[Treatment results in children with very low birth weight (less than or equal to 1500 gram)]

Tijdschrift Voor Kindergeneeskunde
|April 1, 1984
PubMed

Insights

This study analyzed 170 low birthweight neonates, finding a 69.4% survival rate. Respiratory issues were the primary cause of death, impacting long-term outcomes for survivors.

Area of Science:

  • Neonatal Intensive Care
  • Pediatric Morbidity and Mortality
  • Low Birth Weight Neonates

Context:

  • Retrospective analysis of 170 neonates admitted to Wilhelmina Kinderziekenhuis (1976-1979).
  • Focus on neonates with birthweight <= 1500 grams.
  • Investigated outcomes including survival rates and long-term follow-up.

Purpose:

  • To assess morbidity and mortality in low birthweight neonates.
  • To identify factors influencing survival, such as birth method and gestational age.
  • To evaluate the long-term health status of survivors.

Summary:

  • Overall survival rate was 69.4% (118/170).
  • Higher survival observed in infants born via caesarean section (84.3%) and small for gestational age infants (83.2%).
  • Respiratory problems were most common (82% of cases), necessitating mechanical ventilation in many, and were the leading cause of death.

Impact:

  • Follow-up on 92 survivors (1.5-3.5 years) revealed 42 were normal.
  • Significant proportion of survivors experienced minor issues (squint, emotional disturbances, minor handicaps), with 9 severely handicapped.
  • Highlights the critical need for respiratory support and long-term developmental monitoring in low birthweight infants.

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