Fetal and maternal factors are associated with mortality due to circulatory system disorders in children
Rev. saúde pública (Online)
; 53: 31, jan. 2019. tab, graf
Article
在 En
| LILACS
| ID: biblio-991636
Responsible library:
BR1.1
ABSTRACT
ABSTRACT OBJECTIVE To analyze the association of characteristics recorded at the time of birth, including weight, occurrence of asphyxia, gestation duration, maternal age and education level, with death from diseases or malformations of the circulatory system in children under 18 years of age. METHODS The Brazilian Information System on Live Births and Information System on Mortality databases were linked and evaluated following a longitudinal cohort analysis strategy. The following independent variables were evaluated characteristics recorded at the time of birth, including weight, occurrence of asphyxia, gestation duration, maternal age and education level. Dependent variables were death from diseases or malformations of the circulatory system in children under 18 years of age. Crude relative risks were estimated and relative risks were adjusted for the variables. RESULTS 6,380 deaths were linked to 4,282,260 birth records, yielding 5,062 pairs considered as true. Low birth weight (RR = 2.26), asphyxia at 1 (RR = 1.72) and 5 minutes (RR = 1.51), prematurity (RR = 1.50), maternal age ≥ 40 years (RR = 2.06), and low maternal education level (RR = 1.45) increased the probability of death caused by circulatory system diseases. In the association with death by malformations of the circulatory system, the predictive variables showed the same association profile, but with greater intensity. CONCLUSIONS Fetal and maternal factors are associated with increased mortality due to diseases and malformations of the circulatory system. Measures to control these factors and improve access to their diagnosis and treatment would contribute to reducing the number of deaths caused by diseases and malformations of the circulatory system. However, the identification of environmental influences during gestation and birth on the risk of death should be carefully considered due to being influenced by genetic factors.
Key words
全文:
1
索引:
LILACS
主要主题:
Infant, Low Birth Weight
/
Cardiovascular Diseases
研究类型:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
限制:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Newborn
国家/地区名称主题:
America do sul
/
Brasil
语言:
En
期刊:
Rev. saúde pública (Online)
期刊主题:
Sa£de P£blica
年:
2019
类型:
Article