Survival and morbidity of very low birth weight infant in a South American neonatal network.

Abstract:

OBJECTIVE:To analyze survival and relevant morbidity by gestational age (GA) in very low birth weight (VLBW) infants (<1500 g) and, based on these data, develop a fact sheet to provide information to perinatal healthcare providers and very low birth weight preterm infants' parents. STUDY DESIGN:Data were prospectively collected in relation to newborn infants with a birth weight between 500 g and 1500 g admitted to 45 sites of the Neocosur Neonatal Network (Red Neonatal Neocosur) between January 2001 and December 2011. RESULTS:Data on 8234 VLBW with a GA between 24+0 and 31+6 weeks were analyzed. Overall mortality was 26% (95% CI: 25.0-26.9), including 2.6% of deaths in the delivery room. Fact sheets for survival and morbidity for each week of gestation were developed based on collected data. Survival at discharge increased from 29% at 24 weeks of GA to 91% at 31 weeks of GA (p < 0.001). The incidence of relevant neonatal morbidity was inversely related to GA (p < 0.001). Overall, 30.8% had retinopathy of prematurity, 25% bronchopulmonary dysplasia, 10.9% necrotizing enterocolitis, 7.2% severe intraventricular hemorrhage, and 4.6% periventricular leukomalacia. Among survivors, 47.3% had none of these five conditions. CONCLUSIONS:A tool for use in a clinical setting was developed based on updated regional data for establishing week-to-week survival and morbidity of newborn infants born between 24+0 and 31+6 weeks of GA. This information could be used to make decisions related to perinatal care and for counseling parents.

journal_name

Arch Argent Pediatr

authors

Fernández R,D'Apremont I,Domínguez A,Tapia JL,Red Neonatal Neocosur.

doi

10.5546/aap.2014.405

subject

Has Abstract

pub_date

2014-10-01 00:00:00

pages

405-12

issue

5

eissn

0325-0075

issn

1668-3501

pii

S0325-00752014000500004

journal_volume

112

pub_type

杂志文章,多中心研究
  • [The prognosis for children of mothers with preeclampsia. Part 2: long-term effects].

    abstract::Preeclampsia affects between 4% to 8% of all human pregnancies. It compromised both mothers and offspring beyond perinatal period. This is the second of two papers devoted to show the available evidence about the effect of preeclampsia on offsprings beyond perinatal period from cohort studies, some over 60-years follo...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章,评审

    doi:10.1590/S0325-00752011000600009

    authors: Díaz Martínez LA,Díaz Pedraza Ndel M,Serrano Díaz NC,Colmenares Mejía CC

    更新日期:2011-12-01 00:00:00

  • [Visceral larva migrans syndrome and hepatic abscess: A case report].

    abstract::Toxocariasis canis or catis is a zoonotic infection disseminated in humans. Human beings can act as non-natural hosts in which the parasite can survive for long periods of time and they become infected by the ingestion of geohelminth eggs. These can be located on the ground, playgrounds and children's games, and are m...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2018.e753

    authors: Arighi P,Hausbauer GE,Vázquez MG,Nastri M

    更新日期:2018-12-01 00:00:00

  • Prediction of height and body mass index based on body segments: Use of Gauld's equations in an Argentine sample.

    abstract:INTRODUCTION:When height cannot be measured or does not account for actual bone growth in children, due to their condition, it may be estimated using equations based on body segments. OBJETIVES:1. To compare observed height (OH) and predicted height (PH) based on body segments using the equations of Gauld et al. 2. To...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2018.eng.e721

    authors: Ramos Mejía R,Caino S,Fano V,Kelmansky D

    更新日期:2018-12-01 00:00:00

  • [Traumatic wound botulism].

    abstract::Botulism is a rare illness caused by a potent neurotoxin produced by the bacterium of the Clostridium family. Clostridium botulinum is the most frequent one, but Clostridium baratti and Clostridium butyricum are also neurotoxins producers. There are seven neurotoxins types, A to G; A, B, E, F and G cause human botulis...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2014.e50

    authors: Moreno E,Pannocchia C,Carricondo C

    更新日期:2014-04-01 00:00:00

  • [Severe infection by methicillin sensitive Staphylococcus aureus producing Panton-Valentine leukocidin: reports of two cases].

    abstract::Staphylococcus aureus is a major etiologic agent of infections in children from the community and the hospital setting. The severity of these conditions is associated with virulence factors, including the Panton-Valentine leukocidin. Both methicillin resistant and sensitive Staphylococcus aureus produce this leukocidi...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2016.e237

    authors: Brizuela M,Pérez G,Ruvinsky S,Sarkis C,Romero R,Mastroianni A,Casimir L,Venuta ME,Gómez Bonduele V,Bologna R

    更新日期:2016-08-01 00:00:00

  • Multidrug resistant Gram-negative infections in neonatology.

    abstract:INTRODUCTION:Multidrug resistant Gramnegative (MDRGN) infections are an increasing problem in neonatal intensive care units. The objective of this study was to establish the epidemiological, clinical, microbiological, and evolutionary characteristics of carbapenem-resistant MDRGN infections and the risk factors for the...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2019.eng.6

    authors: Berberian G,Brizuela M,Rosanova MT,Travaglianti M,Mastroiani A,Reijtman V,Fiorili G,Santa Cruz D,Castro G

    更新日期:2019-02-01 00:00:00

  • [Pheochromocytoma presenting with secondary enuresis in a 13-year-old girl].

    abstract::Pheochromocytoma is a rare tumor which is infrequent in children. Although the clinical presentation in children can be atypical, the classic symptoms are headache, sweating and tachycardia. Hypertension is often a constant sign in most patients. There are few cases in literature reporting pheochromocytoma presented w...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2017.e255

    authors: Zoido Garrote E,Fernández Fernández M,Álvarez Cañas MC,García Aparicio C,Revilla Orias MD,Martínez Badás JP

    更新日期:2017-08-01 00:00:00

  • [Thyroid disorders in childhood and adolescence. Part 1: Hyperthyroidism].

    abstract::Hyperthyroidism is a serious and rare disorder in childhood characterized by the overproduction of thyroid hormones by the thyroid gland. Graves disease is the most common cause. The objective of this paper is to review and update hyperthyroidism in children and adolescents aiming to guide its early detection and refe...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2021.s1

    authors: Comité Nacional de Endocrinología de la Sociedad Argentina de Pediatría.

    更新日期:2021-02-01 00:00:00

  • [Consensus on hyperbilirubinemia of the first trimester of life].

    abstract::Neonatal jaundice may be due to different causes, ranging from physiological conditions to severe diseases. In term neonates with persistent jaundice beyond 14 days of life, it should be determined whether hyperbilirubinemia is unconjugated or conjugated, in order to study the etiology and start early treatment. In th...

    journal_title:Archivos argentinos de pediatria

    pub_type: 共识发展会议,杂志文章

    doi:10.5546/aap.2020.S12

    authors: Comité Nacional de Hepatología Pediátrica.

    更新日期:2020-02-01 00:00:00

  • [Hereditary spherocytosis. Review. Part II. Symptomatology, outcome, complications, and treatment].

    abstract::Hereditary spherocytosis must always be suspected in children with anemia, hyperbilirubinemia, splenomegaly or cholelithiasis, in the asymptomatic individual with an affected relative, and in the neonate with hyperbilirubinemia with no blood group incompatibility; its early detection is key to avoid kernicterus. Follo...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章,评审

    doi:10.5546/aap.2015.168

    authors: Comité Nacional de Hematología.,Donato H,Crisp RL,Rapetti MC,García E,Attie M

    更新日期:2015-04-01 00:00:00

  • [Prevalence of cardiovascular risk factors in adolescents of public and private schools. Salta City, Argentina, 2009].

    abstract:INTRODUCTION:South America is now at a stage of epidemiological transition, changing the condition of high prevalence of underweight and stunting, to a scene marked by increases in obesity that accompanies chronic diseases, such us cardiovascular disease, diabetes and cancer. Surveillance of risk factors associated wit...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.1590/S0325-00752010000500007

    authors: Gotthelf SJ,Jubany LL

    更新日期:2010-10-01 00:00:00

  • Osteomyelitis in burn children: Ten years of experience.

    abstract:INTRODUCTION:Osteomyelitis is uncommon among burn patients. OBJECTIVE:To describe the clinical, microbiological, and evolutionary characteristics of burn children with osteomyelitis hospitalized in a tertiary care facility. METHODS:Retrospective and descriptive study conducted between January 2007 and January 2017. ...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2018.eng.59

    authors: Rosanova MT,Voto C,Carnovale S,Tramonti N,Lema J,Pinheiro JL,Isasmendi A,Alvarez V,Villasboas RM,Laborde S,Basílico H

    更新日期:2018-02-01 00:00:00

  • [Osteoporosis-pseudoglioma Syndrome: a pediatric case of primary osteoporosis].

    abstract::Osteoporosis should be considered in children with severe chronic diseases or in association with some genetic diseases that bear an increased risk of bone fragility. Primary osteoporosis is an entity in which emerging aetiologies are being recognized. Its association with congenital retinal folds should guide the dia...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2020.e300

    authors: Braslavsky D,Scaglia P,Sanguineti N,Aza-Carmona M,Nevado Blanco J,Lapunzina Badia PD,Fernández MDC,Ruiz O,Carmona A,Szlago M,Arberas C,Cassinelli H,Heath K,Rey R,Bergadá I

    更新日期:2020-06-01 00:00:00

  • Recording of overweight and obesity as a health problem by primary care pediatricians in an electronic medical record.

    abstract:INTRODUCTION:Under-diagnosis and underrecording of overweight and obesity in pediatrics is very common. Using an electronic medical record may be helpful. The objective was to establish the percentage of recording of this problem by primary care pediatricians and analyze if it was associated with the performance of anc...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2020.eng.132

    authors: Silva C,Mulli V,Caffulli M,Busaniche J

    更新日期:2020-04-01 00:00:00

  • [Experience of an Ethics Committee of a pediatric reference hospital].

    abstract::Since 1960, there has been a growing interest in the complexity of the ethical problems posed by medical practice. Ever since then, many ethical theories have attempted to support bioethics, setting the necessary grounds for decision making process. The aim of this article is to briefly present the history and working...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2015.42

    authors: Ledesma F,García H,Barraza N,Ciruzzi S,Ferrería JC,de los Ángeles Iervolino M,Marín D,Mazzuccheli T,Menéndez C,Novali L,Ortega L,Ponce C,Quintana S,Scrigni A,Selandari J,Shejter V,Rodríguez E

    更新日期:2015-01-01 00:00:00

  • [Lipschütz ulcers: a pediatric case report].

    abstract::Genital ulcers are a rare entity in pediatric consultation, but they generate great family anxiety. Lipschütz ulcers are acute, painful, and self-limiting vulvar ulcers of unknown cause. These ulcers appear in young women who have not had previous sexual intercourse or after a period of sexual abstinence. We present a...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2017.e436

    authors: Hueto Najarro A,González García G,Breton Hernández P,Zarate Tejero I,Lanuza Arcos R,Ferrer Santos P

    更新日期:2017-12-01 00:00:00

  • [Posterior reversible encephalopathy in a girl with systemic lupus erythematosus: Report of a case].

    abstract::Posterior reversible encephalopathy is a rare disease in children. Clinical manifestations include headache, seizures, visual disturbances and altered consciousness associated with typical magnetic resonance images of the nervous system. The syndrome usually manifests in patients with eclampsia, solid organ transplant...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2015.e271

    authors: Marín GR

    更新日期:2015-10-01 00:00:00

  • [Severe hypercholesterolemia in children. Presentation of two cases and update of the literature].

    abstract::Familial hypercholesterolemia is one of the most common genetic disorders and it provides the best evidence on the etiologic role of LDL-colesterol for arteroesclerosis development. Two patients with severe hypercholesterolemia had been presented. Importance of early diagnosis and treatment has been stated to avoid or...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章,评审

    doi:10.1590/S0325-00752011000400015

    authors: Araujo MB,Pacce MS,Bravo M,Pugliese AM,Mazza C

    更新日期:2011-08-01 00:00:00

  • Betacarotenemia with isolated nose involvement in a child: a case report.

    abstract::Carotenemia is generally benign and usually caused by excessive intake of beta-carotene rich food. This clinical presentation can occur in any age group but frequently occurs in children. We report a rare case of carotenemia with an isolated involvement of the nose and presented in order to remind carotenemia in the d...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2019.eng.e502

    authors: Kayhan-Tetik B,Çaylan N

    更新日期:2019-10-01 00:00:00

  • Empathy in medical students of Córdoba, Argentina.

    abstract:INTRODUCTION:Physicians' empathy is an advantage for a better patient care and resolution of disease, and is considered a relevant part of professional training. OBJECTIVE:To measure the level of empathy and its components in medical students of the city of Córdoba, Argentina. METHODS:This was an exploratory, cross-s...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2019.eng.81

    authors: Ulloque MJ,Villalba S,Varela de Villalba T,Fantini A,Quinteros S,Díaz-Narváez V

    更新日期:2019-04-01 00:00:00

  • Epidemiology of sudden unexpected death in infancy in Argentina: secular trend and spatial variation.

    abstract:Introduction:Infant mortality comprises deaths among infants younger than one year old. The proportion of sudden unexpected death in infancy (SUDI) varies by country and based on the cause of death. Objective:To describe the spatial and temporal variation of SUDI in Argentina between 1991 and 2014 according to the Int...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2019.eng.164

    authors: Chapur VF,Alfaro EL,Bronberg R,Dipierri JE

    更新日期:2019-06-01 00:00:00

  • [Prescription and use of antibiotics at a pediatric intensive care unit in Buenos Aires City].

    abstract:INTRODUCTION:Antibiotics are the most prescribed drugs in pediatric intensive care units (PICU) with high impact in pathogens resistance and costs. OBJECTIVES:Evaluate prescription patterns and consumption of antibiotics. MATERIALS AND METHODS:From July 2006 to January 2007, monthly cross-sectional cuts were done on ...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.1590/S0325-00752008000500007

    authors: Bidone N,Giglio N,Bakir J,Sheehan MG,Arias López MP,Rosin M,Farías J,Procopio A,Gentile A

    更新日期:2008-10-01 00:00:00

  • Alternating facial paralysis in a girl with hypertension: case report.

    abstract::Bell's palsy is the most common cause of acquired unilateral facial nerve palsy in childhood. Although the diagnosis depends on the exclusion of less common causes such as infectious, traumatic, malignancy associated and hypertension associated etiologies, pediatricians tend to diagnose idiopatic Bell's palsy whenever...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2013.e133

    authors: Bağ Ö,Karaarslan U,Acar S,Işgüder R,Unalp A,Öztürk A

    更新日期:2013-12-01 00:00:00

  • Effects of age of diagnosis and dietary compliance on growth parameters of patients with celiac disease.

    abstract:INTRODUCTION:The objective of this study was to evaluate the relation between age at diagnosis and compliance to gluten free diet (GFD) on growth in children with celiac disease and the factors that influenced compliance to GFD. POPULATION AND METHODS:Celiac disease (CD) patients with villous atrophy followed in our h...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2018.eng.248

    authors: Comba A,Çaltepe G,Yüce Ö,Erena E,Kalaycı AG

    更新日期:2018-08-01 00:00:00

  • [Acute viral respiratory infection in children under 5 years: Epidemiological study in two centers in Buenos Aires, Argentina].

    abstract:INTRODUCTION:Acute respiratory infections (ARI) are a major cause of hospitalization particularly at the extreme ages of life. OBJECTIVES:To determine the viral diagnosis in children < 5 years old with ARI, seasonality, clinical and epidemiological characteristics. POPULATION AND METHODS:A cross-sectional, descriptiv...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章,多中心研究

    doi:10.1590/S0325-00752011000400004

    authors: Vidaurreta SM,Marcone DN,Ellis A,Ekstrom J,Cukier D,Videla C,Carballal G,Echavarría M

    更新日期:2011-08-01 00:00:00

  • Recommendations for the management of pediatric septic shock in the first hour (part one).

    abstract::In the past two years, different organizations have updated their clinical practice guidelines for hemodynamic support in pediatric septic shock. The studies conducted in adults have questioned the initial management of sepsis in accordance to protocols based on achieving various goals. However, the usefulness of thes...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章,评审

    doi:10.5546/aap.2019.eng.e14

    authors: Kohn Loncarica G,Fustiñana A,Jabornisky R

    更新日期:2019-02-01 00:00:00

  • [Effects of prenatal steroids in the development of necrotizing enterocolitis in Wistar rat neonates].

    abstract:INTRODUCTION:Necrotizing enterocolitis (NEC) is a frequent problem in preterm infants. Prenatal treatment with steroids proved to be effective for lung maturation and it is thought to have a protective effect on the immature bowel. OBJECTIVES:To study the effects of prenatal treatment with steroids at the onset, clini...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.1590/S0325-00752011000100007

    authors: Bortolin L,Boer M,Christiansen S,García Rivello H,Arbat J,Fustiñana C

    更新日期:2011-02-01 00:00:00

  • Iron and folic acid: natural, enriched, fortified, and supplements. Analysis of food sources in the Autonomous City of Buenos Aires.

    abstract:INTRODUCTION:Fortification and supplementation are two strategies for micronutrient deficiency prevention. The objective of this study was to describe the source of iron and folic acid intake throughout the life cycle in the population of the Autonomous City of Buenos Aires. POULATION AND METHODS:Analysis of the infor...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2020.eng.160

    authors: Zapata ME,Rovirosa A,Carmuega E

    更新日期:2020-06-01 00:00:00

  • [National survey of pediatric residences in Argentina].

    abstract:Introduction:Currently, there is no complete registry of pediatric residences in Argentina. Objectives:To identify all pediatric residences in Argentina. To establish a situation diagnosis and a unified registry. Methods:Descriptive, observational crosssectional study. A preliminary list of residences was established...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2020.358

    authors: Dartiguelongue JB,Guiñazú G,Piñeiro Tripodi L,Arpí L

    更新日期:2020-10-01 00:00:00

  • [Surgical treatment of macroglossia in Beckwith-Wiedemann syndrome: case report].

    abstract::Beckwith-Wiedemann syndrome is a rare congenital condition, characterized by presenting macroglossia, defects of the abdominal wall, hemihypertrophy, omphalocele, neonatal hypoglycemia, umbilical hernia, hepatomegaly, cardiac abnormalities, among others. Macroglossia occurs in 90% of cases, causing a problem in chewin...

    journal_title:Archivos argentinos de pediatria

    pub_type: 杂志文章

    doi:10.5546/aap.2018.e341

    authors: Roa Rojas P,Arango Fernández H,Rebolledo Cobos M,Harris Ricardo J

    更新日期:2018-04-01 00:00:00