Trends in Outcomes for Neonates Born Very Preterm and Very Low Birth Weight in 11 High-Income Countries

Show full item record



Permalink

http://hdl.handle.net/10138/309070

Citation

Int Network Evaluation Outcomes iN , Lui , K , Lee , S K , Kusuda , S & Andersson , S 2019 , ' Trends in Outcomes for Neonates Born Very Preterm and Very Low Birth Weight in 11 High-Income Countries ' , The Journal of Pediatrics , vol. 215 , pp. 32-+ . https://doi.org/10.1016/j.jpeds.2019.08.020

Title: Trends in Outcomes for Neonates Born Very Preterm and Very Low Birth Weight in 11 High-Income Countries
Author: Int Network Evaluation Outcomes iN; Lui, Kei; Lee, Shoo K.; Kusuda, Satoshi; Andersson, Sture
Contributor: University of Helsinki, Children's Hospital
Date: 2019-12
Language: eng
Number of pages: 23
Belongs to series: The Journal of Pediatrics
ISSN: 0022-3476
URI: http://hdl.handle.net/10138/309070
Abstract: Objective To evaluate outcome trends of neonates born very preterm in 11 high-income countries participating in the International Network for Evaluating Outcomes of neonates. Study design In a retrospective cohort study, we included 154 233 neonates admitted to 529 neonatal units between January 1, 2007, and December 31, 2015, at 24(0/7) to 31(6/7) weeks of gestational age and birth weight Results For composite outcome including BPD, the trend decreased in Canada and Israel but increased in Australia and New Zealand, Japan, Spain, Sweden, and the United Kingdom. For composite outcome excluding BPD, the trend decreased in all countries except Spain, Sweden, Tuscany, and the United Kingdom. The risk of composite outcome was lower in epoch 2 than epoch 1 in Canada (adjusted relative risks 0.78; 95% CI 0.74-0.82) only. The risk of composite outcome excluding BPD was significantly lower in epoch 2 compared with epoch 1 in Australia and New Zealand, Canada, Finland, Japan, and Switzerland. Mortality rates reduced in most countries in epoch 2. BPD rates increased significantly in all countries except Canada, Israel, Finland, and Tuscany. Conclusions In most countries, mortality decreased whereas BPD increased for neonates born very preterm.
Subject: EXTREMELY PREMATURE-INFANTS
INTENSIVE-CARE UNITS
PERINATAL-CARE
NEW-ZEALAND
BRONCHOPULMONARY DYSPLASIA
MORTALITY
RETINOPATHY
MORBIDITY
VENTILATION
MANAGEMENT
3123 Gynaecology and paediatrics
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
1_s2.0_S0022347619310558_main.pdf 2.045Mb PDF View/Open

This item appears in the following Collection(s)

Show full item record