Thirteen-year mortality and morbidity in preterm infants in Switzerland

@article{Chen2016ThirteenyearMA,
  title={Thirteen-year mortality and morbidity in preterm infants in Switzerland},
  author={Fei Chen and Nadia M Bajwa and Peter C Rimensberger and Klara M. Posfay-Barbe and Riccardo E. Pfister},
  journal={Archives of Disease in Childhood: Fetal and Neonatal Edition},
  year={2016},
  volume={101},
  pages={F377 - F383}
}
  • Fei ChenN. Bajwa R. Pfister
  • Published 8 April 2016
  • Medicine
  • Archives of Disease in Childhood: Fetal and Neonatal Edition
Objective To report the population-based, gestational age (GA)-stratified mortality and morbidity for very preterm infants over 13 years in Switzerland. Design A prospective, observational study including 95% of Swiss preterm infants (GA <32 weeks) during three time periods: 2000–2004 (P1), 2005–2008 (P2) and 2009–2012 (P3). Setting The Swiss Neonatal Network, covering all level III neonatal intensive care units (NICUs) and affiliated paediatric hospitals. Patients 8899 live-born preterm… 

Ten-year trend of care practices, morbidities and survival of very preterm neonates in the Malaysian National Neonatal Registry: a retrospective cohort study

Failure to use ANS, LSCS, eCPAP and surfactant therapy, and failure to prevent AH and LOS increased risk of mortality.

The Etiology of Neonatal Intensive Care Unit Death in Extremely Low Birth Weight Infants: A Multicenter Survey in China.

In Chinese tertiary NICUs, the major causes of death in extremely low birth weight infants were RDS, infection, NEC, brain injury and BPD, and they varied with postnatal age.

Monitoring and comparing the perinatal outcomes of very preterm infants: the challenges ahead

  • W. Tin
  • Medicine
    Archives of Disease in Childhood: Fetal and Neonatal Edition
  • 2016
The article by Pfister et al 1 provides useful information on trends in some important major neonatal morbidities, but not severe ROP.

Short Term Survival of Extreme Preterm Newborns at 23–26 Weeks’ Gestation in a Middle East Modern Referral Maternity Hospital

Short term survival rate of ELBW is comparable to those reported in the literature, and Counseling Parent using local data become more convincing and reflecting local experience where the mortality rate is highest.

Incidence, Treatment, and Outcome Trends of Necrotizing Enterocolitis in Preterm Infants: A Multicenter Cohort Study

The incidence of necrotizing enterocolitis remained stable despite the improvement regarding protective factors frequency, and surgical treatment became more frequent over the study period, whereas mortality decreased.

Trends in Mortality in an Australian Tertiary Surgical Neonatal Intensive Care Unit

There has been an overall decline in mortality in the surgical neonatal population from 2000 to 2015 and only very low birth weight was an independent predictor of mortality for surgical and cardiac deaths compared to deaths by other cause.

Incidence of retinopathy of prematurity (ROP) and ROP treatment in Switzerland 2006–2015: a population-based analysis

The incidence of ROP treatment in Switzerland is low and was stable over the analysed period, leaving room for a redefinition of Rop screening criteria.

References

SHOWING 1-10 OF 42 REFERENCES

Population based age stratified morbidities of premature infants in Switzerland.

Mortality and incidence of morbidities known to influence outcome show a weekly decline with increasing gestational age, except for PVL, a key component for prenatal counselling.

Mortality, Neonatal Morbidity and Two Year Follow-Up of Extremely Preterm Infants Born in the Netherlands in 2007

52% of extremely preterm infants born in the Netherlands in 2007 survived and had less severe neonatal morbidity compared to previous studies, and at two years of age less than 30% of the infants were disabled.

Population based trends in mortality, morbidity and treatment for very preterm- and very low birth weight infants over 12 years

An unchanged overall mortality rate and an increase of survivors free of major complication resulted in a considerable net gain in infants with potentially good outcome over the 12-year observation period.

Antenatal steroid exposure and outcomes of very premature infants: a regional cohort study

Exposure to a complete course of antenatal steroids is associated with higher infant survival rates, lower rates of severe IVH and NEC compared to an incomplete course or no exposure, and any exposure to steroids reduces the risk of moderate cerebral palsy.

Early Death, Morbidity, and Need of Treatment Among Extremely Premature Infants

The survival rate was high and the morbidity rate at discharge home was low in the present study, compared with previous population-based studies, possibly because withholding treatment was considered more acceptable for the most immature infants.

Survival rates of extremely preterm infants (gestational age <26 weeks) in Switzerland: impact of the Swiss guidelines for the care of infants born at the limit of viability

The publication of the Swiss guidelines was followed by significantly improved survival of extremely preterm infants but had no impact on centre-to-centre differences.

Trends and centre-to-centre variability in survival rates of very preterm infants (<32 weeks) over a 10-year-period in Switzerland

In Switzerland, survival rates of infants born at the limit of viability have remained unchanged over the second half of the current decade and risk-adjusted CTC outcome variability cannot be explained by differences in baseline demographics or centre case loads.

Outcome at two years of age in a Swiss national cohort of extremely preterm infants born between 2000 and 2008

This recent Swiss national cohort study of extremely preterm infants observed an increase of survival without moderate or severe disability, and neonatal mortality was determined by gestational age, birth weight, and antenatal corticosteroids while neurodevelopmental outcomewas determined by the major neonatal morbidities.

Changes in care and outcome of very preterm babies in the Parisian region between 1998 and 2003

Improvements in mortality and morbidity for very preterm babies and changes in their care over a 6-year period following reinforcement of regionalisation policies are found.

Neonatal Outcomes of Extremely Preterm Infants From the NICHD Neonatal Research Network

Although the majority of infants with GAs of ≥24 weeks survive, high rates of morbidity among survivors continue to be observed.