Discharge Age and Weight for Very Preterm Infants in Six Countries: 2012-2020.

IF 2.6 3区医学 Q1 PEDIATRICS

Neonatology Pub Date : 2023-01-01 DOI:10.1159/000528013

Erika M Edwards, Lucy T Greenberg, Jeffrey D Horbar, Luigi Gagliardi, Mark Adams, Angelika Berger, Sara Leitao, Karen Luyt, Danielle E Y Ehret, Jeannette A Rogowski

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引用次数: 0

Abstract

Background: Postmenstrual age for surviving infants without congenital anomalies born at 24-29 weeks' gestational age from 2005 to 2018 in the USA increased 8 days, discharge weight increased 316 grams, and median discharge weight z-score increased 0.19 standard units. We asked whether increases were observed in other countries.

Methods: We evaluated postmenstrual age, weight, and weight z-score at discharge of surviving infants without congenital anomalies born at 24-29 weeks' gestational age admitted to Vermont Oxford Network member hospitals in Austria, Ireland, Italy, Switzerland, the UK, and the USA from 2012 to 2020.

Results: After adjustment, the median postmenstrual age at discharge increased significantly in Austria (3.6 days, 99% CI [1.0, 6.3]), Italy (4.0 days [2.3, 5.6]), and the USA (5.4 days [5.0, 5.8]). Median discharge weight increased significantly in Austria (181 grams, 99% CI [95, 267]), Ireland (234 [143, 325]), Italy (133 [83, 182]), and the USA (207 [194, 220]). Median discharge weight z-score increased in Ireland (0.24 standard units, 99% CI [0.12, 0.36]) and the USA (0.15 [0.13, 0.16]). Discharge on human milk increased in Italy, Switzerland, and the UK, while going home on cardiorespiratory monitors decreased in Austria, Ireland, and USA and going home on oxygen decreased in Ireland.

Conclusions: In this international cohort of neonatal intensive care units, postmenstrual discharge age and weight increased in some, but not all, countries. Processes of care at discharge did not change in conjunction with age and weight increases.

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六个国家极早产儿的出生年龄和体重:2012-2020年。

背景:2005年至2018年，美国24-29周出生的无先天性异常存活婴儿经后年龄增加8天，出院体重增加316克，出院体重z评分中位数增加0.19标准单位。我们询问是否在其他国家也观察到这种增长。方法:我们评估2012年至2020年在奥地利、爱尔兰、意大利、瑞士、英国和美国的佛蒙特牛津网络成员医院住院的24-29周出生的无先天性异常的存活婴儿的经后年龄、体重和出院时体重z评分。结果:调整后，奥地利(3.6天，99% CI[1.0, 6.3])、意大利(4.0天[2.3,5.6])和美国(5.4天[5.0,5.8])的月经后出院年龄中位数显著增加。奥地利(181克，99% CI[95, 267])、爱尔兰(234[143,325])、意大利(133[83,182])和美国(207[194,220])的中位排泄重量显著增加。爱尔兰(0.24标准单位，99% CI[0.12, 0.36])和美国(0.15[0.13,0.16])的中位出院重量z评分均有所增加。意大利、瑞士和英国靠母乳出院的人数增加，而奥地利、爱尔兰和美国靠心肺监护仪出院的人数减少，爱尔兰靠吸氧出院的人数减少。结论:在这个新生儿重症监护病房的国际队列中，月经后出院年龄和体重在一些国家增加，但不是全部。出院时的护理过程不随年龄和体重增加而改变。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neonatology 医学-小儿科

CiteScore

0.60

自引率

4.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This highly respected and frequently cited journal is a prime source of information in the area of fetal and neonatal research. Original papers present research on all aspects of neonatology, fetal medicine and developmental biology. These papers encompass both basic science and clinical research including randomized trials, observational studies and epidemiology. Basic science research covers molecular biology, molecular genetics, physiology, biochemistry and pharmacology in fetal and neonatal life. In addition to the classic features the journal accepts papers for the sections Research Briefings and Sources of Neonatal Medicine (historical pieces). Papers reporting results of animal studies should be based upon hypotheses that relate to developmental processes or disorders in the human fetus or neonate.