Extremely premature infants: How does death in the delivery room influence mortality rates in two level 3 centers in France?
| Autor: | D. Riethmuller, G. Levy, A. Burguet, S. Bert, D. Martin, B. Mulin, P. Sagot, D.S. Semama, Gérard Thiriez, O. Forner, C. Chantegret, A. Ridley, A. Schiby, V. Morel, I. Mugabo, T. Rousseau, J.-C. Filiatre, F. Godoy |
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| Rok vydání: | 2018 |
| Předmět: |
Pediatrics
medicine.medical_specialty Neonatal intensive care unit Referral Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine Pregnancy Intensive Care Units Neonatal 030225 pediatrics Infant Mortality medicine Humans Registries 030212 general & internal medicine Retrospective Studies business.industry Delivery Rooms Mortality rate Delivery room Infant Newborn Infant Gestational age Retrospective cohort study medicine.disease Infant Extremely Premature Pediatrics Perinatology and Child Health Female France business Cohort study |
| Zdroj: | Archives de Pédiatrie. 25:383-388 |
| ISSN: | 0929-693X |
| Popis: | OBJECTIVES Mortality rates of very preterm infants may vary considerably between healthcare facilities depending on the neonates' place of inclusion in the cohort study. The objective of this study was to compare the mortality rates of live-born extremely preterm neonates observed in two French tertiary referral hospitals, taking into account the occurrence of neonatal death both in the delivery room and in the neonatal intensive care unit (NICU). METHODS Retrospective observational study including all pregnancy terminations, stillbirths and live-born infants within a 22- to 26-week 0/6 gestational age range was registered by two French level 3 university centers between 2009 and 2013. The mortality rates were compared between the two centers according to two places of inclusion: either the delivery room or the NICU. RESULTS A total of 344 infants were born at center A and 160 infants were born at center B. Among the live-born neonates, the rates of neonatal death were similar in center A (54/125, 43.2%) and center B (33/69, 47.8%; P=0.54). However, neonatal death occurred significantly more often in the delivery room at center A (31/54, 57.4%) than at center B (6/33, 18.2%; P |
| Databáze: | OpenAIRE |
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