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Dublin Core
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March 2018 List
Text
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March 2018 List
URL Address
<a href="http://doi.org/10.1055/s-0036-1586753" target="_blank" rel="noreferrer">http://doi.org/10.1055/s-0036-1586753</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Neonatal Hospital Course and Outcomes of Live-born Infants with Trisomy 18 at Two Tertiary Care Centers in the United States
Publisher
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American Journal Of Perinatology
Date
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2017
Subject
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Birth Weight; Patient Discharge; Artificial; Cardiotonic Agents/therapeutic use; Congenital/etiology; Female; gestational age; Heart Defects; Humans; infant; infant death; Intensive Care Units; Length of Stay; Live Birth; Male; Neonatal; Newborn; Perinatal Death; Respiration; Sex Factors; Survival Rate; Tertiary Care Centers; Trisomy 18 Syndrome/complications/ therapy; United States
Creator
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Dereddy NR; Pivnick EK; Upadhyay K; Dhanireddy R; Talati AJ
Description
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Objectives Trisomy 18 is presumed to be a lethal chromosomal abnormality; medical management of infants with this aneuploidy is controversial. Our objective was to describe our approach and experience with trisomy 18 infants. Study Design We reviewed the initial hospital course, management, and factors predicting discharge from the hospital from two large tertiary care neonatal intensive care units in the southern United States over 26 years. Results Of the 29 infants with trisomy 18, 21 (72%) died in the hospital and 8 (28%) were discharged home. 19 (66%) infants received mechanical ventilation and 10 (34%) received inotropic medications. Eight infants had critical congenital heart defects; only one survived to discharge. Three infants underwent major surgeries; one cardiac surgery, one tracheoesophageal fistula repair, and one myelomeningocele repair. Median length of hospital stay was 14 days (range, 0-78) for all the infants and 31 days (range, 18-66) for those that were discharged home. Factors associated with discharge from the hospital were female sex, higher gestational age, and absence of critical congenital heart defects. Median survival time was 13 days and was significantly longer for females compared with males. Our 1-month and 1-year survival rates were 31% and 3.9% respectively. Conclusion A significant proportion of infants with trisomy 18 were discharged home. These data are helpful in counseling parents of infants with trisomy 18.
2017-02
Identifier
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<a href="http://doi.org/10.1055/s-0036-1586753" target="_blank" rel="noreferrer">10.1055/s-0036-1586753</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2017
American Journal of Perinatology
Artificial
Birth Weight
Cardiotonic Agents/therapeutic use
Congenital/etiology
Dereddy NR
Dhanireddy R
Female
Gestational Age
Heart Defects
Humans
Infant
Infant Death
Intensive Care Units
Length Of Stay
Live Birth
Male
March 2018 List
Neonatal
Newborn
Patient Discharge
Perinatal Death
Pivnick EK
Respiration
Sex Factors
Survival Rate
Talati AJ
Tertiary Care Centers
Trisomy 18 Syndrome/complications/ therapy
United States
Upadhyay K