Document Detail


Review of mortality of very low birthweight infants at the university hospital of the West Indies over the past four decades.
MedLine Citation:
PMID:  23240468     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
A review of two previously published studies done at the University Hospital of the West Indies, an unpublished study and annual perinatal statistics was conducted to detect trends in the mortality of very low birthweight infants at the institution over four decades. Mortality decreased from 54% to 38% over the time period, the decrease was greater for infants weighing 1001-1500 g (40%) than those weighing < or = 1000 g (28%). Despite increased access to mechanical ventilation over time, there was no appreciable decrease in mortality for infants weighing < or = 750 g. There was a statistically significant decrease in mortality with increasing birthweight for the time period 1987-2002, p < 0.001. The mean +/- SD weight of survivors 1.18 +/- 0.24 kg was significantly greater than that for non-survivors 0.89 +/- 0.21 kg for the same period. Further decrease in mortality of very low birthweight infants will involve measures aimed at decreasing mortality in infants weighing < or = 750 g and increasing the availability of parenteral nutrition and the accessibility of surfactant.
Authors:
H Trotman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The West Indian medical journal     Volume:  61     ISSN:  0043-3144     ISO Abbreviation:  West Indian Med J     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-12-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0417410     Medline TA:  West Indian Med J     Country:  Jamaica    
Other Details:
Languages:  eng     Pagination:  356-60     Citation Subset:  IM    
Affiliation:
Department of Child and Adolescent Health, The University of the West Indies, Kingston 7, Jamaica. helen.trotmanedwards@uwimona.edu.jm
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