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A multi-country study of prevalence and early childhood mortality among children with omphalocele
WN. Nembhard, JEH. Bergman, MD. Politis, J. Arteaga-Vázquez, E. Bermejo-Sánchez, MA. Canfield, JD. Cragan, S. Dastgiri, HEK. de Walle, ML. Feldkamp, A. Nance, M. Gatt, B. Groisman, P. Hurtado-Villa, K. Kallén, D. Landau, N. Lelong, J....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, Research Support, N.I.H., Extramural, práce podpořená grantem
Grantová podpora
037062
Arkansas Biosciences Institute
5U01DD000491
NCBDD CDC HHS - United States
Instituto de Salud Carlos III
AZV 17-29622A
Czech Ministry of Health
CC999999
Intramural CDC HHS - United States
Ministry of Science and Innovation, of Spain
Fundación 1000 sobre Defectos Congénitos, of Spain
Direzione Diritti di cittadinanza e coesione sociale-Regione Toscana
Dutch Ministry of Welfare, Health and Sports
Dutch Ministry of Welfare, Health and Sports.
Public Health Wales
PubMed
33067932
DOI
10.1002/bdr2.1822
Knihovny.cz E-zdroje
- MeSH
- dětská úmrtnost MeSH
- dítě MeSH
- kojenec MeSH
- lidé MeSH
- narození mrtvého plodu MeSH
- novorozenec MeSH
- předškolní dítě MeSH
- prevalence MeSH
- pupeční kýla * epidemiologie MeSH
- retrospektivní studie MeSH
- těhotenství MeSH
- Check Tag
- dítě MeSH
- kojenec MeSH
- lidé MeSH
- novorozenec MeSH
- předškolní dítě MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Extramural MeSH
BACKGROUND: Omphalocele is the second most common abdominal birth defect and often occurs with other structural and genetic defects. The objective of this study was to determine omphalocele prevalence, time trends, and mortality during early childhood, by geographical region, and the presence of associated anomalies. METHODS: We conducted a retrospective study with 23 birth defect surveillance systems in 18 countries who are members of the International Clearinghouse for Birth Defects Surveillance and Research that submitted data on cases ascertained from 2000 through 2012, approximately 16 million pregnancies were surveyed that resulted in live births, stillbirths, or elective terminations of pregnancy for fetal anomalies (ETOPFA) and cases with omphalocele were included. Overall prevalence and mortality rates for specific ages were calculated (day of birth, neonatal, infant, and early childhood). We used Kaplan-Meier estimates with 95% confidence intervals (CI) to calculate cumulative mortality and joinpoint regression for time trend analyses. RESULTS: The prevalence of omphalocele was 2.6 per 10,000 births (95% CI: 2.5, 2.7) and showed no temporal change from 2000-2012 (average annual percent change = -0.19%, p = .52). The overall mortality rate was 32.1% (95% CI: 30.2, 34.0). Most deaths occurred during the neonatal period and among children with multiple anomalies or syndromic omphalocele. Prevalence and mortality varied by registry type (e.g., hospital- vs. population-based) and inclusion or exclusion of ETOPFA. CONCLUSIONS: The prevalence of omphalocele showed no temporal change from 2000-2012. Approximately one-third of children with omphalocele did not survive early childhood with most deaths occurring in the neonatal period.
Arkansas Reproductive Health Monitoring System Arkansas Children's Hospital Little Rock Arkansas USA
Department of Epidemiology Emory University Rollins School of Public Health Atlanta Georgia USA
Department of Medical Genetics Thomayer Hospital Prague Czech Republic
Department of Neonatology Soroka Medical Center Beer Sheva Israel
ECEMC Instituto de Salud Carlos 3 Madrid Spain
ECLAMC Center for Medical Education and Clinical Research Buenos Aires Argentina
Health Services Management Research Centre Tabriz University of Medical Sciences Tabriz Iran
Human Genetics Institute Pontificia Universidad Javeriana Bogotá Colombia
Malta Congenital Anomalies Registry Directorate for Health Information and Research Valletta Malta
National Board of Health and Welfare Stockholm Sweden
Omni Net for Children International Charitable Fund Rivne Ukraine
Slovak Teratologic Information Centre Slovak Medical University Bratislava Slovakia
Citace poskytuje Crossref.org
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- $a BACKGROUND: Omphalocele is the second most common abdominal birth defect and often occurs with other structural and genetic defects. The objective of this study was to determine omphalocele prevalence, time trends, and mortality during early childhood, by geographical region, and the presence of associated anomalies. METHODS: We conducted a retrospective study with 23 birth defect surveillance systems in 18 countries who are members of the International Clearinghouse for Birth Defects Surveillance and Research that submitted data on cases ascertained from 2000 through 2012, approximately 16 million pregnancies were surveyed that resulted in live births, stillbirths, or elective terminations of pregnancy for fetal anomalies (ETOPFA) and cases with omphalocele were included. Overall prevalence and mortality rates for specific ages were calculated (day of birth, neonatal, infant, and early childhood). We used Kaplan-Meier estimates with 95% confidence intervals (CI) to calculate cumulative mortality and joinpoint regression for time trend analyses. RESULTS: The prevalence of omphalocele was 2.6 per 10,000 births (95% CI: 2.5, 2.7) and showed no temporal change from 2000-2012 (average annual percent change = -0.19%, p = .52). The overall mortality rate was 32.1% (95% CI: 30.2, 34.0). Most deaths occurred during the neonatal period and among children with multiple anomalies or syndromic omphalocele. Prevalence and mortality varied by registry type (e.g., hospital- vs. population-based) and inclusion or exclusion of ETOPFA. CONCLUSIONS: The prevalence of omphalocele showed no temporal change from 2000-2012. Approximately one-third of children with omphalocele did not survive early childhood with most deaths occurring in the neonatal period.
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