Outcomes of very low birth weight preterm infants at Nakornping hospital
Keywords:
Very low birth weight, VLBW, Survival rate, Out come, MorbidityAbstract
Background: Infants born with a birth weight less than 1,500 grams (very low birth weight, VLBW) have higher mortality and longer length of stay than those with birth weight more than 1,500 grams because of their prematurity and complications.
Objective: To determine survival rate and morbidity in VLBW infants.
Methods: The clinical data of VLBW infants who admitted at Nakornping hospital between 1st January 2016 and 1st August 2019 were collected retrospectively to analyze the survival and morbidity rate. Results: During the study period, there were 298 VLBW infants. Two-hundred and sixty seven of them (89.6%) survived until discharge. Length of stay ranged from 0 to 155 days. The average of hospital stay was 39.6(+28.6) days. The median (IQR) of hospital stay was 36(±41) days. The prevalence of major morbidities was presented as follows: respiratory distress syndrome (90.9%), patent ductus arteriosus (59.4%), chronic lung disease (46%), anemia (30.5%), intraventricular hemorrhage (25.2%), necrotizing enterocolitis (18.1%), retinopathy of prematurity (12.8%) and pneumothorax (6.4%). Morbidity and mortality rate were decreased in infants who were born in-hospital compared to those were referred from other hospitals. In addition, infants who were discharge from Nakornping hospital had longer length of stay than infants who were referred back to the community hospitals, median (IQR) were 54(+33) days and 32 (+28) days, respectively.
Conclusion: Although VLBW infants at Nakornping hospital had better survival rate than the past. Chance of surviving increased from 70% (in 2004-2006) to 89.6% (in 2016-2019). But the morbidity rate remained high. To improve the quality of neonatal care, the focus should be on reducing long-term complications and developing the hospital network.
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