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Literature DB >> 2025033

Survival and place of treatment after premature delivery.

Abstract

In a one year prospective study in the Trent region we examined the short term outcome (survival to discharge) of all infants who required admission to a baby care unit. Infants of less than or equal to 28 weeks' gestation who received all their perinatal care in one of five large centres (each providing more than 600 ventilator days/year) showed significantly better survival rates than infants electively treated throughout their entire course at one of the 12 smaller units (34 survivors from 65 infants (52%) compared with eight survivors from 37 infants (22%). These differences occurred despite the elective transfer of many of the sickest infants from the smaller units to the larger. Differences in survival between more mature infants were not significant. These results support the policy that there should be a more centralised neonatal service for those infants at or below 28 weeks' gestation.

Entities: Species

Mesh：

Year: 1991 PMID： 2025033 PMCID： PMC1590303 DOI： 10.1136/adc.66.4_spec_no.408

Source DB: PubMed Journal: Arch Dis Child ISSN： 0003-9888 Impact factor: 3.791

11 in total

1. Skimping on care of the newborn is false economy.

Authors: B D Speidel
Journal: Br Med J (Clin Res Ed) Date: 1986-09-06

2. Mortality in very preterm and very low birth weight infants according to place of birth and level of care: results of a national collaborative survey of preterm and very low birth weight infants in The Netherlands.

Authors: S P Verloove-Vanhorick; R A Verwey; M C Ebeling; R Brand; J H Ruys
Journal: Pediatrics Date: 1988-03 Impact factor: 7.124

Survival and place of treatment after premature delivery.

1. Skimping on care of the newborn is false economy.

2. Mortality in very preterm and very low birth weight infants according to place of birth and level of care: results of a national collaborative survey of preterm and very low birth weight infants in The Netherlands.

3. Referrals to a regional neonatal intensive care unit.

4. A population-based evaluation of sustained mechanical ventilation of newborn babies.

5. Survival and morbidity in a geographically defined population of low birthweight infants.

6. Costs and outcomes in a regional neonatal intensive care unit.

7. Outcome for newborn babies declined admission to a regional neonatal intensive care unit.

8. Newborn intensive care and neonatal mortality in low-birth-weight infants: a population study.

9. Prediction of outcome shortly after delivery for the very low birthweight (less than or equal to 1500 g) infant.

10. Very low birth weight children at school age: comparison of neonatal management methods.

1. Variation in the use of alternative levels of hospital care for newborns in a managed care organization.

2. Survival and place of delivery following preterm birth: 1994-96.

Review 3. Volume of clinical activity in hospitals and healthcare outcomes, costs, and patient access.

4. The clinical risk index of babies (CRIB) score in India.

Review 5. Quality of care by neonatal nurse practitioners: a review of the Ashington experiment.

6. Survival and place of treatment after premature delivery.

7. Day case ligation of patent ductus arteriosus in premature infants.

8. The regionalization of perinatal care in Wales and Washington State.

9. Use of the CRIB (clinical risk index for babies) score in prediction of neonatal mortality and morbidity.

10. Secondary centres should provide neonatal intensive care.