Allt fler barn födda före vecka 24 överlever, men sjukligheten är hög
(2023) In Lakartidningen 120(10-11). p.1-4- Abstract
Children born before 24 gestational weeks had high neonatal morbidity and a majority had one or more neurodevelopmental disorders in addition to somatic diagnoses in childhood. Active Swedish perinatal care of infants with gestational age <24 weeks has resulted in a survival rate of more than 50 percent. Resuscitation of these immature infants is controversial, and some countries offer comfort care only. In a retrospective review of medical files and registries of 399 Swedish infants born before 24 gestational weeks, a majority had severe prematurity-related neonatal diagnoses. In childhood (2-13 years), 75 percent had at least one neurodevelopmental disorder and 88 percent had one or more prematurity-related somatic diagnosis... (More)
Children born before 24 gestational weeks had high neonatal morbidity and a majority had one or more neurodevelopmental disorders in addition to somatic diagnoses in childhood. Active Swedish perinatal care of infants with gestational age <24 weeks has resulted in a survival rate of more than 50 percent. Resuscitation of these immature infants is controversial, and some countries offer comfort care only. In a retrospective review of medical files and registries of 399 Swedish infants born before 24 gestational weeks, a majority had severe prematurity-related neonatal diagnoses. In childhood (2-13 years), 75 percent had at least one neurodevelopmental disorder and 88 percent had one or more prematurity-related somatic diagnosis (permanent or transient) that was likely to affect their quality of life. Long-term consequences for surviving infants should be considered in general recommendations as well as in parental information.
(Less)
- author
- alternative title
- Survival and prematurity-related neonatal diagnoses among children born before 24 gestational weeks in Sweden 2007-2018
- publishing date
- 2023-03-08
- type
- Contribution to specialist publication or newspaper
- publication status
- published
- keywords
- Infant, Newborn, Infant, Pregnancy, Female, Humans, Child, Sweden/epidemiology, Quality of Life, Infant, Premature, Diseases/diagnosis, Infant, Premature, Gestational Age, Pregnancy Complications
- in
- Lakartidningen
- volume
- 120
- issue
- 10-11
- pages
- 1 - 4
- publisher
- Swedish Medical Association
- external identifiers
-
- pmid:36892137
- ISSN
- 0023-7205
- language
- Swedish
- LU publication?
- no
- id
- 3947e77a-f743-4438-9e04-d506803a1d89
- alternative location
- https://lakartidningen.se/klinik-och-vetenskap-1/artiklar-1/rapport/2023/03/allt-fler-barn-fodda-fore-vecka-24-overlever-men-sjukligheten-ar-hog/
- date added to LUP
- 2023-10-19 12:16:00
- date last changed
- 2023-10-19 14:03:47
@misc{3947e77a-f743-4438-9e04-d506803a1d89, abstract = {{<p>Children born before 24 gestational weeks had high neonatal morbidity and a majority had one or more neurodevelopmental disorders in addition to somatic diagnoses in childhood. Active Swedish perinatal care of infants with gestational age <24 weeks has resulted in a survival rate of more than 50 percent. Resuscitation of these immature infants is controversial, and some countries offer comfort care only. In a retrospective review of medical files and registries of 399 Swedish infants born before 24 gestational weeks, a majority had severe prematurity-related neonatal diagnoses. In childhood (2-13 years), 75 percent had at least one neurodevelopmental disorder and 88 percent had one or more prematurity-related somatic diagnosis (permanent or transient) that was likely to affect their quality of life. Long-term consequences for surviving infants should be considered in general recommendations as well as in parental information.</p>}}, author = {{Morsing, Eva and Lundgren, Pia and Hård, Anna-Lena and Rakow, Alexander and Hellström-Westas, Lena and Jacobson, Lena and Johnson, Mats and Nilsson, Staffan and Ley, David and Sävman, Karin and Hellström, Ann}}, issn = {{0023-7205}}, keywords = {{Infant, Newborn; Infant; Pregnancy; Female; Humans; Child; Sweden/epidemiology; Quality of Life; Infant, Premature, Diseases/diagnosis; Infant, Premature; Gestational Age; Pregnancy Complications}}, language = {{swe}}, month = {{03}}, number = {{10-11}}, pages = {{1--4}}, publisher = {{Swedish Medical Association}}, series = {{Lakartidningen}}, title = {{Allt fler barn födda före vecka 24 överlever, men sjukligheten är hög}}, url = {{https://lakartidningen.se/klinik-och-vetenskap-1/artiklar-1/rapport/2023/03/allt-fler-barn-fodda-fore-vecka-24-overlever-men-sjukligheten-ar-hog/}}, volume = {{120}}, year = {{2023}}, }