Document Detail


Survival of low-birth-weight infants at Baragwanath Hospital--1950-1996.
MedLine Citation:
PMID:  10599299     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To examine changes in survival rates among low-birth-weight (LBW) infants between the years 1950 and 1996.
METHODS: Survival figures were analysed for LBW infants managed at Baragwanath Hospital, a tertiary care centre in Soweto, Johannesburg, over four periods spanning five decades.
RESULTS: The overall mortality rates of LBW infants decreased markedly between the early 1950s and the period 1995/96. By the mid-1990's approximately four times the number of infants with birth weight less than 1,500 g were surviving compared with the early 1950s. The reduction in mortality rates occurred in all LBW groups during the first three decades. However, since 1981 infants who weighed less than 1,500 g at birth were the major contributors to the overall reduction in mortality. Between the years 1981/82 and 1995/96, survival increased significantly from 64% to 79% for infants with birth weight 1,000-1,499 g, and from 14% to 32% for those with birth weight less than 1,000 g. Since infants in the latter group were seldom offered mechanical ventilation or artificial surfactant, a large part of these increases in survival can be attributed to improvement in the general level of care.
CONCLUSION: There have been dramatic improvements in the survival of LBW infants over this time period at Baragwanath Hospital. Although newer interventions such as mechanical ventilation and artificial surfactant have played a significant role, improvement in care at primary and secondary levels has been of major importance.
Authors:
P A Cooper; H Saloojee; K D Bolton; M Mokhachane
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde     Volume:  89     ISSN:  0256-9574     ISO Abbreviation:  S. Afr. Med. J.     Publication Date:  1999 Nov 
Date Detail:
Created Date:  2000-02-04     Completed Date:  2000-02-04     Revised Date:  2014-09-12    
Medline Journal Info:
Nlm Unique ID:  0404520     Medline TA:  S Afr Med J     Country:  SOUTH AFRICA    
Other Details:
Languages:  eng     Pagination:  1179-81     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Hospitals, Urban / standards
Humans
Infant Mortality*
Infant, Newborn
Infant, Very Low Birth Weight*
Intensive Care Units, Neonatal / standards,  trends*
Intensive Care, Neonatal / standards,  trends
South Africa / epidemiology
Survival Rate / trends
Comments/Corrections
Comment In:
S Afr Med J. 1999 Nov;89(11):1160-1   [PMID:  10599292 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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