Low mortality and short-term morbidity in very preterm infants in Austria 2011-2016.

Austria / epidemiology Female Gestational Age Humans Infant Infant Mortality Infant, Extremely Premature Infant, Newborn Infant, Premature, Diseases / epidemiology Male
Preterm infants Short-term outcome Survival

Journal

Acta paediatrica (Oslo, Norway : 1992)
ISSN: 1651-2227
Titre abrégé: Acta Paediatr
Pays: Norway
ID NLM: 9205968

Informations de publication

Date de publication:
08 2019
Historique:
received: 09 11 2018
revised: 24 01 2019
accepted: 26 02 2019
pubmed: 1 3 2019
medline: 2 9 2020
entrez: 1 3 2019
Statut: ppublish

Résumé

The current study determined survival, short-term neonatal morbidity and predictors for death or adverse outcome of very preterm infants in Austria. This population-based cohort study included 5197 very preterm infants (53.3% boys) born between 2011 and 2016 recruited from the Austrian Preterm Outcome Registry. Main outcome measures were gestational age-related mortality and major short-term morbidities. Overall, survival rate of all live-born infants included was 91.6% and ranged from 47.1% and 73.4% among those born at 23 and 24 weeks of gestation to 84.9% and 88.2% among infants born at 25 and 26 weeks to more than 90.0% among those with a gestational age of 27 weeks or more. The overall prevalence of chronic lung disease, necrotising enterocolitis requiring surgery, intraventricular haemorrhage Grades 3-4, and retinopathy of prematurity Grades 3-5 was 10.0%, 2.1%, 5.5%, and 3.6%, respectively. Low gestational age, low birth weight, missing or incomplete course of antenatal steroids, male sex, and multiple births were significant risk predictors for death or adverse short-term outcome. In this national cohort study, overall survival rates were high and short-term morbidity rate was low.

Identifiants

DOI: 10.1111/apa.14767 PMID: 30817025 PMC: PMC6767187
pubmed: 30817025
doi: 10.1111/apa.14767
pmc: PMC6767187
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1419-1426

Subventions

Organisme : Main Association of the Austrian Social Insurance Carriers
Pays : International

Investigateurs

Herbert Kurz (H)
Günther Bernert (G)
Thomas Frischer (T)
Milen Minkov (M)
Karl Zwiauer (K)
Hans Salzer (H)
Jutta Falger (J)
Zdenek Jaros (Z)
Hans Peter Wagentristl (H)
Robert Bruckne (R)
Robert Birnbacher (R)
Wilhelm Kaulfersch (W)
Gabriele Wiesinger-Eidenberger (G)
Josef Riedler (J)

Commentaires et corrections

Type : CommentIn

Informations de copyright

©2019 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.

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Auteurs

U Kiechl-Kohlendorfer (U)

Department of Paediatrics II (Neonatology), Medical University of Innsbruck, Innsbruck, Austria.
ORCID: 0000-0003-0433-6196

B Simma (B)

Department of Paediatrics, Academic Teaching Hospital, Landeskrankenhaus Feldkirch, Feldkirch, Austria.

B Urlesberger (B)

Department of Paediatrics, Division of Neonatology, Medical University of Graz, Graz, Austria.

U Maurer-Fellbaum (U)

Department of Paediatrics, Division of Neonatology, Medical University of Graz, Graz, Austria.

M Wald (M)

Division of Neonatology, Paracelsus Medical University Salzburg, Salzburg, Austria.

M Wald (M)

Department of Paediatrics, Klinikum Wels-Grieskirchen, Wels, Austria.

M Weissensteiner (M)

Department of Paediatrics, Kepler University Hospital, Linz, Austria.

D Ehringer-Schetitska (D)

Department of Paediatrics, Landesklinikum Wiener Neustadt, Wiener Neustadt, Austria.

A Berger (A)

Department of Paediatrics and Adolescent Medicine, Division of Neonatology, Paediatric Intensive Care and Neuropaediatrics, Medical University of Vienna, Vienna, Austria.

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Classifications MeSH

questionsmedicales.fr › Régions géographiques › Europe › Autriche › Low mortality and short-term morbidity in very...
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Âge gestationnel › Low mortality and short-term morbidity in very...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Low mortality and short-term morbidity in very...
questionsmedicales.fr › Personnes › Tranches d'âge › Nourrisson › Low mortality and short-term morbidity in very...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Registre civil › Mortalité › Mortalité infantile › Low mortality and short-term morbidity in very...
questionsmedicales.fr › Personnes › Tranches d'âge › Nourrisson › Nouveau-né › Prématuré › Très grand prématuré › Low mortality and short-term morbidity in very...
questionsmedicales.fr › Personnes › Tranches d'âge › Nourrisson › Nouveau-né › Low mortality and short-term morbidity in very...
questionsmedicales.fr › Malformations et maladies congénitales, héréditaires et néonatales › Maladies néonatales › Maladies du prématuré › Low mortality and short-term morbidity in very...