J Korean Soc Neonatol.
2003 Nov;10(2):143-152.
Mortality and Morbidity of Very Low Birth Weight Infants in Busan Area during Recent 6 Years
- Affiliations
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- 1Department of Pediatrics, College of Medicine, Dong-A University, Busan Paik Hospital, Busan, Korea. yalee@daunet.donga.ac.kr
- 2Department of Pediatrics, College of Medicine, Busan National University, Busan Paik Hospital, Busan, Korea.
- 3Department of Pediatrics, College of Medicine, In-Je University, Busan, Korea.
- 4Department of Pediatrics, College of Medicine, Maryknoll Hospital, Busan, Korea.
- 5Department of Pediatrics, College of Medicine, Saint Benedict Hospital, Busan, Korea.
- 6Department of Pediatrics, College of Medicine, Dong-A University, Sin Christian Hospital, Busan, Korea.
- 7Department of Pediatrics, College of Medicine, Wallace Memorial Baptist Hospital, Busan, Korea.
Abstract
- PURPOSE
To evaluate mortality and morbidity of very low birth weight (VLBW) infants born in Busan from 1996 to 2001. METHOD: Seven neonatal intensive care units (including 3 university hospitals and 4 general hospitals) in Busan participated for this study. We performed retrospective review of 756 VLBW infants who were born in this area during study period was done to assess their mortality and morbidity. RESULT: The total number of VLBW infant was 756 (incidence: 0.97%, mean gestational age: 29.5 +/- 2.9 wk, mean birth weight: 1165+/-232 g) including 187 extremely low birth weight infants who were less than 1, 000 g birth weight (24.7%). The survival rate was 61.0% (461 of 756). It increased from 56.4% in early period (1996 to 1998) to 65.2% in late period (1999 to 2001) (P<0.01). The incidence of respiratory distress syndrome was 61.5% (466 of 756), patent ductus arteriosus 12.3% (93 of 756), blood culture positive sepsis 10.2% (77 of 756), bronchopulmonary dysplasia 9.3% (70 of 756), severe intracranial hemorrhage 6.5% (49 of 756), necrotizing enterocolitis 4.9% (37 of 756), severe retinopathy of prematurity 3.7 % (28 of 756). The main causes of death were respiratory distress syndrome and sepsis. CONCLUSION: The survival rate of VLBW infant in Busan area during recent 6 years was 61.0%, which is lower than other single unit result of our country, recent Japanese or North American data. We think both modernized facilities in NICU and well-trained medical personnel are needed to improve survival.
MeSH Terms
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Asian Continental Ancestry Group
Birth Weight
Bronchopulmonary Dysplasia
Busan*
Cause of Death
Ductus Arteriosus, Patent
Enterocolitis, Necrotizing
Gestational Age
Hospitals, University
Humans
Incidence
Infant*
Infant, Low Birth Weight
Infant, Newborn
Infant, Very Low Birth Weight*
Intensive Care Units, Neonatal
Intracranial Hemorrhages
Mortality*
Retinopathy of Prematurity
Retrospective Studies
Sepsis
Survival Rate
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