Regionalized long-term follow-up

Seminars in neonatology : SN Pub Date : 2004-04-01 DOI:10.1016/j.siny.2003.08.008

Victor Y.H Yu , Lex W Doyle

{"title":"Regionalized long-term follow-up","authors":"Victor Y.H Yu , Lex W Doyle","doi":"10.1016/j.siny.2003.08.008","DOIUrl":null,"url":null,"abstract":"<div><p>The importance of population-based long-term follow-up studies of geographically determined cohorts to evaluate the effectiveness, efficiency and availability of a regionalized perinatal–neonatal care programme is demonstrated by the Victorian Infant Collaborative Study Group. The survival and quality of survival of consecutively born extremely-low-birthweight infants below 1000g or extremely preterm infants below 28 weeks' gestation in the state of Victoria were assessed up to 14 years of age over four distinctive eras: 1979–1989, 1985–1987, 1991–1992 and 1997. Both survival and quality-adjusted survival rates rose progressively in all birth weight and gestation subgroups, associated with progressively more such infants being born in level III perinatal centres. Cost–effectiveness and cost–utility ratios remained stable overall, with efficiency gains in the smaller infants over time. Regionalized long-term follow-up provides unique information that is not available from institution-based studies, which is vital to the regional organization of perinatal–neonatal care.</p></div>","PeriodicalId":74783,"journal":{"name":"Seminars in neonatology : SN","volume":"9 2","pages":"Pages 135-144"},"PeriodicalIF":0.0000,"publicationDate":"2004-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.siny.2003.08.008","citationCount":"38","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in neonatology : SN","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1084275603001313","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 38

Abstract

The importance of population-based long-term follow-up studies of geographically determined cohorts to evaluate the effectiveness, efficiency and availability of a regionalized perinatal–neonatal care programme is demonstrated by the Victorian Infant Collaborative Study Group. The survival and quality of survival of consecutively born extremely-low-birthweight infants below 1000 g or extremely preterm infants below 28 weeks' gestation in the state of Victoria were assessed up to 14 years of age over four distinctive eras: 1979–1989, 1985–1987, 1991–1992 and 1997. Both survival and quality-adjusted survival rates rose progressively in all birth weight and gestation subgroups, associated with progressively more such infants being born in level III perinatal centres. Cost–effectiveness and cost–utility ratios remained stable overall, with efficiency gains in the smaller infants over time. Regionalized long-term follow-up provides unique information that is not available from institution-based studies, which is vital to the regional organization of perinatal–neonatal care.

查看原文本刊更多论文

区域化长期随访

维多利亚婴儿合作研究小组证明了对地理上确定的队列进行基于人群的长期随访研究以评估区域化围产期-新生儿护理方案的有效性、效率和可用性的重要性。对维多利亚州连续出生的低于1000克的极低出生体重婴儿或低于28周妊娠的极早产儿的生存和生存质量进行了评估，直至14岁，分为四个不同的时期:1979-1989年、1985-1987年、1991-1992年和1997年。在所有出生体重和妊娠亚组中，生存率和质量调整生存率均逐渐上升，这与在三级围产中心出生的此类婴儿逐渐增多有关。成本效益和成本效用比总体上保持稳定，随着时间的推移，较小的婴儿的效率有所提高。区域化的长期随访提供了机构研究无法提供的独特信息，这对区域围产期新生儿护理组织至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Seminars in neonatology : SN

自引率

0.00%

发文量