Impact of fetal growth restriction on mortality and morbidity in a very preterm birth cohort

Autor: Zeitlin, J, El Ayoubi, M, Jarreau, P-H, Draper, ES, Blondel, B, Künzel, W, Cuttini, M, Kaminski, M, Gortner, L, Van Reempts, P, Kollée, L, Papiernik, E, MOSAIC Research Group, Petrou, S
Přispěvatelé: Petrou, S
Jazyk: angličtina
Rok vydání: 2010
Předmět:
Male
medicine.medical_specialty
Pediatrics
Infant
Premature
Diseases
Intensive care
Humans
Medicine
Very Preterm Birth
reproductive and urinary physiology
Pregnancy
Fetal Growth Retardation
business.industry
Obstetrics
Mortality rate
necrotizing enterocolitis
small for gestational age
models of organising access to intensive care for very preterm births
bpd
sga
rop
prelabor rupture of membranes
pvl
prom
mosiac
intraventricular hemorrhage
bronchopulmonary dysplasia
retinopathy of prematurity
nec
periventricular leukomalacia
ivh
Infant
Newborn
medicine.disease
Bronchopulmonary dysplasia
Evaluation of complex medical interventions [NCEBP 2]
Infant
Small for Gestational Age
Pediatrics
Perinatology and Child Health
Cohort
Small for gestational age
Female
Human medicine
business
Infant
Premature
Cohort study
Zdroj: Journal of Pediatrics, 157, 5, pp. 733-9.e1
Journal of Pediatrics, 157, 733-9.e1
The journal of pediatrics
ISSN: 0022-3476
Popis: Objective To assess the impact of being small for gestational age (SGA) on very preterm mortality and morbidity rates by using different birthweight percentile thresholds and whether these effects differ by the cause of the preterm birth. Study design The study included singletons and twins alive at onset of labor between 24 and 31 weeks of gestation without congenital anomalies from the Models of Organising Access to Intensive Care for very preterm births very preterm cohort in 10 European regions in 2003 (n = 4525). Outcomes were mortality, intraventricular hemorrhage grade III and IV, cystic periventricular leukomalacia, and bronchopulmonary dysplasia (BPD). Birthweight percentiles in 6 classes were analyzed by pregnancy complication. Results The mortality rate was higher for infants with birthweights Conclusions A 25th percentile cutoff point was a means of identifying infants at higher risk of death and a continuous measure better described risks of BPD. Lower birthweights were associated with poor outcomes regardless of pregnancy complications.
Databáze: OpenAIRE
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