Preterm birth in the Nordic countries-Capacity, management and outcome in neonatal care
Aim: Organisation of care, perinatal and neonatal management of very preterm infants in the Nordic regions were hypothesised to vary significantly. The aim of this observational study was to test this hypothesis. Methods: Information on preterm infants in the 21 greater healthcare regions of Denmark...
Published in: | Acta Paediatrica |
---|---|
Main Authors: | , , , , , , , , , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
2023
|
Subjects: | |
Online Access: | https://vbn.aau.dk/da/publications/4a07bdfc-34aa-48f3-88cf-4e1eee67acac https://doi.org/10.1111/apa.16753 https://vbn.aau.dk/ws/files/536127538/Acta_Paediatrica_2023_Norman_Preterm_birth_in_the_Nordic_countries_Capacity_management_and_outcome_in_neonatal_care.pdf http://www.scopus.com/inward/record.url?scp=85150900950&partnerID=8YFLogxK |
id |
ftalborgunivpubl:oai:pure.atira.dk:publications/4a07bdfc-34aa-48f3-88cf-4e1eee67acac |
---|---|
record_format |
openpolar |
spelling |
ftalborgunivpubl:oai:pure.atira.dk:publications/4a07bdfc-34aa-48f3-88cf-4e1eee67acac 2024-09-15T18:13:45+00:00 Preterm birth in the Nordic countries-Capacity, management and outcome in neonatal care Norman, Mikael Padkær Petersen, Jesper Stensvold, Hans Jørgen Thorkelsson, Thordur Helenius, Kjell Brix Andersson, Charlotte Ørum Cueto, Heidi Domellöf, Magnus Gissler, Mika Heino, Anna Håkansson, Stellan Jonsson, Baldvin Klingenberg, Claus Lehtonen, Liisa Metsäranta, Marjo Rønnestad, Arild E. Trautner, Simon 2023-07 application/pdf https://vbn.aau.dk/da/publications/4a07bdfc-34aa-48f3-88cf-4e1eee67acac https://doi.org/10.1111/apa.16753 https://vbn.aau.dk/ws/files/536127538/Acta_Paediatrica_2023_Norman_Preterm_birth_in_the_Nordic_countries_Capacity_management_and_outcome_in_neonatal_care.pdf http://www.scopus.com/inward/record.url?scp=85150900950&partnerID=8YFLogxK eng eng https://vbn.aau.dk/da/publications/4a07bdfc-34aa-48f3-88cf-4e1eee67acac info:eu-repo/semantics/openAccess Norman , M , Padkær Petersen , J , Stensvold , H J , Thorkelsson , T , Helenius , K , Brix Andersson , C , Ørum Cueto , H , Domellöf , M , Gissler , M , Heino , A , Håkansson , S , Jonsson , B , Klingenberg , C , Lehtonen , L , Metsäranta , M , Rønnestad , A E & Trautner , S 2023 , ' Preterm birth in the Nordic countries-Capacity, management and outcome in neonatal care ' , Acta Paediatrica , vol. 112 , no. 7 , pp. 1422-1433 . https://doi.org/10.1111/apa.16753 Nordic country gestational age mortality neonatal care premature article 2023 ftalborgunivpubl https://doi.org/10.1111/apa.16753 2024-09-05T14:36:15Z Aim: Organisation of care, perinatal and neonatal management of very preterm infants in the Nordic regions were hypothesised to vary significantly. The aim of this observational study was to test this hypothesis. Methods: Information on preterm infants in the 21 greater healthcare regions of Denmark, Finland, Iceland, Norway and Sweden was gathered from national registers in 2021. Preterm birth rates, case-mix, perinatal interventions, neonatal morbidity and survival to hospital discharge in very ( Results: Out of 287 642 infants born alive, 16 567 (5.8%) were preterm, 2389 (0.83%) very preterm and 800 (0.28%) were extremely preterm. In very preterm infants, exposure to antenatal corticosteroids varied from 85% to 98%, live births occurring at regional centres from 48% to 100%, surfactant treatment from 28% to 69% and use of mechanical ventilation varied from 13% to 77% (p < 0.05 for all comparisons). Significant regional variations within and between countries were also seen in capacity in neonatal care, case-mix and number of admissions, whereas there were no statistically significant differences in survival or major neonatal morbidities. Conclusion: Management of very preterm infants exhibited significant regional variations in the Nordic countries. Aim: Organisation of care, perinatal and neonatal management of very preterm infants in the Nordic regions were hypothesised to vary significantly. The aim of this observational study was to test this hypothesis. Methods: Information on preterm infants in the 21 greater healthcare regions of Denmark, Finland, Iceland, Norway and Sweden was gathered from national registers in 2021. Preterm birth rates, case-mix, perinatal interventions, neonatal morbidity and survival to hospital discharge in very (<32 weeks) and extremely preterm infants (<28 weeks of gestational age) were compared. Results: Out of 287 642 infants born alive, 16 567 (5.8%) were preterm, 2389 (0.83%) very preterm and 800 (0.28%) were extremely preterm. In very preterm infants, exposure ... Article in Journal/Newspaper Iceland Aalborg University's Research Portal Acta Paediatrica |
institution |
Open Polar |
collection |
Aalborg University's Research Portal |
op_collection_id |
ftalborgunivpubl |
language |
English |
topic |
Nordic country gestational age mortality neonatal care premature |
spellingShingle |
Nordic country gestational age mortality neonatal care premature Norman, Mikael Padkær Petersen, Jesper Stensvold, Hans Jørgen Thorkelsson, Thordur Helenius, Kjell Brix Andersson, Charlotte Ørum Cueto, Heidi Domellöf, Magnus Gissler, Mika Heino, Anna Håkansson, Stellan Jonsson, Baldvin Klingenberg, Claus Lehtonen, Liisa Metsäranta, Marjo Rønnestad, Arild E. Trautner, Simon Preterm birth in the Nordic countries-Capacity, management and outcome in neonatal care |
topic_facet |
Nordic country gestational age mortality neonatal care premature |
description |
Aim: Organisation of care, perinatal and neonatal management of very preterm infants in the Nordic regions were hypothesised to vary significantly. The aim of this observational study was to test this hypothesis. Methods: Information on preterm infants in the 21 greater healthcare regions of Denmark, Finland, Iceland, Norway and Sweden was gathered from national registers in 2021. Preterm birth rates, case-mix, perinatal interventions, neonatal morbidity and survival to hospital discharge in very ( Results: Out of 287 642 infants born alive, 16 567 (5.8%) were preterm, 2389 (0.83%) very preterm and 800 (0.28%) were extremely preterm. In very preterm infants, exposure to antenatal corticosteroids varied from 85% to 98%, live births occurring at regional centres from 48% to 100%, surfactant treatment from 28% to 69% and use of mechanical ventilation varied from 13% to 77% (p < 0.05 for all comparisons). Significant regional variations within and between countries were also seen in capacity in neonatal care, case-mix and number of admissions, whereas there were no statistically significant differences in survival or major neonatal morbidities. Conclusion: Management of very preterm infants exhibited significant regional variations in the Nordic countries. Aim: Organisation of care, perinatal and neonatal management of very preterm infants in the Nordic regions were hypothesised to vary significantly. The aim of this observational study was to test this hypothesis. Methods: Information on preterm infants in the 21 greater healthcare regions of Denmark, Finland, Iceland, Norway and Sweden was gathered from national registers in 2021. Preterm birth rates, case-mix, perinatal interventions, neonatal morbidity and survival to hospital discharge in very (<32 weeks) and extremely preterm infants (<28 weeks of gestational age) were compared. Results: Out of 287 642 infants born alive, 16 567 (5.8%) were preterm, 2389 (0.83%) very preterm and 800 (0.28%) were extremely preterm. In very preterm infants, exposure ... |
format |
Article in Journal/Newspaper |
author |
Norman, Mikael Padkær Petersen, Jesper Stensvold, Hans Jørgen Thorkelsson, Thordur Helenius, Kjell Brix Andersson, Charlotte Ørum Cueto, Heidi Domellöf, Magnus Gissler, Mika Heino, Anna Håkansson, Stellan Jonsson, Baldvin Klingenberg, Claus Lehtonen, Liisa Metsäranta, Marjo Rønnestad, Arild E. Trautner, Simon |
author_facet |
Norman, Mikael Padkær Petersen, Jesper Stensvold, Hans Jørgen Thorkelsson, Thordur Helenius, Kjell Brix Andersson, Charlotte Ørum Cueto, Heidi Domellöf, Magnus Gissler, Mika Heino, Anna Håkansson, Stellan Jonsson, Baldvin Klingenberg, Claus Lehtonen, Liisa Metsäranta, Marjo Rønnestad, Arild E. Trautner, Simon |
author_sort |
Norman, Mikael |
title |
Preterm birth in the Nordic countries-Capacity, management and outcome in neonatal care |
title_short |
Preterm birth in the Nordic countries-Capacity, management and outcome in neonatal care |
title_full |
Preterm birth in the Nordic countries-Capacity, management and outcome in neonatal care |
title_fullStr |
Preterm birth in the Nordic countries-Capacity, management and outcome in neonatal care |
title_full_unstemmed |
Preterm birth in the Nordic countries-Capacity, management and outcome in neonatal care |
title_sort |
preterm birth in the nordic countries-capacity, management and outcome in neonatal care |
publishDate |
2023 |
url |
https://vbn.aau.dk/da/publications/4a07bdfc-34aa-48f3-88cf-4e1eee67acac https://doi.org/10.1111/apa.16753 https://vbn.aau.dk/ws/files/536127538/Acta_Paediatrica_2023_Norman_Preterm_birth_in_the_Nordic_countries_Capacity_management_and_outcome_in_neonatal_care.pdf http://www.scopus.com/inward/record.url?scp=85150900950&partnerID=8YFLogxK |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Norman , M , Padkær Petersen , J , Stensvold , H J , Thorkelsson , T , Helenius , K , Brix Andersson , C , Ørum Cueto , H , Domellöf , M , Gissler , M , Heino , A , Håkansson , S , Jonsson , B , Klingenberg , C , Lehtonen , L , Metsäranta , M , Rønnestad , A E & Trautner , S 2023 , ' Preterm birth in the Nordic countries-Capacity, management and outcome in neonatal care ' , Acta Paediatrica , vol. 112 , no. 7 , pp. 1422-1433 . https://doi.org/10.1111/apa.16753 |
op_relation |
https://vbn.aau.dk/da/publications/4a07bdfc-34aa-48f3-88cf-4e1eee67acac |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1111/apa.16753 |
container_title |
Acta Paediatrica |
_version_ |
1810451502826782720 |