[Extremely Low Birthweight Infants in Iceland. Health and development.].

Abstract:

OBJECTIVE:Survival of extremely low birthweight infants (BW<1000g) in Iceland has increased in recent years, especially since the availability of surfactant therapy for Respiratory Distress Syndrome of Prematurity. This study was part of a geographically defined national study on survival, health, development and longterm outcome of extremely low birthweight (ELBW) infants in Iceland focusing on health, development and disabilities with reference to a control group. MATERIAL AND METHODS:Information from the National Birth Registry on births in Iceland of ELBW infants weighing 500-999g was collected in two periods 1982-90 and 1991-95, before and after surfactant therapy became available. Information on pregnancy, birth, diseases in the newborn period and later health problems was collected from hospital records. The ELBW infants born in 1991-95 and matched control children were enrolled to a prospective study on longterm health and development. The children undervent medical examinations and developmental testing at 5 years of age in 1996-2001. Comparison was made between the two groups of ELBW infants and between ELBW infants and control children born in 1991-95. RESULTS:In 1982-90 the longterm survival of ELBW infants at 5 years of age was 22% and 52% in 1991-95. In both periods 1982-90 and 1991-95 similar data was found on ELBW infants regarding mothers health, pregnancy, birth and neonatal period. Difference was found in maternal age being significantly higher (p=0.02) and significally more deliveries by cesarian section (p=0.02) in the latter period. The two groups of ELBW infants were similar regarding sex, birthweight and diseases in the newborn period. Comparison between 35 ELBW infants and 55 control children born 1991-95 showed that significantly more mothers of ELBW children smoked during pregnancy (p=0.003) and suffered from various diseases (p=0.001). More ELBW children were born by cesarian section (p=0.001) than control children and their parents reported more longterm health problems regarding astma (p=0.001), convulsions (p=0.001), difficulties in swallowing (p=0.001) and weight gaining (p=0.005). At five years of age significantly more ELBW children born in 1991-95 compared to control children had abnormal general physical examination (p

journal_name

Laeknabladid

journal_title

Laeknabladid

authors

Georgsdóttir I,Sæmundsen E,Símonardóttir I,Halldórsson JG,Egilson ST,Leósdóttir T,Ingvarsdóttir B,Sindrason E,Dagbjartsson A

subject

Has Abstract

pub_date

2003-07-01 00:00:00

pages

575-81

issue

7-8

eissn

0023-7213

issn

1670-4959

journal_volume

89

pub_type

杂志文章
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  • [Body dysmorphic disorder: Symptoms, prevalence, assessment and treatment].

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  • [Prevalence of disability in Iceland in December 2002.].

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  • [Case report: respiratory symptoms in a competitive swimmer].

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  • [Prevalence and diagnosis of neural tube malformations in Iceland 1972-1991.].

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    doi:

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    更新日期:1996-07-01 00:00:00

  • [Diagnosis and treatment of hair pulling- and skin picking disorder].

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  • [The prevalence of fibromyalgia and chronic widespread musculoskeletal pain in Iceland.].

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  • [The prevalence of personality disorders in the greater-Reykjavik area].

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  • [Survival and causes of death in children diagnosed with cancer in Iceland 1981-2006].

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    pub_type: 杂志文章,随机对照试验

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  • [Aortic valve replacement for aortic stenosis in Iceland 2002-2006: Long term complications and survival].

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  • [Risk assessment for fetal aneuploidy after nuchal translucency measurement.].

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  • [Multiple sclerosis and childbirth: Relapse frequency and pregnancy outcome. A hospital-based retrospective study].

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  • [Role of Thrombectomy in Acute Ischemic Stroke].

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  • [Cost- effectiveness analysis of pneumococcal vaccination in Iceland].

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  • [Acute epiglottitis in Iceland from 1983-2005].

    abstract:OBJECTIVE:To describe the changes in the epidemiology of acute epiglottitis in Iceland from 1983-2005. METHODS:All patients with discharge diagnosis of epiglottitis during the study years were identified and diagnosis confirmed by chart review. Main outcome measures were age, gender, month/year of diagnosis, microbiol...

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  • [The treatment of arterial hypertension in elderly men in Iceland].

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    authors: Sigurdardottir V,Einarsson B,Sigfusson N,Harðarson T

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  • [Experience of Icelandic adults of corporal punishment and abuse in childhood].

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  • [Enuresis amongst schoolchildren in an Icelandic town.].

    abstract::Enuresis is defined as uncontrolled voiding during day or night after normal control is expected. It is a common disorder, which can be divided into primary and secondary. We looked at the health files from children born between 1986-1988, written when they started school. There were 62 children which were said to hav...

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    authors: Johannsdottir IM,Stefansson ML

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  • [Viral hepatitis B and C among immigrants in Iceland].

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  • [Hypertension management in general practice in Iceland].

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