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Survival and morbidity of very low birth weight infant in a South American neonatal network.
Fernández, Rocío; D'Apremont, Ivonne; Domínguez, Angélica; Tapia, José L.
Afiliação
  • Fernández R; División de Pediatría, Hospital Dr. Sótero Del Río.
  • D'Apremont I; Sección de Neonatología, Hospital Dr. Sótero Del Río.
  • Domínguez A; Departamento de Salud Pública, Facultad de Medicina, Universidad Católica de Chile.
  • Tapia JL; Hospital Clínico Pontificia, Hospital Clínico Pontificia, Universidad Católica de Chile, Santiago, Chile.
Arch Argent Pediatr ; 112(5): 405-12, 2014 10.
Article em En, Es | MEDLINE | ID: mdl-25192520
OBJECTIVE: To analyze survival and relevant morbidity by gestational age (GA) in very low birth weight (VLBW) infants (<1500 g) and, based on these data, develop a fact sheet to provide information to perinatal healthcare providers and very low birth weight preterm infants' parents. STUDY DESIGN: Data were prospectively collected in relation to newborn infants with a birth weight between 500 g and 1500 g admitted to 45 sites of the Neocosur Neonatal Network (Red Neonatal Neocosur) between January 2001 and December 2011. RESULTS: Data on 8234 VLBW with a GA between 24+0 and 31+6 weeks were analyzed. Overall mortality was 26% (95% CI: 25.0-26.9), including 2.6% of deaths in the delivery room. Fact sheets for survival and morbidity for each week of gestation were developed based on collected data. Survival at discharge increased from 29% at 24 weeks of GA to 91% at 31 weeks of GA (p < 0.001). The incidence of relevant neonatal morbidity was inversely related to GA (p < 0.001). Overall, 30.8% had retinopathy of prematurity, 25% bronchopulmonary dysplasia, 10.9% necrotizing enterocolitis, 7.2% severe intraventricular hemorrhage, and 4.6% periventricular leukomalacia. Among survivors, 47.3% had none of these five conditions. CONCLUSIONS: A tool for use in a clinical setting was developed based on updated regional data for establishing week-to-week survival and morbidity of newborn infants born between 24+0 and 31+6 weeks of GA. This information could be used to make decisions related to perinatal care and for counseling parents.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doenças do Recém-Nascido Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Male / Newborn País/Região como assunto: America do sul Idioma: En / Es Revista: Arch Argent Pediatr Ano de publicação: 2014 Tipo de documento: Article País de publicação: Argentina
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doenças do Recém-Nascido Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Male / Newborn País/Região como assunto: America do sul Idioma: En / Es Revista: Arch Argent Pediatr Ano de publicação: 2014 Tipo de documento: Article País de publicação: Argentina