Mehl A J, Malcolm L A
Wellington Area Health Board.
N Z Med J. 1990 Mar 28;103(886):127-9.
Nine hundred and sixty-two postneonatal deaths for 1981-83 were matched to their birth registration forms. Deaths were divided into three categories, sudden infant death syndrome (SIDS) 65.4%, other preventable, 12.8%, and nonpreventable causes, 21.8%, to determine the rates of death as related to known and available risk factors. The risk factor profile for other preventable causes and SIDS was similar, the only exceptions being that other preventable causes showed no north-south gradient and had a higher incidence in the neonatal period (31.2% v 4.7% for SIDS). The most important risk factors for other preventable causes were found to be the mother being Maori (RR 4.35, CI 3.12-6.06), having a low birth weight infant (RR 3.56, CI 2.07-6.13) and being unmarried (RR 3.45, CI 2.47-4.82). These risk factors point to the possibility of selectively targeting of interventions both prenatally as well as postnatally for those who are at high risk.
1981年至1983年期间的962例新生儿后期死亡病例与其出生登记表进行了匹配。死亡病例分为三类：婴儿猝死综合征（SIDS）占65.4%，其他可预防原因占12.8%，不可预防原因占21.8%，以确定与已知和可得风险因素相关的死亡率。其他可预防原因和婴儿猝死综合征的风险因素概况相似，唯一的例外是其他可预防原因没有南北梯度差异，且在新生儿期的发病率更高（其他可预防原因占31.2%，婴儿猝死综合征占4.7%）。发现其他可预防原因最重要的风险因素是母亲为毛利人（相对危险度4.35，可信区间3.12 - 6.06）、有低出生体重婴儿（相对危险度3.56，可信区间2.07 - 6.13）以及未婚（相对危险度3.45，可信区间2.47 - 4.82）。这些风险因素表明，有可能针对高危人群在产前和产后有选择地进行干预。
