Neonatal intensive care at borderline viability - is it worth it?

被引：88

作者：

Doyle, LW

机构：

[1] Royal Hosp Women, Dept Obstet & Gynaecol, Carlton, Vic 3053, Australia

[2] Royal Hosp Women, Melbourne, Vic, Australia

[3] Univ Melbourne, Melbourne, Vic, Australia

[4] Newborn Emergency Transport Serv, Melbourne, Vic, Australia

[5] Monash Med Ctr, Melbourne, Vic, Australia

[6] Mercy Hosp Women, Melbourne, Vic, Australia

[7] Victorian Perinatal Data Collect Unit, Melbourne, Vic, Australia

[8] Royal Childrens Hosp, Melbourne, Vic, Australia

来源：

EARLY HUMAN DEVELOPMENT | 2004年 / 80卷 / 02期

基金：

英国医学研究理事会;

关键词：

infant; preterm; survival; disability; cerebral palsy; cost; intensive care;

D O I：

10.1016/j.earlhumdev.2004.05.009

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Background: Very preterm infants at the borderline of viability, especially those <25 weeks of gestational age, have survived in increasing numbers in recent years, but concerns persist about their long-term outcome and their consumption of scarce hospital resources. Aims: To determine incremental changes in long-term outcome and consumption of resources by very preterm infants in the 1990s. Design: Cohort study. Patients: Consecutive livebirths with gestational ages 23-27 weeks born in the state of Victoria in two discrete eras, 1991-1992 (n = 401) and 1997 (n=208), and randomly selected contemporaneous normal birthweight (NBW, birthweight >2499 g) controls (1991-1992 n=265, 1997 n=198).

引用

页码：103 / 113

页数：11

共 23 条

[1] The impact of fetal compromise on outcome at the border of viability [J].

Batton, DG ;

DeWitte, DB ;

Espinosa, R ;

Swails, TL .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1998, 178 (05) :909-915

[2]

BAYLEY B, 1993, BAYLEY SCALES INFANT

[3]

Bayley N, 1969, BAYLEY SCALES INFANT

[4] Health status of a population of infants born before 26 weeks gestation derived from routine data collected between 21 and 27 months post-delivery [J].

Bohin, S ;

Draper, ES ;

Field, DJ .

EARLY HUMAN DEVELOPMENT, 1999, 55 (01) :9-18

[5] Treatment choices for extremely preterm infants: An international perspective [J].

de Leeuw, R ;

Cuttini, M ;

Nadai, M ;

Berbik, I ;

Hansen, G ;

Kucinskas, A ;

Lenoir, S ;

Levin, A ;

Persson, J ;

Rebagliato, M ;

Reid, M ;

Schroell, M ;

de Vonderweid, U .

JOURNAL OF PEDIATRICS, 2000, 137 (05) :608-615

[6]

DENOUDEN AL, 2000, TIJDSCHR KINDERGENEE, V142, P241

[7]

Doyle LW, 1997, J PAEDIATR CHILD H, V33, P202

[8]

DOYLE LW, 1992, MED J AUSTRALIA, V156, P72

[9]

Doyle LW, 1997, J PAEDIATR CHILD H, V33, P161

[10]

Doyle LW, 2000, BRIT MED J, V320, P648

← 1 2 3 →