Actuarial Survival Based on Gestational Age in Days at Birth for Infants Born at &lt;26 Weeks of Gestation

Rau, S. M.; Yoon, Eugene W.; Shah, Prakeshkumar S; Kanungo, Jaideep; Ting, Joseph; Cieslak, Zenon; Sherlock, Rebecca; Mehrem, Ayman Abou; Toye, Jennifer; Aziz, Khalid; Fajardo, Carlos; Kalapesi, Zarin; Bodani, Jaya; Sankaran, Koravangattu; Daspal, Sibasis; Seshia, Mary; Louis, Deepak; Alvaro, Ruben; Mukerji, Amit; Silva, Orlando da; Adie, Mohammad; Lee, Kyong-Soon; Dunn, Michael; Lemyre, Brigitte; Khurshid, Faiza; Pelausa, Ermelinda; Barrington, Keith J.; Lapoint, Anie; Ethier, Guillaume; Drolet, Christine; Piedboeuf, Bruno; Claveau, Martine; Beltempo, Marc; Bertelle, Valérie; Massé, Édith; Canning, Roderick; Makary, Hala; Ojah, Cecil; Monterrosa, Luis; Emberley, Julie; Afifi, Jehier; Kajetanowicz, Andrzej; Lee, Shoo K.

doi:10.1016/j.jpeds.2020.05.047

Cited by 11 publications

(8 citation statements)

References 11 publications

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“…A likely explanation is that more and more infants are delivered at a gestational age of 24 to 25 weeks, who are at greater risk for death due to gestational age itself. 18 Especially, the 60-day survival rate of surgical NEC patients in the cohort of the present study of 40% is lower than the one both Dutch and international studies report, 3 13 which might indicate more severe illness in our population. Berkhout et al estimated the NEC-associated mortality in a Dutch population of 56 extremely preterm infants with extremely low birth weight (ELBW) at 21%.…”

Section: Discussioncontrasting

confidence: 66%

Necrotizing Enterocolitis in a Dutch Cohort of Very Preterm Infants: Prevalence, Mortality, and Long-Term Outcomes

et al. 2022

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Introduction To improve counseling of parents and to guide care strategies, we studied the disease course and outcomes of necrotizing enterocolitis (NEC) up to 2 years of corrected age (CA) from a multidisciplinary perspective. Materials and Methods This was a retrospective cohort study in preterm infants (birth weight < 1,500 g, gestational age < 32 weeks), diagnosed with NEC (Bell's stage ≥ II) from 2008 through 2020. Data on prevalence, mortality, surgery, intestinal failure (IF), growth, and neurodevelopment at 2-year follow-up were separately analyzed for medically and surgically treated children. Results Of 3,456 preterm infants, 200 (6%) were diagnosed with NEC, of whom 135 developed an indication for surgery within 7 days after the diagnosis; 28/135 died before surgery, and 37/107 died after an open-and-close procedure. An enterostomy was constructed in 62 patients and an end-to-end anastomosis in 15. The postoperative course was described for 77 patients, of whom 23 developed surgical complications (12/23 incisional hernias, 9/23 anastomotic strictures), 13/77 a short bowel, and 25/77 IF. Sixty-day survival after birth for medical NEC patients was 88% (hazard ratio [HR]: 0.698; p = 0.318), and for surgically treated NEC patients was 40% (HR: 3.729; p < 0.001). At 2-year follow-up, one patient received parenteral nutrition. Severe delay in weight for age, motor, and cognitive development was seen in 3, 6, and 2%, respectively. Conclusion In this cohort, the mortality rate was high, especially in surgically treated NEC patients. The surgical complication rate is comparable to previous studies, but in surviving patients, persisting IF and severe delay in growth and neurodevelopment at 2 years CA were relatively rare.

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Section: Discussioncontrasting

confidence: 66%

Necrotizing Enterocolitis in a Dutch Cohort of Very Preterm Infants: Prevalence, Mortality, and Long-Term Outcomes

et al. 2022

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“…In our case the prediction intervals were wide enough to suggest that future studies could detect no effect on tooth size from the preterm birth across gestational age groups. The possibility of no effect as suggested by the prediction intervals could possibly be related to the inclusion of the Harila-Kaera et al study [37] which assessed children born in the 1960s, when care was not as advanced as today and extremely preterm children might have less chances for survival that they exhibit nowadays [40]. Indeed, this was reflected in the higher gestational ages of the children included in the preterm groups in the abovementioned paper, compared to the other two.…”

Section: Plos Onementioning

confidence: 97%

“…The Newcastle-Ottawa scale assessments are presented in Fig 2 . The Harila-Kaera et al study [37] involved children born in the 1960s, when medical care was not as advanced as today and babies of small gestational age and weight at birth exhibited a higher rate of mortality [40].…”

Section: Risk Of Bias In Studiesmentioning

confidence: 99%

What is the effect of preterm birth on permanent tooth crown dimensions? A systematic review and meta-analysis

et al. 2021

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Background The permanent tooth formation process may be disrupted in preterm infants with potential discrepancies in size and subsequent occlusal disturbances. Objective To systematically analyse and quantitively synthesize the available evidence regarding the impact of preterm birth on permanent tooth crown dimensions. Search methods Unrestricted searches in 6 databases and manual searching of the reference lists in relevant studies were performed up to March 2021 (Medline via PubMed, CENTRAL, Cochrane Database of Systematic Reviews, Scopus, Web of Science, ProQuest Dissertations and Theses Global). Selection criteria Observational studies investigating permanent tooth crown dimensions in preterm and control full-term born individuals. Data collection and analysis Following study retrieval and selection, relevant data were extracted, and the Newcastle-Ottawa scale was used to assess the selection, comparability, and outcome domains. Exploratory synthesis and meta-regression were carried out using the random effects model. Results Three studies were located from the initially retrieved records and the assessments with the Newcastle-Ottawa scale identified issues regarding the selection and comparability domains. Overall, the mesiodistal and the buccolingual dimensions of the permanent teeth in both dental arches tended to be smaller in children born prematurely than full term children. Subgroup analyses showed statistically significant differences for the extremely preterm to control group comparisons for the incisors and the first molars. Meta-regression showed a modificatory effect of gestational age and racial background but not of birth weight and gender on tooth size. The quality of available evidence was rated at best as moderate. Conclusions Premature birth could potentially be associated with reduced tooth-crown dimensions in some permanent teeth especially in children born extremely preterm. Although the results from these observational studies should be approached with caution until more information becomes available, the possible clinical implications in terms of diagnosis and treatment planning should be considered. Registration PROSPERO (CRD42020182243).

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“…These rates were some of the best prognoses among recent reports from highincome countries (Figure 1). [1][2][3][4][5][6] Furthermore, Miyazawa et al reported the rates of major morbidities for infants born at 22-, 23-, and 24-week gestational. 2 Figure 2 shows the results of morbidities along with those reported from the USA and Sweden.…”

Section: E D I T O R I a L The Threshold Of Viability Of Extremely Pr...mentioning

confidence: 99%

The threshold of viability of extremely preterm infants in the current era in high‐income countries

Isayama

2023

Pediatrics International

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Actuarial Survival Based on Gestational Age in Days at Birth for Infants Born at <26 Weeks of Gestation

Cited by 11 publications

References 11 publications

Necrotizing Enterocolitis in a Dutch Cohort of Very Preterm Infants: Prevalence, Mortality, and Long-Term Outcomes

Necrotizing Enterocolitis in a Dutch Cohort of Very Preterm Infants: Prevalence, Mortality, and Long-Term Outcomes

What is the effect of preterm birth on permanent tooth crown dimensions? A systematic review and meta-analysis

The threshold of viability of extremely preterm infants in the current era in high‐income countries

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