A multicenter retrospective study on survival rate and complications of very preterm infants.
10.7499/j.issn.1008-8830.2102037
- Author:
Xin-Ping WU
1
;
Chuan-Li GU
;
Shu-Ping HAN
;
Xiao-Yi DENG
;
Xiao-Qing CHEN
;
Huai-Yan WANG
;
Shuang-Shuang LI
;
Jun WANG
;
Qin ZHOU
;
Wei-Wei HOU
;
Yan GAO
;
Liang-Rong HAN
;
Hong-Jie LIU
1
;
Zhang-Bin YU
;
Zeng-Qin WANG
;
Na LI
;
Hai-Xin LI
;
Jin-Jun ZHOU
;
Shan-Shan CHEN
;
Shan-Yu JIANG
;
Xing-Xing LU
;
Zhao-Jun PAN
1
;
Xiao-Hui CHEN
Author Information
1. Department of Neonatology, Yangzhou Maternal and Child Care Service Centre, Yangzhou, Jiangsu 225001, China.
- Publication Type:Multicenter Study
- Keywords:
Complication;
Risk factor;
Survival rate;
Very preterm birth infant
- MeSH:
Female;
Gestational Age;
Humans;
Infant, Newborn;
Infant, Premature;
Infant, Premature, Diseases;
Infant, Very Low Birth Weight;
Pregnancy;
Retrospective Studies;
Survival Rate
- From:
Chinese Journal of Contemporary Pediatrics
2021;23(8):814-820
- CountryChina
- Language:English
-
Abstract:
OBJECTIVES:To study the survival rate and the incidence of complications of very preterm infants and the factors influencing the survival rate and the incidence of complications.
METHODS:The medical data of the very preterm infants with a gestational age of <32 weeks and who were admitted to the Department of Neonatology in 11 hospitals of Jiangsu Province in China from January 2018 to December 2019 were retrospectively reviewed. Their survival rate and the incidence of serious complications were analyzed. A multivariate logistic regression analysis was used to evaluate the risk factors for death and serious complications in very preterm infants.
RESULTS:A total of 2 339 very preterm infants were enrolled, among whom 2 010 (85.93%) survived and 1 507 (64.43%) survived without serious complications. The groups with a gestational age of 22-25
CONCLUSIONS:The survival rate is closely associated with gestational age in very preterm infants. A low 1-minute Apgar score (≤3) may increase the risk of death in very preterm infants, while high gestational age, high birth weight, and prenatal use of glucocorticoids are associated with the reduced risk of death. A low 5-minute Apgar score (≤3) and maternal chorioamnionitis may increase the risk of serious complications in these infants, while high gestational age and high birth weight may reduce the risk of serious complications.
