OBJECTIVE: Identify factors for discrimination of "high" and "low risk" small for gestational age infants. STUDY DESIGN: Singleton infants born small for gestational age with a birthweight <1,500 g between 1999 and 2007 were included. Maternal, placental, and infant related factors were analyzed with regard to mortality and morbidity. Patients who died or suffered from complications were defined "high risk" as opposed to "low risk". Parameters associated with "high risk" were identified and an equation established to predict the minimal expected probability to die or suffer from neonatal morbidity. RESULTS: Around 231 patients showed a mortality rate of 12.6 %, respiratory distress syndrome in 35.5 %, necrotizing enterocolitis in 8.2 % and neurological morbidities in 6.5 %. Of these, 58.9 % survived without complications. The factors for discrimination of "high" and "low risk" were Z-score of birth weight, gestational age, and pH. CONCLUSION: We facilitate prognostication by classifying small for gestational age preterms into "low" and "high risk".
OBJECTIVE: Identify factors for discrimination of "high" and "low risk" small for gestational age infants. STUDY DESIGN: Singleton infants born small for gestational age with a birthweight <1,500 g between 1999 and 2007 were included. Maternal, placental, and infant related factors were analyzed with regard to mortality and morbidity. Patients who died or suffered from complications were defined "high risk" as opposed to "low risk". Parameters associated with "high risk" were identified and an equation established to predict the minimal expected probability to die or suffer from neonatal morbidity. RESULTS: Around 231 patients showed a mortality rate of 12.6 %, respiratory distress syndrome in 35.5 %, necrotizing enterocolitis in 8.2 % and neurological morbidities in 6.5 %. Of these, 58.9 % survived without complications. The factors for discrimination of "high" and "low risk" were Z-score of birth weight, gestational age, and pH. CONCLUSION: We facilitate prognostication by classifying small for gestational age preterms into "low" and "high risk".
Authors: Xiangming Qiu; Abhay Lodha; Prakesh S Shah; K Sankaran; Mary M K Seshia; Wendy Yee; Ann Jefferies; Shoo K Lee Journal: Am J Perinatol Date: 2011-11-30 Impact factor: 1.862
Authors: Martin J K de Kleine; A Lya den Ouden; Louis A A Kollée; Adri Ilsen; Aleid G van Wassenaer; Ronald Brand; S Pauline Verloove-Vanhorick Journal: Paediatr Perinat Epidemiol Date: 2007-01 Impact factor: 3.980