期刊
ACTA PAEDIATRICA
卷 98, 期 9, 页码 1451-1455出版社
WILEY
DOI: 10.1111/j.1651-2227.2009.01393.x
关键词
Extremely low-gestational age infants; Long-term morbidity; Mortality; Neurodevelopmental outcome
类别
Aim: In response to the disappointing outcome data of the population-based EPICure study published in 2000, we compared the outcome of infants 22 0/7 to 25 6/7 weeks of gestational age (GA) in a single tertiary care centre 2000-2004 with that of EPICure. Methods: EPICure tools and definitions, including 30 months' Bayley Scales. Results: Of 83 infants < 26 weeks born alive, more were admitted to intensive care - 82% vs. 68% (p < 0.0001) - and more infants survived to discharge (57% vs. 26%, p < 0.0001; 69% vs. 39%, p < 0.01, of those admitted to intensive care). More infants, as a percentage of live births, survived without severe (41%, 34/83 vs. 20%, 233/1185, p < 0.0001) or overall disability (22%, 18/83 vs. 13%, 155/1185, p = 0.03). However, at the border of viability - GA 23 and 24 weeks - the rate of infants surviving without overall disability was not significantly higher (13%, 6/45 vs. 9%, 56/623). Conclusion: In infants < 26 weeks of GA, increased rates of survival and survival without disability were observed in a single-centre inborn cohort born 5-8 years later than the EPICure cohort. This did not translate into increased survival without overall disability in infants of 23-24 weeks of GA.
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