Causes of death in children with congenital anomalies up to age 10 in eight European countries
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Causes of death in children with congenital anomalies up to age 10 in eight European countries. / Rissmann, Anke; Tan, Joachim; Glinianaia, Svetlana V; Rankin, Judith; Pierini, Anna; Santoro, Michele; Coi, Alessio; Garne, Ester; Loane, Maria; Given, Joanne; Reid, Abigail; Aizpurua, Amaia; Akhmedzhanova, Diana; Ballardini, Elisa; Barisic, Ingeborg; Cavero-Carbonell, Clara; de Walle, Hermien E K; Gatt, Miriam; Gissler, Mika; Heino, Anna; Jordan, Sue; Urhøj, Stine Kjær; Klungsøyr, Kari; Lutke, Renee; Mokoroa, Olatz; Neville, Amanda Julie; Thayer, Daniel S; Wellesley, Diana G; Yevtushok, Lyubov; Zurriaga, Oscar; Morris, Joan.
I: BMJ Paediatrics Open, Bind 7, Nr. 1, 2023.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Causes of death in children with congenital anomalies up to age 10 in eight European countries
AU - Rissmann, Anke
AU - Tan, Joachim
AU - Glinianaia, Svetlana V
AU - Rankin, Judith
AU - Pierini, Anna
AU - Santoro, Michele
AU - Coi, Alessio
AU - Garne, Ester
AU - Loane, Maria
AU - Given, Joanne
AU - Reid, Abigail
AU - Aizpurua, Amaia
AU - Akhmedzhanova, Diana
AU - Ballardini, Elisa
AU - Barisic, Ingeborg
AU - Cavero-Carbonell, Clara
AU - de Walle, Hermien E K
AU - Gatt, Miriam
AU - Gissler, Mika
AU - Heino, Anna
AU - Jordan, Sue
AU - Urhøj, Stine Kjær
AU - Klungsøyr, Kari
AU - Lutke, Renee
AU - Mokoroa, Olatz
AU - Neville, Amanda Julie
AU - Thayer, Daniel S
AU - Wellesley, Diana G
AU - Yevtushok, Lyubov
AU - Zurriaga, Oscar
AU - Morris, Joan
N1 - © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2023
Y1 - 2023
N2 - BACKGROUND: Congenital anomalies (CAs) increase the risk of death during infancy and childhood. This study aimed to evaluate the accuracy of using death certificates to estimate the burden of CAs on mortality for children under 10 years old.METHODS: Children born alive with a major CA between 1 January 1995 and 31 December 2014, from 13 population-based European CA registries were linked to mortality records up to their 10th birthday or 31 December 2015, whichever was earlier.RESULTS: In total 4199 neonatal, 2100 postneonatal and 1087 deaths in children aged 1-9 years were reported. The underlying cause of death was a CA in 71% (95% CI 64% to 78%) of neonatal and 68% (95% CI 61% to 74%) of postneonatal infant deaths. For neonatal deaths the proportions varied by registry from 45% to 89% and by anomaly from 53% for Down syndrome to 94% for tetralogy of Fallot. In children aged 1-9, 49% (95% CI 42% to 57%) were attributed to a CA. Comparing mortality in children with anomalies to population mortality predicts that over 90% of all deaths at all ages are attributable to the anomalies. The specific CA was often not reported on the death certificate, even for lethal anomalies such as trisomy 13 (only 80% included the code for trisomy 13).CONCLUSIONS: Data on the underlying cause of death from death certificates alone are not sufficient to evaluate the burden of CAs on infant and childhood mortality across countries and over time. Linked data from CA registries and death certificates are necessary for obtaining accurate estimates.
AB - BACKGROUND: Congenital anomalies (CAs) increase the risk of death during infancy and childhood. This study aimed to evaluate the accuracy of using death certificates to estimate the burden of CAs on mortality for children under 10 years old.METHODS: Children born alive with a major CA between 1 January 1995 and 31 December 2014, from 13 population-based European CA registries were linked to mortality records up to their 10th birthday or 31 December 2015, whichever was earlier.RESULTS: In total 4199 neonatal, 2100 postneonatal and 1087 deaths in children aged 1-9 years were reported. The underlying cause of death was a CA in 71% (95% CI 64% to 78%) of neonatal and 68% (95% CI 61% to 74%) of postneonatal infant deaths. For neonatal deaths the proportions varied by registry from 45% to 89% and by anomaly from 53% for Down syndrome to 94% for tetralogy of Fallot. In children aged 1-9, 49% (95% CI 42% to 57%) were attributed to a CA. Comparing mortality in children with anomalies to population mortality predicts that over 90% of all deaths at all ages are attributable to the anomalies. The specific CA was often not reported on the death certificate, even for lethal anomalies such as trisomy 13 (only 80% included the code for trisomy 13).CONCLUSIONS: Data on the underlying cause of death from death certificates alone are not sufficient to evaluate the burden of CAs on infant and childhood mortality across countries and over time. Linked data from CA registries and death certificates are necessary for obtaining accurate estimates.
U2 - 10.1136/bmjpo-2022-001617
DO - 10.1136/bmjpo-2022-001617
M3 - Journal article
C2 - 37353235
VL - 7
JO - BMJ Paediatrics Open
JF - BMJ Paediatrics Open
SN - 2399-9772
IS - 1
ER -
ID: 357471288