Preterm birth characteristics and outcomes in Portugal, between 2010 and 2018
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2023 |
| Outros Autores: | , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10362/156082 |
Resumo: | Publisher Copyright: © 2023 The Authors. Health Science Reports published by Wiley Periodicals LLC. |
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Preterm birth characteristics and outcomes in Portugal, between 2010 and 2018a cross-sectional sequential studygestational agemorbiditiesmortalitymultipleprematurityurban–ruralMedicine(all)Publisher Copyright: © 2023 The Authors. Health Science Reports published by Wiley Periodicals LLC.Introduction: According to the World Health Organization, 11% of all children are born prematurely, representing 15 million births annually. An extensive analysis on preterm birth, from extreme to late prematurity and associated deaths, has not been published. The authors characterize premature births in Portugal, between 2010 and 2018, according to gestational age, geographic distribution, month, multiple gestations, comorbidities, and outcomes. Methods: A sequential, cross-sectional, observational epidemiologic study was conducted, and data were collected from the Hospital Morbidity Database, an anonymous administrative database containing information on all hospitalizations in National Health Service hospitals in Portugal, and coded according to the ICD-9-CM (International Classification of Diseases), until 2016, and ICD-10 subsequently. Data from the National Institute of Statistics was utilized to compare the Portuguese population. Data were analyzed using R software. Results: In this 9-year study, 51.316 births were preterm, representing an overall prematurity rate of 7.7%. Under 29 weeks, birth rates varied between 5.5% and 7.6%, while births between 33 and 36 weeks varied between 76.9% and 81.0%. Urban districts presented the highest preterm rates. Multiple births were 8× more likely preterm and accounted for 37%–42% of all preterm births. Preterm birth rates slightly increased in February, July, August, and October. Overall, respiratory distress syndrome (RDS), sepsis, and intraventricular hemorrhage were the most common morbidities. Preterm mortality rates varied significantly with gestational age. Conclusion: In Portugal, 1 in 13 babies was born prematurely. Prematurity was more common in predominantly urban districts, a surprise finding that warrants further studies. Seasonal preterm variation rates also require further analysis and modelling to factor in heat waves and low temperatures. A decrease in the case rate of RDS and sepsis was observed. Compared with previously published results, preterm mortality per gestational age decreased; however, further improvements are attainable in comparison with other countries.Escola Nacional de Saúde Pública (ENSP)Comprehensive Health Research Centre (CHRC) - Pólo ENSPCentro de Investigação em Saúde Pública (CISP/PHRC)RUNElias, CecíliaNogueira, Paulo JorgeSousa, Paulo2023-07-31T22:18:51Z2023-022023-02-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/156082eng2398-8835PURE: 67775687https://doi.org/10.1002/hsr2.1054info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:38:39Zoai:run.unl.pt:10362/156082Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:56:19.246170Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Preterm birth characteristics and outcomes in Portugal, between 2010 and 2018 a cross-sectional sequential study |
| title |
Preterm birth characteristics and outcomes in Portugal, between 2010 and 2018 |
| spellingShingle |
Preterm birth characteristics and outcomes in Portugal, between 2010 and 2018 Elias, Cecília gestational age morbidities mortality multiple prematurity urban–rural Medicine(all) |
| title_short |
Preterm birth characteristics and outcomes in Portugal, between 2010 and 2018 |
| title_full |
Preterm birth characteristics and outcomes in Portugal, between 2010 and 2018 |
| title_fullStr |
Preterm birth characteristics and outcomes in Portugal, between 2010 and 2018 |
| title_full_unstemmed |
Preterm birth characteristics and outcomes in Portugal, between 2010 and 2018 |
| title_sort |
Preterm birth characteristics and outcomes in Portugal, between 2010 and 2018 |
| author |
Elias, Cecília |
| author_facet |
Elias, Cecília Nogueira, Paulo Jorge Sousa, Paulo |
| author_role |
author |
| author2 |
Nogueira, Paulo Jorge Sousa, Paulo |
| author2_role |
author author |
| dc.contributor.none.fl_str_mv |
Escola Nacional de Saúde Pública (ENSP) Comprehensive Health Research Centre (CHRC) - Pólo ENSP Centro de Investigação em Saúde Pública (CISP/PHRC) RUN |
| dc.contributor.author.fl_str_mv |
Elias, Cecília Nogueira, Paulo Jorge Sousa, Paulo |
| dc.subject.por.fl_str_mv |
gestational age morbidities mortality multiple prematurity urban–rural Medicine(all) |
| topic |
gestational age morbidities mortality multiple prematurity urban–rural Medicine(all) |
| description |
Publisher Copyright: © 2023 The Authors. Health Science Reports published by Wiley Periodicals LLC. |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2023-07-31T22:18:51Z 2023-02 2023-02-01T00:00:00Z |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/156082 |
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http://hdl.handle.net/10362/156082 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
2398-8835 PURE: 67775687 https://doi.org/10.1002/hsr2.1054 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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