Long-term neurological and psychological outcome of babies with low birthweight (less than or equal to 1500 g) admitted to the neonatal intensive care unit of Padua University.

Helvetica paediatrica acta Pub Date : 1988-08-01
M Bottos, D Stefani, B Dalla Barba, G Pettenà, G M Fava Vizziello, C Zorzi, A D'Este
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Abstract

Mortality and long-term outcome in low birthweight infants (less than or equal to 1500 g) treated in the neonatal intensive care unit of the Department of Pediatrics of the University of Padua in 1975, 1978/79, and 1983 were analysed. Mortality rates fell from 75% in 1975 to 58% in 1978/79 and to 33% in 1983. Incidence of sequelae decreased from 1975 to 1978/79 and did not change between 1978/79 and 1983. No perinatal pathology (RDS, hyperbilirubinemia, endocranial hemorrhage) was statistically related with long-term outcome, but some associations (RDS + endocranial hemorrhage + seizures) appeared more frequently in cases which presented major neurological sequelae.

帕多瓦大学新生儿重症监护室低出生体重(小于或等于1500克)婴儿的长期神经和心理结果
分析了1975年、1978/79年和1983年在帕多瓦大学儿科新生儿重症监护病房治疗的低出生体重儿(小于或等于1500克)的死亡率和长期预后。死亡率从1975年的75%下降到1978/79年的58%和1983年的33%。从1975年到1978/79年,后遗症发生率下降,1978/79年到1983年没有变化。围产期病理(RDS、高胆红素血症、颅内出血)与长期预后无统计学相关性,但某些相关性(RDS +颅内出血+癫痫发作)在出现重大神经系统后遗症的病例中更为常见。
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