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Incidence of and risk factors for neonatal morbidity after active perinatal care : extremely preterm infants study in Sweden (EXPRESS)

Austeng, Dordi (author)
Uppsala universitet,Oftalmiatrik,Dept Ophthalmol, Uppsala Univ, Uppsala, Sweden,Uppsala University
Blennow, Mats (author)
Karolinska Institutet,Dept Pediat, Karolinska Univ Hosp Huddinge, Stockholm, Sweden,Karolinska University Hospital
Ewald, Uwe (author)
Uppsala universitet,Pediatrik,Barnendokrinologisk forskning/Gustafsson,Dept Pediat, Uppsala Univ, Uppsala, Sweden,Uppsala University
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Fellman, Vineta (author)
Lund University,Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Dept Pediat, Lund Univ, Lund, Sweden
Fritz, Thomas (author)
Dept Obstet & Gynecol, Sahlgrens Univ Hosp, Gothenburg, Sweden,Sahlgrens University Hospital
Hellström-Westas, Lena (author)
Uppsala universitet,Pediatrik,Barnneurologisk forskning/Ahlsten,Dept Pediat, Uppsala Univ, Uppsala, Sweden,Uppsala University
Hellström, Ann (author)
Dept Ophthalmol, Inst Neurosci & Physiol, Sahlgrenska Acad, Univ Gothenburg, Gothenburg, Sweden,University Gothenburg
Holmgren, Per Ake (author)
Dept Clin Sci Obstet & Gynecol, Umeå Univ Hosp, Umeå, Sweden,Umea University Hospital
Holmström, Gerd (author)
Uppsala universitet,Oftalmiatrik,Dept Ophthalmol, Uppsala Univ, Uppsala, Sweden,Uppsala University
Jakobsson, Peter (author)
Östergötlands Läns Landsting,Linköpings universitet,Oftalmiatrik,Hälsouniversitetet,Ögonkliniken US/LiM
Jeppsson, Annika (author)
Linköpings universitet,Obstetrik och gynekologi,Hälsouniversitetet
Johansson, Kent (author)
Dept Ophthalmol, Umeå Univ, Umeå, Sweden,Umeå University
Källén, Karin (author)
Lund University,Lunds universitet,Tornbladinstitutet,Forskargrupper vid Lunds universitet,Tornblad Institute,Lund University Research Groups,Ctr Reprod Epidemiol, Lund Univ, Lund, Sweden
Lagercrantz, Hugo (author)
Karolinska Institutet,Dept Pediat, Karolinska Inst, Astrid Lindgren Childrens Hosp, Stockholm, Sweden,Astrid Lindgren Childrens Hospital
Laurini, Ricardo (author)
Dept Pathol, Bodø Cent Hosp, Bodø, Norway,Bodo Central Hospital
Lindberg, Eva (author)
Department of Pediatrics, Örebro University, Örebro, Sweden
Lundqvist, Anita (author)
Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Dept Hlth Sci, Lund Univ, Lund, Sweden
Marsal, Karel (author)
Lund University,Lunds universitet,Obstetrik och gynekologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Obstetrics and Gynaecology (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Dept Obstet & Gynecol, Lund Univ, Lund, Sweden
Nilstun, Tore (author)
Lund University,Lunds universitet,Medicinsk etik,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Medical Ethics,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Dept Med Eth, Lund Univ, Lund, Sweden
Nordén Lindeberg, Solveig (author)
Uppsala universitet,Obstetrik & gynekologi,Obstetrisk forskning/Axelsson,Dept Obstet & Gynecol, Uppsala Univ, Uppsala, Sweden,Uppsala University
Norman, Mikael (author)
Karolinska Institutet,Dept Clin Sci Intervent & Technol, Karolinska Inst, Stockholm, Sweden; Dept Pediat, Karolinska Univ Hosp, Stockholm, Sweden,Karolinska Institute
Olhager, Elisabeth (author)
Östergötlands Läns Landsting,Linköpings universitet,Pediatrik,Hälsouniversitetet,Barn- och ungdomskliniken i Linköping
Östlund, Ingrid (author)
Örebro universitet,Hälsoakademin,University of Örebro
Serenius, Fredrik (author)
Umeå universitet,Pediatrik,Dept Pediat, Umeå Univ Hosp, Umeå, Sweden,Umeå University Hospital
Simic, Marija (author)
Karolinska Institutet,Dept Obstet & Gynecol, Karolinska Univ Hosp Solna, Stockholm, Sweden,Karolinska University Hospital
Sjörs, Gunnar (author)
Uppsala universitet,Pediatrik,Perinatal, neonatal och barnkardiologisk forskning/Jonzon,Dept Pediat, Uppsala Univ, Uppsala, Sweden,Uppsala University
Stigson, Lennart (author)
Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics,Dept Pediat, Sahlgrens Univ Hosp, Gothenburg, Sweden,Sahlgrens University Hospital
Stjernqvist, Karin (author)
Lund University,Lunds universitet,Institutionen för psykologi,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,Department of Psychology,Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences,Dept Psychol, Lund Univ, Lund, Sweden
Strömberg, Bo (author)
Uppsala universitet,Pediatrik,Barnneurologisk forskning/Ahlsten,Dept Pediat, Uppsala Univ, Uppsala, Sweden,Uppsala University
Tornqvist, Kristina (author)
Lund University,Lunds universitet,Oftalmologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Ophthalmology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Dept Ophthalmol, Lund Univ, Lund, Sweden
Wennergren, Margareta, 1948 (author)
Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för obstetrik och gynekologi,Institute of Clinical Sciences, Department of Obstetrics and Gynecology,Dept Obstet & Gynecol, Sahlgrens Univ Hosp, Gothenburg, Sweden,Sahlgrens University Hospital
Wallin, Agneta (author)
St Erik Eye Hosp, Karolinska Univ, Stockholm, Sweden,Karolinska University
Westgren, Magnus (author)
Karolinska Institutet,Dept Obstet & Gynecol, Karolinska Univ Hosp Huddinge, Stockholm, Sweden,Karolinska University Hospital
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 (creator_code:org_t)
2010-02-19
2010
English.
In: Acta Paediatrica. - : Wiley. - 0803-5253 .- 1651-2227. ; 99:7, s. 978-992
Related links:
http://dx.doi.org/10...
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Aims: The aim of this study was to determine the incidence of neonatal morbidity in extremely preterm infants and to identify associated risk factors. Methods: Population based study of infants born before 27 gestational weeks and admitted for neonatal intensive care in Sweden during 2004-2007. Results: Of 638 admitted infants, 141 died. Among these, life support was withdrawn in 55 infants because of anticipation of poor long-term outcome. Of 497 surviving infants, 10% developed severe intraventricular haemorrhage (IVH), 5.7% cystic periventricular leucomalacia (cPVL), 41% septicaemia and 5.8% necrotizing enterocolitis (NEC); 61% had patent ductus arteriosus (PDA) and 34% developed retinopathy of prematurity (ROP) stage >= 3. Eighty-five per cent needed mechanical ventilation and 25% developed severe bronchopulmonary dysplasia (BPD). Forty-seven per cent survived to one year of age without any severe IVH, cPVL, severe ROP, severe BPD or NEC. Tocolysis increased and prolonged mechanical ventilation decreased the chances of survival without these morbidities. Maternal smoking and higher gestational duration were associated with lower risk of severe ROP, whereas PDA and poor growth increased this risk. Conclusion: Half of the infants surviving extremely preterm birth suffered from severe neonatal morbidities. Studies on how to reduce these morbidities and on the long-term health of survivors are warranted.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Pediatrik (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Pediatrics (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)

Keyword

Bronchopulmonary dysplasia
Intraventricular haemorrhage
Necrotizing enterocolitis
Patent ductus arteriosus
Retinopathy of prematurity
MEDICINE
MEDICIN
Patent ductus arteriosus
enterocolitis
Necrotizing
Bronchopulmonary dysplasia
Intraventricular haemorrhage
Retinopathy of prematurity
Female
Gestational Age
Hospital Mortality
Humans
Incidence
Infant Mortality
Infant
Newborn
Premature
Diseases
epidemiology
mortality
Intensive Care
Neonatal
Male
Morbidity
Outcome Assessment (Health Care)
Perinatal Care
Risk Factors
Sweden
Medicine

Publication and Content Type

ref (subject category)
art (subject category)

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