新生儿重症监护室死亡率的危险因素:产妇年龄的影响

C. Botura, Luiz Eduardo Bersani-Amado, J. J. Teixeira, Suzana Cunha Vituri, S. Caparroz-Assef, R. Cuman
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引用次数: 3

摘要

本研究评估了产妇年龄对新生儿低出生体重(LBW)、早产和死亡的影响。是一项在巴西某大学医院新生儿重症监护病房(NICU)进行的描述性、探索性、回顾性和比较研究,在NICU住院的新生儿在5年内有776例。结果显示,青少年母亲的生育率很高(27%)。在少女母亲(193)中,80%的新生儿出生体重低,84%早产;在成年母亲(513人)中,69%的人出生体重过低,77%的人早产。在研究期间,102名新生儿死亡(死亡率为14.5%)。相对危险度分析(RR)指标- LBW (RR=1.75, CI95%=1.17-2.62, p < 0.006)和早产(RR=1.60, CI95%=1.03-2.50, p < 0.03) -证明出生体重<2500克的少女母亲的新生儿死亡概率高于成年母亲的新生儿。总之,结果表明,新生儿期死亡人数与产妇年龄无关,但与早产和低出生体重有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Risk factors for mortality in Neonatal Intensive Care Unit: maternal age influence
The study evaluated the influence of maternal age on the low birth weight (LBW), prematurity and deaths of newborns (NB). Was a descriptive, exploratory, retrospective and comparative study realized in Neonatal intensive care unit (NICU) of a university hospital in Brazil, with seven hundred six NB admitted in the NICU in the period of five years.  The results showed high rate of childbirths of teenage mothers (27%). Among teenage mothers (193), 80% of their NB had low birth weight, and 84% were premature; and among adult mothers (513), 69% had low birth weight, and 77% were premature. During the study, 102 NB have died (mortality rate of 14.5%). The analysis of the relative risk (RR) of indicators – LBW (RR=1.75, CI95%=1.17-2.62, p < 0.006), prematurity (RR=1.60, CI95%=1.03-2.50, p < 0.03) – evidenced a higher probability of death for the NB from teenage mothers, with birth weight <2500 gramsor premature, than NB from adult mothers. In conclusion the outcome showed that the number of deaths during the neonatal period was not related to maternal age, but the prematurity and the low birth weight was.
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