecology. University of British Columbia. Vancouver, British Columbia, Canada.
Department of Obstetrics & Gynaecology. University of British Columbia. Vancouver, British Columbia, Canada.
Department of Obstetrics and Gynaecology. Institute for the Care of Mother and Child. Prague, Czech Republic.
Department of Data Analysis. Institute of Health Information and Statistics of the Czech Republic. Prague, Czech Republic.
Department of Clinical Epidemiology. Aarhus University and Aarhus University Hospital. Aarhus N, Denmark.
Department of Clinical Epidemiology. Aarhus University and Aarhus University Hospital. Aarhus N, Denmark.
School of Governance. Law and Society. Estonian Institute for Population Studies. Tallinn University. Tallinn, Estonia.
School of Governance. Law and Society. Estonian Institute for Population Studies. Tallinn University. Tallinn, Estonia / Finnish Population Research Institute. Vaestoliitto, Helsinki, Finland.
Department of Paediatrics and Adolescent Medicine. American University of Beirut. Beirut, Lebanon.
Department of Paediatrics and Adolescent Medicine. American University of Beirut. Beirut, Lebanon.
Directorate of Health Information. Ministry of Health. Mexico City, Mexico.
Perined. Utrecht, The Netherlands.
Perined. Utrecht, The Netherlands.
Hamad Medical Corporation. Doha, Qatar.
Hamad Medical Corporation. Doha, Qatar.
Clinical Epidemiology Division. Department of Medicine Solna. Karolinska Institutet. Stockholm, Sweden.
Clinical Epidemiology Division. Department of Medicine Solna. Karolinska Institutet. Stockholm, Sweden.
Department of Population Health Sciences. College of Life Sciences. University of Leicester. Leicester, UK.
Department of Population Health Sciences. College of Life Sciences. University of Leicester. Leicester, UK.
School of Natural and Built Environment. Queen's University Belfast. Belfast, UK.
Queen's Management School. Queen's University Belfast. Belfast, UK.
Public Health Scotland. Edinburgh, UK / Usher Institute. University of Edinburgh. Edinburgh, UK.
Pregnancy, Birth and Child Health Team. Public Health Scotland. Edinburgh, UK.
Department of Wellness and Health. Catholic University of Uruguay. Montevideo, Uruguay.
Department of Wellness and Health. Catholic University of Uruguay. Montevideo, Uruguay.
Maternal, Adolescent. Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Maternal, Adolescent. Reproductive & Child Health (MARCH) Centre. London School of Hygiene & Tropical Medicine. London, UK.
Resumen en ingles
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.
Palabras clave en portugues
Mortalidade neonatalNascimento prematuro
Tamanho para idade gestacional
Recém-nascido vulnerável
Palabras clave en ingles
Neonatal mortalityReterm birth
Size for gestational age
Vulnerable newborn
DeCS
Mortalidade Neonatal PrecoceNascimento Prematuro
Recém-Nascido Pequeno para a Idade Gestacional
Compartir