Short-term outcome of very low birth weight infants in a developing country: comparison with the Vermont Oxford Network

Fares Chedid, Suhair Shanteer, Habib Haddad, Iram Musharraf, Zuhair Shihab, Ahmad Imran, Hossam Abou Adma, Nada Salman, Aiman Rahmani
Journal of Tropical Pediatrics 2009, 55 (1): 15-9

OBJECTIVES: To determine the outcome of very low birth weight infants (VLBWI) admitted to a level III NICU in UAE and compare the results to percentiles published by the Vermont Oxford Network (VON).

METHOD: Outcome data were collected retrospectively, using standard definitions, on a cohort of VLBWI 500-1500 g admitted between January 2004 and December 2006.

RESULTS: Of the 173 infants weighing 501-1500 g at birth, 85.6% survived until discharge, which corresponds to the 50th percentile (P50) of VON. Chronic lung disease (CLD) occurred in 12.1% (<P25), death or CLD 26.6%, necrotizing enterocolitis (NEC) 5.8% (<P50), intraventricular hemorrhage (IVH) of any grade 17.5% (P25), grade III or IV IVH in 5% (P25), periventricular leucomalacia (PVL) 2.8% (P50), retinopathy of prematurity stage (ROP) 11.3% (<P10). The mortality and morbidity data for the subgroups of 501-1000 g and 1001-1500 g birth weight are also reported.

CONCLUSION: We report the outcome of VLBWI born in a developing country with high resources. The rates of CLD, IVH and ROP were < or =25th percentile of the VON and mortality, NEC and PVL were in the 50th percentile.

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