scholarly journals Use of evidence based practices to improve survival without severe morbidity for very preterm infants: results from the EPICE population based cohort

BMJ ◽  
2016 ◽  
pp. i2976 ◽  
Author(s):  
Jennifer Zeitlin ◽  
Bradley N Manktelow ◽  
Aurelie Piedvache ◽  
Marina Cuttini ◽  
Elaine Boyle ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Population Based ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Very Preterm Infants ◽  
Severe Morbidity ◽  
Very Preterm

scholarly journals The Association between Evidence-Based Healthcare Practices and Outcomes among Preterm Births in China

Neonatology ◽  
2021 ◽  
pp. 1-7
Author(s):  
Di Jin ◽  
Xinyue Gu ◽  
Siyuan Jiang ◽  
Yanchen Wang ◽  
Tongling Yang ◽  
...  
Keyword(s):  
Brain Injury ◽  
Preterm Infants ◽  
Gestational Age ◽  
Early Death ◽  
Evidence Based ◽  
Severe Brain Injury ◽  
Evidence Based Practices ◽  
Very Preterm Infants ◽  
Very Preterm ◽  
Evidence Based Healthcare

<b><i>Introduction:</i></b> Very preterm infants are at high risk of early death or severe brain injury, with potential for impaired long-term neurodevelopmental function and physical health. There are evidence-based healthcare practices that can reduce the incidence. <b><i>Materials and Methods:</i></b> Infants born at 24–31<sup>6</sup> weeks gestational age and admitted within 24 h to NICUs participating in the Chinese Neonatal Network in 2019 were included. We examined the association between 4 evidence-based practices: inborn (born in a tertiary hospital in the Chinese Neonatal Network), ACS (any antenatal corticosteroid), MgSO<sub>4</sub> (prenatal magnesium sulfate), and NT (normothermic temperature [36.0–37.5°C] at admission) and early death and/or severe brain injury in the study population. <b><i>Results:</i></b> Of 6,035 eligible infants, the incidence of early death and/or severe brain injury was 10.6%. Exposure to ACS only was associated with significant lower incidence of death and/or severe brain injury than none (aOR, 0.71; 95% CI: 0.57–0.88), but not MgSO<sub>4</sub> only (aOR, 0.97; 95% CI: 0.81–1.17), NT only (aOR, 0.91; 95% CI: 0.76–1.08), or inborn only (aOR, 0.91; 95% CI: 0.72–1.15). The association between number of practices and incidence of early death and/or severe brain injury is as follows: none = 23% (31/138), any 1 = 14% (84/592), any 2 = 12% (185/1,538), any 3 = 9% (202/2,285), and all 4 = 9% (140/1,482). <b><i>Discussion/Conclusion:</i></b> More comprehensive use of evidence-based practices was associated with improved survival without severe brain injury among very preterm infants born at &#x3c;32 weeks gestational age.

Increasing Prevalence of Cerebral Palsy Among Very Preterm Infants: A Population-Based Study

PEDIATRICS ◽  
2006 ◽  
Vol 118 (6) ◽  
pp. e1621-e1626 ◽  
Author(s):  
M. J. Vincer ◽  
A. C. Allen ◽  
K. S. Joseph ◽  
D. A. Stinson ◽  
H. Scott ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Preterm Infants ◽  
Population Based ◽  
Population Based Study ◽  
Very Preterm Infants ◽  
Very Preterm

Timeliness of routine immunization in a population-based Italian cohort of very preterm infants: Results of the ACTION follow-up project

Vaccine ◽  
2014 ◽  
Vol 32 (7) ◽  
pp. 793-799 ◽  
Author(s):  
Alberto E. Tozzi ◽  
Simone Piga ◽  
Carlo Corchia ◽  
Domenico Di Lallo ◽  
Virgilio Carnielli ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Population Based ◽  
Routine Immunization ◽  
Very Preterm Infants ◽  
Very Preterm ◽  
Italian Cohort

Incidence of retinopathy of prematurity (ROP) and ROP treatment in Switzerland 2006–2015: a population-based analysis

2017 ◽  
Vol 103 (4) ◽  
pp. F337-F342 ◽  
Author(s):  
Roland Gerull ◽  
Viviane Brauer ◽  
Dirk Bassler ◽  
Bernard Laubscher ◽  
Riccardo E Pfister ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Retinopathy Of Prematurity ◽  
Cohort Analysis ◽  
Survival Rates ◽  
Patient Characteristics ◽  
Developed Countries ◽  
Population Based ◽  
Screening Criteria ◽  
Very Preterm Infants ◽  
Very Preterm

BackgroundRetinopathy of prematurity (ROP) is a severe complication of preterm birth and can lead to severe visual impairment or even blindness if untreated. The incidence of ROP requiring treatment is increasing in some developed countries in conjunction with higher survival rates at the lower end of gestational age (GA).Material and methodsThe incidence of ROP and severe ROP (sROP) requiring treatment in Switzerland was analysed using the SwissNeoNet registry. We conducted a retrospective cohort analysis of very preterm infants with a GA below 32 weeks who were born between 2006 and 2015 in Switzerland. Patient characteristics were stratified according to GA.Results9.3% and 1.8% of very preterm infants in Switzerland developed ROP of any stage and sROP, respectively. The incidence of ROP treatment was 1.2%. Patients with 24 and 25 weeks GA had the highest proportion of ROP treatment at 14.5% and 7.3%, respectively, whereas the proportion of treated infants at or above a GA of 29 weeks was 0.06%. Similarly, the risk of sROP declined strongly with increasing GA. During the observation period of 10 years, the incidence of ROP treatment ranged between 0.8% and 2.0%. Incidences of sROP or ROP treatment did not increase over time.ConclusionThe incidence of ROP treatment in Switzerland is low and was stable over the analysed period. The low incidence of sROP in patients with a GA of 29 weeks or more leaves room for a redefinition of ROP screening criteria.

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