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首页> 外文期刊>Archives of disease in childhood. Fetal and neonatal edition >The associations between ethnicity and outcomes of infants in neonatal intensive care units.
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The associations between ethnicity and outcomes of infants in neonatal intensive care units.

机译：新生儿重症监护病房中种族与婴儿结局之间的关联。

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摘要

To determine the associations between maternal ethnicity and outcomes of infants born between 22 and 31 weeks' gestation and admitted to neonatal intensive care units in New South Wales and the Australian Capital Territory, Australia, between 1995 and 2006.De-identified perinatal and neonatal outcome data for 10 267 infants were examined. There were 8629 (84.0%) Caucasian, 922 (9.0%) Asian, 439 (4.3%) indigenous, 127 (1.2%) Polynesian and Maori (PAM) and 150 (1.5%) infants of other maternal ethnicities (excluded from study). Caucasians were the referent for all comparisons.Infants of indigenous mothers were less likely to receive antenatal steroids and three times as likely to be born in non-tertiary hospitals (OR 3.28, 95% CI 2.59 to 4.16, p<0.001). PAM infants were more likely to have Apgar scores <7 at 5 min of age (1.76, 95% CI 1.16 to 2.67, p<0.01). Asian infants had lower birth weight (mean±SD 44.7±27.9, p<0.001) and head circumference percentiles (47.8±29.0, p<0.001), were more likely to be small for gestational age (1.53, 95% CI 1.25 to 1.88, p<0.001), less likely to have hyaline membrane disease (0.78, 95% CI 0.68 to 0.90, p<0.001) but had a higher risk of severe retinopathy of prematurity (1.52, 95% CI 1.11 to 2.07, p<0.01). Ethnicity did not influence infant mortality.Neonatal growth characteristics and morbidity but not mortality are influenced by maternal ethnicity. Of concern is the risk of low Apgar scores in PAM infants and non-tertiary births of indigenous infants. Review of perinatal care for certain vulnerable ethnic populations is recommended due to the rapidly changing ethnic compositions of many countries around the world.
机译：确定孕产妇种族与1995年至2006年之间在新南威尔士州和澳大利亚澳大利亚首都特区新生儿重症监护病房住院的，在妊娠22至31周之间出生的婴儿的结局之间的关联。检查了10267名婴儿的数据。有8629（84.0％）名白种人，922（9.0％）亚洲人，439（4.3％）土著，127（1.2％）波利尼西亚和毛利人（PAM）以及150（1.5％）名其他母亲种族的婴儿（不包括在研究范围内） 。所有比较均以高加索人为参考。土著母亲的婴儿接受产前类固醇的可能性较小，非三级医院出生的可能性为三倍（OR 3.28，95％CI 2.59至4.16，p <0.001）。 PAM婴儿在5分钟龄时Apgar得分<7的可能性更大（1.76，95％CI 1.16至2.67，p <0.01）。亚洲婴儿的出生体重较低（平均值±SD 44.7±27.9，p <0.001），头围百分位数（47.8±29.0，p <0.001），胎龄较小（1.53，95％CI 1.25至1.88） ，p <0.001），不太可能发生透明膜疾病（0.78，95％CI 0.68至0.90，p <0.001），但发生严重早产儿视网膜病变的风险较高（1.52，95％CI 1.11至2.07，p <0.01） ）。种族没有影响婴儿死亡率。新生儿的生长特征和发病率受母亲种族影响，但死亡率没有影响。令人担忧的是，PAM婴儿的Apgar评分低以及土著婴儿的非第三胎出生的风险。由于世界上许多国家的种族组成迅速变化，建议对某些弱势族裔人群进行围产期保健审查。

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