prikaz prve stranice dokumenta Survival until Discharge of Very-Low-Birth- Weight Infants in Two Croatian Perinatal Care Regions: A Retrospective Cohort Study of Time and Cause of Death
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Scientific paper - Original scientific paper
Survival until Discharge of Very-Low-Birth- Weight Infants in Two Croatian Perinatal Care Regions: A Retrospective Cohort Study of Time and Cause of Death
Acta clinica Croatica, 58 (2019), 3; 446-454. https://doi.org/10.20471/acc.2019.58.03.07
Kardum, Darjan; Filipović Grčić, Boris; Mueller, Andrijana; Dessardo, Sandro

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Kardum, D., Filipović Grčić, B., Mueller, A. & Dessardo, S. (2019). Survival until Discharge of Very-Low-Birth- Weight Infants in Two Croatian Perinatal Care Regions: A Retrospective Cohort Study of Time and Cause of Death. Acta clinica Croatica, 58. (3), 446-454. doi: 10.20471/acc.2019.58.03.07

Kardum, Darjan, et al. "Survival until Discharge of Very-Low-Birth- Weight Infants in Two Croatian Perinatal Care Regions: A Retrospective Cohort Study of Time and Cause of Death." Acta clinica Croatica, vol. 58, no. 3, 2019, pp. 446-454. https://doi.org/10.20471/acc.2019.58.03.07

Kardum, Darjan, Boris Filipović Grčić, Andrijana Mueller and Sandro Dessardo. "Survival until Discharge of Very-Low-Birth- Weight Infants in Two Croatian Perinatal Care Regions: A Retrospective Cohort Study of Time and Cause of Death." Acta clinica Croatica 58, no. 3 (2019): 446-454. https://doi.org/10.20471/acc.2019.58.03.07

Kardum, D., et al. (2019) 'Survival until Discharge of Very-Low-Birth- Weight Infants in Two Croatian Perinatal Care Regions: A Retrospective Cohort Study of Time and Cause of Death', Acta clinica Croatica, 58(3), pp. 446-454. doi: 10.20471/acc.2019.58.03.07

Kardum D, Filipović Grčić B, Mueller A, Dessardo S. Survival until Discharge of Very-Low-Birth- Weight Infants in Two Croatian Perinatal Care Regions: A Retrospective Cohort Study of Time and Cause of Death. Acta clinica Croatica [Internet]. 2019 [cited 2024 December 25];58(3):446-454. doi: 10.20471/acc.2019.58.03.07

D. Kardum, B. Filipović Grčić, A. Mueller and S. Dessardo, "Survival until Discharge of Very-Low-Birth- Weight Infants in Two Croatian Perinatal Care Regions: A Retrospective Cohort Study of Time and Cause of Death", Acta clinica Croatica, vol. 58, no. 3, pp. 446-454, 2019. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:592697. [Accessed: 25 December 2024]

Metadata
Title (english)Survival until Discharge of Very-Low-Birth- Weight Infants in Two Croatian Perinatal Care Regions: A Retrospective Cohort Study of Time and Cause of Death
AuthorDarjan Kardum
AuthorBoris Filipović Grčić
AuthorAndrijana Mueller
AuthorSandro Dessardo
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Pediatrics)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Pediatrics
Abstract (english)
We investigated mortality, causes, timing and risk factors for death until hospital discharge in very-low-birth-weight (VLBW) infants born in two Croatian perinatal care regions. This retrospective study included 252 live born VLBW infants. The mortality rate until hospital discharge was 30.5% (77/252). VLBW infants who died had by 4 weeks lower gestational age (GA) than surviving infants (median GA, 25 vs. 29 weeks), lower birth weight (BW) (mean BW, 756.4 vs. 1126.4 g), lower 5-minute Apgar score (median 5 vs. 8) and were more often resuscitated at birth (41.6 vs. 19.4% ; p<0.001 all). Infants who survived were more often small-for-gestational age (SGA) (28.0 vs. 15.6% ; p=0.04) and more often received continuous-positive-airway-pressure (CPAP) in delivery room (13.1 vs. 2.6% ; p=0.01). Multivariate logistic regression revealed that parameters influencing death until hospital discharge were 5-minute Apgar score (OR 0.780, 95% CI 0.648-0.939) and higher Clinical Risk Index for Babies (CRIB) score (OR 1.677, 95% CI 1.456-1.931). ROC analysis showed that CRIB score (AUC 0.927, sensitivity 92.2, specificity 81.1 ; p<0.001) was the strongest predictor of death until hospital discharge. In infants who died within 12 hours, death was most commonly attributed to immaturity and in those surviving >12 hours to necrotizing enterocolitis.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 58, no. 3, pp. 446-454
p-ISSN0353-9466
e-ISSN1333-9451
DOIhttps://doi.org/10.20471/acc.2019.58.03.07
URN:NBNurn:nbn:hr:184:592697
Publication2019
Document URLhttp://bib.irb.hr/1052328
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2020-03-30 09:18:40