Excess mortality and morbidity among small-for-gestational-age premature infants: a population-based study

The Journal of pediatrics, 143(2), 186-191

DOI 10.1067/S0022-3476(03)00181-1 PMID 12970630 Source

Abstract

Objective

We examined the effect of intrauterine growth restriction on mortality and morbidity in the Israel cohort of very low birth weight premature infants.

Methods

The study population included 2764 singleton very low birth weight infants without congenital malformations born from 24 to 31 weeks of gestation during 1995 to 1999. Four hundred six (15%) were born small for gestational age (SGA). The effect of SGA on death, bronchopulmonary dysplasia, and retinopathy of prematurity was assessed using multiple logistic regression analysis.

Results

After adjustment for perinatal risk factors, SGA infants had a 4.52-fold risk for death (95% CI, 3.24-6.33), a 3.42-fold risk for bronchopulmonary dysplasia (95% CI, 2.29-5.13), and a 2.06-fold risk for grade 3 to 4 retinopathy of prematurity (95% CI, 1.15-3.66).

Conclusions

SGA premature infants had an increased risk for death, and major morbidity among survivors was increased.

Topics

small for gestational age premature outcomes, intrauterine growth restriction mortality, sga very low birth weight infants, bronchopulmonary dysplasia sga infants, retinopathy of prematurity sga risk, premature infant mortality risk factors, vlbw sga survival rates, intrauterine growth restriction morbidity, neonatal outcomes growth restricted infants, preterm sga complications

Cite this article

Regev, R. H., Lusky, A., Dolfin, T., Litmanovitz, I., Arnon, S., & Reichman, B. (2003). Excess mortality and morbidity among small-for-gestational-age premature infants: a population-based study. *The Journal of pediatrics*, *143*(2), 186-191. https://doi.org/10.1067/S0022-3476(03)00181-1

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