Increased survival among lower-birthweight children in Southern Brazil
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Peres, Marco Aurelio
D'Orsi, Eleonora
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Abstract
Objective: To analyze factors associated with survival in the first year of life. Methods: A historical cohort study was carried out using data from live birth and mortality information systems, including 90,153 live birth records and 1,053 records of death before age one year in hospitals in the cities of Florianópolis and São José, Southern Brazil, between 1999 and 2006. Survival curves were estimated (Kaplan-Meier) for birthweight categories, date of birth (four-year periods), and type of maternity. Proportional hazard ratios for mortality were calculated using Cox regression. Results: Survival (98.8%) did not change among all birthweight categories, but increased among babies born weighing under 2,000 g (77.7% to 81.2%, p=0.029), between 1999-2002 and 2003-2006. There was an increase in the proportion of babies under 2,000 g in the second period. Type of hospital was significantly associated with probability of survival. Conclusions: Probability of survival is higher among babies born in private hospitals and in the teaching hospital in all birthweight categories combined and for babies born weighing under 2,000 g. Survival among the latter increased in the most recent period. However, the infant mortality rate did not change between the two periods given the increase in the prevalence of children with ligther birth weight.
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Revista de Saúde Pública
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44
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5
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© The Author(s) 2010. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
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Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Infant Mortality
Neonatal Mortality (Public Health)
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Andrade Pinheiro, CE; Peres, MA; D'Orsi, E, Increased survival among lower-birthweight children in Southern Brazil, Revista de Saúde Pública, 2010, 44 (5)