Survival of Premature and Low Birth Weight Infants: A Multicenter, Prospective, Cohort Study in Iran

ABSTRACTBackground: The survival rate of preterm and low-birth-weight (LBW) infants depends on various factors such as birth weight, gestational age, and quality of care. The present study aimed at evaluating the survival rate of preterm and LBW infants, predictive factors, and the risk of mortality...

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Main Authors: Fatemeh Ghorbani, Mohammad Heidarzadeh, Saeed Dastgiri, Marziyeh Ghazi, Mahni Rahkar Farshi
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2017-03-01
Series:Iranian Journal of Neonatology
Subjects:
Online Access:http://ijn.mums.ac.ir/article_8517_19357468164533cf496626e6b33ddb42.pdf
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author Fatemeh Ghorbani
Mohammad Heidarzadeh
Saeed Dastgiri
Marziyeh Ghazi
Mahni Rahkar Farshi
author_facet Fatemeh Ghorbani
Mohammad Heidarzadeh
Saeed Dastgiri
Marziyeh Ghazi
Mahni Rahkar Farshi
author_sort Fatemeh Ghorbani
collection DOAJ
description ABSTRACTBackground: The survival rate of preterm and low-birth-weight (LBW) infants depends on various factors such as birth weight, gestational age, and quality of care. The present study aimed at evaluating the survival rate of preterm and LBW infants, predictive factors, and the risk of mortality in three training hospitals of Mashhad and Tabriz cities.Methods: This prospective, cohort study was conducted during six months from 2013 to 2014. Infants with birth weight ≤1500 g or gestational age ≤32 weeks were enrolled. Their information was gathered by using data collection forms and clinical risk index for infants (CRIB II) was calculated for each participant. Infants were followed up until discharge from the hospital and their outcomes were determined. Kaplan-Meier and Log rock tests were used for survival analysis. Cox regression was also applied in order to find out the factors associated with infants’ survival.Results: Among the 338 followed up infants, 97 (28.7%) died and 241 (71.3%) remained alive. The median of preterm and LBW infants’ overall survival rate was 76 days (CI: 60.4-91.5). Multivariate Cox regression analysis indicated that three factors of birth weight, base excess, and fifth minute Apgar score had a significant relationship with the survival rate of infants (P
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spelling doaj.art-7196073a3a2b4f918d4cb81d67c8ad7b2022-12-21T22:08:49ZengMashhad University of Medical SciencesIranian Journal of Neonatology2251-75102322-21582017-03-0181162210.22038/ijn.2017.85178517Survival of Premature and Low Birth Weight Infants: A Multicenter, Prospective, Cohort Study in IranFatemeh Ghorbani0Mohammad Heidarzadeh1Saeed Dastgiri2Marziyeh Ghazi3Mahni Rahkar Farshi4Pediatric Health Research Center, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Pediatrics, Tabriz University of Medical Sciences, Tabriz, IranTabriz Health Services Management Centre, Tabriz, IranMashhad Omolbanin Hospital, Mashhad, IranFaculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, IranABSTRACTBackground: The survival rate of preterm and low-birth-weight (LBW) infants depends on various factors such as birth weight, gestational age, and quality of care. The present study aimed at evaluating the survival rate of preterm and LBW infants, predictive factors, and the risk of mortality in three training hospitals of Mashhad and Tabriz cities.Methods: This prospective, cohort study was conducted during six months from 2013 to 2014. Infants with birth weight ≤1500 g or gestational age ≤32 weeks were enrolled. Their information was gathered by using data collection forms and clinical risk index for infants (CRIB II) was calculated for each participant. Infants were followed up until discharge from the hospital and their outcomes were determined. Kaplan-Meier and Log rock tests were used for survival analysis. Cox regression was also applied in order to find out the factors associated with infants’ survival.Results: Among the 338 followed up infants, 97 (28.7%) died and 241 (71.3%) remained alive. The median of preterm and LBW infants’ overall survival rate was 76 days (CI: 60.4-91.5). Multivariate Cox regression analysis indicated that three factors of birth weight, base excess, and fifth minute Apgar score had a significant relationship with the survival rate of infants (Phttp://ijn.mums.ac.ir/article_8517_19357468164533cf496626e6b33ddb42.pdfKeywords: Low birth weightNICUPremature infantSurvival
spellingShingle Fatemeh Ghorbani
Mohammad Heidarzadeh
Saeed Dastgiri
Marziyeh Ghazi
Mahni Rahkar Farshi
Survival of Premature and Low Birth Weight Infants: A Multicenter, Prospective, Cohort Study in Iran
Iranian Journal of Neonatology
Keywords: Low birth weight
NICU
Premature infant
Survival
title Survival of Premature and Low Birth Weight Infants: A Multicenter, Prospective, Cohort Study in Iran
title_full Survival of Premature and Low Birth Weight Infants: A Multicenter, Prospective, Cohort Study in Iran
title_fullStr Survival of Premature and Low Birth Weight Infants: A Multicenter, Prospective, Cohort Study in Iran
title_full_unstemmed Survival of Premature and Low Birth Weight Infants: A Multicenter, Prospective, Cohort Study in Iran
title_short Survival of Premature and Low Birth Weight Infants: A Multicenter, Prospective, Cohort Study in Iran
title_sort survival of premature and low birth weight infants a multicenter prospective cohort study in iran
topic Keywords: Low birth weight
NICU
Premature infant
Survival
url http://ijn.mums.ac.ir/article_8517_19357468164533cf496626e6b33ddb42.pdf
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