Neurodevelopmental Outcome in Extremely Preterm Infants at 2.5 Years After Active Perinatal Care in Sweden

Review of 103 Swedish Healthcare Quality Registries

“…Almost all QRs have started to validate their data, sometimes publishing at the same time results on validation and the structure of the QR . Data from the Swedish national childhood obesity treatment register (#6) showed that Swedish obese children have significantly lower fasting glucose levels than obese children in Germany .…”

Determinants of developmental outcomes in a very preterm Canadian cohort

“…Our sNDI and NDI rates of 16.5% and 46%, respectively, are consistent with most other networks and national studies. In the Swedish EXPRESS cohort23 born at <27 weeks GA, the severe or moderate impairment rate was 20% and the mild, moderate or severe impairment rate was 44.5%. The French EPIPAGE group reported that children aged 5 years who were born at 24–28 weeks gestation had a moderate or severe disability rate of 22% and any disability rate of 48% 24.…”

Socioeconomic inequity in survival for deliveries at 22–24 weeks of gestation

“…However, in our study, moderate proportions of infants at 22, 23 and 24 weeks’ gestational age lived if they survived the initial 1 hour after birth, which was likely due to active resuscitation (survival rates of 45%, 67% and 80%, respectively) (table 1). Reports from Japan,18 Sweden19 and Germany20 showed that survival rates without major complications or disabilities can be as high as 9%–12%, even for infants born at 22 weeks if provided with active resuscitation, and has given rise to intensive debate on how care should be provided to periviable deliveries at these extremely low gestational ages 11 21…”