Does earlier arrival of the retrieval team improve short-term outcomes in outborn extremely premature infants?

Journal of Paediatrics and Child Health
Janet B Sharpe, Mark W Davies

Abstract

The risk of mortality and morbidity is increased in outborn, extremely premature infants. We aim to determine whether earlier arrival of the retrieval team after the birth of infants less than 29 weeks gestation improves short-term mortality and morbidity. This is a retrospective analysis of a cohort of infants less than 29 weeks gestation who were retrieved to the Royal Brisbane and Women's Hospital (RBWH) over a 5-year period. Demographic information regarding the infant and mother, retrieval team arrival time and outcome data was collected. Primary outcomes investigated were mortality prior to discharge from hospital or a composite of mortality or severe intraventricular haemorrhage (IVH). Data on 105 infants were analysed; 88 infants (83.8%) survived to discharge home, and 79 (75.2%) survived to discharge without severe IVH. On univariate analysis, there was no significant association between age at arrival of the retrieval team and death prior to discharge (P = 0.94) or death prior to discharge or severe IVH (P = 0.83). On logistic regression analysis, age at arrival of retrieval team remained non-significant for a reduction in death prior to discharge and composite of death or severe IVH (P = 0.70 and P = 0.99, respective...Continue Reading

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Citations

Aug 21, 2019·Journal of Perinatology : Official Journal of the California Perinatal Association·Stephanie RedpathUNKNOWN Canadian Neonatal Transport Network and Canadian Neonatal Network Investigators
Feb 13, 2019·Journal of Paediatrics and Child Health·Carlo Bellini
Jul 29, 2021·World Journal of Pediatrics : WJP·Rod M ShinozakiRobert B Kelly

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