Twenty-year trends in neonatal surgery based on a nationwide Japanese surveillance program
Twenty-year trends in neonatal surgery based on a nationwide Japanese surveillance program
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DOI：
10.1007/s00383-015-3775-z
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发表时间：
2015-10-01
影响因子：
1.8
通讯作者：
Wada, M.
中科院分区：
文献类型：
--
作者：
Yagi, M.;Kohno, M.;Wada, M.
为了讨论日本小儿外科学会委员会每5年进行一次的日本全国新生儿外科调查中观察到的时间顺序变化，我们分析了1993年至2013年20年的数据，并在此报告时间顺序变化。汇总病例数最少的是1993年，为2806例，随后在2013年增加到3753例。产妇转运患者的死亡率呈线性下降（p = 0.0386）。尽管极低出生体重儿的比例呈线性增加（p = 0.0014），年增长率为+0.39%，但死亡率呈线性下降（p = 0.0010），年增长率为-1.68%。此外，总体死亡率呈线性下降（p = 0.0002），年死亡率为-0.26%。据观察，大多数疾病的死亡率与总死亡率一样呈下降趋势。先天性腹股沟疝（CDH）的死亡率下降最为明显。除CDH、脐膨出、食管闭锁和肠穿孔外，其他疾病的死亡率在2013年均降至5%以下。
To discuss the chronological changes observed in a national survey of neonatal surgery in Japan performed every 5 years by the Committee in the Japanese Society of Pediatric Surgeons.We analyzed the data obtained for 20 years from 1993 to 2013 and herein report the chronological changes.The number of summarized cases was least in 1993, with 2806 cases, and subsequently increased to 3753 cases in 2013. The mortality rate among the patients with maternal transport linearly decreased (p = 0.0386). Although the proportion of extremely low birth weight infants linearly increased (p = 0.0014), with an annual rate of +0.39 %, the mortality rate linearly decreased (p = 0.0010), with an annual rate of -1.68 %. Moreover, the overall mortality rate linearly decreased (p = 0.0002), with an annual rate of -0.26 %. Most diseases were observed to exhibit a decline in the mortality rate with the same trend as overall mortality. The decline in the mortality rate was most robust with respect to congenital diaphragmatic hernia (CDH). The mortality rates, except for that of CDH, omphalocele, esophageal atresia, and intestinal perforation, declined to 5 % or lower by 2013.The present findings may be the result of remarkable progress in perinatal management.