Preterm birth in the Nordic countries—Capacity, management and outcome in neonatal care

Autor: Mikael Norman, Jesper Padkær Petersen, Hans Jørgen Stensvold, Thordur Thorkelsson, Kjell Helenius, Charlotte Brix Andersson, Heidi Ørum Cueto, Magnus Domellöf, Mika Gissler, Anna Heino, Stellan Håkansson, Baldvin Jonsson, Claus Klingenberg, Liisa Lehtonen, Marjo Metsäranta, Arild E. Rønnestad, Simon Trautner, Anlaug Vatne, Ragnhild Støen, Kristin Brække, Hallvard Reigstad, Lars Navér, Thomas Abrahamsson, Karin Sävman, Ylva Thernström Blomqvist, Johan Sandblom, Fredrik Ingemansson, Timo Saarela, Päivi Korhonen, Ulla Sankilampi, Viena Tommiska, Samuli Rautava
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Norman, M, Padkær Petersen, J, Stensvold, H J, Thorkelsson, T, Helenius, K, Brix Andersson, C, Ørum Cueto, H, Domellöf, M, Gissler, M, Heino, A, Håkansson, S, Jonsson, B, Klingenberg, C, Lehtonen, L, Metsäranta, M, Rønnestad, A E & Trautner, S 2023, ' Preterm birth in the Nordic countries-Capacity, management and outcome in neonatal care ', Acta Paediatrica . https://doi.org/10.1111/apa.16753
Acta Paediatrica
Norman, M, Padkær Petersen, J, Stensvold, H J, Thorkelsson, T, Helenius, K, Brix Andersson, C, Ørum Cueto, H, Domellöf, M, Gissler, M, Heino, A, Håkansson, S, Jonsson, B, Klingenberg, C, Lehtonen, L, Metsäranta, M, Rønnestad, A E & Trautner, S 2023, ' Preterm birth in the Nordic countries—Capacity, management and outcome in neonatal care ', Acta Paediatrica, International Journal of Paediatrics, vol. 112, no. 7, pp. 1422-1433 . https://doi.org/10.1111/apa.16753
Norman, M, Padkær Petersen, J, Stensvold, H J, Thorkelsson, T, Helenius, K, Brix Andersson, C, Ørum Cueto, H, Domellöf, M, Gissler, M, Heino, A, Håkansson, S, Jonsson, B, Klingenberg, C, Lehtonen, L, Metsäranta, M, Rønnestad, A E & Trautner, S 2023, ' Preterm birth in the Nordic countries-Capacity, management and outcome in neonatal care ', Acta Paediatrica, vol. 112, no. 7, pp. 1422-1433 . https://doi.org/10.1111/apa.16753
Popis: Aim: Organisation of care, perinatal and neonatal management of very preterm infants in the Nordic regions were hypothesised to vary significantly. The aim of this observational study was to test this hypothesis.Methods: Information on preterm infants in the 21 greater healthcare regions of Denmark, Finland, Iceland, Norway and Sweden was gathered from national registers in 2021. Preterm birth rates, case-mix, perinatal interventions, neonatal morbidity and survival to hospital discharge in very (Results: Out of 287 642 infants born alive, 16 567 (5.8%) were preterm, 2389 (0.83%) very preterm and 800 (0.28%) were extremely preterm. In very preterm infants, exposure to antenatal corticosteroids varied from 85% to 98%, live births occurring at regional centres from 48% to 100%, surfactant treatment from 28% to 69% and use of mechanical ventilation varied from 13% to 77% (p < 0.05 for all comparisons). Significant regional variations within and between countries were also seen in capacity in neonatal care, case-mix and number of admissions, whereas there were no statistically significant differences in survival or major neonatal morbidities.Conclusion: Management of very preterm infants exhibited significant regional variations in the Nordic countries. Aim: Organisation of care, perinatal and neonatal management of very preterm infants in the Nordic regions were hypothesised to vary significantly. The aim of this observational study was to test this hypothesis. Methods: Information on preterm infants in the 21 greater healthcare regions of Denmark, Finland, Iceland, Norway and Sweden was gathered from national registers in 2021. Preterm birth rates, case-mix, perinatal interventions, neonatal morbidity and survival to hospital discharge in very (
Databáze: OpenAIRE
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