Trends in neonatal mortality and morbidity in very-low-birth-weight (VLBW) infants over a decade: Singapore national cohort study

Autor: Jiun Lee, Cheryl Yen May Lee, Krishnamoorthy Naiduvaje, Yoko Wong, Ashwani Bhatia, Imelda Lustestica Ereno, Selina Kah Yin Ho, Cheo Lian Yeo, Victor Samuel Rajadurai
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Pediatrics and Neonatology, Vol 64, Iss 5, Pp 585-595 (2023)
Druh dokumentu: article
ISSN: 1875-9572
DOI: 10.1016/j.pedneo.2022.12.016
Popis: Background: Very preterm infants are at risk for neurodevelopmental impairment because of postnatal morbidities. This study aims to (1) compare the outcomes of very-low-birth-weight (VLBW) infants in Singapore during two time periods over a decade; 2) compare performances among Singaporean neonatal intensive care units (NICUs); and 3) compare a Singapore national cohort with one from the Australian and New Zealand Neonatal Network (ANZNN). Methods: Singapore national data on VLBW infants born during two periods, 2007–2008 (SG2007, n = 286) and 2015–2017 (SG2017, n = 905) were extracted from patient medical records. The care practices and clinical outcomes among three Singapore NICUs were compared using SG2017 data. Third, using data from the ANZNN2017 annual report, infants with gestational age (GA) ≤29 weeks in SG2017 were compared with their Oceania counterparts. Results: SG2017 had 9.9% higher usage of antenatal steroids (p
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