Mortality and morbidity of very preterm infants in <scp>R</scp>omania: How are we doing?

Suciu, Laura Mihaela; Puşcaşiu, Lucian; Szabó, Béla; Cucerea, Manuela; Ognean, Maria Livia; Oprea, Ioan; Bell, Edward F.

doi:10.1111/ped.12219

Cited by 8 publications

(11 citation statements)

References 45 publications

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“…Other authors have reported similar results [4,11]. Therefore, neonatal resuscitation could begin at 22 weeks and may allow a large number of EPIs to survive.…”

Section: Discussionsupporting

confidence: 70%

“…In their study, Suciu et al [11] found that 26% of EPIs presented with retinopathy. In the Epipage study, 2% of EPIs experienced a moderate or severe visual deficiency after five years [8].…”

Section: Discussionmentioning

confidence: 99%

“…Suciu et al [11] found that 35% of babies born in Romania between 25 and 28 weeks survived. In our study, the short-term survival rates were better.…”

Section: Discussionmentioning

confidence: 99%

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Short-term Survival and Morbidity of Extremely premature Infants Born between 20 Weeks and 24 Weeks+6 Days Gestation

Alouini¹,

Solange²,

Ramos³

et al. 2017

J Preg Child Health

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Objective: To evaluate the morbidity and mortality of extremely premature infants (EPIs) born between 20 weeks and 24 weeks+6 days gestation at hospital discharge. Methods:This was a retrospective study that included all extremely preterm births between 2006 and 2012 at a tertiary maternity care centre with a neonatal intensive care unit.Results: Seventy-eight EPIs were born during the study period out of 30,000 deliveries (0.26%). Thirty-nine EPIs (50%) survived and had a mean length of hospital stay of 43 days. The mean weight of EPIs was 723 ± 179 g. The rate of survival of EPIs increases with gestational age. Forty-nine EPIs (62%) exhibited neonatal respiratory distress (NNRD), which evolved into a bronchopulmonary dysplasia in 28 cases (35%); 33 EPIs (42%) had a maternofetal infection, while 20 (26%) experienced ventricular hemorrhage. Ten EPI (13%) displayed enterocolitis and 17 (22%) had retinopathy. No EPIs born before 22 weeks gestation survived Twenty-four EPIs left the hospital with their mothers after being scheduled for a routine paediatric follow-up visit and 15 were transferred to another hospital: 10 for surgical treatment of patent ductus arteriosus and 5 to be closer to their mothers. Conclusion:The survival rates of EPIs between 20 and 24 weeks of gestation are high. NNRD, infections, and neurological and retinal complications were the main causes of morbidity. The results of this active management study of extremely preterm births were satisfactory at the short follow-up visits. Antenatal corticosteroids and magnesium sulfate administration should be discussed beginning at 22 weeks of gestation.

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“…Other authors have reported similar results [4,11]. Therefore, neonatal resuscitation could begin at 22 weeks and may allow a large number of EPIs to survive.…”

Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Short-term Survival and Morbidity of Extremely premature Infants Born between 20 Weeks and 24 Weeks+6 Days Gestation

Alouini¹,

Solange²,

Ramos³

et al. 2017

J Preg Child Health

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“…To our knowledge, our previous report was the first to describe in detail the neonatal mortality and morbidity of preterm infants born before 29 weeks of gestation in Romania . The current study is the first to compare temporal trends in care practices and outcomes in this population.…”

Section: Discussionmentioning

confidence: 82%

“…4,5 Survival of very preterm infants in Romania is lower compared with centers in Western Europe. 6,7 The aim of this study was therefore to identify the changes in care and short-term morbidity and mortality rates for an extremely preterm infant population in Romania between two periods: 2007-2010 and [2011][2012][2013][2014].…”

mentioning

confidence: 99%

Trends in outcomes of very preterm infants in Romania: A tale of three cities

Suciu

Puşcaşiu

Cucerea

et al. 2017

Pediatrics International

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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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Mortality and morbidity of very preterm infants in Romania: How are we doing?

Abstract: During 2007-2010, in-hospital survival of infants admitted to three neonatal intensive care units in Romania was 35% and ranged from 14% at 25 weeks to 64% at 28 weeks.

Cited by 8 publications

References 45 publications

Short-term Survival and Morbidity of Extremely premature Infants Born between 20 Weeks and 24 Weeks+6 Days Gestation

Short-term Survival and Morbidity of Extremely premature Infants Born between 20 Weeks and 24 Weeks+6 Days Gestation

Trends in outcomes of very preterm infants in Romania: A tale of three cities

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

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