International Journal of Epidemiology, Vol 28, 276-280, Copyright © 1999 by International Epidemiological Association
M Gissler, MR Jarvelin, P Louhiala, O Rahkonen and E Hemminki
BACKGROUND: The purpose of this paper was to investigate how well
children's health until age 7 years can be predicted by perinatal outcome
using routine health registers. METHODS: Follow-up of one year cohort (N =
60192) was performed by record linkages with personal identification
number. The data came from the 1987 Finnish Medical Birth Register, from
six other national registers and from education registers of one county.
RESULTS: All perinatal health indicators showed a strong correlation with
subsequent health, and prediction of good health was satisfactory: 85% of
children who were healthy in the perinatal period did not have any reported
health problems in early childhood, and 91% of children healthy in early
childhood had been healthy in the perinatal period. However, it was not
possible to predict poor health outcome: 76% of the children with reported
perinatal problems were healthy in early childhood, and 87% of the children
with long-term morbidity in childhood did not have any perinatal problems.
CONCLUSIONS: Our findings suggest that in assessing risk factors and health
care technology, monitoring perinatal health is not enough and long-term
follow-ups are needed.
ARTICLES
Can children's health be predicted by perinatal health?
National Research and Development Centre for Welfare and Health (STAKES), Health Services Research Unit, Helsinki, Finland.
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