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Factors Affecting Short-Term Mortality in Very Low Birth Weight Infants in Japan
http://hdl.handle.net/10191/4933
http://hdl.handle.net/10191/493382ab3f08-a9f3-49bb-8479-14c3b38e1396
名前 / ファイル | ライセンス | アクション |
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tohoku j.exp.med.205(2).pdf (462.8 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2007-07-18 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Factors Affecting Short-Term Mortality in Very Low Birth Weight Infants in Japan | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | very low birth weight infant(VLBWI) | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | mortality | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | birth weight | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | risk factor | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | historical cohort study | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
著者 |
Oshiki, Rieko
× Oshiki, Rieko× Nakamuara, Kazutoshi× Yamazaki, Akira× Sakano, Chuji× Nagayama, Yoshihisa× Ooishi, Masanori× Yamamoto, Masaharu |
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著者別名 | ||||||
識別子 | 38300 | |||||
識別子Scheme | WEKO | |||||
姓名 | 中村, 和利 | |||||
言語 | ja | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | No epidemiological surveys have examined risk factors related to the death of very low birth weight infants (VLBWIs) in Japan. The objectives of this study were to examine the death rate and fatalities related to complications among VLBWIs, and to analyze factors possibly determining the death of VLBWIs. The subjects of this study were 811 VLBWIs admitted to the Neonatal Care Center of Niigata City General Hospital between April 1987 and March 2003. We obtained information on gender, birth weight, gestational age, Apgar scores, single/multiple pregnancy, postnatal transfer, mode of delivery, complications and outcome (alive or deceased) at the time of discharge from medical records. Of the 811 infants, 98 died prior to discharge (12.1%). Logistic regression analysis showed that independent risk factors for death of VLBWIs were male gender (relative risk [RR]: 2.0), low birth weight (RR: 0.56), necrotizing enterocolitis (RR: 58.0), pulmonary hypoplasia (RR: 37.8), chromosomal abnormalities (RR: 36.3), congenital heart diseases (RR: 9.8), persistent fetal circulation (RR: 9.6), neonatal asphyxia (RR: 6.3) and sepsis (RR: 4.4). The risk for death rises 1.8-fold if birth weight decreases by 100 g. A very high risk of perinatal death is associated with necrotizing enterocolitis, pulmonary hypoplasia or chromosomal abnormalities. The risk of death due to congenital heart diseases or neonatal asphyxia is relatively lower, but the incidences of these two disorders are high (8% and 6%, respectively). From the viewpoint of prophylactic treatment aimed at reducing the death rate of VLBWIs, measures to increase birth weight are of primary importance. Furthermore, early treatment and improved perinatal management of congenital heart diseases and neonatal asphyxia are anticipated to reduce the overall death rate of VLBWIs. | |||||
言語 | en | |||||
書誌情報 |
en : Tohoku Journal of Experimental Medicine 巻 205, 号 2, p. 141-150, 発行日 2005-02 |
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出版者 | ||||||
言語 | en | |||||
出版者 | Tohoku University Medical Press | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0040-8727 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00863920 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | http://doi.org/10.1620/tjem.205.141 | |||||
出版タイプ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
著者版フラグ | ||||||
値 | publisher |