Association Between Year of Birth and 1-Year Survival Among Extremely Preterm Infants in Sweden During 2004–2007 and 2014–2016

Norman, Mikael; Hallberg, Boubou; Abrahamsson, Thomas; Björklund, Lars; Domellöf, Magnus; Farooqi, Aijaz; Bruun, Cathrine Foyn; Gadsbøll, Christian; Hellström‐Westas, Lena; Ingemansson, Fredrik; Källén, Karin; Ley, David; Maršál, Karel; Normann, Erik; Serenius, Fredrik; Stephansson, Olof; Stigson, Lennart; Um-Bergström, Petra; Håkansson, Stellan

doi:10.1097/01.ogx.0000577812.20743.bf

Cited by 56 publications

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“…Our reported increased incidence may represent a real increase but also may be due to previously undetected cases. Increased survival of extremely preterm born could have added cases during the end of the study period . A contributing factor to a real increase might have been immigration, but according to our findings, this was less important.…”

Section: Discussionmentioning

confidence: 60%

Population‐based register study of children born in Sweden from 1997 to 2014 showed an increase in rickets during infancy

2019

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Section: Discussionmentioning

confidence: 60%

Population‐based register study of children born in Sweden from 1997 to 2014 showed an increase in rickets during infancy

2019

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“…It is the main contributor to neonatal mortality and morbidity, moreover, this morbidity contributes to 40% of all deaths of children under 5 years of age . A Swedish national population‐based cohort study 2014‐2016 showed an unprecedented high survival (77%) of extremely preterm infants born between 22 and 26 weeks of gestation . One contributing factor to severe morbidity is the chronic lung disease, BPD, which is also a predictor of adverse long‐term outcome.…”

Section: Discussionmentioning

confidence: 99%

Neonatal clinical blood sampling led to major blood loss and was associated with bronchopulmonary dysplasia

et al. 2019

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Aim Studies indicate that reduced foetal haemoglobin levels are related to increased neonatal morbidity rates. This study investigated the relationships between sampling‐related blood loss and adult blood transfusions administered during postnatal days 1‐14 and the development of severe neonatal morbidities in extremely preterm infants born before 28 weeks of gestation. Methods The medical files of 149 extremely preterm infants born at two university hospitals in Sweden from 2013 to 2018 were investigated. Results Blood sampling resulted in a 58% depletion of the endogenous blood volume postnatal days 1‐14 (median 40.4 mL/kg, interquartile range 23.9‐53.3 mL/kg) and correlated with the adult erythrocyte transfusion volume (rS = 0.870, P < .001). Sampling‐related blood loss on postnatal days 1‐7, adjusted for gestational age at birth and birth weight standard deviation score, was associated with the development of bronchopulmonary dysplasia (BPD) (odds ratio by a 10‐unit increase 2.4, 95% confidence interval 1.1‐5.4) (P = .03). No associations were found between blood sampling and intraventricular haemorrhage or necrotising enterocolitis in the full statistical model. The largest proportion of sampling‐related blood was used for blood gas analyses (48.7%). Conclusion Diagnostic blood sampling led to major endogenous blood loss replaced with adult blood components and was associated with the development of BPD.

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“…In neonatal care, we can increasingly save infants born at 22 weeks of gestational age and onwards and achieve a lower neonatal morbidity . This presents us with the challenge of not only ensuring the infant's viability but also providing care that promotes positive parental physical and mental health and that facilitates the development of a secure parent‐infant relationship.…”

Section: Introductionmentioning

confidence: 99%

Facilities for presence and provision of support to parents and significant others in neonatal units

2019

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Aim To describe parental facilities for staying in neonatal units, visiting policies and access to emotional support during hospitalisation. Methods A cross‐sectional design was used in which a survey was presented to all neonatal units in Sweden; 34 out of 38 units participated (89%). Results The findings showed that in 50% of the units, parents could stay 24/7 for the infant's entire hospital stay. In 32% of the units, siblings could stay the night with their parents. Units had policies on restrictions for visits by siblings (80%), grandparents (59%), friends and relatives (71%). All units offered counselling to parents, and some units offered peer‐to‐peer groups (24%), diaries (35%), relaxation techniques (6%) or Internet parental forums (6%). All units enabled parents to be at home with their infant and to visit the unit for check‐ups (35%) or to have staff visits at home (65%). Conclusion Facilities for parents to stay with their infant during hospitalisation and to have significant others visit are good, but there is room for improvement. During the transitional phase to being at home, parents are facilitated in being at home before the infant is discharged and are supported by the unit, which must be considered beneficial for parents.

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Association Between Year of Birth and 1-Year Survival Among Extremely Preterm Infants in Sweden During 2004–2007 and 2014–2016

Cited by 56 publications

References 0 publications

Population‐based register study of children born in Sweden from 1997 to 2014 showed an increase in rickets during infancy

Population‐based register study of children born in Sweden from 1997 to 2014 showed an increase in rickets during infancy

Neonatal clinical blood sampling led to major blood loss and was associated with bronchopulmonary dysplasia

Facilities for presence and provision of support to parents and significant others in neonatal units

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