Mortality for newborns of birthweight less than 1500 g in Spanish neonatal units (2002-2005)
| Autor: | E.Á. Iglesias, Ma.J.S. Muñoz, C. Figaró, J.P. López, C.G. Armengol, V. Pérez-Sheriff, R. Porta, C.D.C. Laíz, Ma.J.L. Cuesta, B.A. Álvarez, V. Parra, M.G. Del Río, A.R. Herreras, A.F. Martí, Ma.T.G. Martínez, J.G.-U. Vergara, J. Badia, J.L.F. Calvo, V.M. Isabel, Ma.M.M. Ayucar, A.D.U. Huertas, J.L. González, R.A. Olmos, T.C. Pascual, J.M.C. Bellón, Vicente Roques, S.O. Cardalda, A.R. Fernández, null Muro, José Quero, L.P. Grisolía, M. Moro, E.M. Ramos, J.P. Rodríguez, P.G. González, A.M. Ancel, E.C. Calvo, José Figueras-Aloy, Cristina Fernández, T.S. Tamayo, X.D. Guasch, M. Horgado, M.G. San Miguel, Eduardo Doménech, Ma.J.S. García, Ma.I.M. Soto, E.V.S. Puerta, W. Coroleu, R.R. Ceres, J.Ma.B. Ruiz, A.N. Pujol, R. Jiménez, L. Moltó, null Cabanillas, J.R. Galván, J.Ma.G. Cabañas, M.L. Azorín, C.M. Bayón, F.C. Manzanos, Jesús Pérez-Rodríguez, R. Del Prado, A.M. Gutiérrez, C.M. Díaz, G.S. Iturriaga, J.Ma. Fraga, A.A. Plana, M.I. Sanz, A.R. Barrio Sacristán, M.A.F. Siguile, J.L. Sastre, S. Salas, J.O. Tardío, G.G. Galiana, P.A.F. Jorge |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Gestational Age Congenital Abnormalities Sex Factors Enterocolitis Necrotizing Intensive Care Units Neonatal Infant Mortality Medicine Birth Weight Humans Infant Very Low Birth Weight Neonatology Prospective Studies Cerebral Hemorrhage business.industry Obstetrics Mortality rate Incidence (epidemiology) Delivery room Postmenstrual Age Infant Newborn Obstetrics and Gynecology Pulmonary Surfactants Prognosis Neonatal transport Hospitalization Spain Pediatrics Perinatology and Child Health Cohort Multivariate Analysis Female business |
| Zdroj: | American journal of perinatology. 24(10) |
| ISSN: | 0735-1631 |
| Popis: | The purpose of this study was to analyze the mortality and its prognostic factors in a Spanish cohort of very low birthweight (VLBW) infants during the period 2002 to 2005. Using the Spanish Society of Neonatology database (SEN 1500), 8942 infants with a birthweight < 1500 g were recruited. The overall mortality was 17.3%. However, this incidence underwent a significant decrease over the study period, from 19.4% in 2002 to 15.2% in 2005 (p = 0.003). Mortality ranged from 12.4% in 25% of the participating neonatal units to 19.4% in a further 25%. Mortality was higher in outborn infants (25.8%) than in inborn infants (16.6%) (p < 0.001). The mortality rates of these neonates are also presented by 100-g intervals (401 to 1500) and for the different hospitalization times: in the delivery room, within 24 hours and 28 days of birth, at 36 weeks of postmenstrual age, and on discharge. Of note was that mortality was greatest within 24 hours and 28 days of birth in each of the weight groups (p < 0.001). In conclusion, in the cohort of infants < 1500 g examined, mortality in the period from 2002 to 2005 was still high, especially among newborns weighing < 1000 g. We did, however, observe a decreasing trend in mortality rates for the participating neonatal units over the 4 study years. Our findings highlight the need to promote intrauterine transport and improve neonatal transport as well as the management of these infants in the delivery room and within the first 28 days of life. Copyright © 2007 by Thieme Medical Publishers, Inc. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|