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Trends in Outcomes for Neonates Born Very Preterm and Very Low Birth Weight in 11 High-Income Countries

Lui, K.; Lee, S. K.; Kusuda, S.; Adams, M.; Vento, M.; Reichman, B.; Darlow, B. A.; Lehtonen, L.; Modi, N.; Norman, M.; Hakansson, S.; Bassler, D.; Rusconi, F.; Lodha, A.; Yang, J. M.; Shah, P. S.; Marshall, P.; Schmidt, P.; Dhawan, A.; Craven, P.; de Waal, K.; Simmer, K.; Gill, A.; Pillow, J.; Stack, J.; Birch, P.; Cooke, L.; Casalaz, D.; Holberton, J.; Stewart, A.; Downe, L.; Stewart, M.; Bajuk, B.; Berry, A.; Hunt, R.; Kilburn, C.; De Paoli, T.; Bolisetty, S.; Paradisis, M.; Rieger, I.; Koorts, P.; Kuschel, C.; Doyle, L.; Numa, A.; Carlisle, H.; Badawi, N.; Loughran-Fowlds, A.; Koh, G.; Davis, J.; Luig, M.; Andersen, C.; Chambers, G.; Austin, N.; Lynn, A.; Darlow, B.; Edmonds, L.; Mildenhall, L.; Buksh, M.; Battin, M.; van den Boom, J.; Bourchier, D.; Richardson, V.; Dineen, F.; Rajadurai, V. S.; Lam, S.; Fung, G.; Harrison, A.; Synnes, A.; Cieslak, Z.; Sherlock, R.; Yee, W.; Aziz, K.; Fajardo, C.; Kalapesi, Z.; Sankaran, K.; Daspal, S.; Seshia, M.; Alvaro, R.; Mukerji, A.; Da Silva, O.; Nwaesei, C.; Lee, K. S.; Dunn, M.; Lemyre, B.; Dow, K.; Pelausa, E.; Barrington, K.; Drolet, C.; Piedboeuf, B.; Claveau, M.; Beltempo, M.; Bertelle, V.; Masse, E.; Canning, R.; Makary, H.; Ojah, C.; Monterrosa, L.; Deshpandey, A.; Afifi, J.; Kajetanowicz, A.; Andersson, S.; Tammela, O.; Sankilampi, U.; Saarela, T.; Prazad, P.; Noguchi, A.; McWan, K.; Button, B.; Stratton, W.; Hamvus, A.; Raghaven, A.; Derrick, M.; Hadley, R.; Covert, R.; Lablanc, O.; Weiss, M.; Bell, A.; Shareef, M.; Silvestri, J.; Heymann, E.; Zangen, S.; Smolkin, T.; Mimouni, F.; Bader, D.; Rothschild, A.; Strauss, Z.; Felszer, C.; Omari, H.; Tov-Friedman, S. E.; Bar-Oz, B.; Feldman, M.; Saad, N.; Flidel-Rimon, O.; Weisbrod, M.; Lubin, D.; Litmanovitz, I.; Kugelman, A.; Shinwell, E.; Klinger, G.; Nijim, Y.; Bin-Nun, A.; Golan, A.; Mandel, D.; Fleisher-Sheffer, V.; Kohelet, D.; Bakhrakh, L.; Hattori, S.; Shirai, M.; Ishioka, T.; Mori, T.; Amizuka, T.; Huchimukai, T.; Yoshida, H.; Sasaki, A.; Shimizu, J.; Nakamura, T.; Maruyama, M.; Matsumoto, H.; Hosokawa, S.; Taki, A.; Nakagawa, M.; Ko, K.; Uozumi, A.; Nakata, S.; Shimazaki, A.; Yoda, T.; Numata, O.; Imamura, H.; Kobayashi, A.; Tokuriki, S.; Uchida, Y.; Arai, T.; Ito, M.; Ieda, K.; Ono, T.; Hayashi, M.; Maki, K.; Yamakawa, M.; Kawai, M.; Fujii, N.; Shiomi, K.; Nozaki, K.; Wada, H.; Kim, T.; Tokunaga, Y.; Takatera, A.; Oshima, T.; Sumida, H.; Michinomae, Y.; Kusumoto, Y.; Yoshimoto, S.; Morisawa, T.; Ohashi, T.; Takahashi, Y.; Sugimoto, M.; Ono, N.; Miyagawa, S.; Saijo, T.; Yamagami, T.; Koyano, K.; Kobayashi, S.; Kanda, T.; Sakemi, Y.; Aoki, M.; Iida, K.; Goshi, M.; Maruyama, Y.; Ávila Álvarez, Alejandro; Ting, J.; Toye, J.; Fernández Trisac, José Luis; Couce Pico, María Luz; Seara, M. J. F.; Gutierrez, A. M.; Vizcaino, C.; Iglesias, M. S.; Zaplana, H. S.; Colomer, B. F.; Lopez, J. E. G.; Mozo, R. G.; Martinez, M. T. G.; Sebastian, M. D. M.; Carbonell, M. B.; Barnusell, J. B.; Puiggros, M. D.; Aloy, J. F.; Mussons, F. B.; Sanz, I. A.; Galiana, G. G.; Coroleu, W.; Iriondo, M.; Vilella, L. C.; Porta, R.; Demestre, X.; Nadal, S. M.; Martinez, C. D.; Cuesta, M. J. L.; Mora, D. E.; Tardio, J. O.; Benavente, I.; Alonso, A.; Olmos, R. A.; Cabezas, M. A. G.; Jimenez, M. D. M.; Caballero, P. J.; Diaz, M. D. O.; Fagundo, A. T.; Canals, L. M.; Rodrigo, F. G. M.; Marti, L. U.; Galdo, M. F. M.; Suazo, J. A. H.; Lopez, E. N.; Fernandez, J. U.; Altuna, M. A. C.; Muga, O.; Navarro, D. M.; Dominguez, M. T.; del Prado, M. Y. R.; Diez, I. E.; Benavides, M. T. P.; Lapena, S.; Prada, T.; Mir, E. S.; Sanchez, A. C.; Vega, E. C.; del Prado, N.; Fernandez, C.; Vilaplana, L. C.; Perez, I. C.; Gomez, L. L.; Comeche, L. D.; Martin, I. L.; Armengod, C. G.; Labian, C. M.; Munoz, M. J. S.; Bravo, D. B.; Perez, V.; Fernandez, M. D. E.; Gonzalez, C. D.; Segura, S. A.; Azorin, M. L.; Jimenez, A. B.; Sanchez-Tamayo, T.; Moreno, E. T.; Gonzalez, M.; Martinez, J. E. S.; Garcia, J. M. L.; Orayen, C. G.; Gonzalez, J. V.; Albo, M. S.; González Colmenero, Eva; Gonzalez, E. P. G.; del Arco, B. V.; Fernandez, J. M.; Gordillo, L. A.; Asensio, M. G.; Diaz, C. M.; Albujar, R.; Jorge, P. F.; Romero, S.; Falero, M. R.; Izquierdo, A. B. E.; Capell, J. E.; Vicente, M. M. M.; Caballero, R. I.; Martinez, M. M.; Euba, A.; Serna, A. R.; Goya, Jmld; Legorburu, A. P.; Amoros, A. G.; Isabel, V. M. M.; Gonzalez, N. H.; Gracia, S. R.; Faci, P. V.; Villagrasa, M. P. S.; Macian, M. I. I.; Kofron, J.; Brodd, K. S.; Odlind, A.; Alberg, L.; Arwehed, S.; Hafstrom, O.; Kasemo, A.; Nederman, K.; Ahman, L.; Ingemarsson, F.; Petersson, H.; Thurn, P.; Albinsson, E.; Selander, B.; Abrahamsson, T.; Heimdahl, I.; Sveinsdottir, K.; Wejryd, E.; Hedlund, A.; Soderberg, M. K.; Hallberg, B.; Brune, T.; Backstrom, J.; Robinson, J.; Farooqi, A.; Normann, E.; Fredriksson, M.; Palm, A.; Rosenqvist, U.; Walde, B.; Hagman, C.; Ohlin, A.; Florell, R.; Smedsaas-Lofvenberg, A.; Meyer, P.; Anderegg, C.; Schulzke, S.; Nelle, M.; Wagner, B.; Riedel, T.; Kaczala, G.; Pfister, R. E.; Tolsa, J. F.; Roth, M.; Stocker, M.; Laubscher, B.; Malzacher, A.; Micallef, J. P.; Hegi, L.; Arlettaz, R.; Bernet, V.; Fiorini, P.; Boldrini, A.; Tomasini, B.; Kefas, J.; Kamalanathan, A.; Jayachandran; Yoxall, B.; McBride, T.; Webb, D.; Garr, R.; Hassan, A.; Ambadkar, P.; Dyke, M.; McDevitt, K.; Rewitzky, G.; D'Amore, A.; Panasa, N.; Settle, P.; Maddock, N.; Edi-Osagie, N.; Zipitis, C.; Heal, C.; Birch, J.; Hasib, A.; Soe, A.; Kumar, N.; Kisat, H.; Vasu, V.; Lama, M.; Gupta, R.; Rawlingson, C.; Wickham, T.; Theron, M.; Kendall, G.; Gupta, A.; Aladangady, N.; Ali, I.; Alsford, L.; Lopez, W.; Murthy, V.; Sullivan, C.; Thomas, M.; Bate, T.; Godambe, S.; Watts, T.; Kuna, J.; Chang, J.; Pai, V.; Huddy, C.; Yasin, S.; Nicholl, R.; Pandey, P.; Cusack, J.; Kairamkonda, V.; Muogbo, D.; Harry, L.; Simmons, P.; Nycyk, J.; Gallagher, A.; Pillay, T.; Deshpande, S.; Mahadevan; Moore, A.; Clark, S.; Garbash, M.; Lal, M.; Abu-Harb, M.; Dani, C.; Mittal, A.; Allwood, A.; Selter, M.; Munyard, P.; Bartle, D.; Paul, S.; Whincup, G.; Mallik, A.; Amess, P.; Godden, C.; Reynolds, P.; Misra, I.; De Halpert, P.; Salgia, S.; Sanghavi, R.; Wigfield, R.; Deketelaere, A.; Khashu, M.; Hall, M.; Groves, C.; Brown, N.; Brennan, N.; Vamvakiti, K.; McIntyre, J.; Pirie, S.; Jones, S.; Mannix, P.; Cairns, P.; Eaton, M.; Schwarz, K.; Gibson, D.; Miall, L.; Krishnamurthy
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URI: http://hdl.handle.net/20.500.11940/15677
PMID: 31587861
DOI: 10.1016/j.jpeds.2019.08.020
ISSN: 0022-3476
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J Pediatr. 2019 Dec;215:32-40.e14 (2.118Mb)
Acceso a la versión del editor (121.2Kb)
Corporate author
International Network for Evaluation of Outcomes (iNeo) of neonates Investigators
Date issued
2019
Journal title
JOURNAL OF PEDIATRICS
Type of content
Artigo
DeCS
edad gestacional | mortalidad hospitalaria | estudios de seguimiento | estudios retrospectivos | morbilidad | lactante | humanos | factores socioeconómicos | peso al nacer | mortalidad infantil | países desarrollados
MeSH
Morbidity | Hospital Mortality | Gestational Age | Humans | Developed Countries | Socioeconomic Factors | Follow-Up Studies | Infant Mortality | Birth Weight | Retrospective Studies | Infant
Abstract
OBJECTIVE: To evaluate outcome trends of neonates born very preterm in 11 high-income countries participating in the International Network for Evaluating Outcomes of neonates. STUDY DESIGN: In a retrospective cohort study, we included 154 233 neonates admitted to 529 neonatal units between January 1, 2007, and December 31, 2015, at 24(0/7) to 31(6/7) weeks of gestational age and birth weight <1500 g. Composite outcomes were in-hospital mortality or any of severe neurologic injury, treated retinopathy of prematurity, and bronchopulmonary dysplasia (BPD); and same composite outcome excluding BPD. Secondary outcomes were mortality and individual morbidities. For each country, annual outcome trends and adjusted relative risks comparing epoch 2 (2012-2015) to epoch 1 (2007-2011) were analyzed. RESULTS: For composite outcome including BPD, the trend decreased in Canada and Israel but increased in Australia and New Zealand, Japan, Spain, Sweden, and the United Kingdom. For composite outcome excluding BPD, the trend decreased in all countries except Spain, Sweden, Tuscany, and the United Kingdom. The risk of composite outcome was lower in epoch 2 than epoch 1 in Canada (adjusted relative risks 0.78; 95% CI 0.74-0.82) only. The risk of composite outcome excluding BPD was significantly lower in epoch 2 compared with epoch 1 in Australia and New Zealand, Canada, Finland, Japan, and Switzerland. Mortality rates reduced in most countries in epoch 2. BPD rates increased significantly in all countries except Canada, Israel, Finland, and Tuscany. CONCLUSIONS: In most countries, mortality decreased whereas BPD increased for neonates born very preterm.

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