A study comparing short-term outcome in preterm infants of ≤30 weeks gestation between a tertiary neonatal care unit in Bangalore, India and one in London, UK

Autor:	Shivashankar Diggikar, N. Karthik Nagesh, N. Arun Kumar, Narendra Aladangady
Rok vydání:	2022
Předmět:	Infant Newborn India Infant Infant Premature Diseases Enterocolitis Necrotizing Pregnancy London Pediatrics Perinatology and Child Health Humans Infant Very Low Birth Weight Female Retinopathy of Prematurity Ductus Arteriosus Patent Infant Premature Retrospective Studies
Zdroj:	Paediatrics and International Child Health. 42:5-11
ISSN:	2046-9055 2046-9047
DOI:	10.1080/20469047.2022.2054916
Popis:	Large numbers of preterm infants are born in middle-income countries and neonatal care is improving in these countries. Few studies have compared clinical outcome in preterm infants in a tertiary neonatal unit in a middle-income country with one in a high-income country.To compare the short-term outcome in preterm infants of ≤30 weeks gestation admitted to a tertiary neonatal unit in Bengaluru, India and in London, UK.This was a retrospective observational study using anonymised data from electronic patient records. Preterm infants born at ≤30 weeks gestation admitted to neonatal units in Bengaluru (Fewer mothers in the Bengaluru centre received antenatal steroids (37%The survival of infants ≤28 weeks gestation was significantly lower in the Bengaluru centre. Increasing the provision of antenatal corticosteroids may improve the outcome in these infants.BPD: bronchopulmonary dysplasia; CPAP: continuous positive airway pressure; EPR: electronic patient records; HIC: high-income countries; HDU: high dependency unit; hsPDA: haemodynamically significant patent ductus arteriosus; IVH: intraventricular haemorrhage; ITU: Intensive Care Unit, IUGR: intrauterine growth restriction; LAMA: leaving against medical advice; LMIC: low- and middle-income countries; NICU: neonatal intensive care unit; NNFI: National Neonatal Forum of India; NS: not significant; NTS: neonatal transfer service; NNAP: National Neonatal Audit Programme; NHM: National Health Mission; NMR: neonatal mortality rate; NEC: necrotising enterocolitis; NS: not significant; PDA: patent ductus arteriosus; ROP: retinopathy of prematurity; SCBU: special care baby unit; VLBW: very low birthweight; WHO: World Health Organization.
Databáze:	OpenAIRE
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