Changing Survival Rate of Infants Born Before 26 Gestational Weeks: Single-centre study

Rahman, Asad Ur; Abdellatif, Mohamed; Sharef, Sharef W.; Fazalullah, Muhammad; Al-Senaidi, Khalfan S.; Khan, Ayesha; Ahmad, Masood; Kripail, Mathew; Abuanza, Mazen; Bataclan, Flordeliza

doi:10.18295/squmj.2015.15.03.008

Cited by 7 publications

(6 citation statements)

References 16 publications

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“…19 A study of a survival rate to hospital discharge in a university hospital in Muscat, Oman, between 2006 and 2013 revealed that, of a total of 81 infants between 23 and 26 gestational weeks admitted to the NICU, the survival rate of infants born at 23 weeks' gestation was 12.5% compared to 33.3% and 72.4% of those born at 24 and 25 weeks' gestation, respectively. 20 In our study, infants born at 24 weeks' GA had an approximately 50-65% composite chance of death or survival with a major disability. This suggests that these infants are at the grey zone of maturation.…”

Section: Discussionmentioning

confidence: 55%

Outcomes of preterm infants born with marginal viability in a University Hospital in Thailand

Piriyapokin

Chuthapisith

Emrat

et al. 2020

J Paediatrics Child Health

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Aim Reports of the outcomes of infants born with marginal viability in developing countries are limited. This study aimed to determine the mortality rate and major disabilities of extremely preterm infants. Methods A retrospective cohort with a prospective part of neurodevelopmental assessment was performed in infants born at 23–25+6 weeks' gestational age (GA) who received active resuscitation and were admitted to neonatal intensive care unit during 2005–2015. Surviving infants were recruited for neurodevelopmental assessment including cognition, gross motor and neurosensory disorders. Major disability was defined as one of the following: severe cognitive impairment, severe cerebral palsy, blindness or deafness. Results A total of 67 infants were enrolled (8, 22 and 37 in the 23, 24 and 25 weeks' GA groups, respectively). The overall mortality rate before discharge was 26%. Infants in the 23 and 24 weeks' GA groups had a significantly higher mortality rate than did those in the 25 weeks' GA group (42 vs. 10%). Of 50 survivors (aged 2–12 years), 3 and 2 had blindness and deafness, respectively. Cognitive function assessment in 37 survivors showed that 4 (11%) and 15 (40%) had severe and borderline cognitive impairment, respectively. Death or major disability was found in 100, 63 and 38% in the 23, 24 and 25 weeks' GA groups, respectively. Conclusion In our centre, infants born at 23–24 weeks had a much higher chance of death or major disability than those born at 25 weeks' GA. Given such information, active management should be offered together with the family's involvement.

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Section: Discussionmentioning

confidence: 55%

Outcomes of preterm infants born with marginal viability in a University Hospital in Thailand

Piriyapokin

Chuthapisith

Emrat

et al. 2020

J Paediatrics Child Health

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“…Reported data came from 37 publications from Europe (23 distinct data sources) [13,18,, 38 publications from North America (19 data sources) [3,, 19 from Asia (16 data sources) [94][95][96][97][98][99][100][101][102][103][104][105][106][107][108][109][110][111][112], and six from Oceania (Australia and New Zealand; six data sources) [113][114][115][116][117][118]. Additionally, two publications included data from both Europe and North America [119,120], and one publication included stratified data from both Asia and North America [121].…”

Section: Literature Search Resultsmentioning

confidence: 99%

Global incidence of bronchopulmonary dysplasia among extremely preterm infants: a systematic literature review

Siffel

Kistler

Lewis

et al. 2019

The Journal of Maternal-Fetal & Neonatal Medicine

171

110

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Background: Infants born extremely preterm (<28 weeks gestational age (GA)) face a high risk of neonatal mortality. Bronchopulmonary dysplasia (BPD) is the most common morbidity of prematurity. Objective: To evaluate the global incidence of BPD among infants born extremely preterm. Design: A systematic review of the literature was conducted in Embase and MEDLINE (via PubMed) using a prespecified search strategy for BPD and prematurity. Observational studies published in English between 16 May 2006 and 16 October 2017 reporting on the occurrence of BPD in infants born <28 weeks GA were included. Results: Literature searches yielded 103 eligible studies encompassing 37 publications from Europe, 38 publications from North America, two publications from Europe and North America, 19 publications from Asia, one publication from Asia and North America, six publications from Oceania, and zero publications from Africa or South America. The reported global incidence range of BPD was 10-89% (10-73% in Europe, 18-89% in North America, 18-82% in Asia, and 30-62% in Oceania). When only population-based observational studies that defined BPD as requiring supplemental oxygen at 36 weeks postmenstrual age were included, the global incidence range of BPD was 17-75%. The wide range of incidences reflected interstudy differences in GA (which was inversely related to BPD incidence), birthweight, and survival rates across populations and institutions. Conclusions: BPD is a common health morbidity occurring with extremely preterm birth. Further study of factors that impact incidence, aside from low GA, may help to elucidate modifiable risks.

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“…In VP group, the most prevalent and the least comorbidities were NDD (73.0%, 95%CI:57.0-0.85) and NEC (0.0), respectively (21,22). Table 4 (10,(27)(28)(29)(30)(31)(32). The univariate and multiple-regression analysis were not possible in VP newborns because of the studies limitations.…”

Section: Resultsmentioning

confidence: 99%

Mortality and Morbidity Patterns of Very Low Birth Weight Newborns in Eastern Mediterranean Region: A Meta-Analysis Study

et al. 2018

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Context: Preterm and low-birth weight are of the most common causes of mortality and critical disabilities in newborns. Although advances in neonatal care improved survival and quality of life in the developed countries, mortality and morbidity due to prematurity are still high in the developing and underdeveloped countries such countries in Eastern Mediterranean Region (EMR). Objective: The study aimed at evaluating mortality and morbidity among Very Low Birth Weight (VLBW) and Very Preterm (VP) neonates in EMR.

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Changing Survival Rate of Infants Born Before 26 Gestational Weeks: Single-centre study

Cited by 7 publications

References 16 publications

Outcomes of preterm infants born with marginal viability in a University Hospital in Thailand

Outcomes of preterm infants born with marginal viability in a University Hospital in Thailand

Global incidence of bronchopulmonary dysplasia among extremely preterm infants: a systematic literature review

Mortality and Morbidity Patterns of Very Low Birth Weight Newborns in Eastern Mediterranean Region: A Meta-Analysis Study

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