Outcomes of Extremely-Low-Birth-Weight Infants Between 1982 and 1988
Fanaroff, Avroy A.
New England Journal of Medicine. 1989 Dec 14; 321(24): 1642-1647.
The cases of 227 infants with birth weights less than 750 g and gestational age greater than 20 weeks were reviewed by the authors to determine if outcomes were improved when aggressive treatments, such as cesarean delivery and resuscitation, were used. The study comprised two time periods, July 1982 to June 1985 (98 infants) and July 1985 to June 1988 (129 infants). During the latter period the frequency of cesarean section increased, as did the frequency of resuscitative endotracheal intubation for infants born weighing more than 500 g. The authors determined that, for the infants studied, a more aggressive approach to treatment did not improve the survival or neonatal morbidity of those weighing less than 750 g and of less than 25 weeks gestation. However, the mean time to death among transfers to the neonatal intensive care unit increased from 73 to 880 hours. (KIE abstract)
Birth Weight; Cesarean Section; Congenital Disorders; Death; Evaluation; Gestational Age; Hospitals; Infants; Intensive Care Units; Life; Low Birth Weight; Minors; Morbidity; Mortality; Newborns; Patient Care; Prematurity; Prognosis; Prolongation of Life; Resuscitation; Resuscitation Orders; Selection for Treatment; Survey; Viability;
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