Mortality and morbidity risks vary with birth weight standard deviation score in growth restricted extremely preterm infants
Abstract Objective To assess whether the mortality and morbidity risks vary with birth weight standard deviation score (BWSDS) in growth restricted extremely preterm infants. Study design This was a multicenter retrospective cohort study using the database of the Neonatal Research Network of Japan a...
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| Veröffentlicht in: | Early human development 2016-01, Vol.92, p.7-11 |
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| creator | Yamakawa, Takuji Itabashi, Kazuo Kusuda, Satoshi |
| description | Abstract Objective To assess whether the mortality and morbidity risks vary with birth weight standard deviation score (BWSDS) in growth restricted extremely preterm infants. Study design This was a multicenter retrospective cohort study using the database of the Neonatal Research Network of Japan and including 9149 infants born between 2003 and 2010 at < 28 weeks gestation. According to the BWSDSs, the infants were classified as: |
| doi_str_mv | 10.1016/j.earlhumdev.2015.10.019 |
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Study design This was a multicenter retrospective cohort study using the database of the Neonatal Research Network of Japan and including 9149 infants born between 2003 and 2010 at < 28 weeks gestation. According to the BWSDSs, the infants were classified as: <− 2.0, − 2.0 to − 1.5, − 1.5 to − 1.0, − 1.0 to − 0.5, and ≥ − 0.5. Infants with BWSDS ≥ − 0.5 were defined as non-growth restricted group. Results After adjusting for covariates, the risks of mortality and some morbidities were different among the BWSDS groups. Compared with non-growth restricted group, the adjusted odds ratio (aOR) for mortality [aOR, 1.69; 95% confidence interval (CI), 1.35–2.12] and chronic lung disease (CLD) (aOR, 1.28; 95% CI, 1.07–1.54) were higher among the infants with BWSDS − 1.5 to <− 1.0. The aOR for severe retinopathy of prematurity (ROP) (aOR, 1.36; 95% CI, 1.09–1.71) and sepsis (aOR, 1.72; 95% CI, 1.32–2.24) were higher among the infants with BWSDS − 2.0 to <− 1.5. The aOR for necrotizing enterocolitis (NEC) (aOR, 2.41; 95% CI, 1.64–3.55) was increased at a BWSDS < − 2.0. Conclusion Being growth restricted extremely preterm infants confer additional risks for mortality and morbidities such as CLD, ROP, sepsis and NEC, and these risks may vary with BWSDS.</description><identifier>ISSN: 0378-3782</identifier><identifier>EISSN: 1872-6232</identifier><identifier>DOI: 10.1016/j.earlhumdev.2015.10.019</identifier><identifier>PMID: 26615548</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Advanced Basic Science ; Analysis of Variance ; Birth Weight ; Extremely preterm infants ; Female ; Fetal growth restriction ; Humans ; Infant ; Infant, Extremely Premature ; Infant, Newborn ; Infant, Premature, Diseases - epidemiology ; Infant, Premature, Diseases - mortality ; Japan ; Male ; Morbidity ; Mortality ; Neonatal and Perinatal Medicine ; Perinatal Mortality ; Pregnancy ; Pregnancy Complications - epidemiology ; Small for gestational age</subject><ispartof>Early human development, 2016-01, Vol.92, p.7-11</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2015 Elsevier Ireland Ltd</rights><rights>Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c513t-4e71a0192273e4f3763460a3ae786881e5b71a685a1c7ab4f3bd86325abb12e43</citedby><cites>FETCH-LOGICAL-c513t-4e71a0192273e4f3763460a3ae786881e5b71a685a1c7ab4f3bd86325abb12e43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.earlhumdev.2015.10.019$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26615548$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamakawa, Takuji</creatorcontrib><creatorcontrib>Itabashi, Kazuo</creatorcontrib><creatorcontrib>Kusuda, Satoshi</creatorcontrib><creatorcontrib>Neonatal Research Network of Japan</creatorcontrib><title>Mortality and morbidity risks vary with birth weight standard deviation score in growth restricted extremely preterm infants</title><title>Early human development</title><addtitle>Early Hum Dev</addtitle><description>Abstract Objective To assess whether the mortality and morbidity risks vary with birth weight standard deviation score (BWSDS) in growth restricted extremely preterm infants. Study design This was a multicenter retrospective cohort study using the database of the Neonatal Research Network of Japan and including 9149 infants born between 2003 and 2010 at < 28 weeks gestation. According to the BWSDSs, the infants were classified as: <− 2.0, − 2.0 to − 1.5, − 1.5 to − 1.0, − 1.0 to − 0.5, and ≥ − 0.5. Infants with BWSDS ≥ − 0.5 were defined as non-growth restricted group. Results After adjusting for covariates, the risks of mortality and some morbidities were different among the BWSDS groups. Compared with non-growth restricted group, the adjusted odds ratio (aOR) for mortality [aOR, 1.69; 95% confidence interval (CI), 1.35–2.12] and chronic lung disease (CLD) (aOR, 1.28; 95% CI, 1.07–1.54) were higher among the infants with BWSDS − 1.5 to <− 1.0. The aOR for severe retinopathy of prematurity (ROP) (aOR, 1.36; 95% CI, 1.09–1.71) and sepsis (aOR, 1.72; 95% CI, 1.32–2.24) were higher among the infants with BWSDS − 2.0 to <− 1.5. The aOR for necrotizing enterocolitis (NEC) (aOR, 2.41; 95% CI, 1.64–3.55) was increased at a BWSDS < − 2.0. Conclusion Being growth restricted extremely preterm infants confer additional risks for mortality and morbidities such as CLD, ROP, sepsis and NEC, and these risks may vary with BWSDS.</description><subject>Advanced Basic Science</subject><subject>Analysis of Variance</subject><subject>Birth Weight</subject><subject>Extremely preterm infants</subject><subject>Female</subject><subject>Fetal growth restriction</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Extremely Premature</subject><subject>Infant, Newborn</subject><subject>Infant, Premature, Diseases - epidemiology</subject><subject>Infant, Premature, Diseases - mortality</subject><subject>Japan</subject><subject>Male</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Neonatal and Perinatal Medicine</subject><subject>Perinatal Mortality</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - epidemiology</subject><subject>Small for gestational age</subject><issn>0378-3782</issn><issn>1872-6232</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkk1vEzEQhi0EoiHwF5CPXDb4Y-11LkhQ8SUVcQDOltc7aZzursPYmxCpP75epYDUUw-2ZfuZd2ZeDSGUsxVnXL_drcBhv52GDg4rwbgqzyvG10_IgptGVFpI8ZQsmGxMVZa4IC9S2jHGlFmz5-RCaM2Vqs2C3H6LmF0f8om6saNDxDZ08w1Dukn04PBEjyFvaRuw7EcI19tMUy6ww46W_MHlEEeafESgYaTXGI-FREgZg8_QUfiTEQboT3SPkAGHgm3cmNNL8mzj-gSv7s8l-fXp48_LL9XV989fL99fVV5xmasaGu5Kd0I0EuqNbLSsNXPSQWO0MRxUWwBtlOO-cW0h2s5oKZRrWy6glkvy5qy7x_h7KoXZISQPfe9GiFOyvFFCmZoX_SUxZ9RjTAlhY_cYhuKC5czO3tud_e-9nb2ff0p1JfT1fZapHaD7F_jX7AJ8OANQej0EQJt8gNFDFxB8tl0Mj8ny7oGI78MYvOtv4ARpFycci5eW2yQssz_mGZhHgCvGBF_X8g6k4LJb</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Yamakawa, Takuji</creator><creator>Itabashi, Kazuo</creator><creator>Kusuda, Satoshi</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160101</creationdate><title>Mortality and morbidity risks vary with birth weight standard deviation score in growth restricted extremely preterm infants</title><author>Yamakawa, Takuji ; Itabashi, Kazuo ; Kusuda, Satoshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c513t-4e71a0192273e4f3763460a3ae786881e5b71a685a1c7ab4f3bd86325abb12e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Advanced Basic Science</topic><topic>Analysis of Variance</topic><topic>Birth Weight</topic><topic>Extremely preterm infants</topic><topic>Female</topic><topic>Fetal growth restriction</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Extremely Premature</topic><topic>Infant, Newborn</topic><topic>Infant, Premature, Diseases - epidemiology</topic><topic>Infant, Premature, Diseases - mortality</topic><topic>Japan</topic><topic>Male</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Neonatal and Perinatal Medicine</topic><topic>Perinatal Mortality</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - epidemiology</topic><topic>Small for gestational age</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamakawa, Takuji</creatorcontrib><creatorcontrib>Itabashi, Kazuo</creatorcontrib><creatorcontrib>Kusuda, Satoshi</creatorcontrib><creatorcontrib>Neonatal Research Network of Japan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Early human development</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamakawa, Takuji</au><au>Itabashi, Kazuo</au><au>Kusuda, Satoshi</au><aucorp>Neonatal Research Network of Japan</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mortality and morbidity risks vary with birth weight standard deviation score in growth restricted extremely preterm infants</atitle><jtitle>Early human development</jtitle><addtitle>Early Hum Dev</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>92</volume><spage>7</spage><epage>11</epage><pages>7-11</pages><issn>0378-3782</issn><eissn>1872-6232</eissn><abstract>Abstract Objective To assess whether the mortality and morbidity risks vary with birth weight standard deviation score (BWSDS) in growth restricted extremely preterm infants. Study design This was a multicenter retrospective cohort study using the database of the Neonatal Research Network of Japan and including 9149 infants born between 2003 and 2010 at < 28 weeks gestation. According to the BWSDSs, the infants were classified as: <− 2.0, − 2.0 to − 1.5, − 1.5 to − 1.0, − 1.0 to − 0.5, and ≥ − 0.5. Infants with BWSDS ≥ − 0.5 were defined as non-growth restricted group. Results After adjusting for covariates, the risks of mortality and some morbidities were different among the BWSDS groups. Compared with non-growth restricted group, the adjusted odds ratio (aOR) for mortality [aOR, 1.69; 95% confidence interval (CI), 1.35–2.12] and chronic lung disease (CLD) (aOR, 1.28; 95% CI, 1.07–1.54) were higher among the infants with BWSDS − 1.5 to <− 1.0. The aOR for severe retinopathy of prematurity (ROP) (aOR, 1.36; 95% CI, 1.09–1.71) and sepsis (aOR, 1.72; 95% CI, 1.32–2.24) were higher among the infants with BWSDS − 2.0 to <− 1.5. The aOR for necrotizing enterocolitis (NEC) (aOR, 2.41; 95% CI, 1.64–3.55) was increased at a BWSDS < − 2.0. Conclusion Being growth restricted extremely preterm infants confer additional risks for mortality and morbidities such as CLD, ROP, sepsis and NEC, and these risks may vary with BWSDS.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>26615548</pmid><doi>10.1016/j.earlhumdev.2015.10.019</doi><tpages>5</tpages></addata></record> |
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| subjects | Advanced Basic Science Analysis of Variance Birth Weight Extremely preterm infants Female Fetal growth restriction Humans Infant Infant, Extremely Premature Infant, Newborn Infant, Premature, Diseases - epidemiology Infant, Premature, Diseases - mortality Japan Male Morbidity Mortality Neonatal and Perinatal Medicine Perinatal Mortality Pregnancy Pregnancy Complications - epidemiology Small for gestational age |
| title | Mortality and morbidity risks vary with birth weight standard deviation score in growth restricted extremely preterm infants |
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