J Korean Soc Neonatol.  2012 Aug;19(3):134-139. 10.5385/jksn.2012.19.3.134.

Survival Outcome of Neonatal Intensive Care Units in Korea by Gestational Age (2002-2009)

• Heo YH
• Lee YJ
• Lee WS
• Chung SH
• Choi YS
• Lee KS
• Chang JY
• Bae CW

• KMID: 2188352
• DOI: http://doi.org/10.5385/jksn.2012.19.3.134

Abstract

PURPOSE
There has recently been improvement in treatment skills and outcomes of patients in neonatal intensive care units (NICUs) of Korea. According to several studies, such results of very to extremely low birth weight infants were markedly improved in comparison to that of Japan or USA. In speculation, the authors reviewed the survival outcomes by gestational age from 2002 to 2009.
METHODS
We extracted the survival outcomes of NICU patients by gestational age from the data of previous studies. Data from Japanese Perinatal Care Center Research Network and NICHD Neonatal Research Network of US were used for comparison.
RESULTS
The survival rates by gestational age are as follows (2002, 2007, and 2009 respectively): 22-23 weeks (3.4, 19.0, 28.6%), 24 weeks (21.3, 44.0, 59.3%), 26 weeks (59.4,77.8, 78.0%), 28 weeks (79.0, 88.0, 91.2%), 30 weeks (93.8, 95.3, 93.6%), 32 weeks (95.3, 97.1, 98.2%), 34 weeks (98.8, 99.0, 99.0%), 36 weeks (99.2, 99.1, 99.2%), 38 weeks (99.7, 99.5, 99.2%), 40 weeks (99.7, 99.4, 99.2%), longer than 42 weeks (100.0, 96.3, 94.7%). For infants with a gestational age lesser than 28 weeks, the survival rates of Korea (2009), Japan (2009), and US (2003-2007) were 77.5, 89.0 and 71.6% respectively. The statistics of Korea ranked between those of Japan, USA.
CONCLUSION
The survival rate of neonates admitted to NICU in Korea markedly improved from 2002 to 2009. The present study is the first report of survival rate by gestational age in Korea and will become a fundamental basis for further improvement in neonatal care.

Keyword

Survival rate; Mortality; Gestational age; Neonatal intensive care unit; Neonate

MeSH Terms

Asian Continental Ancestry Group
Gestational Age
Humans
Infant
Infant, Low Birth Weight
Infant, Newborn
Intensive Care Units, Neonatal
Intensive Care, Neonatal
Japan
Korea
National Institute of Child Health and Human Development (U.S.)
Perinatal Care
Survival Rate