Mortality and morbidity in outborn extremely low birth weight neonates: a retrospective analysis
| Autor: | Monika Patil, Joseph Hagan, Maya I Brasher, Gautham Suresh |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Pediatrics
medicine.medical_specialty Neonatal intensive care unit business.industry Birth weight Obstetrics and Gynecology Gestational age Retrospective cohort study Odds ratio Prenatal care 03 medical and health sciences Low birth weight 0302 clinical medicine 030225 pediatrics Pediatrics Perinatology and Child Health Medicine Maternal hypertension 030212 general & internal medicine medicine.symptom business |
| Zdroj: | Journal of Perinatology. 40:337-343 |
| ISSN: | 1476-5543 0743-8346 |
| DOI: | 10.1038/s41372-019-0543-2 |
| Popis: | Objective We aimed to identify differences in morbidity and mortality between inborn versus outborn extremely low birth weight (ELBW) infants admitted to the Texas Children's Hospital neonatal intensive care unit (NICU). Study design Vermont Oxford Network data were analyzed between January 2014 and December 2017. Inborn versus outborn outcomes were compared. Result Of 533 ELBW infants, 402 were inborn, and 131 were outborn. Gestational age and birth weight (BW) were similar. After adjusting outcomes to control for maternal steroids, maternal hypertension, maternal prenatal care, and temperature below 36 °C at admission, no outcomes were significantly different except inborn patients had decreased odds of late onset sepsis (adjusted odds ratio = 0.606, 95% confidence interval: 0.377-0.973, p = 0.038). Conclusion In this study, outborn ELBW patients had increased odds of late onset sepsis compared with inborn ELBW patients after controlling for covariates that differed significantly between these two cohorts. |
| Databáze: | OpenAIRE |
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