Outcome of extremely low-birth-weight infants: 1980-1990.
Neonatal and follow-up data of infants from the special care nursery whose birth weights were < 750 g, born between 1980 and 1990, were reviewed. There was a 20% relative improvement in the odds of surviving the neonatal period, a 16% improvement in the odds of being discharged and a 19% improvement in the odds of surviving until 2 years of age with each consecutive year. Home oxygen use increased significantly over the study period. The neurodevelopmental outcomes of infants were similar over the 11-year period, with 53% being classified as neurologically normal, with a mean developmental index of 83 at 1 to 2 years of age. We conclude that there has been an improved survival of infants with birth weights < 750 g in our institution, and that the overall incidence of serious neurodevelopmental deficits among survivors has remained stable.
Blaymore-Bier
J
J
Department of Pediatrics, Rhode Island Hospital, Providence, USA.
Pezzullo
J
J
Kim
E
E
Oh
W
W
Garcia-Coll
C
C
Vohr
B R
BR
D001724:Birth Weight; D001925:Brain Damage, Chronic / Q000209:etiology / Q000401:mortality*; D002423:Cause of Death; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000209:etiology / Q000401:mortality*; D007236:Infant, Small for Gestational Age; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D009460:Neurologic Examination; D012237:Rhode Island / Q000453:epidemiology; D012307:Risk Factors; D015996:Survival Rate