Document Detail


Incidence of and risk factors for neonatal morbidity after active perinatal care: extremely preterm infants study in Sweden (EXPRESS).
MedLine Citation:
PMID:  20456261     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: The aim of this study was to determine the incidence of neonatal morbidity in extremely preterm infants and to identify associated risk factors. METHODS: Population based study of infants born before 27 gestational weeks and admitted for neonatal intensive care in Sweden during 2004-2007. RESULTS: Of 638 admitted infants, 141 died. Among these, life support was withdrawn in 55 infants because of anticipation of poor long-term outcome. Of 497 surviving infants, 10% developed severe intraventricular haemorrhage (IVH), 5.7% cystic periventricular leucomalacia (cPVL), 41% septicaemia and 5.8% necrotizing enterocolitis (NEC); 61% had patent ductus arteriosus (PDA) and 34% developed retinopathy of prematurity (ROP) stage > or =3. Eighty-five per cent needed mechanical ventilation and 25% developed severe bronchopulmonary dysplasia (BPD). Forty-seven per cent survived to one year of age without any severe IVH, cPVL, severe ROP, severe BPD or NEC. Tocolysis increased and prolonged mechanical ventilation decreased the chances of survival without these morbidities. Maternal smoking and higher gestational duration were associated with lower risk of severe ROP, whereas PDA and poor growth increased this risk. CONCLUSION: Half of the infants surviving extremely preterm birth suffered from severe neonatal morbidities. Studies on how to reduce these morbidities and on the long-term health of survivors are warranted.
Authors:
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-04-26
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  99     ISSN:  1651-2227     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-12     Completed Date:  2010-08-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  978-92     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Female
Gestational Age
Hospital Mortality
Humans
Incidence
Infant Mortality
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases / epidemiology*,  mortality
Intensive Care, Neonatal
Male
Morbidity
Outcome Assessment (Health Care)*
Perinatal Care*
Risk Factors
Sweden / epidemiology
Investigator
Investigator/Affiliation:
Dordi Austeng / ; Mats Blennow / ; Uwe Ewald / ; Vineta Fellman / ; Thomas Fritz / ; Lena Hellström-Westas / ; Ann Hellström / ; Per Ake Holmgren / ; Gerd Holmström / ; Peter Jakobsson / ; Annika Jeppsson / ; Kent Johansson / ; Karin Källén / ; Hugo Lagercrantz / ; Ricardo Laurini / ; Eva Lindberg / ; Anita Lundqvist / ; Karel Marsál / ; Tore Nilstun / ; Solveig Nordén-Lindeberg / ; Mikael Norman / ; Elisabeth Olhager / ; Ingrid Ostlund / ; Fredrik Serenius / ; Marija Simic / ; Gunnar Sjörs / ; Lennart Stigson / ; Karin Stjernqvist / ; Bo Strömberg / ; Kristina Tornqvist / ; Margareta Wennergren / ; Agneta Wallin / ; Magnus Westgren /

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