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. 2017 Mar 3;12(3):e0172910. doi: 10.1371/journal.pone.0172910

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.