In-hospital outcomes in preterm and small-for-gestational-age newborns: a cohort study
ABSTRACT Objective To compare in-hospital outcomes between small-for-gestational-age and appropriate-for-gestational-age preterm neonates who needed intensive care. Methods A retrospective cohort study with preterm newborns, from January to December 2017. The results are presented as median, fre...
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
2022-05-01
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| Series: | Einstein (São Paulo) |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100251&lng=en&tlng=en |
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| author | Lo-Ruama Pereira Costa Gleise Aparecida Moraes Costa Cristina Ortiz Sobrinho Valete José Kleber Kobol Machado Mariliza Henrique da Silva |
| author_facet | Lo-Ruama Pereira Costa Gleise Aparecida Moraes Costa Cristina Ortiz Sobrinho Valete José Kleber Kobol Machado Mariliza Henrique da Silva |
| author_sort | Lo-Ruama Pereira Costa |
| collection | DOAJ |
| description | ABSTRACT Objective To compare in-hospital outcomes between small-for-gestational-age and appropriate-for-gestational-age preterm neonates who needed intensive care. Methods A retrospective cohort study with preterm newborns, from January to December 2017. The results are presented as median, frequency, and odds ratio. Numerical variables were compared using the Wilcoxon test. Categorical variables were compared using the χ2 test. We considered p<0.05 as significant. Results Out of 129 preterm newborns included, 20.9% were small-for-gestational-age. Median gestational age was 31 2/7 weeks, birthweight was 1,450g, and length of hospital stay was 39 days. Preterm small-for-gestational-age newborns presented a higher chance of peri-intraventricular hemorrhage (odds ratio of 3.23; p=0.02), retinopathy of prematurity (odds ratio of 2.78 p=0.02), patent ductus arteriosus (odds ratio of 2.50; p=0.04) and a lower chance of presumptive early-onset sepsis (odds ratio of 0.37; p=0.03). Conclusion Preterm small-for-gestational-age neonates were associated with peri-intraventricular hemorrhage, retinopathy of prematurity and patent ductus arteriosus. This emphasizes the need of special care for these neonates. |
| first_indexed | 2024-04-14T05:33:01Z |
| format | Article |
| id | doaj.art-96bf3360eb6842a6b10b5141487d0cd0 |
| institution | Directory Open Access Journal |
| issn | 2317-6385 |
| language | English |
| last_indexed | 2024-04-14T05:33:01Z |
| publishDate | 2022-05-01 |
| publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
| record_format | Article |
| series | Einstein (São Paulo) |
| spelling | doaj.art-96bf3360eb6842a6b10b5141487d0cd02022-12-22T02:09:44ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-63852022-05-012010.31744/einstein_journal/2022ao6781In-hospital outcomes in preterm and small-for-gestational-age newborns: a cohort studyLo-Ruama Pereira Costahttps://orcid.org/0000-0003-0832-0060Gleise Aparecida Moraes Costahttps://orcid.org/0000-0001-9972-5607Cristina Ortiz Sobrinho Valetehttps://orcid.org/0000-0002-6925-4346José Kleber Kobol Machadohttps://orcid.org/0000-0002-8151-7233Mariliza Henrique da Silvahttps://orcid.org/0000-0003-2194-8805ABSTRACT Objective To compare in-hospital outcomes between small-for-gestational-age and appropriate-for-gestational-age preterm neonates who needed intensive care. Methods A retrospective cohort study with preterm newborns, from January to December 2017. The results are presented as median, frequency, and odds ratio. Numerical variables were compared using the Wilcoxon test. Categorical variables were compared using the χ2 test. We considered p<0.05 as significant. Results Out of 129 preterm newborns included, 20.9% were small-for-gestational-age. Median gestational age was 31 2/7 weeks, birthweight was 1,450g, and length of hospital stay was 39 days. Preterm small-for-gestational-age newborns presented a higher chance of peri-intraventricular hemorrhage (odds ratio of 3.23; p=0.02), retinopathy of prematurity (odds ratio of 2.78 p=0.02), patent ductus arteriosus (odds ratio of 2.50; p=0.04) and a lower chance of presumptive early-onset sepsis (odds ratio of 0.37; p=0.03). Conclusion Preterm small-for-gestational-age neonates were associated with peri-intraventricular hemorrhage, retinopathy of prematurity and patent ductus arteriosus. This emphasizes the need of special care for these neonates.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100251&lng=en&tlng=enInfant, prematureInfant newbornInfant, small for gestational ageRetinopathy of prematurityEnterocolitis, necrotizingInfant, premature, diseasesCritical care |
| spellingShingle | Lo-Ruama Pereira Costa Gleise Aparecida Moraes Costa Cristina Ortiz Sobrinho Valete José Kleber Kobol Machado Mariliza Henrique da Silva In-hospital outcomes in preterm and small-for-gestational-age newborns: a cohort study Einstein (São Paulo) Infant, premature Infant newborn Infant, small for gestational age Retinopathy of prematurity Enterocolitis, necrotizing Infant, premature, diseases Critical care |
| title | In-hospital outcomes in preterm and small-for-gestational-age newborns: a cohort study |
| title_full | In-hospital outcomes in preterm and small-for-gestational-age newborns: a cohort study |
| title_fullStr | In-hospital outcomes in preterm and small-for-gestational-age newborns: a cohort study |
| title_full_unstemmed | In-hospital outcomes in preterm and small-for-gestational-age newborns: a cohort study |
| title_short | In-hospital outcomes in preterm and small-for-gestational-age newborns: a cohort study |
| title_sort | in hospital outcomes in preterm and small for gestational age newborns a cohort study |
| topic | Infant, premature Infant newborn Infant, small for gestational age Retinopathy of prematurity Enterocolitis, necrotizing Infant, premature, diseases Critical care |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100251&lng=en&tlng=en |
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