Original scientific paper
MORTALITY OF NEWBORNS IN REPUBLIC OF CROATIA IN THE YEAR 2008
Boris Filipović-Grčić
; Zavod za neonatologiju i intenzivno liječenje, Klinika za pedijatriju KBC-a u Zagrebu, Kišpatićeva 12, 10 000 Zagreb
Hrvoje Kniewald
; Zavod za neonatologiju i intenzivno liječenje, Klinika za pedijatriju KBC-a u Zagrebu, Kišpatićeva 12, 10 000 Zagreb
Urelija Rodin
; Hrvatski zavod za javno zdravstvo
Ruža Grizelj
; Zavod za neonatologiju i intenzivno liječenje, Klinika za pedijatriju KBC-a u Zagrebu, Kišpatićeva 12, 10 000 Zagreb
Jasminka Stipanović-Kastelić
; Zavod za neonatologiju i intenzivno liječenje, Klinika za pedijatriju KBC-a u Zagrebu, Kišpatićeva 12, 10 000 Zagreb
Emilja Juretić
; Odjel za intenzivno liječenje novorođenčadi, Klinika za ženske bolesti i porode KBC-a Zagrebu
Milan Stanojević
; Odjel za intenzivno liječenje novorođenčadi, Klinika za ginekologiju i porodništvo, OB »Sveti Duh«, Zgareb
Ivanka Antončić Furlan
; Odjel za intenzivno liječenje novorođenčadi,Klinika za ženske bolesti i porode KB Split
Igor Prpić
; Odjel za intenzivno liječenje novorođenčadi, Klinika za ginekologiju i porodništvo KBC Rijeka
Jadranka Blašković Kokeza
; Odjel za intenzivno liječenje novorođenčadi, Klinika za pedijatriju KB Osijek
Zora Zakanj
; Odjel za intenzivno liječenje novorođenčadi, Klinika za ženske bolesti i porode KB »Sestre Milosrdnice« Zagreb
Vesna Benjak
; Odjel za intenzivno liječenje novorođenčadi, Klinika za pedijatriju KBC-a u Zagrebu, Kišpatićeva 12, 10 000 Zagreb
Dorotea Ninković
; Odjel za intenzivno liječenje novorođenčadi, Klinika za pedijatriju KBC-a u Zagrebu, Kišpatićeva 12, 10 000 Zagreb
Dorotea Bartoniček
; Odjel za intenzivno liječenje novorođenčadi, Klinika za pedijatriju KBC-a u Zagrebu, Kišpatićeva 12, 10 000 Zagreb
Abstract
Early neonatal mortality (ENM) is one of components of perinatal mortality. In recent years ENM is smaller
than fetal mortality. ENM was in 2008 in Croatia 69% for newborns of birth-weight (BW) 500–749 g; 30% for those
750–999 g, 16% for those 1000–1249 g, and 6% for newborns of BW 1250–1499 g. In newborns divided by 100-grams,
ENM for infants BW <500 g was 100%, for those of BW 500–599 g was 72,2%, for infants BW PT 600–699 g 77,8%,
for infants of BW 700–799 g 46,4%, for infants of BW 800–899 g 20% and for infants of BW 900–999 g ENM was
16,2%, respectively. For infants of BW 1000–1249 g ENM was 9,6% and for infants of BW 1250–1499 g was 2,4%,
respectively. Mortality to discharge from hospital (MDH) for subgroups of infants of the same BW was 100% for infants
of BW <500 g, for infants of BW 500–599 g 94,4%, for infants of BW 600–699 g 77,8%, for infants of BW 700–799 g
57,1%, for infants of BW 800–899 g 42,9%, for infants of BW 900–999 g 21,6%, for infants of BW 1000–1249 g 12%,
and for infants of BW 1250–1499 g was 2,4%, respectively. All these values were lower than corresponding in previous
period. In groups of infants of larger BW, ENM and MDH were lower. ENM of all newborns was 2,7‰, neonatal mortal-1,3‰, NM was 1,5‰, and MDH was 1,7‰, respectively, lower than in the year 2007. ENM was 77,1% (118/153) of all
infants deaths, while the remained 35 infants (22,9%) died after the first week. Therefore, ENM was not underestimated
instead of possible higher late neonatal mortality, pediatric-neonatal services didn’t reduce ENM on expenses of higher
late neonatal mortality or MDH.
In the years 2003–2006, three fourths of newborns of BW 500–1499 g were born in maternities of IIIrd level. In the year
2007 four fifths of these newborns were born in maternities of IIIrd level. In the year 2008 18,5% of infants of BW ≤1499
g were born in maternities outside of IIIrd level. Through the years the proportion of these infants born in maternities of
IIIrd level is increasing, but that proportion can be even larger.
Comparisons of ENM and NM with some European countries show the possibility of further improvement in perinatal
markers.
In the aim of the proper analysis of newborns’ outcome data, creation of new certificates of vital events is planned with
details of postnatal transport and place of the treatment of newborn. It is necessary to continue to follow survival or
mortality of all newborns up to discharge from hospital. These data will give us benchmark for planning of neonatal
resources, development of recommendations in perinatology-neonatology for prenatal and postnatal transfer, and for
more exact prognoses to parents of the smallest newborns.
Keywords
newborn; ELBW; VLBW; infant; mortality
Hrčak ID:
65979
URI
Publication date:
1.12.2009.
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