Survival and neurodevelopmental outcome of ELBW children at 5 years of age: comparison of two cohorts born 10 years apart.

To access publisher full text version of this article. Please click on the hyperlink in Additional Links field. To examine survival and outcome of extremely low-birth-weight (ELBW) children (birth weight < 1000 g) in two 5-year periods, 10 years apart. In a retrospective population-based study, i...

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Bibliographic Details
Published in:Acta Paediatrica
Main Authors: Jonsdottir, Gudrun Maria, Georgsdottir, Ingibjorg, Haraldsson, Asgeir, Hardardottir, Hildur, Thorkelsson, Thordur, Dagbjartsson, Atli
Other Authors: Faculty of Medicine, The University of Iceland, Saemundargata, Reykjavik, Iceland.
Format: Article in Journal/Newspaper
Language:English
Published: Wiley-Blackwell 2013
Subjects:
Blindness
Cerebral Palsy
Child Mortality
Child
Preschool
Cohort Studies
Developmental Disabilities
Female
Humans
Iceland
Incidence
Infant Mortality
Infant
Extremely Low Birth Weight
Newborn
Premature
Diseases
Intellectual Disability
Male
Prognosis
Registries
Retrospective Studies
Severity of Illness Index
Survival Rate
Online Access:http://hdl.handle.net/2336/299934
https://doi.org/10.1111/j.1651-2227.2012.02645.x
Description
Summary:To access publisher full text version of this article. Please click on the hyperlink in Additional Links field. To examine survival and outcome of extremely low-birth-weight (ELBW) children (birth weight < 1000 g) in two 5-year periods, 10 years apart. In a retrospective population-based study, information on all ELBW children born in Iceland in 1991-1995 and in 2001-2005 was obtained from the National Birth Registry, hospital charts and medical records. The two periods were compared. In 1991-1995, 102 of 22.261 newborn children (0.5%) were extremely low birth weight compared with 70 of 20.923 newborns (0.33%) in 2001-2005 (p = 0.04). At 5 years of age, 52% (35/67) of live-born children born in 1991-1995 were alive compared with 63% (31/49) of children born in 2001 - 2005 (p = 0.2). Six ELBW children (17%) born 1991-1995 were diagnosed with disabilities at 5 years of age, three with major neurodevelopmental disabilities compared with six (19%) born 2001-2005, thereof one with severe neurodevelopmental disabilities (p = 0.57). The incidence of childhood disabilities in ELBW children in Iceland remains stable despite an increase in survival rate. The severity of neurodevelopmental disabilities has decreased.

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