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

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 infant mortality morbidity, intrauterine growth restriction very low birth weight outcomes, SGA preterm infant bronchopulmonary dysplasia retinopathy, VLBW infant population based study Israel cohort, fetal growth restriction premature infant survival, Regev Reichman SGA premature infant mortality, intrauterine growth restriction neonatal morbidity logistic regression, small for gestational age 24-31 weeks gestation outcomes, IUGR preterm birth excess mortality population study, very low birth weight singleton neonatal outcomes
PMID 12970630 12970630 DOI 10.1067/S0022-3476(03)00181-1 10.1067/S0022-3476(03)00181-1

Cite this article

Regev, R. H., Lusky, A., Dolfin, T., Litmanovitz, I., Arnon, S., Reichman, B., & Israel Neonatal Network (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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