Evidence map›Paper›PMID 26015815›Full record

ArticleJournal of clinical medicine research2015

Birth weight independently affects morbidity and mortality of extremely preterm neonates.

Apostolos Mamopoulos, Stamatios Petousis, John Tsimpanakos, Sophia Masouridou, Kelly Kountourelli, Chrysoula Margioula-Siarkou, Maria Papouli, David Rousso

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Article in Journal of clinical medicine research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Apostolos Mamopoulos3rd Academic Department Obstetrics & Gynaecology, Aristotle University of Thessaloniki, Medical School, "Hippokration" General Hospital, Thessaloniki, Greece.
Stamatios Petousis3rd Academic Department Obstetrics & Gynaecology, Aristotle University of Thessaloniki, Medical School, "Hippokration" General Hospital, Thessaloniki, Greece.
John Tsimpanakos3rd Academic Department Obstetrics & Gynaecology, Aristotle University of Thessaloniki, Medical School, "Hippokration" General Hospital, Thessaloniki, Greece.
Sophia Masouridou3rd Academic Department Obstetrics & Gynaecology, Aristotle University of Thessaloniki, Medical School, "Hippokration" General Hospital, Thessaloniki, Greece.
Kelly KountourelliNeonatal Intensive Care Unit, "Hippokration" General Hospital, Thessaloniki, Greece.
Chrysoula Margioula-Siarkou3rd Academic Department Obstetrics & Gynaecology, Aristotle University of Thessaloniki, Medical School, "Hippokration" General Hospital, Thessaloniki, Greece.
Maria PapouliNeonatal Intensive Care Unit, "Hippokration" General Hospital, Thessaloniki, Greece.
David Rousso3rd Academic Department Obstetrics & Gynaecology, Aristotle University of Thessaloniki, Medical School, "Hippokration" General Hospital, Thessaloniki, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeonates born between 24 + 0 and 27 + 6 gestational weeks, widely known as extremely preterm neonates, present a category characterized by increased neonatal mortality and morbidity. Main objective of the present study is to analyze the effect of various epidemiological and pregnancy-related parameters on unfavorable neonatal mortality and morbidity outcomes.

methodsA retrospective study was performed enrolling cases delivered during 2003 - 2008 in our department. Cases of neonatal death as well as pathological Apgar score (≤ 4 in the first and ≤ 7 in the fifth minute of life), need for emergency resuscitation, respiratory disease syndrome (RDS), neonatal asphyxia, intraventricular hemorrhage (IVH) and neonatal death were recorded for neonates of our analysis. A multivariate regression model was used to correlate these outcomes with gestational week at delivery, maternal age, parity, kind of gestation (singleton or multiple), intrauterine growth restriction (IUGR), birth weight (BW), preterm premature rupture of membranes (PPROM), mode of delivery (vaginal delivery or cesarean section) and antenatal use of corticosteroids.

resultsOut of 5,070 pregnancies delivered, 57 extremely preterm neonates were born (1.1%). Mean BW was 780.35 ± 176.0, RDS was observed in 93.0% (n = 53), resuscitation was needed in 54.4% (n = 31) while overall mortality rate was 52.6% (n = 30). BW was independently associated with neonatal death (P = 0.004), pathological Apgar score in the first (P = 0.05) and fifth minute of life (P = 0.04) as well as neonatal sepsis (P = 0.05).

conclusionBW at delivery is independently affecting neonatal mortality and morbidity parameters in extremely preterm neonates.

Indexed as

Birth weightExtremely pretermGestational ageNeonatal morbidityNeonatal mortality

Identifiers

PMID26015815
PMCPMC4432892

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