[Premature infants weighing less than 1000 grams: mortality, morbidity and short-term neurologic outcome].
The outcome of 60 premature infants weighing less than 1,000 g at birth and consecutively born during the years 1986 to 1988 is reported. Forty-two (70%) of them were inborn. The overall mortality rate was 42%, but only 26% in the inborn group instead of 78% in the outborn group (P less than 0.001). The mortality rate was higher for the appropriate for gestational age infants (56%) than for the growth retarded infants (14%, P less than 0.01). The main neonatal problems were the following: hyaline membrane disease (63%), patent ductus arteriosus (7%), bronchopulmonary dysplasia (8%), necrotizing enterocolitis (15%), intraventricular hemorrhages (45%) and periventricular leukomalacia (12%). Twenty percent (7/35) of the surviving infants showed abnormal neurodevelopmental outcome, with only one (3%) having major handicap. No correlation was found between gestational age and neuro-developmental outcome.
Claris
O
O
Service de pathologie et de réanimation néonatale (Pr Salle), hôpital Edouard-Herriot, Lyon, France.
Claris-Meunier
G
G
Gay
C
C
Putet
G
G
Salle
B
B
D002657:Child Development; D002675:Child, Preschool; D036861:Delivery, Obstetric; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000401:mortality*; D009422:Nervous System Diseases / Q000151:congenital*; D011379:Prognosis; D011596:Psychomotor Disorders / Q000235:genetics; D013997:Time Factors
Le prématuré de moins de 1,000 grammes: mortalité, morbidité et devenir neurologique à court terme.