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Dublin Core
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Title
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January 2018 List
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January 2018 List
URL Address
<a href="http://doi.org/10.1016/j.jpeds.2017.11.038" target="_blank" rel="noreferrer">http://doi.org/10.1016/j.jpeds.2017.11.038</a>
Dublin Core
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Title
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Neurodevelopmental Outcomes of Infants Born at <29 Weeks of Gestation Admitted to Canadian Neonatal Intensive Care Units Based on Location of Birth
Publisher
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Journal Of Pediatrics
Date
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2018
Subject
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cerebral palsy; inborn; neurodevelopmental impairment; neurodevelopmental outcomes; outborn; Perinatal Care; preterm birth; tertiary care
Creator
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Amer R; Moddemann D; Seshia M; Alvaro R; Synnes A; Lee KS; Lee SK; Shah PS
Description
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OBJECTIVE: To compare mortality and neurodevelopmental outcomes of outborn and inborn preterm infants born at <29 weeks of gestation admitted to Canadian neonatal intensive care units (NICUs). STUDY DESIGN: Data were obtained from the Canadian Neonatal Network and Canadian Neonatal Follow-up Network databases for infants born at <29 weeks of gestation admitted to NICUs from April 2009 to September 2011. Rates of death, severe neurodevelopmental impairment (NDI), and overall NDI were compared between outborn and inborn infants at 18-21 months of age, corrected for prematurity. RESULTS: Of 2951 eligible infants, 473 (16%) were outborn. Mean birth weight (940 +/- 278 g vs 897 + 237 g), rates of treatment with antenatal steroids (53.9% vs 92.9%), birth weight small for gestational age (5.3% vs 9.4%), and maternal college education (43.7% vs 53.9%) differed between outborn and inborn infants, respectively (all P values <.01). The median Score for Neonatal Acute Physiology-II (P = .01) and Apgar score at 5 minutes (P < .01) were higher in inborn infants. Severe brain injury was more common among outborn infants (25.3% vs 14.7%, P < .01). Outborn infants had higher odds of death or severe NDI (aOR 1.7, 95% CI 1.3-2.2), death or overall NDI (aOR 1.6, 95% CI 1.2-2.2), death (aOR 2.1, 95% CI 1.5-3.0), and cerebral palsy (aOR 1.9, 95% CI 1.1-3.3). CONCLUSIONS: The composite outcomes of death or neurodevelopmental impairment were significantly higher in outborn compared with inborn infants admitted to Canadian NICUs. Adverse outcomes were mainly attributed to increased mortality and cerebral palsy in outborn neonates.
Identifier
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<a href="http://doi.org/10.1016/j.jpeds.2017.11.038" target="_blank" rel="noreferrer">10.1016/j.jpeds.2017.11.038</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).
2018
Alvaro R
Amer R
Cerebral Palsy
inborn
January 2018 List
Journal of Pediatrics
Lee KS
Lee SK
Moddemann D
neurodevelopmental impairment
Neurodevelopmental Outcomes
outborn
Perinatal Care
preterm birth
Seshia M
Shah PS
Synnes A
tertiary care
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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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March 2018 List
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
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March 2018 List
URL Address
<a href="http://doi.org/10.5546/aap.2018.eng.42" target="_blank" rel="noreferrer">http://doi.org/10.5546/aap.2018.eng.42</a>
Dublin Core
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Title
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Neonatal mortality and associated factors in newborn infants admitted to a Neonatal Care Unit
Publisher
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Archivos Argentinos De Pediatria
Date
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2018
Subject
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child mortality; Neonatal mortality; Neonatal respiratory distress syndrome; Perinatal mortality; preterm birth
Creator
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Lona Reyes JC; Perez Ramirez RO; Llamas Ramos L; Gomez Ruiz LM; Benitez Vazquez EA; Rodriguez Patino V
Description
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INTRODUCTION: The increasing survival rate of preterm infants has altered the epidemiology of neonatal diseases; however, neonatal mortality is still the main component of child mortality. The objective of this study was to evaluate neonatal mortality and associated factors in newborn infants admitted to a neonatal care unit. MATERIAL AND METHODS: Prospective cohort study conducted between January 2016 and January 2017 at Hospital Civil de Guadalajara "Dr. Juan I. Menchaca." The incidence of deaths and associated conditions was evaluated using a multivariate logistic regression analysis. RESULTS: A total of 9366 live births were registered; 15% (n: 1410) of these were admitted to the neonatal care unit. The mortality rate was 125.5 per 1000 hospitalized newborn infants (95% confidence interval [CI]: 109-144); the main reasons for admission were congenital malformations or genetic disorders (28.2%), infections (24.9%), and respiratory distress (20.9%). The conditions associated with death were gestational age < 37 weeks (OR: 2.41, 95% CI: 1.49-3.93), birth weight < 1500 grams (OR: 6.30, 95% CI: 4.15-9.55), moderate/severe respiratory distress at 10 minutes (OR: 1.89, 95% CI: 1.24-2.86), Apgar score < 7 at 5 minutes (OR: 9.40, 95% CI: 5.76-15.31), congenital malformations (OR: 5.52, 95% CI: 3.12-9.78), and less than 5 antenatal care visits (OR: 1.51, 95% CI: 1.09-2.08). CONCLUSIONS: Preterm birth, low birth weight, respiratory distress, Apgar score < 7, congenital malformations, and a history of < 5 antenatal care visits were associated with a higher risk for death.
2018-02
Identifier
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<a href="http://doi.org/10.5546/aap.2018.eng.42" target="_blank" rel="noreferrer">10.5546/aap.2018.eng.42</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).
2018
Archivos Argentinos De Pediatria
Benitez Vazquez EA
Child Mortality
Gomez Ruiz LM
Llamas Ramos L
Lona Reyes JC
March 2018 List
Neonatal mortality
Neonatal respiratory distress syndrome
Perez Ramirez RO
Perinatal Mortality
preterm birth
Rodriguez Patino V
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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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March 2018 List
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
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March 2018 List
URL Address
<a href="http://doi.org/10.1053/j.semperi.2016.09.002" target="_blank" rel="noreferrer">http://doi.org/10.1053/j.semperi.2016.09.002</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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Early neurodevelopmental outcomes of extremely preterm infants
Publisher
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Seminars In Perinatology
Date
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2016
Subject
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Biomedical Research; Infant; neonatology; Adhd; Brain/embryology/ physiopathology; cerebral palsy; Developmental Disabilities/etiology/ physiopathology; Diseases/ physiopathology; Extremely Premature/growth & development/physiology/psychology; Fetal Organ Maturity; Humans; infant; intellectual impairment; intraventricular hemorrhage; Nervous System Diseases/etiology/ physiopathology; neurodevelopment; neurodevelopmental outcomes; Newborn; Premature; preterm birth; Risk Factors; sensory impairment; Survival Rate/trends; Very Low Birth Weight/growth & development/physiology/psychology; white matter injury
Creator
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Rogers EE; Hintz SR
Description
An account of the resource
Infants born at extreme preterm gestation are at risk for both death and disability. Although rates of survival have improved for this population, and some evidence suggests a trend toward decreased neuromotor impairment over the past decades, a significant improvement in overall early neurodevelopmental outcome has not yet been realized. This review will examine the rates and types of neurodevelopmental impairment seen after extremely preterm birth, including neurosensory, motor, cognitive, and behavioral outcomes. We focus on early outcomes in the first 18-36 months of life, as the majority of large neonatal studies examining neurodevelopmental outcomes stop at this age. However, this early age is clearly just a first glimpse into lifetime outcomes; the neurodevelopmental effects of extreme prematurity may last through school age, adolescence, and beyond. Importantly, prematurity appears to be an independent risk factor for adverse development, but this population demonstrates considerable variability in the types and severity of impairments. Understanding both the nature and prevalence of neurodevelopmental impairment among extremely preterm infants is important because it can lead to targeted interventions that in turn may lead to improved outcomes.
2016-12
Identifier
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<a href="http://doi.org/10.1053/j.semperi.2016.09.002" target="_blank" rel="noreferrer">10.1053/j.semperi.2016.09.002</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).
2016
Adhd
Biomedical Research
Brain/embryology/ physiopathology
Cerebral Palsy
Developmental Disabilities/etiology/ physiopathology
Diseases/ physiopathology
Extremely Premature/growth & development/physiology/psychology
Fetal Organ Maturity
Hintz SR
Humans
Infant
Intellectual Impairment
intraventricular hemorrhage
March 2018 List
Neonatology
Nervous System Diseases/etiology/ physiopathology
neurodevelopment
Neurodevelopmental Outcomes
Newborn
Premature
preterm birth
Risk Factors
Rogers EE
Seminars in Perinatology
sensory impairment
Survival Rate/trends
Very Low Birth Weight/growth & development/physiology/psychology
white matter injury
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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
A name given to the resource
August 2021 List
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
August 2021 List
URL Address
<a href="http://doi.org/10.1111/aogs.14136" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/aogs.14136</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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Antenatal prediction models for short- and medium-term outcomes in preterm infants
Publisher
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Acta Obstetricia et Gynecologica Scandinavica
Date
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2021
Subject
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preterm birth; pregnancy complications; prediction model; antenatal counseling; neonatal outcomes
Creator
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Ushida T; Moriyama Y; Nakatochi M; Kobayashi Y; Imai K; Nakano-Kobayashi T; Nakamura N; Hayakawa M; Kajiyama H; Kotani T
Description
An account of the resource
Introduction: In extremely and very preterm infants, predicting individual risks for adverse outcomes antenatally is challenging but necessary for risk-stratified perinatal management and parents' participation in decision-making about treatment. Our aim was to develop and validate prediction models for short-term (neonatal period) and medium-term (3 years of age) outcomes based on antenatal maternal and fetal factors alone. Material(s) and Method(s): A population-based study was conducted on 31 157 neonates weighing <=1500 g and born between 22 and 31 weeks of gestation registered in the Neonatal Research Network of Japan during 2006-2015. Short-term outcomes were assessed in 31 157 infants and medium-term outcomes were assessed in 13 751 infants among the 31 157 infants. The clinical data were randomly divided into training and validation data sets in a ratio of 2:1. The prediction models were developed by factors selected using stepwise logistic regression from 12 antenatal maternal and fetal factors with the training data set. The number of factors incorporated into the model varied from 3 to 10, on the basis of each outcome. To evaluate predictive performance, the area under the receiver operating characteristics curve (AUROC) was calculated for each outcome with the validation data set. Result(s): Among short-term outcomes, AUROCs for in-hospital death, chronic lung disease, intraventricular hemorrhage (grade III or IV) and periventricular leukomalacia were 0.85 (95% CI 0.83-0.86), 0.80 (95% CI 0.79-0.81), 0.78 (95% CI 0.75-0.80), and 0.58 (95% CI 0.55-0.61), respectively. Among medium-term outcomes, AUROCs for cerebral palsy and developmental quotient of <70 at 3 years of age were 0.66 (95% CI 0.63-0.69) and 0.72 (95% CI 0.70-0.74), respectively. Conclusion(s): Although the predictive performance of these models varied for each outcome, their discriminative ability for in-hospital death, chronic lung disease, and intraventricular hemorrhage (grade III or IV) was relatively good. We provided a bedside prediction tool for calculating the likelihood of various infant complications for clinical use. To develop these prediction models would be valuable in each country, and these risk assessment tools could facilitate risk-stratified perinatal management and parents' shared understanding of their infants' subsequent risks. Copyright © 2021 Nordic Federation of Societies of Obstetrics and Gynecology (NFOG). Published by John Wiley & Sons Ltd
Identifier
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<a href="http://doi.org/10.1111/aogs.14136" target="_blank" rel="noreferrer noopener">10.1111/aogs.14136</a>
Rights
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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).
2021
Acta Obstetricia et Gynecologica Scandinavica
Antenatal Counseling
August 2021 List
Hayakawa M
Imai K
Kajiyama H
Kobayashi Y
Kotani T
Moriyama Y
Nakamura N
Nakano-Kobayashi T
Nakatochi M
neonatal outcomes
prediction model
Pregnancy Complications
preterm birth
Ushida T