Short term outcomes of extremely low birth weight infants from a multicenter cohort study in Guangdong of China

Abstract With the increase in extremely low birth weight (ELBW) infants, their outcome attracted worldwide attention. However, in China, the related studies are rare. The hospitalized records of ELBW infants discharged from twenty-six neonatal intensive care units in Guangdong Province of China duri...

Full description

Bibliographic Details
Main Authors: Chun-Hong Jia, Zhou-Shan Feng, Xiao-Jun Lin, Qi-Liang Cui, Sha-Sha Han, Ya Jin, Guo-Sheng Liu, Chuan-Zhong Yang, Xiao-Tong Ye, Yi-Heng Dai, Wei-Yi Liang, Xiu-Zhen Ye, Jing Mo, Lu Ding, Ben-Qing Wu, Hong-Xiang Chen, Chi-Wang Li, Zhe Zhang, Xiao Rong, Wei-Min Huang, Wei Shen, Bing-Yan Yang, Jun-Feng Lv, Le-Ying Huo, Hui-Wen Huang, Hong-Ping Rao, Wen-Kang Yan, Yong Yang, Xue-Jun Ren, Dong Liu, Fang-Fang Wang, Shi-Guang Diao, Xiao-Yan Liu, Chu-Ming You, Qiong Meng, Bin Wang, Li-Juan Zhang, Yu-Ge Huang, Dang Ao, Wei-Zhong Li, Jie-Ling Chen, Yan-Ling Chen, Wei Li, Zhi-Feng Chen, Yue-Qin Ding, Xiao-Yu Li, Yue-Fang Huang, Ni-Yang Lin, Yang-Fan Cai, Zhong-He Wan, Yi Ban, Bo Bai, Guang-Hong Li, Yue-Xiu Yan, Fan Wu
Format: Article
Language:English
Published: Nature Portfolio 2022-07-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-14432-2
_version_ 1818470970279591936
author Chun-Hong Jia
Zhou-Shan Feng
Xiao-Jun Lin
Qi-Liang Cui
Sha-Sha Han
Ya Jin
Guo-Sheng Liu
Chuan-Zhong Yang
Xiao-Tong Ye
Yi-Heng Dai
Wei-Yi Liang
Xiu-Zhen Ye
Jing Mo
Lu Ding
Ben-Qing Wu
Hong-Xiang Chen
Chi-Wang Li
Zhe Zhang
Xiao Rong
Wei-Min Huang
Wei Shen
Bing-Yan Yang
Jun-Feng Lv
Le-Ying Huo
Hui-Wen Huang
Hong-Ping Rao
Wen-Kang Yan
Yong Yang
Xue-Jun Ren
Dong Liu
Fang-Fang Wang
Shi-Guang Diao
Xiao-Yan Liu
Chu-Ming You
Qiong Meng
Bin Wang
Li-Juan Zhang
Yu-Ge Huang
Dang Ao
Wei-Zhong Li
Jie-Ling Chen
Yan-Ling Chen
Wei Li
Zhi-Feng Chen
Yue-Qin Ding
Xiao-Yu Li
Yue-Fang Huang
Ni-Yang Lin
Yang-Fan Cai
Zhong-He Wan
Yi Ban
Bo Bai
Guang-Hong Li
Yue-Xiu Yan
Fan Wu
author_facet Chun-Hong Jia
Zhou-Shan Feng
Xiao-Jun Lin
Qi-Liang Cui
Sha-Sha Han
Ya Jin
Guo-Sheng Liu
Chuan-Zhong Yang
Xiao-Tong Ye
Yi-Heng Dai
Wei-Yi Liang
Xiu-Zhen Ye
Jing Mo
Lu Ding
Ben-Qing Wu
Hong-Xiang Chen
Chi-Wang Li
Zhe Zhang
Xiao Rong
Wei-Min Huang
Wei Shen
Bing-Yan Yang
Jun-Feng Lv
Le-Ying Huo
Hui-Wen Huang
Hong-Ping Rao
Wen-Kang Yan
Yong Yang
Xue-Jun Ren
Dong Liu
Fang-Fang Wang
Shi-Guang Diao
Xiao-Yan Liu
Chu-Ming You
Qiong Meng
Bin Wang
Li-Juan Zhang
Yu-Ge Huang
Dang Ao
Wei-Zhong Li
Jie-Ling Chen
Yan-Ling Chen
Wei Li
Zhi-Feng Chen
Yue-Qin Ding
Xiao-Yu Li
Yue-Fang Huang
Ni-Yang Lin
Yang-Fan Cai
Zhong-He Wan
Yi Ban
Bo Bai
Guang-Hong Li
Yue-Xiu Yan
Fan Wu
author_sort Chun-Hong Jia
collection DOAJ
description Abstract With the increase in extremely low birth weight (ELBW) infants, their outcome attracted worldwide attention. However, in China, the related studies are rare. The hospitalized records of ELBW infants discharged from twenty-six neonatal intensive care units in Guangdong Province of China during 2008–2017 were analyzed. A total of 2575 ELBW infants were enrolled and the overall survival rate was 55.11%. From 2008 to 2017, the number of ELBW infants increased rapidly from 91 to 466, and the survival rate improved steadily from 41.76% to 62.02%. Increased survival is closely related to birth weight (BW), regional economic development, and specialized hospital. The incidence of complications was neonatal respiratory distress syndrome (85.2%), oxygen dependency at 28 days (63.7%), retinopathy of prematurity (39.3%), intraventricular hemorrhage (29.4%), necrotizing enterocolitis (12.0%), and periventricular leukomalacia (8.0%). Among the 1156 nonsurvivors, 90.0% of infants died during the neonatal period (≤ 28 days). A total of 768 ELBW infants died after treatment withdrawal, for reasons of economic and/or poor outcome. The number of ELBW infants is increasing in Guangdong Province of China, and the overall survival rate is improving steadily.
first_indexed 2024-04-13T21:44:38Z
format Article
id doaj.art-aacf2ef4776946e78a875fa78ad29d89
institution Directory Open Access Journal
issn 2045-2322
language English
last_indexed 2024-04-13T21:44:38Z
publishDate 2022-07-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj.art-aacf2ef4776946e78a875fa78ad29d892022-12-22T02:28:38ZengNature PortfolioScientific Reports2045-23222022-07-0112111010.1038/s41598-022-14432-2Short term outcomes of extremely low birth weight infants from a multicenter cohort study in Guangdong of ChinaChun-Hong Jia0Zhou-Shan Feng1Xiao-Jun Lin2Qi-Liang Cui3Sha-Sha Han4Ya Jin5Guo-Sheng Liu6Chuan-Zhong Yang7Xiao-Tong Ye8Yi-Heng Dai9Wei-Yi Liang10Xiu-Zhen Ye11Jing Mo12Lu Ding13Ben-Qing Wu14Hong-Xiang Chen15Chi-Wang Li16Zhe Zhang17Xiao Rong18Wei-Min Huang19Wei Shen20Bing-Yan Yang21Jun-Feng Lv22Le-Ying Huo23Hui-Wen Huang24Hong-Ping Rao25Wen-Kang Yan26Yong Yang27Xue-Jun Ren28Dong Liu29Fang-Fang Wang30Shi-Guang Diao31Xiao-Yan Liu32Chu-Ming You33Qiong Meng34Bin Wang35Li-Juan Zhang36Yu-Ge Huang37Dang Ao38Wei-Zhong Li39Jie-Ling Chen40Yan-Ling Chen41Wei Li42Zhi-Feng Chen43Yue-Qin Ding44Xiao-Yu Li45Yue-Fang Huang46Ni-Yang Lin47Yang-Fan Cai48Zhong-He Wan49Yi Ban50Bo Bai51Guang-Hong Li52Yue-Xiu Yan53Fan Wu54Department of Pediatrics, The Third Affiliated Hospital of Guangzhou Medical UniversityDepartment of Pediatrics, The Third Affiliated Hospital of Guangzhou Medical UniversityDepartment of Pediatrics, The Third Affiliated Hospital of Guangzhou Medical UniversityDepartment of Pediatrics, The Third Affiliated Hospital of Guangzhou Medical UniversityDepartment of Neonatology, The First Affiliated Hospital of Jinan UniversityDepartment of Neonatology, The First Affiliated Hospital of Jinan UniversityDepartment of Neonatology, The First Affiliated Hospital of Jinan UniversityDepartment of Neonatology, Shenzhen Maternal and Child Healthcare Hospital, Affiliated Southern Medical UniversityDepartment of Neonatology, Shenzhen Maternal and Child Healthcare Hospital, Affiliated Southern Medical UniversityDepartment of Neonatology, Foshan Maternal and Child’s HospitalDepartment of Neonatology, Foshan Maternal and Child’s HospitalDepartment of Neonatology, Women and Children Hospital of Guangdong ProvinceDepartment of Neonatology, Women and Children Hospital of Guangdong ProvinceDepartment of Neonatology, Shenzhen People’s HospitalDepartment of Neonatology, Shenzhen People’s HospitalDepartment of Neonatology, Meizhou People’s HospitalDepartment of Neonatology, Meizhou People’s HospitalDepartment of Neonatology, Guangzhou Women and Children’s Medical CenterDepartment of Neonatology, Guangzhou Women and Children’s Medical CenterDepartment of Neonatology, Nanfang Hospital of Southern Medical UniversityDepartment of Neonatology, Nanfang Hospital of Southern Medical UniversityDepartment of Neonatology, Boai Hospital of ZhongshanDepartment of Neonatology, Boai Hospital of ZhongshanDepartment of Neonatology, Zhuhai Maternity and Child Health HospitalDepartment of Neonatology, Zhuhai Maternity and Child Health HospitalDepartment of Neonatology, Huizhou Municipal Central HospitalDepartment of Neonatology, Huizhou Municipal Central HospitalDepartment of Neonatology, Dongguan Maternity and Child Health HospitalDepartment of Neonatology, Dongguan Maternity and Child Health HospitalDepartment of Neonatology, Jiangmen Central Hospital, Affiliated Jiangmen Hospital of Sun Yat-Sen UniversityDepartment of Neonatology, Jiangmen Central Hospital, Affiliated Jiangmen Hospital of Sun Yat-Sen UniversityDepartment of Neonatology, Yuebei People’s HospitalDepartment of Neonatology, Yuebei People’s HospitalDepartment of Neonatology, Guangdong Second Provincial People’s HospitalDepartment of Neonatology, Guangdong Second Provincial People’s HospitalDepartment of Pediatrics, Zhujiang Hospital of Southern Medical UniversityDepartment of Pediatrics, Zhujiang Hospital of Southern Medical UniversityDepartment of Pediatrics, The Affiliated Hospital of Guangdong Medical UniversityDepartment of Pediatrics, The Affiliated Hospital of Guangdong Medical UniversityDepartment of Neonatology, The Second Affiliated Hospital of Shantou University Medical CollegeDepartment of Neonatology, The Second Affiliated Hospital of Shantou University Medical CollegeDepartment of Neonatology, Jinan University Medical College Affiliated Dongguan HospitalDepartment of Neonatology, Jinan University Medical College Affiliated Dongguan HospitalDepartment of Pediatrics, Dongguan People’s HospitalDepartment of Pediatrics, Dongguan People’s HospitalDepartment of Neonatology, The First Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Neonatology, The First Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Neonatology, The First Affiliated Hospital of Shantou University Medical CollegeDepartment of Neonatology, The First Affiliated Hospital of Shantou University Medical CollegeDepartment of Neonatology, Nanhai District People’s Hospital of FoshanDepartment of Neonatology, Nanhai District People’s Hospital of FoshanDepartment of Neonatology, Huadu District People’s Hospital of GuangzhouDepartment of Neonatology, Huadu District People’s Hospital of GuangzhouDepartment of Pediatrics, The First People’s Hospital of ZhaoqingDepartment of Pediatrics, The Third Affiliated Hospital of Guangzhou Medical UniversityAbstract With the increase in extremely low birth weight (ELBW) infants, their outcome attracted worldwide attention. However, in China, the related studies are rare. The hospitalized records of ELBW infants discharged from twenty-six neonatal intensive care units in Guangdong Province of China during 2008–2017 were analyzed. A total of 2575 ELBW infants were enrolled and the overall survival rate was 55.11%. From 2008 to 2017, the number of ELBW infants increased rapidly from 91 to 466, and the survival rate improved steadily from 41.76% to 62.02%. Increased survival is closely related to birth weight (BW), regional economic development, and specialized hospital. The incidence of complications was neonatal respiratory distress syndrome (85.2%), oxygen dependency at 28 days (63.7%), retinopathy of prematurity (39.3%), intraventricular hemorrhage (29.4%), necrotizing enterocolitis (12.0%), and periventricular leukomalacia (8.0%). Among the 1156 nonsurvivors, 90.0% of infants died during the neonatal period (≤ 28 days). A total of 768 ELBW infants died after treatment withdrawal, for reasons of economic and/or poor outcome. The number of ELBW infants is increasing in Guangdong Province of China, and the overall survival rate is improving steadily.https://doi.org/10.1038/s41598-022-14432-2
spellingShingle Chun-Hong Jia
Zhou-Shan Feng
Xiao-Jun Lin
Qi-Liang Cui
Sha-Sha Han
Ya Jin
Guo-Sheng Liu
Chuan-Zhong Yang
Xiao-Tong Ye
Yi-Heng Dai
Wei-Yi Liang
Xiu-Zhen Ye
Jing Mo
Lu Ding
Ben-Qing Wu
Hong-Xiang Chen
Chi-Wang Li
Zhe Zhang
Xiao Rong
Wei-Min Huang
Wei Shen
Bing-Yan Yang
Jun-Feng Lv
Le-Ying Huo
Hui-Wen Huang
Hong-Ping Rao
Wen-Kang Yan
Yong Yang
Xue-Jun Ren
Dong Liu
Fang-Fang Wang
Shi-Guang Diao
Xiao-Yan Liu
Chu-Ming You
Qiong Meng
Bin Wang
Li-Juan Zhang
Yu-Ge Huang
Dang Ao
Wei-Zhong Li
Jie-Ling Chen
Yan-Ling Chen
Wei Li
Zhi-Feng Chen
Yue-Qin Ding
Xiao-Yu Li
Yue-Fang Huang
Ni-Yang Lin
Yang-Fan Cai
Zhong-He Wan
Yi Ban
Bo Bai
Guang-Hong Li
Yue-Xiu Yan
Fan Wu
Short term outcomes of extremely low birth weight infants from a multicenter cohort study in Guangdong of China
Scientific Reports
title Short term outcomes of extremely low birth weight infants from a multicenter cohort study in Guangdong of China
title_full Short term outcomes of extremely low birth weight infants from a multicenter cohort study in Guangdong of China
title_fullStr Short term outcomes of extremely low birth weight infants from a multicenter cohort study in Guangdong of China
title_full_unstemmed Short term outcomes of extremely low birth weight infants from a multicenter cohort study in Guangdong of China
title_short Short term outcomes of extremely low birth weight infants from a multicenter cohort study in Guangdong of China
title_sort short term outcomes of extremely low birth weight infants from a multicenter cohort study in guangdong of china
url https://doi.org/10.1038/s41598-022-14432-2
work_keys_str_mv AT chunhongjia shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT zhoushanfeng shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT xiaojunlin shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT qiliangcui shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT shashahan shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT yajin shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT guoshengliu shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT chuanzhongyang shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT xiaotongye shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT yihengdai shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT weiyiliang shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT xiuzhenye shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT jingmo shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT luding shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT benqingwu shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT hongxiangchen shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT chiwangli shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT zhezhang shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT xiaorong shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT weiminhuang shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT weishen shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT bingyanyang shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT junfenglv shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT leyinghuo shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT huiwenhuang shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT hongpingrao shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT wenkangyan shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT yongyang shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT xuejunren shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT dongliu shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT fangfangwang shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT shiguangdiao shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT xiaoyanliu shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT chumingyou shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT qiongmeng shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT binwang shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT lijuanzhang shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT yugehuang shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT dangao shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT weizhongli shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT jielingchen shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT yanlingchen shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT weili shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT zhifengchen shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT yueqinding shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT xiaoyuli shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT yuefanghuang shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT niyanglin shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT yangfancai shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT zhonghewan shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT yiban shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT bobai shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT guanghongli shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT yuexiuyan shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina
AT fanwu shorttermoutcomesofextremelylowbirthweightinfantsfromamulticentercohortstudyinguangdongofchina