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    "titulo" => "Supervivencia al alta de los recién nacidos con un peso menor de 1.000 g (1991–1997). ¿Cuándo son demasiado pequeños?"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Obtener informaci&#243;n sobre la supervivencia al alta detodos los ni&#241;os nacidos vivos con peso menor de 1&#46;000g en un hospital espa&#241;ol de tercer nivel para conocer la supervivencia en relaci&#243;n con el peso y la edad gestacional e intentar mejorar los cuidados m&#233;dicos y la informaci&#243;n a los padres de los ni&#241;os en el l&#237;mite de la viabilidad&#46;</p> <span class="elsevierStyleSectionTitle">Dise&#241;o del studio</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se estudi&#243; una cohorte de 178 ni&#241;os con un peso menor de 1&#46;000 g nacidos en el Hospital 12 de Octubre durante los a&#241;os 1991-1997&#46; No se incluyeron 6 ni&#241;os porpresentar malformaciones letales&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La supervivencia al alta fue del 54&#37;&#44; la de los ni&#241;os conpeso entre 750 y 999 g mejor&#243; durante el per&#237;odo de estudio&#59; los menores de 750 g tuvieron una baja supervivencia que fuemejorando lentamente&#46; La supervivenciade los menores de 750 g y menos de 26 semanas fue muy baja&#46; Los ni&#241;os por encima de 749 g y de 25 semanas presentaron supervivencias mayores del 50&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La supervivencia mejor&#243; durante el per&#237;odo de estudio&#46; Durante los &#250;ltimos a&#241;os la supervivencia de los ni&#241;os con un peso mayor de 750 g fue superior al 85&#37;&#46; La supervivencia de los ni&#241;os con menos de 750 g y menosde 26 semanas fue muy baja&#46; La toma de decisiones desde el punto de vista m&#233;dico y familiar sobre el tratamiento activo de estos ni&#241;os debe hacerse de forma individualizada&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To describe survival rates at discharge in liveborn infants with birth-weight under 1000 g by birth-weight and gestational age categories in a third level Spanish hospital in order to improve health care planning and parental counselling about the threshold of viability&#46;</p> <span class="elsevierStyleSectionTitle">Study design</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A follow-up study of 178 infants with birth-weight under 1000 g born alive between 1991 at 1997&#46; Six newborns with lethal malformations were not included&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Overall survival at discharge was 54&#37;&#46; During the study period survival rate improved in the birth-weight group 750-999 g&#46; In the group below 750 g survival rate was lower and improved more slowly&#46; Survival rate for infants below 750 g and 26 weeks was extremely low&#46; Over 749 g and 25 weeks survival was over 50&#37;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Survival rate showed an improving trend during the study period&#46; In the last years of the study period survi-val in infants with birth-weight over 749 g was above 85&#37;&#46; For infants under 750 g and 26 weeks was extremely low&#46; Family and medical decision making about active treatment of these newborns should be an individualized process&#46;</p>"
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Vol. 52. Núm. 4.
Páginas 356-361 (abril 2000)
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Vol. 52. Núm. 4.
Páginas 356-361 (abril 2000)
Acceso a texto completo
Supervivencia al alta de los recién nacidos con un peso menor de 1.000 g (1991–1997). ¿Cuándo son demasiado pequeños?
Survival at discharge of extremely-low-birth-weight infants under 1000 g (1991–1997)
Visitas
5393
E. Gómez Castillo*, C.R. Pallás Alonso, J. de la Cruz Bértolo, M.C. Medina López, C. Orbea Gallardo, G. Bustos Lozano
Servicio de Neonatología. Hospital 12 de Octubre. Madrid.
Este artículo ha recibido
Información del artículo
Objetivo

Obtener información sobre la supervivencia al alta detodos los niños nacidos vivos con peso menor de 1.000g en un hospital español de tercer nivel para conocer la supervivencia en relación con el peso y la edad gestacional e intentar mejorar los cuidados médicos y la información a los padres de los niños en el límite de la viabilidad.

Diseño del studio

Se estudió una cohorte de 178 niños con un peso menor de 1.000 g nacidos en el Hospital 12 de Octubre durante los años 1991-1997. No se incluyeron 6 niños porpresentar malformaciones letales.

Resultados

La supervivencia al alta fue del 54%, la de los niños conpeso entre 750 y 999 g mejoró durante el período de estudio; los menores de 750 g tuvieron una baja supervivencia que fuemejorando lentamente. La supervivenciade los menores de 750 g y menos de 26 semanas fue muy baja. Los niños por encima de 749 g y de 25 semanas presentaron supervivencias mayores del 50%.

Conclusiones

La supervivencia mejoró durante el período de estudio. Durante los últimos años la supervivencia de los niños con un peso mayor de 750 g fue superior al 85%. La supervivencia de los niños con menos de 750 g y menosde 26 semanas fue muy baja. La toma de decisiones desde el punto de vista médico y familiar sobre el tratamiento activo de estos niños debe hacerse de forma individualizada.

Palabras clave:
Mortalidad infantil
Recién nacidos de bajo peso extremo
Edad gestacional
Ética
Objective

To describe survival rates at discharge in liveborn infants with birth-weight under 1000 g by birth-weight and gestational age categories in a third level Spanish hospital in order to improve health care planning and parental counselling about the threshold of viability.

Study design

A follow-up study of 178 infants with birth-weight under 1000 g born alive between 1991 at 1997. Six newborns with lethal malformations were not included.

Results

Overall survival at discharge was 54%. During the study period survival rate improved in the birth-weight group 750-999 g. In the group below 750 g survival rate was lower and improved more slowly. Survival rate for infants below 750 g and 26 weeks was extremely low. Over 749 g and 25 weeks survival was over 50%.

Conclusions

Survival rate showed an improving trend during the study period. In the last years of the study period survi-val in infants with birth-weight over 749 g was above 85%. For infants under 750 g and 26 weeks was extremely low. Family and medical decision making about active treatment of these newborns should be an individualized process.

Key words:
Infant mortality
Extremely low birth weight infants
Gestational age
Ethics
El Texto completo está disponible en PDF
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