Trends in neonatal morbidity and mortality for very low birthweight infants.

@article{Fanaroff2007TrendsIN,
  title={Trends in neonatal morbidity and mortality for very low birthweight infants.},
  author={Avroy A. Fanaroff and Barbara J. Stoll and Linda L. Wright and Waldemar A. Carlo and Richard A. Ehrenkranz and Ann R. Stark and Charles R. Bauer and Edward F. Donovan and Sheldon B. Korones and Abbot Laptook and James A. Lemons and William Oh and Lu Ann Papile and Seetha Shankaran and David K. Stevenson and Jon E. Tyson and W. Kenneth Poole},
  journal={American journal of obstetrics and gynecology},
  year={2007},
  volume={196 2},
  pages={
          147.e1-8
        }
}
OBJECTIVE To document the mortality and morbidity of infants weighing 501-1500 g at birth according to gestational age, birthweight, and sex. STUDY DESIGN Prospective collection of perinatal events and neonatal course to 120 days of life, discharge, or death from January 1990 through December 2002 for infants born at 16 participating centers of the National Institute of Child Health & Human Development Neonatal Research Network. RESULTS Compared with 1995-1996, for 1997-2002 the survival of… Expand
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Although the majority of infants with GAs of ≥24 weeks survive, high rates of morbidity among survivors continue to be observed. Expand
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Major perinatal factors were identified in association with neonatal mortality in VLBW infants, and the impact of antenatal corticosteroid use in the NEOCOSUR Network was demonstrated. Expand
Mortality and Neonatal Morbidity Among Infants 501 to 1500 Grams From 2000 to 2009
TLDR
Mortality and major neonatal morbidity in survivors decreased for infants with birth weight 501 to 1500 g between 2000 and 2009, however, at the end of the decade, a high proportion of these infants still either died or survived after experiencing ≥1 major neonnatal morbidity known to be associated with both short- and long-term adverse consequences. Expand
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TLDR
It was found that morbidities such as RDS, HIE, shock and hypoglycemia are significantly higher in ELBW babies as compared to VLBW babies. Expand
Trends in morbidity and mortality among very-low-birth-weight infants from 2003 to 2008 in Japan
TLDR
Mortality of very-low-birth-weight infants born from 2003 through 2008 decreased significantly over the 6-y study period, and decreasing morbidity is essential for further improvement in the outcomes in VLBW infants. Expand
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References

SHOWING 1-10 OF 37 REFERENCES
Very low birth weight outcomes of the National Institute of Child Health and Human Development Neonatal Research Network, January 1993 through December 1994.
TLDR
The mortality rate for infants weighing between 501 and 1500 g at birth continues to decline and is accompanied by an increase in medical morbidity, while there are interactions between birth weight, gestational age, sex, and survival rates. Expand
Trends in mortality and morbidity for very low birth weight infants, 1991-1999.
TLDR
Major changes in both obstetric and neonatal care during the 1990s were associated with decreases in mortality and morbidity for VLBW infants during the first half of the decade, but since 1995, no additional improvements in mortality or morbidity have been seen, ending a decades-long trend of improving outcomes for these infants. Expand
Very low birth weight outcomes of the National Institute of Child Health and Human Development Neonatal Research Network, January 1993 through December 1994
TLDR
Mortality for infants between 501 and 1500 gm at birth has declined over the past 5 years and there are interactions between birth weight, gestational age, gender, and survival rate. Expand
Longitudinal Growth of Hospitalized Very Low Birth Weight Infants
TLDR
Appropriate-for-gestational age infants who survived to hospital discharge without developing chronic lung disease, severe intraventricular hemorrhage, necrotizing enterocolitis, or late onset-sepsis gained weight faster than comparable infants with those morbidities. Expand
Very-low-birth-weight outcomes of the National Institute of Child Health and Human Development Neonatal Network, November 1989 to October 1990.
TLDR
Mortality and morbidity in very-low-birth-weight infants improved in 1989 to 1990 without an increase in morbidity or length of hospital stay, and although such data are reassuring, the rate of major morbidities in < 1001 gm birth weight infants continues to be high. Expand
Risk factors for early death among extremely low-birth-weight infants.
TLDR
Early death (<12 hours of age) among extremely low-birth-weight infants may reflect an assessment of non-viability by obstetricians and neonatologists. Expand
Outcomes of children of extremely low birthweight and gestational age in the 1990s.
TLDR
It is concluded that, with current methods of care, the limits of viability have been reached and the continuing toll of major neonatal morbidity and neurodevelopmental handicap are of serious concern. Expand
Sex differences in outcomes of very low birthweight infants: the newborn male disadvantage
TLDR
Relative differences in short term morbidity and mortality persist between the sexes in very low birthweight infants attributable to sex. Expand
Outcomes of children of extremely low birthweight and gestational age in the 1990's.
TLDR
It is concluded that, with current methods of care, the limits of viability have been reached and the continuing toll of major neonatal morbidity and neurodevelopmental handicap are of serious concern. Expand
Viability, Morbidity, and Resource Use Among Newborns of 501-to 800-g Birth Weight
TLDR
The authors' analyses support use of MV for females at a minimum birth weight approximately 100 g lower than that for males, and the current diagnosis related group reimbursement system can be expected to compromise resources for 501- to 800-g infants who would benefit from MV. Expand
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