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Pregled bibliografske jedinice broj: 1052328

Survival until Discharge of Very-Low-Birth- Weight Infants in Two Croatian Perinatal Care Regions: A Retrospective Cohort Study of Time and Cause of Death


Kardum, Darjan; Filipović-Grčić, Boris; Mueller, Andrijana; Dessardo, Sandro
Survival until Discharge of Very-Low-Birth- Weight Infants in Two Croatian Perinatal Care Regions: A Retrospective Cohort Study of Time and Cause of Death // Acta Clinica Croatica, 58 (2019), 3; 446-454 doi:10.20471/acc.2019.58.03.07 (domaća recenzija, članak, znanstveni)


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Naslov
Survival until Discharge of Very-Low-Birth- Weight Infants in Two Croatian Perinatal Care Regions: A Retrospective Cohort Study of Time and Cause of Death

Autori
Kardum, Darjan ; Filipović-Grčić, Boris ; Mueller, Andrijana ; Dessardo, Sandro

Izvornik
Acta Clinica Croatica (0353-9466) 58 (2019), 3; 446-454

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Infant ; very low birth weight ; Cause of death ; Hospital mortality ; Croatia

Sažetak
We investigated mortality, causes, timing and risk factors for death until hospital discharge in very-low-birth-weight (VLBW) infants born in two Croatian perinatal care regions. This retrospective study included 252 live born VLBW infants. The mortality rate until hospital discharge was 30.5% (77/252). VLBW infants who died had by 4 weeks lower gestational age (GA) than surviving infants (median GA, 25 vs. 29 weeks), lower birth weight (BW) (mean BW, 756.4 vs. 1126.4 g), lower 5-minute Apgar score (median 5 vs. 8) and were more often resuscitated at birth (41.6 vs. 19.4% ; p<0.001 all). Infants who survived were more often small-for-gestational age (SGA) (28.0 vs. 15.6% ; p=0.04) and more often received continuous-positive-airway-pressure (CPAP) in delivery room (13.1 vs. 2.6% ; p=0.01). Multivariate logistic regression revealed that parameters influencing death until hospital discharge were 5-minute Apgar score (OR 0.780, 95% CI 0.648-0.939) and higher Clinical Risk Index for Babies (CRIB) score (OR 1.677, 95% CI 1.456-1.931). ROC analysis showed that CRIB score (AUC 0.927, sensitivity 92.2, specificity 81.1 ; p<0.001) was the strongest predictor of death until hospital discharge. In infants who died within 12 hours, death was most commonly attributed to immaturity and in those surviving >12 hours to necrotizing enterocolitis.

Izvorni jezik
Engleski



POVEZANOST RADA


Ustanove:
Medicinski fakultet, Rijeka,
Klinički bolnički centar Rijeka

doi

Citiraj ovu publikaciju

Kardum, Darjan; Filipović-Grčić, Boris; Mueller, Andrijana; Dessardo, Sandro
Survival until Discharge of Very-Low-Birth- Weight Infants in Two Croatian Perinatal Care Regions: A Retrospective Cohort Study of Time and Cause of Death // Acta Clinica Croatica, 58 (2019), 3; 446-454 doi:10.20471/acc.2019.58.03.07 (domaća recenzija, članak, znanstveni)
Kardum, D., Filipović-Grčić, B., Mueller, A. & Dessardo, S. (2019) Survival until Discharge of Very-Low-Birth- Weight Infants in Two Croatian Perinatal Care Regions: A Retrospective Cohort Study of Time and Cause of Death. Acta Clinica Croatica, 58 (3), 446-454 doi:10.20471/acc.2019.58.03.07.
@article{article, year = {2019}, pages = {446-454}, DOI = {10.20471/acc.2019.58.03.07}, keywords = {Infant, very low birth weight, Cause of death, Hospital mortality, Croatia}, journal = {Acta Clinica Croatica}, doi = {10.20471/acc.2019.58.03.07}, volume = {58}, number = {3}, issn = {0353-9466}, title = {Survival until Discharge of Very-Low-Birth- Weight Infants in Two Croatian Perinatal Care Regions: A Retrospective Cohort Study of Time and Cause of Death}, keyword = {Infant, very low birth weight, Cause of death, Hospital mortality, Croatia} }
@article{article, year = {2019}, pages = {446-454}, DOI = {10.20471/acc.2019.58.03.07}, keywords = {Infant, very low birth weight, Cause of death, Hospital mortality, Croatia}, journal = {Acta Clinica Croatica}, doi = {10.20471/acc.2019.58.03.07}, volume = {58}, number = {3}, issn = {0353-9466}, title = {Survival until Discharge of Very-Low-Birth- Weight Infants in Two Croatian Perinatal Care Regions: A Retrospective Cohort Study of Time and Cause of Death}, keyword = {Infant, very low birth weight, Cause of death, Hospital mortality, Croatia} }

Časopis indeksira:


  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE


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