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Gestational age-specific neonatal mortality in Hong Kong:a population-based retrospective study

World Journal of Pediatrics 2023年第2期19卷 158-169页

作者： Xue-Lian Wang Eman Leung genevieve po gee fung Hugh Simon Lam Department of Neonatology Guangzhou Women and Children’s Medical CenterGuangzhou Medical UniversityGuangdong Provincial Clinical Research Center for Child HealthGuangzhouChina Department of Paediatrics Faculty of MedicineThe Chinese University of Hong KongHong Kong SARChina The Jockey Club School of Public Health and Primary Care Faculty of MedicineThe Chinese University of Hong KongHong Kong SARChina Department of Paediatrics 6/F Lui Che Woo Clinical Sciences BuildingPrince of Wales HospitalSha TinNew TerritoriesHong Kong SARChina

Background The neonatal period is the most vulnerable period during childhood,with the risk of death being the highest even in developed countries/*** Kong’s neonatal mortality(1‰)is among the world’s lowest and has remained similar for 15 *** study aimed to explore neonatal deaths in Hong Kong in detail and determine whether neonatal mortality is reducible at such a low *** Live births in public hospitals in Hong Kong during 01 Jan 2006–31 Dec 2017 were *** data were extracted from the electronic medical *** age-specific mortality was calculated,and the trends were analyzed using the Cochran–Armitage trend *** of death were summarized,and risk factors were identified in multivariate logistic regression *** In 490,034 live births,755 cases(1.54‰)died during the neonatal period,and 293(0.6‰)died during the post-neonatal *** neonatal mortality remained similar overall(P=0.17)and among infants born at 24–29 weeks’gestation(P=0.4),while it decreased in those born at 23(P=0.04),30–36(Pportion among cases who died(27.6%to 51.9%),with hemorrhagic conditions(24%)being the leading cause of *** anomalies were the leading cause of death in neonates born≥27 weeks’gestation(52%),but its cause-specific mortality decreased(P=0.002,0.6‰to 0.41‰),with most of the decrease attributed to trisomy 13/18 and multiple *** Reduction of neonatal mortality in developed regions may heavily rely on improved quality of perinatal and neonatal care among extremely preterm infants.

关键词： Cause of death Neonatal mortality population based Risk factor Trend

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