1. The survival rate of extremely low birth weight infants improved in Guangdong Province, China
- Author
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Zhou-Shan Feng, Chi-Wang Li, Wei-Min Huang, Yue-Xiu Yan, Chu-Ming You, Qi-Liang Cui, Dong Liu, Li-Juan Zhang, Jing Mo, Yi Ban, Shi-Guang Diao, Chun-Hong Jia, Xue-Jun Ren, Wen-Kang Yan, Zhe Zhang, Bo Bai, Hui-Wen Huang, Yu-Ge Huang, Ya Jin, Wei-Yi Liang, Bin Wang, Hong-Xiang Chen, Yue-Fang Huang, Xiao-Tong Ye, Lu Ding, Yi-Heng Dai, Wei Shen, Xiao-Yu Li, Wei-Zhong Li, Jun-Feng Lv, Zhong-He Wan, Guang-Hong Li, Xiao Rong, Sha-Sha Han, Yue-Qin Ding, Yang Yang, Xiao-Yan Liu, Qiong Meng, Xiu-Zhen Ye, Ni-Yang Lin, Hong-Ping Rao, Xiao-Jun Lin, Yang-Fan Cai, Yan-Ling Chen, Le-Ying Huo, Chuanzhong Yang, Dang Ao, Fan Wu, Bing-Yan Yang, Fang-Fang Wang, Ben-Qing Wu, Wei Li, Zhi-Feng Chen, Jie-Ling Chen, and Guo-Sheng Liu
- Subjects
Low birth weight ,medicine ,medicine.symptom ,Biology ,China ,Survival rate ,Demography - Abstract
Background With the increase in extremely low birth weight (ELBW) infants, their outcomes received special attention. However, in China, studies of the outcomes of ELBW infants are rare. Methods The hospitalized records of ELBW infants discharged from twenty-six neonatal intensive care units were reviewed and analyzed. Results A total of 2575 ELBW infants were enrolled and the overall survival rate was 55.11%. From 2008 to 2017, the number of ELBW infants increased rapidly from 91 to 466, and the survival rate improved steadily from 41.76–62.02%. The survival rate rose with increasing BW, the ascending level of regional economic development and specialist hospitals. The incidence of complications was neonatal respiratory distress syndrome (85.2%), bronchopulmonary dysplasia (63.7%), retinopathy of prematurity (39.3%), intraventricular hemorrhage (29.4%), necrotizing enterocolitis (12.0%), and periventricular leukomalacia (8.0%). Among the 1156 nonsurvivors, 90.0% of infants died during the neonatal period (≤ 28 days), and the other died after the neonatal period. A total of 768 ELBW infants died after medical care withdrawal, with economic factors and expected outcome being important causes. Conclusion The number of ELBW infants is increasing in China, and the overall survival rate is still low but is improving steadily.
- Published
- 2021