Abstract (EN):
Scientific and technological advances in monitoring and treatment of premature newborn infants are the most important contributors to decrease morbidity and mortality in very low birth weight (VLBW) infants. However morbidity of the infants is yet a major problem in NICU. The aim of this study was to evaluate the respiratory morbidity and mortality in premature newborn infants less than 1500g admitted to our NICU. Material and Methods: We studied all premature newboms less than 1500 grams admitted to our NICU between January and December 1994. We excluded infants with congenital surgical and cardiac pathology. We considered 3 groups of patients according to gestational age (GA) Group 1 - GA < 31 weeks; Group II - GA 31 and 32 weeks and Group III > 32 and < 31 weeks, and we compared morbidity and mortality in 3 groups. Results are shown in the table: Group I (n=16) Group II (n=18) Group III (n=15). GA' 28±1 (26-30) 31±0,5 (31-32) 34± 1 (33-36) BW 1063±257 (685-1405) 1235±200 (800-1485) 1310±120 (1070-1480) MV 6±5(1-17) 4±2(1-8) 4±3(1-10) HMDn(%) 12(75%) 12(67%) 3(20%) BPDn(%) 6(37,1%) 2(11%) 0 PDAn(%) 3(50%) 2(11%) 3(20%) IVH(l-IV)n(%) 8(50%) 6(55%) 1(7%) Sepsis n(%) 11(69%) 10(55%) 5(33%) Resp. Mortaityn(%) 2(12,5%) 0 0 Data are in mean ±SD, BW: birth weight; GA: gestational age; MV: mechanical ventilation; HMD: hyaline membrane disease; BPD: bronchopulmonary dysplasia; PDA: patent duchis arteriosus; IVH: intraventricular hemorrhage. We concluded that respiratory mortality and chronic respiratory sequelae account for an important percentage of cases in VLBW infants. These problems are more frequent and important in preterm infants less than 31 weeks of GA. © 1997 Wiley-Liss, Inc.
Language:
English
Type (Professor's evaluation):
Scientific