Resuscitation, survival and morbidity of extremely preterm infants in California 2011-2019.
Journal
Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884
Informations de publication
Date de publication:
09 Sep 2023
09 Sep 2023
Historique:
received:
14
02
2023
accepted:
31
08
2023
revised:
21
08
2023
medline:
10
9
2023
pubmed:
10
9
2023
entrez:
9
9
2023
Statut:
aheadofprint
Résumé
To describe changes over time in resuscitation, survival, and morbidity of extremely preterm infants in California. This population-based, retrospective cohort study includes infants born ≤28 weeks. Linked birth certificates and hospital discharge records were used to evaluate active resuscitation, survival, and morbidity across two epochs (2011-2014, 2015-2019). Of liveborn infants, 0.6% were born ≤28 weeks. Active resuscitation increased from 16.9% of 22-week infants to 98.1% of 25-week infants and increased over time in 22-, 23-, and 25-week infants (p-value ≤ 0.01). Among resuscitated infants, survival to discharge increased from 33.2% at 22 weeks to 96.1% at 28 weeks. Survival without major morbidity improved over time for 28-week infants (p-value < 0.01). Among infants ≤28 weeks, resuscitation and survival increased with gestational age and morbidity decreased. Over time, active resuscitation of periviable infants and morbidity-free survival of 28-week infants increased. These trends may inform counseling around extremely preterm birth.
Identifiants
pubmed: 37689808
doi: 10.1038/s41372-023-01774-6
pii: 10.1038/s41372-023-01774-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023. The Author(s).
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