title: [Development of neonatology in Tyrol 1979-1988. An epidemiologic analysis of the Innsbruck University Pediatric Clinic (in comparison with the years 1968-1978)].
abstract: From 1979-1988 5863 term and preterm infants were admitted to the Pediatric University Clinic of Innsbruck during their neonatal period. Compared to 1968-1978 the percentage of preterm infants increased from 44.8% to 47.9%. The mortality during this hospital admission decreased from 11.8% (preterms: 18.2%) to 7.8% (preterms: 10.5%). The number of patients transferred from the Gynecological University Clinic of Innsbruck and from other provinces including South-Tyrol increased, whereas the number of patients transferred from other hospitals of Tyrol decreased. Generally there was a constant trend towards an earlier point of referral (e.g. first-day-admission from the Gynecological University Clinic increased from 74.8% (1968-1978) to 92.1% (1979-1988), first-day-admission from other hospitals of Tyrol increased from 57% to 70.6%). Small-for-date-infants constituted 21.6% of hospital admissions (1979-1988) resp. 18.3% (1968-1978). Mortality of these infants was reduced from 9.2% to 5.3%. In a decade of continuously decreasing over-all-neonatal mortality especially several risk groups for perinatal complications (e.g. preterms, small-for-date-infants, twins) substantially profited from the progress of comprehensive peri- and neonatal care.
authors.affiliation: Universitäts-Kinderklinik, Innsbruck.
authors.forename: M
authors.initials: M
authors.lastname: Föger
authors.forename: B
authors.initials: B
authors.lastname: Föger
mesh_terms: D001317:Austria / Q000453:epidemiology; D001724:Birth Weight; D003430:Cross-Sectional Studies; D005260:Female; D005313:Fetal Death / Q000453:epidemiology*; D005317:Fetal Growth Retardation / Q000401:mortality; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000401:mortality*; D011247:Pregnancy; D011272:Pregnancy, Multiple
vernacular_title: Die Entwicklung der Neonatologie in Tirol von 1979-1988. Eine epidemiologische Analyse an der Universitäts-Kinderklinik Innsbruck (im Vergleich mit den Jahren 1968-1978).