Secretaria de Estado da Saúde de Alagoas, Hospital da Mulher Dra. Nise da Silveira, Maceió, AL, Brazil.
Universidade Federal de Pernambuco, Departamento de Fonoaudiologia, Recife, PE, Brazil.
Rev Esc Enferm USP. 2024 Sep 27;58:e20240015. doi: 10.1590/1980-220X-REEUSP-2024-0015en. eCollection 2024.
To analyze the temporal trend of fetal mortality and its components, of avoidable and ill-defined causes according to two avoidability classifications in Recife, Pernambuco, 2010-2021.
Ecological study of temporal trends of fetal mortality in Recife, 2010-2021. The Brazilian List of Avoidable Causes of Death for fetal deaths (LBE-OF) and Brazilian List of Avoidable Causes of Death for children under five years of age (LBE < 5) were used. The Joinpoint regression model was applied to analyze the temporal trends.
Trends in fetal mortality and its components were stationary. The group of avoidable causes presented higher mortality rates in both classifications, with an increasing trend according to the LBE-OF (Annual Percentage Change-APC: 2,1; p = 0,018) and stationary according to the LBE < 5. There was a decreasing trend in mortality from ill-defined causes only according to the LBE-OF (APC: -12,3; p < 0,001).
The results showed the stagnation of the temporal trend in fetal mortality, the avoidability of most deaths, and the potential of LBE-OF in monitoring the quality of information on the basic causes and avoidability of fetal deaths.
根据两种可避免性分类方法，分析 2010-2021 年累西腓伯南布哥胎儿死亡及其可避免和不明原因部分的时间趋势。
对累西腓 2010-2021 年胎儿死亡时间趋势进行生态研究。使用巴西胎儿死亡可避免死因清单（LBE-OF）和巴西 5 岁以下儿童可避免死因清单（LBE < 5）。应用 Joinpoint 回归模型分析时间趋势。
胎儿死亡率及其构成部分的趋势是稳定的。在两种分类中，可避免原因组的死亡率更高，且根据 LBE-OF 呈上升趋势（年变化百分比-APC：2.1；p = 0.018），根据 LBE < 5 则保持稳定。仅根据 LBE-OF，不明原因导致的死亡率呈下降趋势（APC：-12.3；p < 0.001）。
结果表明，胎儿死亡率的时间趋势停滞不前，大多数死亡是可避免的，LBE-OF 具有监测基本死因和胎儿死亡可避免性信息质量的潜力。
