Impact of timing of birth and resident duty-hour restrictions on outcomes for small preterm infants.

Pediatrics
Edward F BellEunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network

Abstract

The goal was to examine the impact of birth at night, on the weekend, and during July or August (the first months of the academic year) and the impact of resident duty-hour restrictions on mortality and morbidity rates for very low birth weight infants. Outcomes were analyzed for 11,137 infants with birth weights of 501 to 1250 g who were enrolled in the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network registry in 2001-2005. Approximately one-half were born before the introduction of resident duty-hour restrictions in 2003. Follow-up assessments at 18 to 22 months were completed for 4508 infants. Mortality rate, short-term morbidities, and neurodevelopmental outcome were examined with respect to the timing of birth. There was no effect of the timing of birth on mortality rate and no impact on the risks of short-term morbidities except that the risk of retinopathy of prematurity (stage > or =2) was higher after the introduction of duty-hour restrictions and the risk of retinopathy of prematurity requiring operative treatment was lower for infants born during the late night than during the day. There was no impact of the timing of birth on neurodevelopmental outcome except ...Continue Reading

References

Aug 1, 1979·The Journal of Pediatrics·J TysonG Gill
Feb 13, 1988·Lancet·F PaccaudF Gutzwiller
May 1, 1987·British Journal of Obstetrics and Gynaecology·V M DowdingD W MacDonald
Dec 1, 1986·British Journal of Obstetrics and Gynaecology·G Domenighetti, F Paccaud
Mar 1, 1983·Journal of Epidemiology and Community Health·C D Mathers
Jun 1, 1981·American Journal of Public Health·W D Mangold
Dec 1, 1981·British Journal of Obstetrics and Gynaecology·R A Hendry
Feb 1, 1996·Obstetrics and Gynecology·G R AlexanderM Kogan
Oct 24, 2002·The New England Journal of Medicine·David M Gaba, Steven K Howard
Feb 28, 2003·Epidemiology·Olof StephanssonSven Cnattingius
Jun 12, 2003·JAMA : the Journal of the American Medical Association·Jeffrey B GouldGilberto Chavez
Oct 7, 2003·Zeitschrift für Geburtshilfe und Neonatologie·G HellerS Schmidt
Nov 15, 2003·The Journal of Pediatrics·Shoo K LeeUNKNOWN Canadian Neonatal Network
Mar 23, 2004·American Journal of Epidemiology·Guangyong Zou
Mar 31, 2004·Obstetrics and Gynecology·Jennifer L Bailit, May Hsieh Blanchard
Oct 29, 2004·The New England Journal of Medicine·Steven W LockleyUNKNOWN Harvard Work Hours, Health and Safety Group
Oct 29, 2004·The New England Journal of Medicine·Christopher P LandriganCharles A Czeisler
May 25, 2005·Annals of Surgery·Benjamin K PouloseMichael D Holzman
Aug 2, 2005·Obstetrics and Gynecology·Jeffrey B GouldGilberto Chavez
Dec 3, 2005·Pediatrics·Namasivayam AmbalavananUNKNOWN National Institute of Child Health and Human Development Neonatal Research Network
Apr 20, 2006·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Patti Hamilton, Elizabeth Restrepo
May 3, 2006·Pediatrics·Mohamed E Abdel-LatifUNKNOWN New South Wales and the Australian Capital Territory Neonatal Intensive Care Audit Group
May 26, 2006·American Journal of Obstetrics and Gynecology·Adam C UratoWilliam F O'Brien
Nov 8, 2006·Archives of Disease in Childhood. Fetal and Neonatal Edition·Karen E St C HamiltonWilliam Tarnow-Mordi
Dec 5, 2006·Pediatrics·William L CullRichard J Pan
Jun 6, 2007·Annals of Internal Medicine·Kanaka D Shetty, Jayanta Bhattacharya
Sep 6, 2007·JAMA : the Journal of the American Medical Association·Kevin G VolppJeffrey H Silber
Sep 6, 2007·JAMA : the Journal of the American Medical Association·Kevin G VolppJeffrey H Silber
May 27, 2008·American Journal of Obstetrics and Gynecology·Aaron B CaugheyRussell K Laros
Jul 4, 2008·Journal of Perinatology : Official Journal of the California Perinatal Association·T A BrucknerJ B Gould
Dec 5, 2008·The New England Journal of Medicine·John K Iglehart
Apr 15, 2009·The Journal of Pediatrics·Luc P BrionRita M Ryan

❮ Previous
Next ❯

Citations

Oct 11, 2015·Seminars in Fetal & Neonatal Medicine·Jochen Profit, Roger F Soll
Aug 21, 2012·Journal of Advanced Nursing·Pamela B de CordovaPatricia W Stone
Dec 21, 2012·Journal of Paediatrics and Child Health·Mohamed E Abdel-LatifUNKNOWN NSW and ACT Neonatal Intensive Care Units Audit Group
Jul 11, 2020·Obstetrics and Gynecology·Jeffrey B GouldElliott K Main
Dec 29, 2017·PloS One·Katharina Schütte-NütgenStefan Reuter
Sep 12, 2020·Environmental Health and Preventive Medicine·Satoshi ToyokawaShigeru Ueda
May 30, 2021·Journal of Perinatology : Official Journal of the California Perinatal Association·Angelo RizzoloUNKNOWN Canadian Neonatal Network (CNN) and Canadian Preterm Birth Network (CPTBN) Investigators

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

American Journal of Obstetrics and Gynecology
Aaron B CaugheyRussell K Laros
American Journal of Obstetrics and Gynecology
Yvonne W WuS Claiborne Johnston
American Journal of Obstetrics and Gynecology
Adam C UratoWilliam F O'Brien
CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
Zhong-Cheng LuoFetal and Infant Health Study Group of the Canadian Perinatal Surveillance System
BMJ : British Medical Journal
Dharmintra PasupathyGordon C S Smith
© 2021 Meta ULC. All rights reserved