ID | 54592 |
JaLCDOI | |
フルテキストURL | |
著者 |
Maruyama, Hidehiko
Department of Pediatrics, Kochi Health Sciences Center
Nakata, Yusei
Department of Pediatrics, Kochi Health Sciences Center
Kanazawa, Akane
Department of Pediatrics, Kochi Health Sciences Center
Kikkawa, Kiyoshi
Department of Pediatrics, Kochi Health Sciences Center
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抄録 | We sought to clarify the survival and neurodevelopmental outcomes of very low birth weight infants (VLBWIs) and to identify risk factors for death or neurodevelopmental impairment (NDI) in VLBWIs at our hospital. The total study population was 217 infants born in 2005-2012 weighing ≤1,500 g. We compared their outcomes with those from previous reports analyzed the causes of death. Risk factors for death after discharge or NDI were evaluated by a multivariate logistic regression analysis. The incidences of death or NDI reported revealed in this study and the database of Neonatal Research Network of Japan were 25.3% and 19.6% (p=0.039), respectively. The main causes of death before discharge were intraventricular hemorrhage, sepsis, and persistent pulmonary hypertension of the newborn. The significant risk factors for death after discharge or NDI were early gestational age (weeks) and periventricular leukomalacia (adjusted odds ratio [95% confidence interval, p-value], 0.72 [0.54-0.94, 0.017] and 6.90 [1.35-38.25, 0.021], respectively). These factors must be addressed in order to improve treatment strategies for VLBWIs.
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キーワード | intraventricular hemorrhage
periventricular leukomalacia
persistent pulmonary hypertension of the newborn
sepsis
very low birth weight infants
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Amo Type | Original Articles
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出版物タイトル |
Acta Medica Okayama
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発行日 | 2016-10
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巻 | 70巻
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号 | 5号
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出版者 | Okayama University Medical School
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開始ページ | 345
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終了ページ | 352
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ISSN | 0386-300X
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NCID | AA00508441
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資料タイプ |
学術雑誌論文
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言語 |
英語
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著作権者 | CopyrightⒸ 2016 by Okayama University Medical School
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論文のバージョン | publisher
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査読 |
有り
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PubMed ID | |
Web of Science KeyUT |