Ontology highlight
ABSTRACT: Objective
To investigate regional variation in the registration of births (still+live) as live born for birth weight <500?g and the impact on the city/county ranking of neonatal mortality rate (NMR) in Taiwan.Design
Population-based cross-sectional ecological study.Setting
20 cities/counties in Taiwan.Participants
Registered births for birth weight <500?g and neonatal deaths in 2015-2016.Main outcome measures
City/county percentage of births <500?g registered as live born and ranking of city/county NMR (deaths per 1000 live births) including and excluding live births <500?g.Results
The percentage of births <500?g registered as live born ranged from 0% in Keelung City (0/26) and Penghu County (0/4) to 20% in Taipei City (112/558), 24% in Hsinchu County (5/21) and 28% in Hualien County (9/32). The change in city/county ranking of NMR from including to excluding live births <500?g was most prominent in Taipei City (from the 15th to the 1st) followed by Kaohsiung City (from the 18th to the 14th).Conclusions
The city/county NMR in Taiwan is influenced by variation in the registration of live born for births with uncertain viability. We recommend presenting city/county NMR using both criteria (with or without minimum threshold of gestation period or birth weight) for better interpretation of the findings of comparisons of city/county NMR.
SUBMITTER: Wang LY
PROVIDER: S-EPMC6668753 | biostudies-literature | 2019
REPOSITORIES: biostudies-literature
Wang Liang-Yi LY Chang Yu-Shan YS Liang Fu-Wen FW Lin Yung-Chieh YC Lin Yuh-Jyh YJ Lu Tsung-Hsueh TH Lin Chyi-Her CH
BMJ paediatrics open 20190722 1
<h4>Objective</h4>To investigate regional variation in the registration of births (still+live) as live born for birth weight <500 g and the impact on the city/county ranking of neonatal mortality rate (NMR) in Taiwan.<h4>Design</h4>Population-based cross-sectional ecological study.<h4>Setting</h4>20 cities/counties in Taiwan.<h4>Participants</h4>Registered births for birth weight <500 g and neonatal deaths in 2015-2016.<h4>Main outcome measures</h4>City/county percentage of births <500 g registe ...[more]