ArticleLancet regional health. Americas2022
Survival of infants born at periviable gestation: The US national database.
Article in Lancet regional health. Americas, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed.
- Decision-Making at the Limit of Viability in Newborns: Insights from a Survey of Medical Professionals.Children (Basel, Switzerland) · 2026Article
- Number of Live Births as a Protective Factor Against Clinical and Covert Brain Infarcts: The Framingham Heart Study.Journal of the American Heart Association · 2026Article
- Stillbirths and the race-specific gap in neonatal death among extremely preterm births.Scientific reports · 2025Article
- Necrotizing Enterocolitis: A Comprehensive Review on Toll-like Receptor 4-Mediated Pathophysiology, Clinical, and Therapeutic Insights.Biomedicines · 2025Review
- Targeting CELA1 to Improve Septation in the Mouse Hyperoxia Model of Impaired Alveolar Development.American journal of respiratory cell and molecular biology · 2025Article
- The Destructive Cycle in Bronchopulmonary Dysplasia: The Rationale for Systems Pharmacology Therapeutics.Antioxidants (Basel, Switzerland) · 2025Review
- Left Truncation in the Periviable Period and the Black Survival Advantage.Paediatric and perinatal epidemiology · 2025Article
- Outpatient Respiratory Outcomes in Extremely Preterm Children During the First 3 Years of Life.Pediatric pulmonology · 2025Article
- Meconium-Related Obstruction and Clinical Outcomes in Term and Preterm Infants.JAMA network open · 2025Article
- Mortality trends in extremely premature neonates: insights from the CDC WONDER database from 1999 to 2023.Frontiers in pediatrics · 2025Article
- Article
- Early-life sodium restriction programs autonomic dysfunction and salt sensitivity in male C57BL/6J mice.American journal of physiology. Regulatory, integrative and comparative physiology · 2025Article
- Artificial Ex Utero Systems to Treat Severe Periviable Fetal Growth Restriction-A Possible Future Indication?Journal of clinical medicine · 2024Article
- Vanishing twins, spared cohorts, and the birthweight of periviable infants born to Black and white women in the United States.Science advances · 2024Article
- The effect of demographic, financial and hospital factors on the length of stay of preterm infants: a US national database study.Journal of perinatology : official journal of the California Perinatal Association · 2024Review
- Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Substantial differences exist in the approach to resuscitating infants born at periviable gestation. Evaluation of current survival may help guide prenatal counselling and provide accurate expectations of clinical outcomes. We aimed to assess the US national survival trends in periviable infants born at gestational age (GA) ≤24 weeks. Methods: We used de-identified patient data obtained from the US Healthcare Cost and Utilization Project (HCUP) from 2007 to 2018. All infants with documented GA ≤24 weeks were included. The Cochran-Armitage test was used for trend analyses. Regression analyses were conducted for variables associated with survival. Findings: A total of 44,628,827 infant records were identified with 124,345 (0.28%) infants born ≤24 weeks; of those, 77,050 infants <24 weeks and 47,295 infants had completed 24 weeks. Survival rates for infants <24 weeks and with completed 24 weeks were 15.4% and 71.6%, respectively, with higher survival over the years ( Interpretation: There is a national increase in survival over the years in infants born at periviable GA. BW >500 is associated with >4 folds higher survival compared to ≤500 g. The results of this study should be cautiously interpreted as long-term outcomes are unknown. Funding: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
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