SwePub
Sök i LIBRIS databas

  Extended search

WFRF:(Källén Karin)
 

Search: WFRF:(Källén Karin) > Factors associated ...

Factors associated with the increased incidence of necrotising enterocolitis in extremely preterm infants in Sweden between two population-based national cohorts (2004-2007 vs 2014-2016)

Challis, Pontus (author)
Umeå University,Umeå universitet,Pediatrik,Umeå Univ, Dept Clin Sci, Pediat, Umeå, Sweden.;Umeå Univ Klin Vetenskap, Pediat, S-90185 Umeå, Sweden.
Källén, Karin (author)
Lund University,Lunds universitet,Miljöepidemiologi,Forskargrupper vid Lunds universitet,Tornbladinstitutet,Environmental Epidemiology,Lund University Research Groups,Tornblad Institute,Lund Univ, Fac Med, Dept Clin Sci Obstet & Gynecol, Lund, Sweden.
Björklund, Lars (author)
Lund University,Lunds universitet,Neonatologi,Forskargrupper vid Lunds universitet,Neonatology,Lund University Research Groups,Lund Univ, Dept Clin Sci, Paediat, Lund, Sweden.
show more...
Elfvin, Anders, 1971 (author)
Gothenburg University,Göteborgs universitet,University of Gothenburg,Univ Gothenburg, Inst Clin Sci, Sahlgrenska Acad, Dept Pediat, Gothenburg, Sweden.;Sahlgrens Univ Hosp, Dept Pediat, Gothenburg, Sweden.,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics
Farooqi, Aijaz (author)
Umeå University,Umeå universitet,Pediatrik,Umeå Univ, Dept Clin Sci, Pediat, Umeå, Sweden.
Håkansson, Stellan (author)
Umeå University,Umeå universitet,Pediatrik,Umeå Univ, Dept Clin Sci, Pediat, Umeå, Sweden.
Ley, David (author)
Lund University,Lunds universitet,Neonatologi,Forskargrupper vid Lunds universitet,LTH profilområde: Avancerade ljuskällor,LTH profilområden,Lunds Tekniska Högskola,LU profilområde: Ljus och material,Lunds universitets profilområden,Neonatology,Lund University Research Groups,LTH Profile Area: Photon Science and Technology,LTH Profile areas,Faculty of Engineering, LTH,LU Profile Area: Light and Materials,Lund University Profile areas,Lund Univ, Dept Clin Sci, Paediat, Lund, Sweden.
Norman, Mikael (author)
Karolinska Institute,Karolinska Institutet,Karolinska Inst, Dept Clin Sci Intervent & Technol, Div Pediat, Stockholm, Sweden.;Karolinska Univ Hosp, Dept Neonatal Med, Stockholm, Sweden.
Normann, Erik (author)
Uppsala University,Uppsala universitet,Perinatal, neonatal och barnkardiologisk forskning,Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden
Serenius, Fredrik, 1939- (author)
Umeå University,Umeå universitet,Uppsala universitet,Perinatal, neonatal och barnkardiologisk forskning,Umeå Univ, Dept Clin Sci, Pediat, Umeå, Sweden.,Pediatrik,Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden,Umea Univ, Sweden; Uppsala Univ, Sweden
Sävman, Karin, 1960 (author)
Gothenburg University,Göteborgs universitet,University of Gothenburg,Univ Gothenburg, Inst Clin Sci, Sahlgrenska Acad, Dept Pediat, Gothenburg, Sweden.,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics
Hellström-Westas, Lena, 1954- (author)
Uppsala University,Uppsala universitet,Perinatal, neonatal och barnkardiologisk forskning,Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden
Um-Bergstrom, Petra (author)
Karolinska Institute,Karolinska Institutet,Karolinska Inst, Sodersjukhuset, Dept Pediat, Stockholm, Sweden.;Karolinska Inst, Sodersjukhuset, Clin Sci & Educ, Stockholm, Sweden.
Ådén, Ulrika (author)
Karolinska Institute,Karolinska Institutet,Linköpings universitet,Avdelningen för barns och kvinnors hälsa,Medicinska fakulteten,Karolinska Inst, Dept Clin Sci Intervent & Technol, Div Pediat, Stockholm, Sweden.;Linköping Univ, Dept Biomed & Clin Sci & Pediat, Linköping, Sweden.
Abrahamsson, Thomas (author)
Linköping University,Linköpings universitet,Avdelningen för barns och kvinnors hälsa,Medicinska fakulteten,Region Östergötland, H.K.H. Kronprinsessan Victorias barn- och ungdomssjukhus,Linköping Univ, Dept Biomed & Clin Sci & Pediat, Linköping, Sweden.;Linköping Univ Hosp, Dept Pediat, Linköping, Sweden.
Domellöf, Magnus, 1963- (author)
Umeå University,Umeå universitet,Pediatrik,Umeå Univ, Dept Clin Sci, Pediat, Umeå, Sweden.
show less...
 (creator_code:org_t)
BMJ Publishing Group Ltd, 2024
2024
English.
In: Archives of Disease in Childhood. - : BMJ Publishing Group Ltd. - 1359-2998 .- 1468-2052. ; 109:1, s. 87-93
Related links:
https://doi.org/10.1...
show more...
https://uu.diva-port... (primary) (Raw object)
https://umu.diva-por... (primary) (Raw object)
https://liu.diva-por... (primary) (Raw object)
http://dx.doi.org/10... (free)
https://urn.kb.se/re...
https://doi.org/10.1...
https://urn.kb.se/re...
https://urn.kb.se/re...
http://kipublication...
https://lup.lub.lu.s...
https://gup.ub.gu.se...
show less...
  • Journal article (peer-reviewed)
Abstract Subject headings
Close  
  • Objective To investigate potential risk factors behind the increased incidence of necrotising enterocolitis (NEC) in Swedish extremely preterm infants.Design Registry data from two population-based national cohorts were studied. NEC diagnoses (Bell stage >= II) were validated against hospital records.Patients All liveborn infants <27 weeks of gestation 2004-2007 (n=704) and 2014-2016 (n=895) in Sweden.Main outcome measures NEC incidence.Results The validation process resulted in a 28% reduction of NEC cases but still confirmed a higher NEC incidence in the later epoch compared with the earlier (73/895 (8.2%) vs 27/704 (3.8%), p=0.001), while the composite of NEC or death was lower (244/895 (27.3%) vs 229/704 (32.5%), p=0.022). In a multivariable Cox regression model, censored for mortality, there was no significant difference in early NEC (0-7 days of life) between epochs (HR=0.9 (95% CI 0.5 to 1.9), p=0.9), but being born in the later epoch remained an independent risk factor for late NEC (>7 days) (HR=2.7 (95% CI 1.5 to 5.0), p=0.001). In propensity score analysis, a significant epoch difference in NEC incidence (12% vs 2.8%, p<0.001) was observed only in the tertile of infants at highest risk of NEC, where the 28-day mortality was lower in the later epoch (35% vs 50%, p=0.001). More NEC cases were diagnosed with intramural gas in the later epoch (33/73 (45.2%) vs 6/26 (23.1%), p=0.047).Conclusions The increase in NEC incidence between epochs was limited to cases occurring after 7 days of life and was partly explained by increased survival in the most extremely preterm infants. Misclassification of NEC is common.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Gastroenterologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Pediatrik (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Pediatrics (hsv//eng)

Keyword

Neonatology
Gastroenterology
Neonatology
Gastroenterology

Publication and Content Type

ref (subject category)
art (subject category)

Find in a library

To the university's database

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Close

Copy and save the link in order to return to this view