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  1. 0 資料タイプ別
  2. 01 学術雑誌論文
  1. 250 大学院医歯学総合研究科(医)
  2. 10 学術雑誌論文
  3. 10 査読済論文

Factors Affecting Short-Term Mortality in Very Low Birth Weight Infants in Japan

http://hdl.handle.net/10191/4933
http://hdl.handle.net/10191/4933
82ab3f08-a9f3-49bb-8479-14c3b38e1396
名前 / ファイル ライセンス アクション
tohoku tohoku j.exp.med.205(2).pdf (462.8 kB)
Item type 学術雑誌論文 / Journal Article(1)
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

WEKO 38293

en Oshiki, Rieko

Search repository
Nakamuara, Kazutoshi

× Nakamuara, Kazutoshi

WEKO 38294

en Nakamuara, Kazutoshi

Search repository
Yamazaki, Akira

× Yamazaki, Akira

WEKO 38295

en Yamazaki, Akira

Search repository
Sakano, Chuji

× Sakano, Chuji

WEKO 38296

en Sakano, Chuji

Search repository
Nagayama, Yoshihisa

× Nagayama, Yoshihisa

WEKO 38297

en Nagayama, Yoshihisa

Search repository
Ooishi, Masanori

× Ooishi, Masanori

WEKO 38298

en Ooishi, Masanori

Search repository
Yamamoto, Masaharu

× Yamamoto, Masaharu

WEKO 38299

en Yamamoto, Masaharu

Search repository
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
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
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