Temporal trend in fetal mortality according to two death avoidability classifications.

Revista da Escola de Enfermagem da U S P Pub Date : 2024-09-27 eCollection Date: 2024-01-01 DOI:10.1590/1980-220X-REEUSP-2024-0015en

Rebeca Danielly Barros Xavier, Mirella Bezerra Rodrigues Vilela, Cristine Vieira do Bonfim, Conceição Maria Oliveira, Pedro Israel Cabral de Lira, Silvia Wanick Sarinho

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Abstract

Objective: To analyze the temporal trend of fetal mortality and its components, of avoidable and ill-defined causes according to two avoidability classifications in Recife, Pernambuco, 2010-2021.

Method: Ecological study of temporal trends of fetal mortality in Recife, 2010-2021. The Brazilian List of Avoidable Causes of Death for fetal deaths (LBE-OF) and Brazilian List of Avoidable Causes of Death for children under five years of age (LBE < 5) were used. The Joinpoint regression model was applied to analyze the temporal trends.

Results: Trends in fetal mortality and its components were stationary. The group of avoidable causes presented higher mortality rates in both classifications, with an increasing trend according to the LBE-OF (Annual Percentage Change-APC: 2,1; p = 0,018) and stationary according to the LBE < 5. There was a decreasing trend in mortality from ill-defined causes only according to the LBE-OF (APC: -12,3; p < 0,001).

Conclusion: The results showed the stagnation of the temporal trend in fetal mortality, the avoidability of most deaths, and the potential of LBE-OF in monitoring the quality of information on the basic causes and avoidability of fetal deaths.

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根据两种死亡可避免性分类得出的胎儿死亡率的时间趋势。

目的分析 2010-2021 年伯南布哥州累西腓市胎儿死亡率的时间趋势及其组成部分，以及根据两种可避免性分类法得出的可避免原因和不明确原因：方法：对 2010-2021 年累西腓胎儿死亡率的时间趋势进行生态研究。方法：对 2010-2021 年累西腓胎儿死亡的时间趋势进行生态研究。研究使用了巴西胎儿死亡可避免死因清单（LBE-OF）和巴西五岁以下儿童死亡可避免死因清单（LBE < 5）。采用连接点回归模型分析时间趋势：结果：胎儿死亡率及其组成部分呈静态趋势。可避免原因组的死亡率在两种分类中都较高，根据 LBE-OF 呈上升趋势（年百分比变化-APC：2.1；p = 0.018），而根据 LBE < 5 呈静止趋势。仅根据 LBE-OF 的分类，不明原因死亡率呈下降趋势（APC：-12.3；p < 0.001）：结果表明，胎儿死亡率的时间趋势停滞不前，大多数死亡是可以避免的，LBE-OF 在监测有关胎儿死亡的基本原因和可避免性的信息质量方面具有潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revista da Escola de Enfermagem da U S P

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