scholarly journals Infant mortality by cause of death

Stanovnistvo ◽  
1998 ◽  
Vol 36 (1-2) ◽  
pp. 105-124
Author(s):  
Jasna Milankovic
Keyword(s):  
Health Care ◽  
Infant Mortality ◽  
Health Services ◽  
Respiratory Distress ◽  
Cause Of Death ◽  
Infant Death ◽  
Congenital Anomalies ◽  
Premature Birth ◽  
Causes Of Death ◽  
Observation Period

Infant mortality is still a major problem in our country as its level has remained relatively high by European standards. This points to the need for better preventive measures particularly as regards infant mortality and other adverse consequences of pregnancy, as key indicators of health and health care for mother and child. Namely, the analysis of movement in infant mortality in low mortality countries shows that it can be decreased relatively easily if certain social and health care measures are undertaken. For that reason, it is necessary to engage in permanent organized research to explain and measure both the relative impact of individual factors or groups of factors in our country which are significant in terms of infant mortality and their mutual relationships. We should also try to gain from the experiences of other countries which had already made progress in this respect. One of the elements of prevention is certainly the analysis of causes of infant morbidity and mortality primarily during the pre-natal period with the aim of specifying the most frequent causes of death to enable their elimination and to induce a subsequent decline in infant mortality. Besides showing the efficiency of health service activities, data on causes of infant death also point to the specific measures that should be undertaken and may be used as a base for planning and programming the development of health services, i.e. implementation of health policy as part of the population policy. With the decline in infant mortality in our country there has also been registered a change in the composition of diseases as the most frequent cause of death. During the initial observation period when the general level of infant mortality was exceptionally high, the share of infectious diseases and those of the respiratory system was very large. These deaths were mainly induced by exogenous factors, that is the diseases which the society in general and health services in particular could most easily have checked both by measures to improve the general living conditions and by preventive and curative health care measures. The period from 1989 to 1996 is characterized by endogenous causes of infant mortality primarily during the neonatal period and have to do with the constitutional features of the live-born children, congenital anomalies, premature birth, respiratory distress, etc. Thus, from the socio-medical point of view, the primary causes of infant mortality in this period are genetically induced or can be attributed to the mother in labour birth which modern men and modern medicine cannot influence to a larger extent. The analysis of infant death frequency by group of causes of death points that there still exist possibilities of eliminating the exogenous causes of death (as the same causes prevail in the socio-economically least developed regions of the country). Besides, some improvement can also be expected in the area of endogenous mortality (improvement in pre-natal diagnostics and other measures of health care for pregnant women and those who have just given birth, better conditions for child delivery and application of modern techniques to care for the prematurely born children. The semanatal mortality is probably the major socio-medical problem in our country both because it accounts for the highest percentage in neo-natal mortality and because it displays an almost negligible downward tendency. This justifies another request - for a more extensive and comprehensive analysis of this problem as well as for participation of other scientific disciplines besides medicine. Among the leading causes of semanatal mortality in the most recent observation period are premature birth, congenital anomalies, respiratory distress syndrome and intrauterine hypoxia and asphyxia at birth.

2372Causes of death and effect of co-morbidities on mortality in young patients with heart failure. Data from the Swedish Heart Failure, Cause of Death and National Patient Registers

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
C Basic ◽  
A Rosengren ◽  
U Dahlstrom ◽  
M Edner ◽  
T Zverkova Sandstrom ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cause Of Death ◽  
Causes Of Death ◽  
Young Patients ◽  
Mortality Data ◽  
Quality Register ◽  
Co Morbidity ◽  
National Patient ◽  
Age And Sex ◽  
Observation Period

Abstract Background The last two decades incidence and prevalence of heart failure (HF) among young patients have increased in Sweden. Up to the beginning of the 21st century mortality in patients with HF has decreased but causes of death and the effects of co-morbidity on mortality in young patients with HF are not well studied. Purpose To address causes of death and the effect of co-morbidity at baseline on mortality during the last decade in young patients with HF. Methods The Swedish Heart Failure Register (SwedeHF,) a nationwide quality register, was introduced in Sweden in 2003. All hospital discharge diagnoses are recorded in the National Patient Register (NPR) and deaths are registered in the Cause of Death Register. All patients ≥18 and <55 years with a HF diagnosis in SwedeHF were included and linked to the Cause of Death Register and NPR with the personal identification number. ICD 10-codes for all comorbidities and principal cause of death were identified during the observation period from 2003 to 2016. Besides, comorbidity and mortality data were compared with age and sex matched controls from the general population, database from Statistics Sweden (SCB). Results We identified 3752 (6.2%) patients <55 years from the total SwedeHF population (n=60,962) and added 7573 age and sex matched controls. There were 971 (25.9%) women and 2781 (74.1%) men mean age 44.9 (8.4) and 46.4 (7.3) years respectively. Among the young 604 (16.1%) patients died vs. 162 (2.2%) among matched controls (p<0.001) during the observation period. Principal cause of death was HF in 2.7% of the young patients (in men 3% vs. 1.4% in women (p=0.221)), other cardiovascular diseases 48.7% (27.7% in men vs. 20% in women (p=0.05)), congenital heart disease 4% (3% in men vs. 6.9% in women (p=0.077)), cancer 12.9% (9.6% in men vs. 23.6% in women (p=0.003)), neurologic disease 4.5% (5.4% in men vs. 1.4% in women (p=0.028)) suicide 0.8% (0.7% in men vs 1.4% in women (p=0.47)) and other causes 15.1% (15.9% in men vs 12.5% in women (p=0.179)) vs. 0, 26.5%, 1.2%, 32.7%, 1.2%, 9.9% and 18.5% in matched controls (all p<0.0001). The effect of co-morbidity at baseline on mortality in young patients with HF is presented in Figure 1. Effect of co-morbidity on mortality Conclusion Compared to matched controls young patients with HF had worse survival. Almost one quarter of women with HF had cancer as a principal cause of death. Men with AF, obesity and depression at baseline had higher risk to die than women. Women with HF and hypertension, PAH or kidney disease at baseline had higher risk to die than men with HF and the same co-morbidities. Acknowledgement/Funding Swedish state under the agreement concerning research and education of doctors, The Swedish Heart and Lung Foundation, Västra Götaland Region grants

scholarly journals Gambaran Penyebab Kematian Utama di Kabupaten Bekasi Provinsi Jawa Barat 2011

2019 ◽  
Vol 47 (1) ◽  
pp. 29-38
Author(s):  
Kristina Kristina ◽  
Lamria Pangaribuan ◽  
Hendrik Hendrik
Keyword(s):  
Infant Mortality ◽  
Infectious Diseases ◽  
Cause Of Death ◽  
Causes Of Death ◽  
Control Model ◽  
Health Programs ◽  
Age Group ◽  
Perinatal Deaths ◽  
Health Control ◽  
Model Based

AbstractDeath can be caused by a number of diseases such as infectious diseases, disease not causing injury. Thepattern of death and cause of death is one indicator used to assess health programs. Objective: to findout the images of the causes and causes of death in 2011 in Bekasi Regency. Methods: Articles are thesubsequent analysis of the study of the Health Control Model Based on Death Registrations and Causesof Death in 12 Districts / Cities in Indonesia. The method is an analysis of national agriculture in 2011.Population: all death events in Bekasi Regency. Samples: deaths of residents of Bekasi Regency who diedin 2011. Instruments used: 1) AV1 Questionnaire, to collect information on perinatal deaths, namely fetal/ infant mortality with a womb age of more than 22 weeks until the age of 6 days and advanced neonataldeaths, 7 days old infants up to 27 days. 2). The AV2 questionnaire, collected information on death,aged 28 days and five years, 5 years. 3) AV3 Questionnaire, collect the 5-year death report above andthe Death Cause Information Form (FKPK). Results: The number of deaths obtained in 2011 was 5,011deaths. As many as 82.7% of deaths were at home and 15.6% were hospitalized. Most deaths were in men(56.1%) compared to women (43.9%). The cause of death due to adolescents is not higher (61.4%) thanother causes. Space deaths increase sharply in the group 65 years and above. The cause of stroke wasdeath in Bekasi Regency in 2011. Conclusion: The main causes of the age group IUFD + 0-6 days werepremature. Diarrhea is the leading cause of death in the age group 29 months -4 years. TB is the leadingcause of death in women and number two in men aged 15-44 years. Stroke is the leading cause of deathin the age group 55-64 years, 65 years and over and in men aged 45-54 years. Keywords: death, stroke, cause of death, primary AbstrakKematian dapat disebabkan beberapa hal seperti penyakit menular, penyakit tidak menular maupun karenakecelakaan. Pola kematian dan penyebab kematian merupakan salah satu indikator yang digunakanuntuk menilai program kesehatan.Tujuan:mengetahui gambaran kematian dan penyebab kematian utamatahun 2011 di Kabupaten Bekasi. Metode:Artikel ini merupakan hasil analisis lanjut dari studi ModelPengendalian Kesehatan Berbasis Registrasi Kematian dan Penyebab Kematian di 12 Kabupaten/Kotadi Indonesia. Metode studi merupakan analisis regresi kematian tahun 2011. Populasi: semua kejadiankematian di Kabupaten Bekasi. Sampel: kematian penduduk Kabupaten Bekasi yang meninggal tahun2011. Instrumen yang digunakan: 1) Kuesioner AV1, untuk mengumpulkan informasi kematian perinatalyaitu kematian janin/bayi dengan umur kandungan lebih dari 22 minggu sampai dengan umur 6 hari dankematian neonatal lanjut, bayi berumur 7 hari sampai dengan 27 hari. 2). Kuesioner AV2, mengumpulkaninformasi kematian bayi berumur 28 hari sampai dibawah 5 tahun. 3) Kuesioner AV3, mengumpulkaninformasi kematian berusia 5 tahun keatas dan Formulir Keterangan Penyebab Kematian (FKPK). Hasil:Jumlah kematian yang didapatkan pada tahun 2011 adalah 5.011 kematian. Sebanyak 82,7% kematianterjadi di rumah dan 15,6% di rumah sakit. Kematian paling banyak pada laki-laki (56,1%) dibandingperempuan (43,9%). Penyebab kematian akibat penyakit tidak menular lebih tinggi (61,4%) dibandingkanpenyebab lain. Angka kematian meningkat tajam pada kelompok 65 tahun ke atas. Penyakit strokepenyebab kematian utamadi Kabupaten Bekasi tahun 2011. Kesimpulan: Penyebab kematian utama padakelompok umur IUFD +0-6 hari adalah karena prematur. Diare merupakan penyebab kematian utamapada kelompok umur 29 bulan-4 tahun. TBC merupakan penyebab kematian utama pada perempuandan nomor dua pada laki-laki umur 15-44 tahun. Stroke adalah penyebab kematian utama pada kelompokumur 55-64 tahun, 65 tahun ke atas dan pada laki-laki kelompok umur 45-54 tahun. Kata kunci: kematian, stroke, penyebab kematian, utama  

Inequality in Infant Mortality Among Population of Modern Russia

2020 ◽  
Vol 27 (2) ◽  
pp. 48-62
Author(s):  
E. M. Andreev
Keyword(s):  
Health Care ◽  
Infant Mortality ◽  
Pregnant Women ◽  
Causes Of Death ◽  
Mortality Rates ◽  
European Countries ◽  
Infant Mortality Rate ◽  
Individual Factors ◽  
Official Statistics ◽  
Quality Health Care

Based on official statistics, the author tries to address the question of why the infant mortality rate in Russia is significantly higher than might be expected given the measures taken to protect the health of pregnant women and newborns. In the introduction, the author explains the relevance of studying inequality in the level of infant mortality among the population of modern Russia as a factor holding back the positive downward trend.After presenting the latest history of the evolution of the information and statistical base for population studies on the subjects under review, the author confirms the approach according to which it is advisable to work with data for real generations when analyzing the differentiation of infant mortality and generations born in 2014-2016 are chosen as the object of analysis.To determine the relevance of individual factors contributing to infant mortality, the author cross-tabulated raw data. Data on such initial characteristics (factors) as the birth order of the child, whether a mother is in a contracted civil marriage or not, mother’s level of education, were grouped by age groups of mothers. The use of cross-tabulation allowed to affirm not only the influence of individual factors on the level of infant mortality but also a quantitative differentiation between them. The article concludes the extent to which the overall level of infant mortality is determined by mortality rates from individual causes of death.A significant part of the article is presented in the format of author generalization using statistical methods regarding the educational differences of mothers, which have become differentiation factors in infant mortality rates.The socio-demographic analysis based on official statistics has confirmed not only some hypotheses as to why, despite the relatively rapid decrease in infant mortality in Russia in recent years, its level remains higher than in almost all European countries with reliable demographic statistics, but also to reveal the extent of the inequality of infant mortality in our country.The author argues that the reason why Russia lags behind many countries with the positive downward infant mortality trend is strongly associated with causes of death from conditions arising in the perinatal period as well as congenital disorders. This suggests that the level of medical care for pregnant women and newborns in Russia is still lower than in developed European countries. It also has to be assumed that different educational groups have unequal access to quality health care. А proactive approach to life as well as a progressive achievement of the right to choose a medical institution and a doctor - is one of the important directions for resolving a whole set of national health care issues.

Infant Mortality Statistics Do Not Adequately Reflect the Impact of Short Gestation

PEDIATRICS ◽  
1993 ◽  
Vol 92 (2) ◽  
pp. 229-232
Author(s):  
Jane D. Carver ◽  
Lukas H. Tan ◽  
Robert J. MCDermott ◽  
Howard N. Jacobson ◽  
Kevin M. Sherin ◽  
...  
Keyword(s):  
Birth Weight ◽  
Infant Mortality ◽  
Low Birth Weight ◽  
Cause Of Death ◽  
Infant Death ◽  
Very Low Birth Weight ◽  
Vital Statistics ◽  
Health Statistics ◽  
Selection Rules ◽  
Underlying Cause Of Death

Objective. To determine the accuracy of National Center for Health Statistics cause-specific infant mortality data. The National Center for Health Statistics compiles these data by applying World Health Organization (WHO) selection rules to death certificate data. The WHO rules arrange medical entities into a hierarchical order and select a single underlying cause of death (ULCD). Design. A comparison was made between ULCD assigned to a cohort of 335 infant death certificates by (1) a neonatologist panel, and (2) application of WHO selection rules by the Florida State Office of Vital Statistics (OVS). Results. Among the 146 infants with birth weights 1500 to 4649 g, agreement between neonatologists and OVS was 88%, while among the 189 infants with birth weights 0 to 1499 g (very low birth weight), agreement was just 41%. Neonatologists selected short gestation as the underlying cause of death for 82% of very low birth weight infant records, vs 25% by OVS. Due to the application of specific WHO selection rules, OVS frequently selected immediate causes of death, such as "cardiac arrest," as the ULCD, even when the medical certifier had indicated short gestation as the ULCD. In vital statistics reports, many of these immediate causes are reported as "other respiratory conditions of newborn," or "all other perinatal conditions." Conclusion. WHO ULCD selection rules should be modified to allow short gestation to have a higher priority over immediate causes of infant death.

scholarly journals Infant mortality at home in Perm Krai. Main causes and prevention

2019 ◽  
Vol 36 (1) ◽  
pp. 77-83
Author(s):  
E. A. Kochergina ◽  
R. N. Trefilov ◽  
N. V. Blyumberg
Keyword(s):  
Infant Mortality ◽  
Infant Death ◽  
Respiratory Diseases ◽  
Causes Of Death ◽  
Sudden Infant Death ◽  
Sudden Infant ◽  
Social Risk ◽  
Smoking During Pregnancy ◽  
Perm Krai ◽  
At Home

Aim. To assess the most frequent causes of infant mortality at home in Perm Krai, to give the main recommendations for its prevention. Materials and methods. Retrospective study of 165 cases of the death of children under 1 year of age in Perm Krai over the period of 2013-2016 was carried out. Results. Among the causes of the death of children under 1 year of age at home, the most frequently registered were the following: sudden infant death syndrome (SIDS) – 47.9 %, traumas – 24.8 % and respiratory diseases – 18.8 %. In case of SIDS, the share of premature infants was 16.7 %, more than a half of infants had various signs of morphofunctional immaturity (58.8 %). Mothers’ smoking during pregnancy and after giving birth to a child occurred in 78.6 % of SIDS cases. Half of cases of death at home from traumas in children under age 1 is connected with mechanical asphyxia while sleeping, 33 % – as a result of gastric content aspiration into respiratory tract, 16.7 % – owing to nonobservance of safe conditions of sleep. Infant death in consequence of traumas more often than the other causes of death was accompanied by social risk (75.0 % of cases), regarding SIDS social risk was noted in 66.7 %, acute respiratory diseases – in 50.0 %. Conclusions. Prevention of the main causes of death at home among infants under 1 year of age consists in a timely detection of prognostic risk and initiation of standard preventing measures.

Good survival rates in systemic lupus erythematosus in southern Sweden, while the mortality rate remains increased compared with the population

Lupus ◽  
2019 ◽  
Vol 28 (12) ◽  
pp. 1488-1494
Author(s):  
R F Ingvarsson ◽  
A J Landgren ◽  
A A Bengtsson ◽  
A Jönsen
Keyword(s):  
Mortality Rate ◽  
Cause Of Death ◽  
Lupus Erythematosus ◽  
Causes Of Death ◽  
Standardized Mortality Ratio ◽  
Southern Sweden ◽  
Mortality Ratio ◽  
Over Time ◽  
Observation Period

Objective To ascertain the mortality rate and causes of death in patients with systemic lupus erythematosus (SLE) within a defined region in southern Sweden during the time period 1981–2014 and determine whether these have changed over time. Methods In 1981, a prospective observation study of patients with SLE was initiated in southern Sweden. All incident SLE patients within a defined geographic area were identified using previously validated methods including diagnosis and immunology registers. Patients with a confirmed SLE diagnosis were then followed prospectively at the Department of Rheumatology in Lund. Clinical data was collected at regular visits. Patients were recruited from 1981 to 2006 and followed until 2014. The patient cohort was split into two groups based on the year of diagnosis to determine secular trends. Causes of death were retrieved from medical records and from the cause of death registry at The National Board of Health and Welfare in Sweden. Results In all, 175 patients were diagnosed with SLE during the study period. A total of 60 deaths occurred during a total of 3053 years of follow-up. In the first half of the study inclusion period 46 patients died, compared with 14 in the latter. The majority of patients (51.7%) died of cardiovascular disease. Infections caused 15% of the deaths and malignancy was the cause of death in 13.3% of patients. SLE was the main cause of death for 6.7% of the patients and a contributing factor for half of the patients. Standardized mortality ratio was increased in patients by a factor of 2.5 compared with the general population. Deaths occurred at an even rate throughout the whole observation period. No significant difference in standardized mortality ratio was observed between genders but was increased in older female patients. Furthermore, secular mortality trends were not identified. Conclusions In this long-term epidemiologic follow-up study of incident SLE, we report a substantially raised mortality rate amongst SLE patients compared with the general population. The mortality rates have not changed significantly during the observation period that spanned three decades. The main cause of death was cardiovascular disease and this finding was consistent over time.

scholarly journals Study on Inborn and Outborn Neonatal Admissions in Relation to Gestational Maturity in Neonatal Intensive Care Unit at a Tertiary Care University Hospital in Upper Egypt

2021 ◽  
Vol 11 (01) ◽  
pp. e287-e295
Author(s):  
Safwat M. Abdel-Aziz ◽  
Enas A. Hamed ◽  
Amira M. Shalaby
Keyword(s):  
Health Care ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Congenital Anomalies ◽  
Neonatal Intensive Care ◽  
Distress Syndrome ◽  
Tertiary Care ◽  
Full Term ◽  
University Hospital ◽  
Multiple Congenital Anomalies

AbstractNeonatal morbidity and mortality rates indicate a country's socioeconomic status and the quality, and effectiveness of its health care system. This research aimed to identify the clinical pattern and causes of neonatal admission for inborn and outborn babies in a tertiary care university hospital and their outcomes. Over a year, this prospective hospital-based research was conducted in the neonatal intensive care unit (NICU) of Assiut Children's Hospital in Upper Egypt (January 1st to December 31st, 2020). Gender, birth weight, gestational age, postnatal age, delivery mode, delivery place, admission cause, hospital stay period, and neonatal outcomes were collected. A total of 1,638 newborns were admitted; 930 (56.8%) were preterm and 708 (43.2%) full-term. Inborn admissions were 1,056 (64.5%) and outborn 582 (35.5%). The majority of inborn admissions were preterm 726 (68.8%), and outborn were full-term 378 (64.9%). The commonest admission causes among inborn and outborn preterm infants were respiratory distress syndrome (84.3%) and congenital intestinal obstruction (22.5%), respectively, while multiple congenital anomalies were the commonest cause for admission among both inborn and outborn full-term babies. The mortality rate was 708 (43.2%), higher among inborn (50%) versus outborn (30.9%). The leading cause of death was respiratory distress syndrome among premature inborn with case fatality rate of (56.9%) and multiple congenital anomalies among premature outborn (60%), as well as inborn (67.4%), and outborn (42.6%) full-term neonates. In conclusion, the neonatal mortality rate was high among studied cases. Morbidity and mortality of respiratory distress syndrome and congenital anomalies were alarmingly high. Therefore, all health care providers must devote a considerable effort to improve health care delivered to these neonates.

Premature Death: Dilemmas of Infant Mortality

1986 ◽  
Vol 67 (6) ◽  
pp. 332-339 ◽  
Author(s):  
C. Eddie Palmer ◽  
Dorinda N. Noble
Keyword(s):  
Health Care ◽  
Infant Mortality ◽  
Social Workers ◽  
Infant Death ◽  
Health Care Professionals ◽  
Premature Death ◽  
Ethical Aspects ◽  
Life And Death ◽  
Government Ideology

Infant death has extreme emotional and symbolic effects on parents and health care professionals who face the moral and ethical aspects of life and death decisions, complicated by government ideology. Social workers can help with understanding the resulting dilemmas and suggest possible interventions.

Infant Mortality: A Practical Approach to the Analysis of the Leading Causes of Death and Risk Factors

PEDIATRICS ◽  
1990 ◽  
Vol 86 (2) ◽  
pp. 176-183
Author(s):  
Catherine Dollfus ◽  
Michael Patetta ◽  
Earl Siegel ◽  
Alan W. Cross
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Sudden Infant Death Syndrome ◽  
Infant Death ◽  
Congenital Anomalies ◽  
Causes Of Death ◽  
Very Low Birth Weight ◽  
Birth Certificate ◽  
Sudden Infant Death ◽  
Sudden Infant

The analysis of infant mortality data provides an opportunity for developing preventive strategies to improve this indicator of a population's health. All infant deaths in North Carolina during a 5-year period (1980 through 1984) were analyzed using the International Classification of Diseases, 9th revision (ICD-9), and a system for linked birth and death records that allows the analysis of birth certificate information on deaths. Causes of death were aggregated based on common etiology such as prematurity or obstetric-related conditions rather than the more traditional organ system taxonomy of the ICD-9 codes. Analyses were carried out separately for very low birth weight (≤1500 g), moderately low birth weight (1501 through 2500 g), and normal birth weight (&gt;2500 g) babies. Maternal characteristics identified from the birth certificate were also compared with the different causes of death. Prematurity-related conditions accounted for 37.5% of all deaths, ranking far above the 17.4% for congenital anomalies and 12.9% for sudden infant death syndrome. For normal birth weight babies, sudden infant death syndrome ranked first, followed by congenital anomalies and nonperinatal infections. For the moderately low birth weight babies, congenital anomalies ranked first, with sudden infant death syndrome second and prematurity-related conditions third. For the very low birth weight babies, prematurity-related conditions accounted for nearly 70% of the deaths, with obstetric conditions and congenital anomalies ranking second and third, respectively. Maternal risk factors identified an overrepresentation of nonwhite, unmarried, and young teenage mothers and mothers with less than adequate prenatal care. This system for analyzing infant deaths provides an opportunity to devise preventive strategies by identifying common underlying conditions, such as prematurity, that account for a high proportion of deaths.

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