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
Artículo
en Inglés
| LILACS
| ID: biblio-991636
Biblioteca responsable:
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.
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Contexto en salud:
Agenda de Salud Sostenible para las Américas
/
ODS3 - Salud y Bienestar
/
ODS3 - Meta 3.4 Reducir las muertes prematuras por enfermedades no transmisibles
/
ODS3 - Meta 3.2 Evitar muertes en recién nacidos y niños menores de 5 años
Problema de salud:
Objetivo 6: Sistemas de información para la salud
/
Meta 3.1: Reducir la mortalidad materna
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Meta 3.4: Reducir las muertes prematuras por enfermedades no transmisibles
/
Meta 3.2: Evitar muertes en recién nacidos y niños menores de 5 años
/
Enfermedad Cardiovascular
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Anomalías Congénitas y Cromosómicas
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Otras Enfermedades Circulatorias
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Salud Ambiental
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Atención de Salud Neonatal
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Enfermedades No Transmisibles
Base de datos:
LILACS
Asunto principal:
Recién Nacido de Bajo Peso
/
Enfermedades Cardiovasculares
Tipo de estudio:
Estudio de etiología
/
Estudio observacional
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Estudio pronóstico
/
Factores de riesgo
Límite:
Adolescente
/
Niño
/
Niño, preescolar
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Femenino
/
Humanos
/
Lactante
/
Masculino
/
Recién nacido
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
Rev. saúde pública (Online)
Asunto de la revista:
Sa£de P£blica
Año:
2019
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Universidade Federal do Rio de Janeiro/BR