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首页> 外文期刊>Journal of perinatology: Official journal of the California Perinatal Association >Mortality and morbidity in outborn extremely low birth weight neonates: a retrospective analysis
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Mortality and morbidity in outborn extremely low birth weight neonates: a retrospective analysis

机译：出现出突出的低出生体重新生儿的死亡和发病率：回顾性分析

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Objective We aimed to identify differences in morbidity and mortality between inborn versus outborn extremely low birth weight (ELBW) infants admitted to the Texas Children's Hospital neonatal intensive care unit (NICU). Study design Vermont Oxford Network data were analyzed between January 2014 and December 2017. Inborn versus outborn outcomes were compared. Result Of 533 ELBW infants, 402 were inborn, and 131 were outborn. Gestational age and birth weight (BW) were similar. After adjusting outcomes to control for maternal steroids, maternal hypertension, maternal prenatal care, and temperature below 36 degrees C at admission, no outcomes were significantly different except inborn patients had decreased odds of late onset sepsis (adjusted odds ratio = 0.606, 95% confidence interval: 0.377-0.973, p = 0.038). Conclusion In this study, outborn ELBW patients had increased odds of late onset sepsis compared with inborn ELBW patients after controlling for covariates that differed significantly between these two cohorts.
机译：目的我们旨在识别生命与出生极低出生体重（ELBW）婴儿的发病率和死亡率的差异，涉及到德克萨斯儿童医院新生儿重症监护单位（NICU）。研究设计佛蒙特州牛津网络数据在2014年1月和2017年12月之间进行了分析。生命与突出的结果进行了比较。 533 elbw婴儿，402的结果已生成，131名出现出来。胎龄和出生体重（BW）是相似的。在调整母体类固醇的结果后，孕产妇高血压，孕产妇产前护理和在入院后36摄氏度低于36摄氏度后，除天生患者未降低败血症的几率下降（调整的赔率比= 0.606，95％的信心后，没有结果明显不同间隔：0.377-0.973，p = 0.038）。结论在本研究中，与在控制这两个队列之间有显着不同的协变量后，出现的Elbw患者与未经生命的Elbw患者相比，预先发病败血症的几率增加了。

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