Differences in the length of initial hospital stay in very preterm infants

Korvenranta, Emmi; Linna, Miika; Häkkinen, Unto; Peltola, Mikko; Andersson, Sture; Gissler, Mika; Hallman, Mikko; Korvenranta, Heikki; Leipälä, Jaana; Rautava, Liisi; Tammela, Outi; Lehtonen, Liisa

doi:10.1111/j.1651-2227.2007.00471.x

Cited by 26 publications

(28 citation statements)

References 28 publications

(28 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In our own data, the initial length of hospital stay varied between the five university hospital districts [8]. In this study, it was encouraging to notice that regional differences were not seen in the behaviour and development at 5 years of age.…”

Section: Discussionmentioning

confidence: 66%

“…A very premature birth in the daytime [7] has also been linked to lower mortality rates of very premature infants in California, and a trend towards lower mortality of VLBWI born during office hours has been seen in comparison to those born outside office hours in Finland [5]. In Finland, differences between the university hospital district of birth have been seen in the length of initial hospital stay of VLBWI [8] and in mortality of extremely low birthweight infants (ELBWI) [9]. Tommiska et al [9] reported differences between hospital districts in short-term morbidities of ELBWI born in 1996-1997, but these differences were not further specified and were no longer found in those ELBWI born in 1999-2000.…”

Section: Introductionmentioning

confidence: 90%

See 1 more Smart Citation

Development and behaviour of 5-year-old very low birthweight infants

Rautava

Andersson

Gissler

et al. 2010

Eur Child Adolesc Psychiatry

Self Cite

View full text Add to dashboard Cite

The place and time of birth influence the mortality of premature infants. We studied the effect of prematurity, time of birth, birth hospital level and district on the development and behaviour in a national cohort of 5-year-old Finnish very low birthweight infants (VLBWI). All surviving VLBWI (gestational age \32 weeks or birthweight B1,500 g) born in 2001-2002 in level II or III hospitals in Finland and full-term controls were included. The parents of 588 (64%) VLBWI and 176 (46%) controls returned the Five to Fifteen questionnaire (FTF) on the development and behaviour of their 5-year-old children. The questionnaire scores were linked to data from the National Medical Birth Register, the Hospital Discharge Register, the Register of Congenital Malformations and the Cause of Death Register. VLBWI had lower developmental and behavioural scores compared to the controls in all FTF domains. In VLBWI, the scores were less optimal, the lower the gestational age was. The time of birth, birth hospital level and district were not associated with the developmental and behavioural scores in VLBWI. In conclusion, short duration of pregnancy adversely influences development and behaviour in VLBWI. Despite differences previously demonstrated in mortality related to time and place of birth, there were no differences in developmental and behavioural scores in VLBWI according to the time of birth, birth hospital level or district. Thus, the survival advantage in level III hospitals seems not to be gained at the expense of behavioural or developmental problems.

show abstract

Section: Discussionmentioning

confidence: 66%

Section: Introductionmentioning

confidence: 90%

Development and behaviour of 5-year-old very low birthweight infants

Rautava

Andersson

Gissler

et al. 2010

Eur Child Adolesc Psychiatry

Self Cite

View full text Add to dashboard Cite

show abstract

“…Recent research showed regional differences in the length of stay (LOS) in the initial hospitalization for very preterm infants in Finland, which could not be explained by birth-and infant-related factors such as gestational age, gender, and mode of delivery. 11 To our knowledge, there are no studies on how LOS and rehospitalizations are associated with later chronic morbidities in preterm infants. The objective of this study was to determine the relationship between prematurityrelated morbidity and the use of hospital resources during the first 3 years of life among very preterm infants.…”

mentioning

confidence: 97%

Morbidities and Hospital Resource Use During the First 3 Years of Life Among Very Preterm Infants

et al. 2009

Self Cite

View full text Add to dashboard Cite

show abstract

“…In our study unit, the length of hospital stay did not shorten. Compared to the national [24] and international (Vermont Oxford Network) comparison populations, the study unit had shorter than average length of stay already at the beginning of the study.…”

Section: Tablementioning

confidence: 97%