Chronic lung disease and survival in 4 tertiary neonatal units
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Simon J. Clark
Abstract
Aim: To compare mortality and respiratory morbidity in preterm infants born at 4 United Kingdom centers during 1994 and 1995.
Method: Collection of CRIB scores, respiratory parameters and mortality rates from unit databases.
Results: Mortality in center A was 27％ (actual number of deaths 36/135), in center B was 30％ (39/130), in center C was 28％ (51/182), in center D was 39％ (60/156). The rate of chronic lung disease (36 week definition) in center A was 16 ％, in center B was 12 ％, in center C was 13 ％, in center D was 15 ％. The predicted number of deaths by CRIB scores in center A was 54 (95％ confidence intervals 45–63), in center B was 33 (25–41), in center C was 53 (43–63), in center D was 46 (37–56).
Conclusion: Center A had a lower than predicted mortality. Center D had a higher than predicted mortality. There is an urgent need for a national neonatal database to allow comparison between center and to identify reasons for variation in outcomes.
Copyright (c)1999 by Walter de Gruyter GmbH & Co. KG
Articles in the same Issue
- Contents
- Author Index
- Subject Index
- Birth of St. Mary (St. Anne’s parturition) in the light of messages from medical education: Three examples from Croatian sacral heritage
- Are color and pulsed Doppler sonography safe in early pregnancy?
- European Community Multi-Center Trial “Fetal ECG Analysis During Labor”: ST plus CTG analysis
- Prenatal and perinatal risk factors for autism
- Rupture of membranes before 26 weeks of gestation: Outcome of 148 consecutive cases
- Coagulation and fibrinolysis in viable mid-trimester pregnancies of normal, intrauterine growth retardation, chromosomal anomalies and hydrops fetalis and their eventual obstetric outcome
- Determinants of energy expenditure in ventilated preterm infants
- Perinatal outcome and management of single fetal death in twin pregnancy: A case series and review
- Comparison between creatine kinase brain isoenzyme (CKBB) activity and Sarnat score for prediction of adverse outcome following perinatal asphyxia
- Neonatal outcome in small for gestational age infants: Do they really better?
- Chronic lung disease and survival in 4 tertiary neonatal units
- Follow-up studies of newborn-babies with congenital ventriculomegaly
Articles in the same Issue
- Contents
- Author Index
- Subject Index
- Birth of St. Mary (St. Anne’s parturition) in the light of messages from medical education: Three examples from Croatian sacral heritage
- Are color and pulsed Doppler sonography safe in early pregnancy?
- European Community Multi-Center Trial “Fetal ECG Analysis During Labor”: ST plus CTG analysis
- Prenatal and perinatal risk factors for autism
- Rupture of membranes before 26 weeks of gestation: Outcome of 148 consecutive cases
- Coagulation and fibrinolysis in viable mid-trimester pregnancies of normal, intrauterine growth retardation, chromosomal anomalies and hydrops fetalis and their eventual obstetric outcome
- Determinants of energy expenditure in ventilated preterm infants
- Perinatal outcome and management of single fetal death in twin pregnancy: A case series and review
- Comparison between creatine kinase brain isoenzyme (CKBB) activity and Sarnat score for prediction of adverse outcome following perinatal asphyxia
- Neonatal outcome in small for gestational age infants: Do they really better?
- Chronic lung disease and survival in 4 tertiary neonatal units
- Follow-up studies of newborn-babies with congenital ventriculomegaly
