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Country-Specific vs. Common Birthweight-for-Gestational Age References to Identify Small for Gestational Age Infants Born at 24-28 weeks : An International Study

Martin, Lisa J. (författare)
Canadian Neonatal Network, Mt Sinai Hosp, Maternal Infant Care Res Ctr, Toronto, ON, Canada.
Sjörs, Gunnar (författare)
Uppsala universitet,Pediatrik,Swedish Neonatal Qual Register, Uppsala, Sweden.
Reichman, Brian (författare)
Israel Neonatal Network, Sheba Med Ctr, Gertner Inst Epidemiol & Hlth Policy Res, Tel Hashomer, Israel.
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Darlow, Brian A. (författare)
Univ Otago, Dept Paediat, Australia & New Zealand Neonatal Network, Christchurch, New Zealand.
Morisaki, Naho (författare)
Neonatal Res Network Japan, Dept Social Med, Natl Ctr Child Hlth & Dev, Setagaya Ku, Tokyo, Japan.
Modi, Neena (författare)
Imperial Coll London, Neonatal Data Anal Unit, Sect Neonatal Med, UK Neonatal Collaborat,Dept Med, London, England.
Bassler, Dirk (författare)
Univ Zurich, Univ Zurich Hosp, Dept Neonatol, Swiss Neonatal Network, Zurich, Switzerland.
Mirea, Lucia (författare)
Canadian Neonatal Network, Mt Sinai Hosp, Maternal Infant Care Res Ctr, Toronto, ON, Canada.
Adams, Mark (författare)
Univ Zurich, Univ Zurich Hosp, Dept Neonatol, Swiss Neonatal Network, Zurich, Switzerland.
Kusuda, Satoshi (författare)
Tokyo Womens Med Univ, Neonatal Res Network Japan, Maternal & Perinatal Ctr, Shinjuku Ku, Tokyo, Japan.
Lui, Kei (författare)
Univ New South Wales, Australian & New Zealand Neonatal Network, Royal Hosp Women, Natl Perinatal Epidemiol & Stat Unit, Randwick, NSW, Australia.
San Feliciano, Laura (författare)
Hosp Univ Salamanca, Spanish Neonatal Network, Valencia, Spain.
Håkansson, Stellan (författare)
Umea Univ Hosp, Swedish Neonatal Qual Register, Dept Pediat, Neonatal Serv, Umea, Sweden.,Swedish Neonatal Quality Register, Department of Pediatrics/Neonatal Services, Umeå University Hospital, Umeå, Sweden
Isayama, Tetsuya (författare)
Canadian Neonatal Network, Mt Sinai Hosp, Maternal Infant Care Res Ctr, Toronto, ON, Canada.
Mori, Rintaro (författare)
Natl Ctr Child Hlth & Dev, Neonatal Res Network Japan, Dept Hlth Policy, Setagaya Ku, Tokyo, Japan.
Vento, Max (författare)
Hlth Res Inst La Fe, Spanish Neonatal Network, Valencia, Spain.
Lee, Shoo K. (författare)
Canadian Neonatal Network, Mt Sinai Hosp, Maternal Infant Care Res Ctr, Toronto, ON, Canada.
Shah, Prakesh S. (författare)
Canadian Neonatal Network, Mt Sinai Hosp, Maternal Infant Care Res Ctr, Toronto, ON, Canada.
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Canadian Neonatal Network, Mt Sinai Hosp, Maternal Infant Care Res Ctr, Toronto, ON, Canada Pediatrik (creator_code:org_t)
2016-05-16
2016
Engelska.
Ingår i: Paediatric and Perinatal Epidemiology. - : Wiley. - 0269-5022 .- 1365-3016. ; 30:5, s. 450-461
Relaterad länk:
http://www.zora.uzh....
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https://urn.kb.se/re...
https://doi.org/10.1...
https://urn.kb.se/re...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Background: Controversy exists as to whether birthweight-for-gestational age references used to classify infants as small for gestational age (SGA) should be country specific or based on an international (common) standard. We examined whether different birthweight-for-gestational age references affected the association of SGA with adverse outcomes among very preterm neonates.Methods: Singleton infants (n = 23 788) of 24(0)-28(6) weeks' gestational age in nine high-resource countries were classified as SGA (<10th centile) using common and country-specific references based on birthweight and estimated fetal weight (EFW). For each reference, the adjusted relative risk (aRR) for the association of SGA with composite outcome of mortality or major morbidity was estimated.Results: The percentage of infants classified as SGA differed slightly for common compared with country specific for birthweight references [9.9% (95% CI 9.5, 10.2) vs. 11.1% (95% CI 10.7, 11.5)] and for EFW references [28.6% (95% CI 28.0, 29.2) vs. 24.6% (95% CI 24.1, 25.2)]. The association of SGA with the composite outcome was similar when using common or country-specific references for the total sample for birthweight [aRRs 1.47 (95% CI 1.43, 1.51) and 1.48 (95% CI 1.44, 1.53) respectively] and for EFW references [aRRs 1.35 (95% CI 1.31, 1.38) and 1.39 (95% CI 1.35, 1.43) respectively].Conclusion: Small for gestational age is associated with higher mortality and morbidity in infants born <29 weeks' gestational age. Although common and country-specific birthweight/EFW references identified slightly different proportions of SGA infants, the risk of the composite outcome was comparable.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Pediatrik (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Pediatrics (hsv//eng)

Nyckelord

Infant
Small for Gestational Age
Infant
Extremely Premature
Neonatal outcomes

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