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. 1987 Dec;77(12):1511–1514. doi: 10.2105/ajph.77.12.1511

Trends in mortality caused by respiratory distress syndrome in the United States, 1969-83.

M H Malloy 1, R B Hartford 1, J C Kleinman 1
PMCID: PMC1647166  PMID: 3674249

Abstract

Using United States vital statistical data we examined trends in infant deaths from Respiratory Distress Syndrome/Hyaline Membrane Disease (RDS/HMD) for 1969 to 1983, by race and age at death. In order to improve comparability of diagnosis across two revisions of the International Classification of Diseases, deaths from RDS/HMD were ascertained using both underlying and associated causes of death. These data document a 2 per cent per year increase in infant mortality attributed to RDS/HMD for all races during interval I (1969-73) followed by 9 per cent per year decreases during intervals II (1974-78) and III (1979-83). However, there was a marked difference between Whites and Blacks in these trends. In the White population, RDS/HMD infant mortality increased by 2.2 per cent per year in interval I but then decreased by 10.5 per cent per year in interval II and 8.9 per cent per year in interval III. Among Blacks, on the other hand, the initial increase in RDS/HMD mortality was steeper (5.2 per cent per year) and the subsequent decreases were less (6.3 per cent per year and 8.0 per cent per year). As a result, the Black-White ratio in infant mortality attributed to RDS/HMD increased from 1.32 in 1969-73, to 1.59 in 1974-78 and to 1.72 in 1979-83. The proportion of RDS/HMD deaths that occurred in the postneonatal period increased from 1.1 per cent in interval I to 3.6 per cent in interval II to 5.0 per cent in interval III.(ABSTRACT TRUNCATED AT 250 WORDS)

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Behrman R. E. Preventing low birth weight: a pediatric perspective. J Pediatr. 1985 Dec;107(6):842–854. doi: 10.1016/s0022-3476(85)80174-8. [DOI] [PubMed] [Google Scholar]
  2. Boyle M. H., Torrance G. W., Sinclair J. C., Horwood S. P. Economic evaluation of neonatal intensive care of very-low-birth-weight infants. N Engl J Med. 1983 Jun 2;308(22):1330–1337. doi: 10.1056/NEJM198306023082206. [DOI] [PubMed] [Google Scholar]
  3. Buehler J. W., Hogue C. J., Zaro S. M. Postponing or preventing deaths? Trends in infant survival, Georgia, 1974 through 1981. JAMA. 1985 Jun 28;253(24):3564–3567. doi: 10.1001/jama.253.24.3564. [DOI] [PubMed] [Google Scholar]
  4. Enhorning G., Shennan A., Possmayer F., Dunn M., Chen C. P., Milligan J. Prevention of neonatal respiratory distress syndrome by tracheal instillation of surfactant: a randomized clinical trial. Pediatrics. 1985 Aug;76(2):145–153. [PubMed] [Google Scholar]
  5. Farrell P. M., Wood R. E. Epidemiology of hyaline membrane disease in the United States: analysis of national mortality statistics. Pediatrics. 1976 Aug;58(2):167–176. [PubMed] [Google Scholar]
  6. Kircher T., Nelson J., Burdo H. The autopsy as a measure of accuracy of the death certificate. N Engl J Med. 1985 Nov 14;313(20):1263–1269. doi: 10.1056/NEJM198511143132005. [DOI] [PubMed] [Google Scholar]
  7. Perelman R. H., Farrell P. M. Analysis of causes of neonatal death in the United States with specific emphasis on fatal hyaline membrane disease. Pediatrics. 1982 Oct;70(4):570–575. [PubMed] [Google Scholar]
  8. Phibbs C. S., Williams R. L., Phibbs R. H. Newborn risk factors and costs of neonatal intensive care. Pediatrics. 1981 Sep;68(3):313–321. [PubMed] [Google Scholar]
  9. Pokora T., Bing D., Mammel M., Boros S. Neonatal high-frequency jet ventilation. Pediatrics. 1983 Jul;72(1):27–32. [PubMed] [Google Scholar]
  10. Pomerance J. J., Ukrainski C. T., Ukra T., Henderson D. H., Nash A. H., Meredith J. L. Cost of living for infants weighing 1,000 grams or less at birth. Pediatrics. 1978 Jun;61(6):908–910. [PubMed] [Google Scholar]
  11. Rothberg A. D., Maisels M. J., Bagnato S., Murphy J., Gifford K., McKinley K., Palmer E. A., Vannucci R. C. Outcome for survivors of mechanical ventilation weighing less than 1,250 gm at birth. J Pediatr. 1981 Jan;98(1):106–111. doi: 10.1016/s0022-3476(81)80554-9. [DOI] [PubMed] [Google Scholar]
  12. Sinclair J. C., Torrance G. W., Boyle M. H., Horwood S. P., Saigal S., Sackett D. L. Evaluation of neonatal-intensive-care program. N Engl J Med. 1981 Aug 27;305(9):489–494. doi: 10.1056/NEJM198108273050904. [DOI] [PubMed] [Google Scholar]

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