Avtor/Urednik     Burja, S; Treiber, M; Tekauc-Golob, A; Takač, I; Hajdinjak, D
Naslov     Umrljivost novorojenčkov kot pomemben kazalec kvalitete perinatalnega zdravstvenega varstva (Maribor 1997-2005)
Prevedeni naslov     Mortality of newborn infants as an important indicator of the quality of perinatal medical care (Maribor 1997-2005)
Tip     članek
Vir     Slov Pediatr
Vol. in št.     Letnik 13, št. Suppl 1
Leto izdaje     2006
Obseg     str. 190-6
Jezik     slo
Abstrakt     Objective. To provide a summary of neonatal mortality data for a group of 17,792 liveborns in the Maribor General Hospital Department of Perinatology in the period between 1997 and 2005. Materials and methods. The National Perinatal Information System (NPIS) cohort files for 1997 - 2005 were used for this study. Data are presented using cohorts based on date of birth and date of death till 28 February 2006. Maribor Teaching Hospital serves the population of Northeast Slovenia with approximately 2,000 births per year and 17,792 live births in this 9-year period. Yearly cohorts of neonatal deaths were analysed by gestational age (GA) distribution, birth weight (BW) distribution, age at death and cause of death. Results. The average neonatal mortality rate in the entire 9-year investigated group was 5.1 per 1,000 liveborns with a gestational age (GA) of 22 - 42 weeks and 2.4 per 1,000 liveborns with a GA of 28 - 42 weeks. 8% of all newborns in the investigated group had a low birth weight (LBW) of less than 2,500 g and these accounted for more than 80% of neonatal deaths. The smallest group with extremely low birth weight (ELBW) <1,000 g comprised 0,8% of all births and accounted for about 50% of all neonatal deaths. Newborns weighing 1,000 - 1,500 g accounted for about 20% of neonatal deaths and the group with BW 1,500 - 2,500 accounted for 10%. Newborns weighing >2,500 g comprised about 92% of all births and accounted for about 20% of neonatal deaths. Among the causes of death, extreme immaturity was the only cause in 48% of all reported deaths in the investigated period, followed by congenital malformations (17%), perinatal complications (19%), sepsis (6%), intracranial hemorrhage (6%) and intrauterine growth retardation (4%). Conclusions. Extremely low birth weight and immaturity were the major determinants of neonatal mortality in the study group born in Maribor in the period 1997 - 2005. (Abstract truncated at 2000 charactes).
Izvleček     Namen. Prikaz značilnosti umrljivosti novorojenčkov iz skupine 17.792 živorojenih v letih 1997 - 2005 na Oddelku za perinatologijo Splošne bolnišnice v Mariboru. Material in metode. V kohortni epidemiološki študiji smo uporabili podatke podatkovne baze nacionalnega perinatalnega informacijskega sistema (NPIS) za obdobje 1997 - 2005 in za skupino 17.792 živorojenih otrok v istem obdobju na Oddelku za perinatologijo Učne bolnišnice v Mariboru. Oblikovali smo enoletne kohorte na podlagi podatkov o datumu rojstva in datumu smrti od 1. 1. 1997 do 28. 2. 2006. Letne kohorte umrlih smo posebej analizirali z ozirom na razporeditev po noselnosti starosti (NS), telesni teži ob rojstvu in (PT), po starosti na dan smrti in po vzroku smrti. Rezultati. V raziskovani 9-letni skupini novorojenčkov je bila povprečna umrljivost 5,1/1.000 živorojenih v skupini z NS od 22 tednov do 42 tednov in 2,4/1.000 živorojenih z NS od 28 tednov do 42 tednov. Osem odstotkov vseh novorojenih v raziskovani skupini je imelo nizko porodno težo (NPT) in je predstavljalo v skupini umrlih okoli 80%. Največji delež (50%) je odpadel na skupino z izjemno nizko porodno težo (INPT) ali manj kot 1.000 g, ki predstavljala v skupini živorojenih le 0,8%. Skupina s porodno težo od 1.000 - 1.5000 je v skupino umrlih prispevala 20% in skupina s porodno težo od 1.500 - 2.5000 g še 10%. Skupina živorojenih s težo ob rojstvu več kot 2.500 g je bila udeležena v skupini umrlih z 20%. Med vzroki smrti je bila izjemna nezrelost edini razlog kar v 48%, perinatalni zapleti v 19%, prirojene anomalije v 17%, možganske krvavitve v 6%, sepsa v 6% in znotrajmaternični zastoj v rasti v 4%. Zaključki. Izjemno nizka porodna teža in izjemna nezrelost sta bili glavni glavni označevalki umrljivosti novorojenčkov v raziskovanem vzorcu rojenih v Mariboru v letih 1997 - 2005. (Izvleček prekinjen pri 2000 znakih).
Deskriptorji     INFANT MORTALITY
GESTATIONAL AGE
BIRTH WEIGHT
INFANT, NEWBORN
COHORT STUDIES