[Prognosis for infants with birth weights less than 1,501 g treated in a central hospital]

J Thaarup1, O Kierkegaard, M Dirdal

  • 1Paediatrisk afdeling, Herning Centralsygehus.

Insights

This study on very low birth weight infants found higher mortality in the 1251-1500 gram group, primarily due to respiratory distress syndrome. Survivors had fewer chronic lung issues and neurological sequelae compared to other centers.

Area of Science:

  • Neonatalogy
  • Pediatric Medicine
  • Public Health

Context:

  • Retrospective review of very low birth weight (<1501 grams) infants born in Ringkoebing county between 1981-1990.
  • Focus on mortality, morbidity, and major sequelae without neonatal ventilator treatment.

Purpose:

  • To assess the outcomes of very low birth weight infants in a specific region and time period.
  • To compare these outcomes with contemporary national and international data.

Summary:

  • Neonatal survival rate was 63% (143/227 infants).
  • Excess mortality was observed in infants weighing 1251-1500 grams, mainly due to respiratory distress syndrome (62% of neonatal deaths).
  • Among survivors, 28% required prolonged oxygen, and 6% had major neurological sequelae; however, chronic lung disease and neurological sequelae incidence may be lower than in other centers.

Impact:

  • Provides regional data on very low birth weight infant outcomes.
  • Suggests potential for improved management strategies to reduce mortality and long-term complications.
  • Highlights the impact of respiratory distress syndrome on neonatal mortality in this population.