Mortality and neurodevelopmental outcomes in very low birth weight infants with esophageal atresia.


Journal

Pediatric surgery international
ISSN: 1437-9813
Titre abrégé: Pediatr Surg Int
Pays: Germany
ID NLM: 8609169

Informations de publication

Date de publication:
17 Nov 2023
Historique:
accepted: 22 10 2023
medline: 27 11 2023
pubmed: 17 11 2023
entrez: 17 11 2023
Statut: epublish

Résumé

Very low birth weight infants (VLBWIs) have been thought as risk of bad outcomes in the patients with esophageal atresia (EA). However, detailed outcomes of EA within VLBWIs were not fully understood. We aimed to reveal short- and long-term outcomes in VLBWIs with EA. Clinical data regarding VLBWIs with EA registered in Neonatal Research Network Japan, a multicenter research database in Japan, were collected. Patients with chromosomal abnormality were excluded. Short term outcome was survival discharge from NICU and long-term outcome was neurodevelopmental impairment (NDI) at 3 years. A total of 103 patients were analyzed. the overall survival discharge rate from NICU was 68.0% (70/103). The risk of death was increased as the birth weight got reduced. The presence of associated anomaly increased the risk of death. Three-year neurodevelopmental information was available in 32.9% (23/70) of patients. Of the 23 included patients for 3-year follow-up, 34.8% had NDI. The risk of NDI was increased as the birth weight reduced. In VLBWIs with EA, survival discharge from NICU was still not high. More immature patients and patients with an associated anomaly had worse outcomes. Among patients who survived, NDI was confirmed in a certain number of patients.

Identifiants

pubmed: 37975896
doi: 10.1007/s00383-023-05579-8
pii: 10.1007/s00383-023-05579-8
doi:

Types de publication

Multicenter Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

294

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Hiromu Miyake (H)

Department of Pediatric Surgery, Shizuoka Children's Hospital, 860 Urushiyama, Aoi-ku, Shizuoka, 4208660, Japan. herohero6tti@gmail.com.
Shizuoka Graduate University of Public Health, Shizuoka, Japan. herohero6tti@gmail.com.

Reiji Nakano (R)

Department of Neonatology, Shizuoka Children's Hospital, Shizuoka, Japan.

Seiichiro Yamamoto (S)

Shizuoka Graduate University of Public Health, Shizuoka, Japan.

Tetsuya Isayama (T)

Division of Neonatology, Center of Maternal-Fetal Neonatal and Reproductive Medicine, National Center for Child Health and Development, Tokyo, Japan.

Hatoko Sasaki (H)

Shizuoka Graduate University of Public Health, Shizuoka, Japan.

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