Improved survival and survival without bronchopulmonary dysplasia in very low birth weight infants after active perinatal care

Zhang, T; Chen, J; Wu, Haishan; Wang, Pan; Li, Y; Liu, M; Huang, Yuefang

doi:10.4103/njcp.njcp_533_19

Cited by 5 publications

(5 citation statements)

References 4 publications

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“…In current study using direct oxygen rather than CPAP is another predictor of mortality and increases the hazard of death almost by 2 times. This nding is supported by different literature conducted in Ugandan (40), and China (41). Justi cation for this nding could be due to the fact that CPAP is a simple and effective respiratory support modality used to support neonates with respiratory failure by providing constant pressure maintained throughout the respiratory cycle but with no additional inspiratory pressure support.…”

Section: Discussionsupporting

confidence: 61%

Incidence and predictors of mortality among neonates admitted with perinatal asphyxia at west Oromia region referral hospitals, Ethiopia, 2022

Tesfaye

Adugna

Getaneh

et al. 2023

Preprint

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Background Perinatal asphyxia is one of the preventable and treatable causes of neonatal mortality. However it is the fifth largest cause of under-five mortality. There are both long-term and short-term neurodevelopmental consequences of perinatal asphyxia, which can result in disability or even death. Even though management advancements, it remains one of the key public health issues in underdeveloped countries, including Ethiopia. Comorbidities are also understated therefore adequate information regarding the incidence of death and its predictors is required. Methods A four-year retrospective follow-up study was conducted from October 03 to November 02, 2022. From a total sample size, 616 data were collected by nurses reviewing charts using Kobo Toolbox software. Data was exported to STATA Version 14 for analysis. Cox proportional hazard assumption was checked and the model for the data was selected by Akaike Information Criteria. Finally, an adjusted hazard ratio with 95% CI was computed, and variables with a P-value < 0.05 in the multivariable analysis were taken as significant predictors of death. Result The overall incidence of mortality was 38.86/1000 days (95%CI: 33.85–44.60). The median time of follow-up was 15 days (95% CI: 14–20). The proportion of deaths was 202 (32.79%, 95% CI: 29.18–36.61) among neonates with perinatal asphyxia. While distance from health facility > 10 KM is (AHR: 2.25; 95%CI: 1.60–3.17), direct oxygen (AHR = 1.83; 95% CI: 1.35–2.48), APGAR score < 3 at fifth minute (AHR = 2.63; 95% CI: 1.03–6.73), prolonged ROM (AHR = 1.41; 95% CI: 1.02–1.94), and stage III HIE (AHR = 2.02; 95% CI: 1.18–3.47) were a predictors of mortality, among neonates with perinatal asphyxia. Conclusion The study found that, neonatal mortality among perinatal asphyxia remains high. Therefore, in order to reduce neonatal mortality among asphyxiated neonates, reducing prolonged ROM, APGAR score < 3 at fifth minute, using direct oxygen, stage III HIE, and a place of residences more than 10KM away from health facility.

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Section: Discussionsupporting

confidence: 61%

Incidence and predictors of mortality among neonates admitted with perinatal asphyxia at west Oromia region referral hospitals, Ethiopia, 2022

Tesfaye

Adugna

Getaneh

et al. 2023

Preprint

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“…21 Heny et al In a cohort study to assess the survival rate of low birth weight infants without major morbidity with a total sample of 49,333 had a 62.2% survival rate. 22 Survival was correlated with gestational age for infants according to gestational age. In 2010, the infant mortality rate was 24 times higher for infants with low birth weight (<2500 grams) and 100 times higher in infants with very low birth weight (<1500 grams) than for infants with birth weight 2500 grams or more.…”

Section: Methodsmentioning

confidence: 99%

“…Also, signifi cant rates of intraventricular bleeding (IVH) and periventricular leukomalacia (PVL), were associated with less than optimal neurodevelopmental outcomes, increase. 22 The survival function was obtained from the Kaplan Meier described the probability of survival of the individual being the object of the study. Figure 4.1 showed the Kaplan Meier curve to assess the survival rate of infants with low birth weight in the fi rst 1 week, the results were obtained where the survival rate was 81.0%.…”

Section: Methodsmentioning

confidence: 99%

The Impact of Premature Rupture of Membranes (PROM) and Low Birth Weight (LBW) Infant Outcomes to the Survival Rate

Hasanuddin¹,

Wijaya

Darusalam

2022

Indones J Obstet Gynecol

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Abstract Objective: To determine the impact of premature rupture of membranes and the outcome of low birth weight on the survival rate one week after birth in RSUDZA Banda Aceh. Method: This study used an observational analytic study with a prospective cohort study design. The research samples were 84 samples that met the inclusion and exclusion criteria. The data source used was primary data obtained by direct examination by weighing the newborn at birth and during visits. Results: There was an impact of premature rupture of membranes and the outcome of low birth weight on the survival rate of infants after one week. The results showed that the p-value <0.000. The lowest neonatal survival rate was in the group weighing less than 1000 grams, namely 0%. Weight group 1000 grams to 1500 grams with a survival rate of 55% and group weight 1500 grams to 2500 grams with a survival rate of 95%. Discussion: There was an impact of premature rupture of membranes and the outcome of low birth weight on the survival rate one week after birth in RSUDZA Banda Aceh. Keywords: low birth weight (LBW), preterm premature rupture of membranes, survival rate. Abstrak Tujuan : Untuk mengetahui dampak ketuban pecah dini dengan luaran berat badan lahir rendah terhadap survival rate satu minggu setelah dilahirkan di RSUDZA Banda Aceh. Metode: Penelitian ini menggunakan studi analitik observasional dengan desain penelitian kohort prospektif. Sampel penelitian sebanyak 84 sampel yang memenuhi kriteria inklusi dan eksklusi. Sumber data yang digunakan adalah data primer yang diperoleh dengan cara pemeriksaan langsung dengan penimbangan bayi saat baru lahir dan ketika kunjungan. Hasil: Ada dampak ketuban pecah dini dengan luaran berat badan lahir rendah terhadap survival rate bayi setelah satu minggu didapatkan hasil bahwa p-value <0,000. Survival rate neonatal terendah pada kelompok berat badan di bawah 1000 gram yakni 0%. Kelompok berat badan 1000 gram sampai di bawah 1.499 gram memiliki survival rate 55% dan kelompok berat badan 1.500 gram sampai 2.499 gram memiliki angka survival rate 95%. Diskusi: Ada dampak ketuban pecah dini dengan luaran berat badan lahir rendah terhadap survival rate satu minggu setelah bayi dilahirkan di RSUDZA Banda Aceh. Kata kunci: berat badan lahir rendah (BBLR), ketuban pecah dini, survival rate.

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“…A redução do limite biológico de viabilidade fetal e o aumento da sobrevida dos recém-nascidos (RN) com peso ao nascer progressivamente menor (ZHANG et al, 2020), devido aos avanços na terapia intensiva neonatal e na assistência perinatal, têm levantado preocupações quanto ao prognóstico dessas crianças. Esses bebês podem passar por longos períodos de hospitalização após o nascimento, ter seu desenvolvimento afetado e desenvolver doenças crônicas (CAVALLO et al, 2015), prejudicando seu desempenho e sua qualidade de vida (QV), e produzindo impactos na vida familiar.…”

Section: Introductionunclassified

Qualidade de vida relacionada à saúde em prematuros de muito baixo peso

Lins

Mello

Silva

et al. 2022

R. bras. Qual. Vida

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OBJETIVO: Avaliar a qualidade de vida relacionada à saúde de recém-nascidos com muito baixo peso ao nascer prematuros no primeiro ano pós-termo e o possível efeito de fatores perinatais.MÉTODOS: Estudo de coorte com cuidadores de 89 recém-nascidos prematuros de muito baixo peso aos 8 e aos 12 meses pós-termo. A evolução dos domínios foi comparada aos 8 e aos 12 meses entre aqueles com escore aos 12 meses menor ou igual à mediana (92,26) (Grupo I) e com a maior pontuação (Grupo II). O efeito das variáveis perinatais foi avaliado por regressão de Cox nesse período.RESULTADOS: A qualidade de vida relacionada à saúde foi classificada como boa, aumentando entre 8 e 12 meses pós-termo (escores 73,21 a 96,13). O Grupo I apresentou melhor estado de saúde e humor , pior comportamento, apetite e sono iguais. O Grupo II aumentou o estado de saúde e o humor, mantendo a qualidade do sono e o apetite e reduzindo o comportamento. Raça, vínculo na atenção ao parto, número de gestações e sexo da criança influenciaram na percepção da qualidade de vida.CONCLUSÕES: A qualidade de vida relacionada à saúde melhorou até 12 meses após o termo. Condições de saúde, qualidade do sono, apetite e humor, evoluíram positivamente, enquanto o comportamento piorou. Sexo, vínculo assistencial e raça interferiram na percepção da qualidade de vida.

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Improved survival and survival without bronchopulmonary dysplasia in very low birth weight infants after active perinatal care

Cited by 5 publications

References 4 publications

Incidence and predictors of mortality among neonates admitted with perinatal asphyxia at west Oromia region referral hospitals, Ethiopia, 2022

Incidence and predictors of mortality among neonates admitted with perinatal asphyxia at west Oromia region referral hospitals, Ethiopia, 2022

The Impact of Premature Rupture of Membranes (PROM) and Low Birth Weight (LBW) Infant Outcomes to the Survival Rate

Qualidade de vida relacionada à saúde em prematuros de muito baixo peso

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