| Impact of infants born at the threshold of viability on the neonatal mortality rate in Colorado. | |
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MedLine Citation:
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PMID: 10693096 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine the contribution of infants born at the threshold of viability (< 750 gm) on neonatal mortality in Colorado. STUDY DESIGN: For the period of January 1991 to December 1996, all Colorado live births who expired were evaluated for gestational age, birth weight, gender, hospital level of care, age at time of death, delivery room resuscitation, mechanical ventilation, medical and surgical complications, and serious malformations. RESULTS: Although infants weighing < 750 gm represent only 0.31% of all live births, they account for 46.3% of deaths. While those infants weighing < 500 gm and with a gestation of < 24 weeks almost always died (94.7%), the majority born in the 500- to 745-gm category (55.8%) survived. The vast majority (88.5%) of deaths occurred on the first day of life. A total of 38.4% of births in which the infant weighed < 750 gm occurred outside bona fide regional perinatal centers. CONCLUSION: Future attempts to reduce the Colorado neonatal mortality rate would best focus on the 500- to 750-gm weight group through the re-regionalization of high-risk perinatal care. |
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Authors:
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J A Hernández; D M Hall; E J Goldson; M Chase; C Garrett |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Journal of perinatology : official journal of the California Perinatal Association Volume: 20 ISSN: 0743-8346 ISO Abbreviation: J Perinatol Publication Date: 2000 Jan-Feb |
Date Detail:
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Created Date: 2000-03-24 Completed Date: 2000-03-24 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 8501884 Medline TA: J Perinatol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 21-6 Citation Subset: IM |
Affiliation:
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Section of Neonatology, University of Colorado Health Sciences Center, Denver, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cause of Death* Child, Preschool Colorado Female Fetal Viability / physiology* Humans Infant Infant Mortality / trends* Infant, Newborn Infant, Very Low Birth Weight* Intensive Care Units, Neonatal Male Retrospective Studies Risk Factors Survival Rate |
| Grant Support | |
ID/Acronym/Agency:
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H28 MC00006//PHS HHS |
| Comments/Corrections | |
Comment In:
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J Perinatol. 2000 Jun;20(4):276
[PMID:
10879347
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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