Preterm birth in the Nordic countries—Capacity, management and outcome in neonatal care
Aim Organisation of care, perinatal and neonatal management of very preterm infants in the Nordic regions were hypothesised to vary significantly. The aim of this observational study was to test this hypothesis. Methods Information on preterm infants in the 21 greater healthcare regions of Denmark,...
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| Veröffentlicht in: | Acta pædiatrica (Oslo) 2023 |
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| creator | Norman, Mikael Padkær Petersen, Jesper Stensvold, Hans Jørgen Thorkelsson, Thordur Helenius, Kjell Brix Andersson, Charlotte Ørum Cueto, Heidi Domellöf, Magnus Gissler, Mika Heino, Anna Håkansson, Stellan Jonsson, Baldvin Klingenberg, Claus Andreas Lehtonen, Liisa Metsäranta, Marjo Rønnestad, Arild Erland Trautner, Simon Vatne, Anlaug Støen, Ragnhild Brække, Kristin Reigstad, Hallvard |
| description | Aim
Organisation of care, perinatal and neonatal management of very preterm infants in the Nordic regions were hypothesised to vary significantly. The aim of this observational study was to test this hypothesis.
Methods
Information on preterm infants in the 21 greater healthcare regions of Denmark, Finland, Iceland, Norway and Sweden was gathered from national registers in 2021. Preterm birth rates, case-mix, perinatal interventions, neonatal morbidity and survival to hospital discharge in very ( |
| format | Article |
| fullrecord | <record><control><sourceid>cristin</sourceid><recordid>TN_cdi_cristin_nora_10852_103235</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>10852_103235</sourcerecordid><originalsourceid>FETCH-cristin_nora_10852_1032353</originalsourceid><addsrcrecordid>eNqNi0sOQTEUQBsh8Xz2cBfgJX2tYi7ESAxMjOSqi4p3K-01MLMIK7QSJBZgcs7knIYqqpGrSmPMuKkKPdG2dMbZturkfNZaD-14WKjNKpFQqmEXkpwgMMiJYBnTPnjw8caSAuXX4znFK_og9wHUyHikmlgAeQ_xJj7W9F2ZIqPgBTwm6qnWAS-Z-j93Fcxn6-mi9ClkCbzlmHBb6YkzH1pjnf0jeQOg9EDp</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Preterm birth in the Nordic countries—Capacity, management and outcome in neonatal care</title><source>NORA - Norwegian Open Research Archives</source><source>Wiley-Blackwell Open Access Titles</source><source>Wiley Online Library All Journals</source><creator>Norman, Mikael ; Padkær Petersen, Jesper ; Stensvold, Hans Jørgen ; Thorkelsson, Thordur ; Helenius, Kjell ; Brix Andersson, Charlotte ; Ørum Cueto, Heidi ; Domellöf, Magnus ; Gissler, Mika ; Heino, Anna ; Håkansson, Stellan ; Jonsson, Baldvin ; Klingenberg, Claus Andreas ; Lehtonen, Liisa ; Metsäranta, Marjo ; Rønnestad, Arild Erland ; Trautner, Simon ; Vatne, Anlaug ; Støen, Ragnhild ; Brække, Kristin ; Reigstad, Hallvard</creator><creatorcontrib>Norman, Mikael ; Padkær Petersen, Jesper ; Stensvold, Hans Jørgen ; Thorkelsson, Thordur ; Helenius, Kjell ; Brix Andersson, Charlotte ; Ørum Cueto, Heidi ; Domellöf, Magnus ; Gissler, Mika ; Heino, Anna ; Håkansson, Stellan ; Jonsson, Baldvin ; Klingenberg, Claus Andreas ; Lehtonen, Liisa ; Metsäranta, Marjo ; Rønnestad, Arild Erland ; Trautner, Simon ; Vatne, Anlaug ; Støen, Ragnhild ; Brække, Kristin ; Reigstad, Hallvard</creatorcontrib><description>Aim
Organisation of care, perinatal and neonatal management of very preterm infants in the Nordic regions were hypothesised to vary significantly. The aim of this observational study was to test this hypothesis.
Methods
Information on preterm infants in the 21 greater healthcare regions of Denmark, Finland, Iceland, Norway and Sweden was gathered from national registers in 2021. Preterm birth rates, case-mix, perinatal interventions, neonatal morbidity and survival to hospital discharge in very (<32 weeks) and extremely preterm infants (<28 weeks of gestational age) were compared.
Results
Out of 287 642 infants born alive, 16 567 (5.8%) were preterm, 2389 (0.83%) very preterm and 800 (0.28%) were extremely preterm. In very preterm infants, exposure to antenatal corticosteroids varied from 85% to 98%, live births occurring at regional centres from 48% to 100%, surfactant treatment from 28% to 69% and use of mechanical ventilation varied from 13% to 77% (p < 0.05 for all comparisons). Significant regional variations within and between countries were also seen in capacity in neonatal care, case-mix and number of admissions, whereas there were no statistically significant differences in survival or major neonatal morbidities.
Conclusion
Management of very preterm infants exhibited significant regional variations in the Nordic countries.</description><identifier>ISSN: 0803-5253</identifier><identifier>EISSN: 1651-2227</identifier><language>nor</language><ispartof>Acta pædiatrica (Oslo), 2023</ispartof><rights>info:eu-repo/semantics/openAccess</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,4024,26567</link.rule.ids></links><search><creatorcontrib>Norman, Mikael</creatorcontrib><creatorcontrib>Padkær Petersen, Jesper</creatorcontrib><creatorcontrib>Stensvold, Hans Jørgen</creatorcontrib><creatorcontrib>Thorkelsson, Thordur</creatorcontrib><creatorcontrib>Helenius, Kjell</creatorcontrib><creatorcontrib>Brix Andersson, Charlotte</creatorcontrib><creatorcontrib>Ørum Cueto, Heidi</creatorcontrib><creatorcontrib>Domellöf, Magnus</creatorcontrib><creatorcontrib>Gissler, Mika</creatorcontrib><creatorcontrib>Heino, Anna</creatorcontrib><creatorcontrib>Håkansson, Stellan</creatorcontrib><creatorcontrib>Jonsson, Baldvin</creatorcontrib><creatorcontrib>Klingenberg, Claus Andreas</creatorcontrib><creatorcontrib>Lehtonen, Liisa</creatorcontrib><creatorcontrib>Metsäranta, Marjo</creatorcontrib><creatorcontrib>Rønnestad, Arild Erland</creatorcontrib><creatorcontrib>Trautner, Simon</creatorcontrib><creatorcontrib>Vatne, Anlaug</creatorcontrib><creatorcontrib>Støen, Ragnhild</creatorcontrib><creatorcontrib>Brække, Kristin</creatorcontrib><creatorcontrib>Reigstad, Hallvard</creatorcontrib><title>Preterm birth in the Nordic countries—Capacity, management and outcome in neonatal care</title><title>Acta pædiatrica (Oslo)</title><description>Aim
Organisation of care, perinatal and neonatal management of very preterm infants in the Nordic regions were hypothesised to vary significantly. The aim of this observational study was to test this hypothesis.
Methods
Information on preterm infants in the 21 greater healthcare regions of Denmark, Finland, Iceland, Norway and Sweden was gathered from national registers in 2021. Preterm birth rates, case-mix, perinatal interventions, neonatal morbidity and survival to hospital discharge in very (<32 weeks) and extremely preterm infants (<28 weeks of gestational age) were compared.
Results
Out of 287 642 infants born alive, 16 567 (5.8%) were preterm, 2389 (0.83%) very preterm and 800 (0.28%) were extremely preterm. In very preterm infants, exposure to antenatal corticosteroids varied from 85% to 98%, live births occurring at regional centres from 48% to 100%, surfactant treatment from 28% to 69% and use of mechanical ventilation varied from 13% to 77% (p < 0.05 for all comparisons). Significant regional variations within and between countries were also seen in capacity in neonatal care, case-mix and number of admissions, whereas there were no statistically significant differences in survival or major neonatal morbidities.
Conclusion
Management of very preterm infants exhibited significant regional variations in the Nordic countries.</description><issn>0803-5253</issn><issn>1651-2227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>3HK</sourceid><recordid>eNqNi0sOQTEUQBsh8Xz2cBfgJX2tYi7ESAxMjOSqi4p3K-01MLMIK7QSJBZgcs7knIYqqpGrSmPMuKkKPdG2dMbZturkfNZaD-14WKjNKpFQqmEXkpwgMMiJYBnTPnjw8caSAuXX4znFK_og9wHUyHikmlgAeQ_xJj7W9F2ZIqPgBTwm6qnWAS-Z-j93Fcxn6-mi9ClkCbzlmHBb6YkzH1pjnf0jeQOg9EDp</recordid><startdate>2023</startdate><enddate>2023</enddate><creator>Norman, Mikael</creator><creator>Padkær Petersen, Jesper</creator><creator>Stensvold, Hans Jørgen</creator><creator>Thorkelsson, Thordur</creator><creator>Helenius, Kjell</creator><creator>Brix Andersson, Charlotte</creator><creator>Ørum Cueto, Heidi</creator><creator>Domellöf, Magnus</creator><creator>Gissler, Mika</creator><creator>Heino, Anna</creator><creator>Håkansson, Stellan</creator><creator>Jonsson, Baldvin</creator><creator>Klingenberg, Claus Andreas</creator><creator>Lehtonen, Liisa</creator><creator>Metsäranta, Marjo</creator><creator>Rønnestad, Arild Erland</creator><creator>Trautner, Simon</creator><creator>Vatne, Anlaug</creator><creator>Støen, Ragnhild</creator><creator>Brække, Kristin</creator><creator>Reigstad, Hallvard</creator><scope>3HK</scope></search><sort><creationdate>2023</creationdate><title>Preterm birth in the Nordic countries—Capacity, management and outcome in neonatal care</title><author>Norman, Mikael ; Padkær Petersen, Jesper ; Stensvold, Hans Jørgen ; Thorkelsson, Thordur ; Helenius, Kjell ; Brix Andersson, Charlotte ; Ørum Cueto, Heidi ; Domellöf, Magnus ; Gissler, Mika ; Heino, Anna ; Håkansson, Stellan ; Jonsson, Baldvin ; Klingenberg, Claus Andreas ; Lehtonen, Liisa ; Metsäranta, Marjo ; Rønnestad, Arild Erland ; Trautner, Simon ; Vatne, Anlaug ; Støen, Ragnhild ; Brække, Kristin ; Reigstad, Hallvard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-cristin_nora_10852_1032353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>nor</language><creationdate>2023</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Norman, Mikael</creatorcontrib><creatorcontrib>Padkær Petersen, Jesper</creatorcontrib><creatorcontrib>Stensvold, Hans Jørgen</creatorcontrib><creatorcontrib>Thorkelsson, Thordur</creatorcontrib><creatorcontrib>Helenius, Kjell</creatorcontrib><creatorcontrib>Brix Andersson, Charlotte</creatorcontrib><creatorcontrib>Ørum Cueto, Heidi</creatorcontrib><creatorcontrib>Domellöf, Magnus</creatorcontrib><creatorcontrib>Gissler, Mika</creatorcontrib><creatorcontrib>Heino, Anna</creatorcontrib><creatorcontrib>Håkansson, Stellan</creatorcontrib><creatorcontrib>Jonsson, Baldvin</creatorcontrib><creatorcontrib>Klingenberg, Claus Andreas</creatorcontrib><creatorcontrib>Lehtonen, Liisa</creatorcontrib><creatorcontrib>Metsäranta, Marjo</creatorcontrib><creatorcontrib>Rønnestad, Arild Erland</creatorcontrib><creatorcontrib>Trautner, Simon</creatorcontrib><creatorcontrib>Vatne, Anlaug</creatorcontrib><creatorcontrib>Støen, Ragnhild</creatorcontrib><creatorcontrib>Brække, Kristin</creatorcontrib><creatorcontrib>Reigstad, Hallvard</creatorcontrib><collection>NORA - Norwegian Open Research Archives</collection><jtitle>Acta pædiatrica (Oslo)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Norman, Mikael</au><au>Padkær Petersen, Jesper</au><au>Stensvold, Hans Jørgen</au><au>Thorkelsson, Thordur</au><au>Helenius, Kjell</au><au>Brix Andersson, Charlotte</au><au>Ørum Cueto, Heidi</au><au>Domellöf, Magnus</au><au>Gissler, Mika</au><au>Heino, Anna</au><au>Håkansson, Stellan</au><au>Jonsson, Baldvin</au><au>Klingenberg, Claus Andreas</au><au>Lehtonen, Liisa</au><au>Metsäranta, Marjo</au><au>Rønnestad, Arild Erland</au><au>Trautner, Simon</au><au>Vatne, Anlaug</au><au>Støen, Ragnhild</au><au>Brække, Kristin</au><au>Reigstad, Hallvard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preterm birth in the Nordic countries—Capacity, management and outcome in neonatal care</atitle><jtitle>Acta pædiatrica (Oslo)</jtitle><date>2023</date><risdate>2023</risdate><issn>0803-5253</issn><eissn>1651-2227</eissn><abstract>Aim
Organisation of care, perinatal and neonatal management of very preterm infants in the Nordic regions were hypothesised to vary significantly. The aim of this observational study was to test this hypothesis.
Methods
Information on preterm infants in the 21 greater healthcare regions of Denmark, Finland, Iceland, Norway and Sweden was gathered from national registers in 2021. Preterm birth rates, case-mix, perinatal interventions, neonatal morbidity and survival to hospital discharge in very (<32 weeks) and extremely preterm infants (<28 weeks of gestational age) were compared.
Results
Out of 287 642 infants born alive, 16 567 (5.8%) were preterm, 2389 (0.83%) very preterm and 800 (0.28%) were extremely preterm. In very preterm infants, exposure to antenatal corticosteroids varied from 85% to 98%, live births occurring at regional centres from 48% to 100%, surfactant treatment from 28% to 69% and use of mechanical ventilation varied from 13% to 77% (p < 0.05 for all comparisons). Significant regional variations within and between countries were also seen in capacity in neonatal care, case-mix and number of admissions, whereas there were no statistically significant differences in survival or major neonatal morbidities.
Conclusion
Management of very preterm infants exhibited significant regional variations in the Nordic countries.</abstract><oa>free_for_read</oa></addata></record> |
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| source | NORA - Norwegian Open Research Archives; Wiley-Blackwell Open Access Titles; Wiley Online Library All Journals |
| title | Preterm birth in the Nordic countries—Capacity, management and outcome in neonatal care |
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