Trend and high risk clusters for the occurrence of congenital anomalies in the State of Mato Grosso, Brazil (2008-2019)

Abstract Objectives: to analyze the spatiotemporal dynamics of the prevalence of congenital anomalies in in cities of Mato Grosso (MT), in the Mid-West of Brazil, from 2008 to 2019. Methods: an ecological study of cases in MT during the period from 2008 to 2019. The Annual Percent Change (APC) of...

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Main Authors: Bruna Rayeli Groth, Eliziani Gonçalves da Silva, Camila Beatriz Alves da Rocha, Bruna Hinnah Borges Martins de Freitas, Rafaela Benevides Ferreira Machado, Elena Alves Benevides Ferreira, Lúbia Maieles Gomes Machado, Emerson Soares dos Santos, Iara Denise Endruweit Battisti, Silvana Margarida Benevides Ferreira
Format: Article
Language:English
Published: Instituto Materno Infantil de Pernambuco 2025-01-01
Series:Revista Brasileira de Saúde Materno Infantil
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292025000100401&lng=en&tlng=en
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author Bruna Rayeli Groth
Eliziani Gonçalves da Silva
Camila Beatriz Alves da Rocha
Bruna Hinnah Borges Martins de Freitas
Rafaela Benevides Ferreira Machado
Elena Alves Benevides Ferreira
Lúbia Maieles Gomes Machado
Emerson Soares dos Santos
Iara Denise Endruweit Battisti
Silvana Margarida Benevides Ferreira
author_facet Bruna Rayeli Groth
Eliziani Gonçalves da Silva
Camila Beatriz Alves da Rocha
Bruna Hinnah Borges Martins de Freitas
Rafaela Benevides Ferreira Machado
Elena Alves Benevides Ferreira
Lúbia Maieles Gomes Machado
Emerson Soares dos Santos
Iara Denise Endruweit Battisti
Silvana Margarida Benevides Ferreira
author_sort Bruna Rayeli Groth
collection DOAJ
description Abstract Objectives: to analyze the spatiotemporal dynamics of the prevalence of congenital anomalies in in cities of Mato Grosso (MT), in the Mid-West of Brazil, from 2008 to 2019. Methods: an ecological study of cases in MT during the period from 2008 to 2019. The Annual Percent Change (APC) of the coefficients was used in the tendency analysis, through Prais-Winsten regression and the identification of high risk clusters. Results: the congenital malformation rate in the State was 6.52 per 1,000 live births, demonstrating a stationary tendency (APC-1.02; 95%CI= -2.93-0.93). Most congenital anomalies showed a stationary tendency, except for those of the cardiovascular system (APC=13.58; 95%CI= 3.60-24.52). Newborns with an Apgar score of ≤ 7 at the first and fifth minutes of life showed an increased tendency (APC=2.30; 95%CI=0.05-4.60 and APC=4.15; 95%CI= 1.52-6.65, respectively). The spatial distribution was heterogeneous, with the highest average rates of cases in the West, Central North, and South health macro-regions. The spatiotemporal scan identified three high risk clusters between 2015 and 2019, with a relative risk (RR) up to five times higher for anomalies. Conclusion: congenital anomalies in MT exhibited a heterogeneous dynamic with specific high risk areas, and their increasing tendency among maternal and neonatal factors highlights the need for regional prevention and control strategies.
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spelling doaj-art-0ecc32e21b6f49fc834b11757d865b042025-01-21T07:40:35ZengInstituto Materno Infantil de PernambucoRevista Brasileira de Saúde Materno Infantil1806-93042025-01-012510.1590/1806-9304202500000111-enTrend and high risk clusters for the occurrence of congenital anomalies in the State of Mato Grosso, Brazil (2008-2019)Bruna Rayeli Grothhttps://orcid.org/0009-0005-9743-866XEliziani Gonçalves da Silvahttps://orcid.org/0009-0003-9598-0282Camila Beatriz Alves da Rochahttps://orcid.org/0000-0003-0508-5288Bruna Hinnah Borges Martins de Freitashttps://orcid.org/0000-0002-6652-593XRafaela Benevides Ferreira Machadohttps://orcid.org/0000-0001-5109-2695Elena Alves Benevides Ferreirahttps://orcid.org/0009-0001-1115-0237Lúbia Maieles Gomes Machadohttps://orcid.org/0000-0003-4538-5138Emerson Soares dos Santoshttps://orcid.org/0000-0003-2709-5591Iara Denise Endruweit Battistihttps://orcid.org/0000-0001-9740-4199Silvana Margarida Benevides Ferreirahttps://orcid.org/0000-0001-7421-5803Abstract Objectives: to analyze the spatiotemporal dynamics of the prevalence of congenital anomalies in in cities of Mato Grosso (MT), in the Mid-West of Brazil, from 2008 to 2019. Methods: an ecological study of cases in MT during the period from 2008 to 2019. The Annual Percent Change (APC) of the coefficients was used in the tendency analysis, through Prais-Winsten regression and the identification of high risk clusters. Results: the congenital malformation rate in the State was 6.52 per 1,000 live births, demonstrating a stationary tendency (APC-1.02; 95%CI= -2.93-0.93). Most congenital anomalies showed a stationary tendency, except for those of the cardiovascular system (APC=13.58; 95%CI= 3.60-24.52). Newborns with an Apgar score of ≤ 7 at the first and fifth minutes of life showed an increased tendency (APC=2.30; 95%CI=0.05-4.60 and APC=4.15; 95%CI= 1.52-6.65, respectively). The spatial distribution was heterogeneous, with the highest average rates of cases in the West, Central North, and South health macro-regions. The spatiotemporal scan identified three high risk clusters between 2015 and 2019, with a relative risk (RR) up to five times higher for anomalies. Conclusion: congenital anomalies in MT exhibited a heterogeneous dynamic with specific high risk areas, and their increasing tendency among maternal and neonatal factors highlights the need for regional prevention and control strategies.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292025000100401&lng=en&tlng=enCongenital anomaliesSpatio temporal analysisSpatio temporal clusters
spellingShingle Bruna Rayeli Groth
Eliziani Gonçalves da Silva
Camila Beatriz Alves da Rocha
Bruna Hinnah Borges Martins de Freitas
Rafaela Benevides Ferreira Machado
Elena Alves Benevides Ferreira
Lúbia Maieles Gomes Machado
Emerson Soares dos Santos
Iara Denise Endruweit Battisti
Silvana Margarida Benevides Ferreira
Trend and high risk clusters for the occurrence of congenital anomalies in the State of Mato Grosso, Brazil (2008-2019)
Revista Brasileira de Saúde Materno Infantil
Congenital anomalies
Spatio temporal analysis
Spatio temporal clusters
title Trend and high risk clusters for the occurrence of congenital anomalies in the State of Mato Grosso, Brazil (2008-2019)
title_full Trend and high risk clusters for the occurrence of congenital anomalies in the State of Mato Grosso, Brazil (2008-2019)
title_fullStr Trend and high risk clusters for the occurrence of congenital anomalies in the State of Mato Grosso, Brazil (2008-2019)
title_full_unstemmed Trend and high risk clusters for the occurrence of congenital anomalies in the State of Mato Grosso, Brazil (2008-2019)
title_short Trend and high risk clusters for the occurrence of congenital anomalies in the State of Mato Grosso, Brazil (2008-2019)
title_sort trend and high risk clusters for the occurrence of congenital anomalies in the state of mato grosso brazil 2008 2019
topic Congenital anomalies
Spatio temporal analysis
Spatio temporal clusters
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292025000100401&lng=en&tlng=en
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