Outcomes of children of extremely low birthweight and gestational age in the 1990s

Hack, Maureen; Fanaroff, Avroy A.

doi:10.1053/siny.1999.0001

Cited by 385 publications

(297 citation statements)

References 120 publications

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“…This frequency of neonatal morbidities is comparable to that found in national statistics. [2][3][4]8 This cohort was 46% Caucasian (white), 21% Asian, 21% Hispanic, 11% African American (Black) and 1% Native American.…”

Section: Resultsmentioning

confidence: 99%

“…These conditions increase the risk for mild-to-severe adverse outcomes after neonatal intensive care unit (NICU) discharge including rehospitalization for respiratory infections or reactive airway disease, poor growth, neurosensory problems, cerebral palsy and behavioral disorders. [6][7][8][9][10][11] An infant's transition from the NICU to the home is poorly understood, and yet it quite likely represents a critical step in infant growth and development.…”

Section: Introductionmentioning

confidence: 99%

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Pediatric care for preterm infants after NICU discharge: high number of office visits and prescription medications

et al. 2008

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Objective: To determine the frequency and risk factors for clinic and pharmacy use in preterm infants during the first year after neonatal intensive care unit (NICU) discharge.Study Design: We analyzed clinic visits and prescriptions in a cohort of 23 to 32 weeks infants. We constructed multivariable regression models to determine risk factors for high use.Result: The 892 preterm infants experienced 18 346 pediatric visits (mean 20 visits per infant per year) and filled 2100 prescriptions (mean 5.5 prescriptions per year among infants taking medications). Most visits were non-well child care visits to pediatric primary care providers. Prematurity and bronchopulmonary dysplasia (BPD) are important risk factors: infants at 23 to 26 weeks gestation or infants with BPD had an average 29 visits per year and 9 prescriptions per year among infants taking medication. However, half of the highest using infants were relatively healthy infants at 27 to 32 weeks gestation who escaped BPD, NEC or grade 3 to 4 intraventricular hemorrhage.Conclusion: Premature infants had frequent pediatric visits and prescription medications. Extreme prematurity and neonatal morbidities are important risk factors; however, half of the highest using infants are moderately preterm without neonatal morbidities.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pediatric care for preterm infants after NICU discharge: high number of office visits and prescription medications

et al. 2008

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“…Hack & Fanaroff 42 (2000), em revisão da literatura sobre o tema, relatam que a sobrevivência de crianças com 23 semanas de gestação varia entre 2% e 35%; com 24 semanas, entre 17% e 62% e entre 35% e 72% para crianças com 25 semanas, variações que dependem de critérios regionais para iniciar ou interromper o tratamento e também das diferenças na própria assistência. Lorenz 64 (2000) afirma que a maioria das crianças com idade gestacional acima de 25 semanas de gestação sobrevivem atualmente, mas que a sobrevivência de crianças com 23-24 semanas ou até mesmo menor que 23 semanas (ou peso ao nascer menor que 500 g) não é fato raro, e considera que "o limite de viabilidade é um conceito vago e tanto clinica quanto eticamente simplista".…”

Section: Viabilidade Versus Evitabilidade Da Morte Peri-neonatalunclassified

Mortalidade perinatal e evitabilidade: revisão da literatura

2002

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Neste artigo, realizou-se uma revisão da literatura sobre mortalidade perinatal com maior enfoque na evitabilidade desses óbitos. Foram pesquisadas, sobretudo, publicações da década de 90 nas bases Medline e Lilacs (América Latina e Caribe). Discutiram-se as dificuldades para a realização de estudos nesta área, ainda em número restrito no Brasil, em decorrência do grande subregistro de óbitos fetais e da má qualidade da informação nas declarações de óbitos. Foram apresentadas as principais propostas de classificação dos óbitos perinatais baseadas em enfoque de evitabilidade, com destaque para a classificação de Wigglesworth. Nesta abordagem, os óbitos perinatais foram relacionados a momentos específicos da assistência, sendo evidenciadas as possibilidades de sua prevenção. Recomenda-se o enfoque de evitabilidade para a abordagem da mortalidade perinatal no Brasil, dado que as taxas são ainda elevadas, a maioria dos óbitos é considerada evitável e poderia ser prevenida com a melhoria da assistência pré-natal, ao parto e ao recém-nascido, não apenas quanto à sua resolubilidade clínica, mas também à organização da assistência em sistemas hierarquizados e regionalizados, assegurando o acesso da gestante e do recém-nascido em tempo oportuno a serviços de qualidade.

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“…Although assisted ventilation and the introduction of surfactant therapy improved pediatric outcome in the 1990s, a baby born at 24 weeks' gestation still has only about a 50% chance of survival, and approximately more than one quarter of the survivors will have severe neurodevelopmental handicap 2,3 . The rates of perinatal death and severe handicap decline to 8% and 10% for babies born at 30 weeks and further reduce to 0.4% and 5% for those born at 34 weeks, respectively 4 .…”

Section: Introductionmentioning

confidence: 99%

Transvaginal cervical length measurement for prediction of preterm birth in women with threatened preterm labor: a meta‐analysis

Sotiriadis

Papatheodorou

Kavvadias

et al. 2009

Ultrasound in Obstet & Gyne

166

111

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Objectives To integrate data on the performance of cervical length measurement for the prediction of preterm birth in symptomatic women. CI, 90.5% (95% CI, 5.71 (95% CI,, respectively. The same estimates for studies with presentation at or before 34 + 0 weeks were 71.0% (95% CI, 89.8% (95% CI, 5.19 (95% CI,, respectively. For prediction of birth before 34 weeks, the pooled sensitivity, specificity, LR+ and LR− of cervical length < 15 mm were 46.2% (95% CI, 93.7% (95% CI, 4.31 (95% CI, Methods

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Outcomes of children of extremely low birthweight and gestational age in the 1990s

Cited by 385 publications

References 120 publications

Pediatric care for preterm infants after NICU discharge: high number of office visits and prescription medications

Pediatric care for preterm infants after NICU discharge: high number of office visits and prescription medications

Mortalidade perinatal e evitabilidade: revisão da literatura

Transvaginal cervical length measurement for prediction of preterm birth in women with threatened preterm labor: a meta‐analysis

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