Wong Annie, Elder Dawn, Zuccollo Jane
University of Otago, Wellington, New Zealand.
N Z Med J. 2008 Jul 4;121(1277):39-46.
To classify neonatal deaths at Wellington Hospital (Wellington, New Zealand) over a 10-year period and assess changes in cause of death over time.
Retrospective audit from 1995-2004 of live-born infants > or = 20 weeks gestation dying before 28 days of age. Deaths were classified according to the PSANZ-NDC Classification guideline. The years 1995-1999 and 2000-2004 were compared to analyse for changes in cause of death.
There were 219 neonatal deaths: 67(31%) of these were term infants and 154 preterm; 109 infants from 1995-1999 and 110 from 2000-2004. The autopsy rate was 62% and highest in term infants (76%). Deaths due to congenital anomaly and extreme prematurity decreased over time and deaths due to infection increased.
Use of the PSANZ-NDC death classification system enables an accurate cause of death to be established for most neonatal deaths and allows monitoring of mortality rates over time.
对新西兰惠灵顿医院10年间的新生儿死亡情况进行分类，并评估死亡原因随时间的变化。
对1995年至2004年出生时孕周≥20周、出生后28天内死亡的活产婴儿进行回顾性审计。死亡情况根据PSANZ-NDC分类指南进行分类。比较1995 - 1999年和2000 - 2004年以分析死亡原因的变化。
共有219例新生儿死亡：其中67例（31%）为足月儿，154例为早产儿；1995 - 1999年有109例婴儿死亡，2000 - 2004年有110例。尸检率为62%，在足月儿中最高（76%）。先天性异常和极早产导致的死亡随时间减少，感染导致的死亡增加。
使用PSANZ-NDC死亡分类系统能够为大多数新生儿死亡确定准确的死亡原因，并能对死亡率随时间的变化进行监测。
