Outcomes of very‐low‐birthweight infants after discharge with a discharge weight of 1500 grams

Ahmadpour-Kacho, Mousa; Pasha, Yadollah Zahed; Aliabadi, Behdis Motevalli

doi:10.1111/j.1442-200x.2011.03517.x

Cited by 5 publications

(5 citation statements)

References 12 publications

(13 reference statements)

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“…Our mortality rate was relatively high compared to that seen in the developed countries and countries that use a higher discharge weight criteria [ 13 , 15 , 16 ]. Studies from settings that discharged infants at much higher body weight had far lower mortality rate since those infants would be more mature with better survival mechanisms including stable body temperature while in a cot, capable to feed orally and low risk for apnoea.…”

Section: Discussionmentioning

confidence: 84%

“…Sepsis still contributes significantly to neonatal deaths in the developing countries [ 4 ]. Whereas most studies that looked at survival of VLBW babies after discharge did not elaborate of causes of death, some suggested illness in the infants needing to attend hospital prior to death [ 13 , 14 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…Many resource limited countries lack KMC facilities; in Uganda only 1/10 of health facilities do have facilities for KMC [ 12 ] and hence VLBW babies tend to be discharged at much smaller weights. Varying rates of survival of VLBW babies discharged early to continue home KMC have been described [ 13 – 16 ]; the outcome of such babies discharged from Mulago SCBU is not known.…”

Section: Introductionmentioning

confidence: 99%

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Mortality among very low birth weight infants after hospital discharge in a low resource setting

et al. 2018

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BackgroundEarly discharge of very low birth weight infant (VLBW) in low resource settings is inevitable but to minimize mortality of these infants after discharge we need to identify the death attributes.MethodA prospective cohort was conducted among 190 VLBW infants discharged from Mulago Special Care Baby Unit (SCBU) with discharge weight of < 1500 g over an 8 months period. These infants were followed up with the aims of determining the proportion dead 3 months after discharge, identifying factors associated and possible causes of death.Relevant data were captured, transferred in to STATA and imported to SPSS 12.0.1 for analysis. To determine factors associated with mortality bi-variable and multivariable regressions were conducted. A p-value of < 0.05 was considered significant and 95% confidence interval was used.ResultsOf the enrolled infants 164 (86.3%) completed follow up. The median gestational age of study participants was 32 weeks (range 26-35 weeks), the mean discharge weight was 1119 g (range 760-1470 g), and 59.8% were small for gestational age (SGA). During follow up 32 (19.5%) infants died. Infants discharged with weight of < 1200 g accounted for 81.2% of the deaths. Majority of the deaths (68.7%) occurred in the first month after discharge. Factors independently associated with mortality were discharge weight < 1000 g (OR 3.10, p 0.015) and not being SGA (OR 3.54, p 0.019). The main causes of death were presumed sepsis 50.0% and suspected cot death (25.0%).ConclusionMortality after hospital discharge among VLBW infants is high. Discharge at weight < 1200 g may not be a safe practice. Measures to prevent sepsis and suspected cot death should be addressed prior to considering early discharge of these infants.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mortality among very low birth weight infants after hospital discharge in a low resource setting

et al. 2018

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“…The reason for low incidence of bronchopulmonary dysplasia patients in our NICU graduates may be explained either by the higher gestational age of the NICU population, ethnicity or geographical parameters. 22 Instead, we tested for FiO2 and PaO2. PaO2 ≥ 70 played an important role but a FiO2 ≥ 60% did not get a significant correlation with ROP.…”

Section: Discussionmentioning

confidence: 99%

Correlation between hyperglycemia and retinopathy of prematurity

Ahmadpour-Kacho

Motlagh

Rasoulinejad

et al. 2014

Pediatrics International

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“…Normal physiological spastic muscle stays still till 4 months of age (Hellbriegge, 2001), but sometimes, because of prematurity, very low birth weight, mother's medical condition during pregnancy, infections, malnutrition, environmental factors, genetic disorders, muscle spasticity can persist for a longer period of time (Tecklin, 2008;Ahmadpour-Kacho, 2011).…”

mentioning

confidence: 99%

Efficacy of Early Physical Therapy for Different Birth Weight Infants and Assessment of Their Motor Skill Development

Senkutė¹,

Sendžikaitė²,

Vainoras³

2018

BJSHS

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Research background and hypothesis. The survey was conducted to determine impact of physical therapy on different birth weight babies with specific motor development function delay and muscle spasticity. Our research hypothesis was that physical therapy would affect baby motor development regardless of their birth weight.Research aim. The aim of this study was to assess motor development of the infants with different birth weight before and after early physical therapy. Research method. Forty nine infants were assessed with Munich Functional Development Diagnostic Assessment during their first year of life. This scale helps to assess the basic motor functions: crawling, sitting, walking, grasping, language speech, perception and social development in the first months of infant life. Also, this method helps to identify potential problems and to give the infant the required support. The results were compared with the standard.Research results. The results indicated that the motor function (crawling, sitting, walking and grasping) of infants with very low and normal birth weight statistically significantly differed before physical therapy. Walking motor development differences for infants with very low and low birth weight were statistically significant (p < 0.05). The results showed that after physical therapy there was no significant difference in the motor development of infants with very low and normal weight in crawling and sitting (p > 0.05). After physical therapy we noticed that there was no significant difference between walking and grasping development in babies with very low, low and normal weight (p > 0.05).Discussion and conclusions. Summarizing the results we suggest that specific motor development function delay and muscle spasticity in babies with different birth weight before physical therapy was significantly different in such motor functions as crawling, sitting, walking and grasping dependently on birth weight. After physical therapy, we also observed 80% of motor development improvement for very low birth weight, 45% development improvement for low birth weight, and 60% development improvement for normal weight infants.

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Outcomes of very‐low‐birthweight infants after discharge with a discharge weight of 1500 grams

Abstract: In order to decrease the need for emergency visits, we suggest a program of early hospital discharge with home nursing visits and neonatologist support.

Cited by 5 publications

References 12 publications

Mortality among very low birth weight infants after hospital discharge in a low resource setting

Mortality among very low birth weight infants after hospital discharge in a low resource setting

Correlation between hyperglycemia and retinopathy of prematurity

Efficacy of Early Physical Therapy for Different Birth Weight Infants and Assessment of Their Motor Skill Development

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