Table 3. Rates of composite severe neonatal morbidity/mortality and prognostic performance of the INTERGROWTH-21st Project standard and the Canadian reference among all live births and among low and high risk infants, Canada, 2002–12.
Gestational age | INTERGROWTH standard | Canadian reference | INTERGROWTH vs. | |||||||
---|---|---|---|---|---|---|---|---|---|---|
category and | Canadian criteria | |||||||||
centile group | Frequency | Composite | Frequency | Composite | Rate ratio | P value | ||||
morbidity and | morbidity and | (95% CI) | ||||||||
mortality/1000 | mortality/1000 | |||||||||
No. | Rate | No. | Rate | No. | Rate | No. | Rate | |||
33–36 weeks | 146,669 | 100.0 | 8,056 | 54.9 | 146,669 | 100.0 | 8,056 | 54.9 | - | - |
<3rd | 2,816 | 1.92 | 263 | 93.4 | 3,759 | 2.56 | 348 | 92.6 | 1.01 (0.87–1.18 | 0.91 |
3rd to <10th | 5,629 | 3.84 | 408 | 72.5 | 10,191 | 6.95 | 698 | 68.5 | 1.06 (0.94–1.19 | 0.35 |
10th to <50th | 40,602 | 27.7 | 2,207 | 54.4 | 57,393 | 39.1 | 3,044 | 53.0 | 1.02 (0.97–1.19) | 0.37 |
50th to 90th | 72,225 | 49.2 | 3,824 | 52.9 | 59,100 | 40.3 | 3,011 | 50.9 | 1.04 (0.99–1.09) | 0.10 |
>90th to<97th | 14,894 | 10.2 | 745 | 50.0 | 10,581 | 7.21 | 562 | 53.1 | 0.94 (0.85–1.05) | 0.27 |
>97th | 10,503 | 7.16 | 609 | 58.0 | 5,643 | 3.85 | 392 | 69.5 | 0.83 (0.74–0.94) | 0.004 |
37–43 weeks | 2,607,148 | 100.0 | 27,193 | 10.4 | 2,607,148 | 100.0 | 27,193 | 10.4 | ||
<3rd | 21,069 | 0.81 | 845 | 40.1 | 58,799 | 2.26 | 1,585 | 27.0 | 1.49 (1.37–1.61) | <0.0001 |
3rd to <10th | 65,608 | 2.52 | 1,234 | 18.8 | 161,619 | 6.20 | 2,350 | 14.5 | 1.29 (1.21–1.38) | <0.0001 |
10th to <50th | 632,717 | 24.3 | 7,370 | 11.6 | 1,009,879 | 38.7 | 10,304 | 10.2 | 1.14 (1.11–1.18) | <0.0001 |
50th to 90th | 1,257,474 | 48.2 | 11,489 | 9.14 | 1,083,474 | 41.6 | 9,755 | 9.00 | 1.01 (0.99–1.04) | 0.28 |
>90th to<97th | 375,577 | 14.4 | 3,431 | 9.14 | 201,153 | 7.72 | 1,968 | 9.78 | 0.93 (0.88–0.99) | 0.01 |
>97th | 254,703 | 9.77 | 2,824 | 11.1 | 92,224 | 3.54 | 1,231 | 13.3 | 0.83 (0.78–0.89) | <0.0001 |
Composite neonatal morbidity/mortality included neonatal seizures, assisted ventilation, birth asphyxia, and neonatal mortality.