Cans C, Benitza V, Jouk P S, Guillem P, Billette De Villemeur A
RHEOP, Grenoble.
Rev Epidemiol Sante Publique. 1997 Jun;45(3):214-23.
Since 1960 progress in obstetric and neonatology modified the survival chance of babies and the pattern of mortality causes. With the information available in the death certificates the aim was to analyse the trends in infant mortality for all 0-1 year children deaths occurring from 1976 to 1991, and to look at its influence on disabled children prevalence rates. The study was conducted in Isere (France) and include 1702 infant deaths. A part from death groups with perinatal disease and/or with congenital defects, a group of deaths with risk factor of disability was identified. This group represented 43% of all the infantile deaths and showed a significant decreasing trend, very similar to the decrease of the early neonatal mortality component (until 1983). However, during the same period, for the disabled children prevalence and for the other infant mortality components, no significant variation was found. The decrease of the deaths with risk factor of disability suggests some influence on the disabled children prevalence.
自1960年以来，产科和新生儿学的进展改变了婴儿的生存几率以及死亡原因模式。利用死亡证明中的现有信息，目的是分析1976年至1991年期间所有0至1岁儿童死亡的婴儿死亡率趋势，并研究其对残疾儿童患病率的影响。该研究在法国伊泽尔省进行，包括1702例婴儿死亡病例。除了患有围产期疾病和/或先天性缺陷的死亡组外，还确定了一组具有残疾风险因素的死亡病例。该组占所有婴儿死亡病例的43%，并呈现出显著下降趋势，与早期新生儿死亡率组成部分的下降趋势非常相似（直到1983年）。然而，在同一时期，残疾儿童患病率和其他婴儿死亡率组成部分均未发现显著变化。具有残疾风险因素的死亡病例减少表明对残疾儿童患病率有一定影响。
