Aumento de la mortalidad infantil en niños con síndrome de Down: Chile 1997-2013 / Rising infant mortality in down syndrome in Chile from 1997 to 2013
Rev. méd. Chile
; 144(11): 1432-1439, nov. 2016. ilus, graf, tab
Article
em Es
| LILACS
| ID: biblio-845465
Biblioteca responsável:
CL1.1
ABSTRACT
Background:
Down syndrome (DS) is associated with higher child mortality especially due to cardiac malformations.Aim:
To describe the trend in Chilean infant mortality in DS in the period 1997-2013 as compared to the general population without DS. Material andMethods:
Raw data on infant deaths were extracted from the yearbooks of vital statistics of the National Institute of Statistics. The mortality risk associated to DS, relative to population without DS was estimated.Results:
There were 456 deaths in infants with DS during the study period (59 early neonatal deaths, 70 late neonatal deaths and 327 post-neonatal deaths). The trend in infant mortality rate in DS was ascending (r 0.53, p = 0.03), with an average annual percentage change of 4.6% (95% confidence interval (CI) 0.4-9.0%; p < 0.01). Compared to the population without DS, the risk of early neonatal death was lower in DS (Odds ratio (OR) 0.14, 95% CI 0.11-0.19; p < 0.01) whereas the risk of post-neonatal death was higher (OR 4.74, 95% CI 3.85-5.85; p < 0.01).Conclusions:
Infant mortality in Down syndrome has an increasing trend. We postulate that these children are not accessing timely cardiac surgery, the main therapeutic tool to reduce the death risk in the first year of life.Palavras-chave
Texto completo:
1
Índice:
LILACS
Assunto principal:
Síndrome de Down
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Infant
/
Male
/
Newborn
País/Região como assunto:
America do sul
/
Chile
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
2016
Tipo de documento:
Article