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15. Variations in Neonatal Length of Stay of Babies Born Extremely Preterm: An International Comparison Between iNeo Networks

Author

Lui, Kei, Marshall, Peter, Schmidt, Peter, Dhawan, Anjali, Korostenski, Larissa, Travadi, Javeed Travadi, Sharp, Mary, Gill, Andy, Pillow, Jane, Stack, Jacqueline, Birch, Pita, Nothdurft, Karen, Cooke, Lucy, Casalaz, Dan, Holberton, Jim, Stewart, Alice, Downe, Lyn, Stewart, Michael, Berry, Andrew, Hunt, Rod, Morris, Peter, Paoli, Tony De, Bolisetty, Srinivas, Paradisis, Mary, Greenhalgh, Mark, Koorts, Pieter, Kuschel, Carl, Jacobs, Sue, Doyle, Lex, Craven, John, Numa, Andrew, Carlisle, Hazel, Badawi, Nadia, Popat, Himanshu, Koh, Guan, Davis, Jonathan, Luig, Melissa, Headley, Bevan, Andersen, Chad, Ng, Linda, Chambers, Georgina, Austin, Nicola, Lynn, Adrienne, Darlow, Brian, Edmonds, Liza, Mildenhall, Lindsay, Buksh, Mariam, Battin, Malcolm, Boom, Jutta van den, Richardson, Vaughan, Barker, David, Hammond, Barbara, Rajadurai, Victor Samuel, Lam, Simon, Fung, Genevieve, Shah, Prakesh S., Beltempo, Marc, Kanungo, Jaideep, Ting, Joseph, Cieslak, Zenon, Sherlock, Rebecca, Mehrem, Ayman Abou, Toye, Jennifer, Aziz, Khalid, Fajardo, Carlos, Bodani, Jaya, Strueby, Lannae, Seshia, Mary, Louis, Deepak, Alvaro, Ruben, Mukerji, Amit, Da Silva, Orlando, Adie, Mohammad, Lee, Kyong-Soon, Ng, Eugene, Lemyre, Brigitte, Daboval, Thierry, Khurshid, Faiza, Pelausa, Ermelinda, Barrington, Keith, Lapoint, Anie, Ethier, Guillaume, Drolet, Christine, Piedboeuf, Bruno, Claveau, Martine, St-Hilaire, Marie, Bertelle, Valerie, Masse, Edith, Canning, Roderick, Makary, Hala, Ojah, Cecil, Monterrosa, Luis, Emberley, Julie, Afifi, Jehier, Kajetanowicz, Andrzej, Lee, Shoo K., Metsäranta, Marjo, Lehtonen, Liisa, Tammela, Outi, Sankilampi, Ulla, Saarela, Timo, Morag, Iris, Zangen, Shmuel, Smolkin, Tatyana, Mimouni, Francis, Bader, David, Rothschild, Avi, Strauss, Zipora, Felszer, Clari, Omari, Hussam, Tov-Friedman, Smadar Even, Bar-Oz, Benjamin, Feldman, Michael, Saad, Nizar, Flidel-Rimon, Orna, Weisbrod, Meir, Lubin, Daniel, Litmanovitz, Ita, Kugelman, Amir, Shinwell, Eric, Klinger, Gil, Nijim, Yousif, Bin-Nun, Alona, Golan, Agneta, Mandel, Dror, Fleisher-Sheffer, Vered, Oron, Anat, Bakhrakh, Lev, Hattori, Satoshi, Shirai, Masaru, Ishioka, Toru, Mori, Toshihiko, Amizuka, Takasuke, Huchimukai, Toru, Yoshida, Hiroshi, Sasaki, Ayako, Shimizu, Junichi, Nakamura, Toshihiko, Maruyama, Mami, Matsumoto, Hiroshi, Hosokawa, Shinichi, Taki, Atsuko, Nakagawa, Machiko, Ko, Kyone, Uozumi, Azusa, Nakata, Setsuko, Shimazaki, Akira, Yoda, Tatsuya, Numata, Osamu, Imamura, Hiroaki, Kobayashi, Azusa, Tokuriki, Shuko, Uchida, Yasushi, Arai, Takahiro, Ito, Mitsuhiro, Ieda, Kuniko, Ono, Toshiyuki, Hayashi, Masashi, Maki, Kanemasa, Yamakawa, MieToru, Kawai, Masahiko, Fujii, Noriko, Shiomi, Kozue, Nozaki, Koji, Wada, Hiroshi, Kim, Taho, Tokunaga, Yasuyuki, Takatera, Akihiro, Oshima, Toshio, Sumida, Hiroshi, Michinomae, Yae, Kusumoto, Yoshio, Yoshimoto, Seiji, Morisawa, Takeshi, Ohashi, Tamaki, Takahashi, Yukihiro, Sugimoto, Moriharu, Ono, Noriaki, Miyagawa, Shinichiro, Saijo, Takahiko, Yamagami, Takashi, Koyano, Kosuke, Kobayashi, Shoko, Kanda, Takeshi, Sakemi, Yoshihiro, Aoki, Mikio, Iida, Koichi, Goshi, Mitsushi, Maruyama, Yuko, Avila-Alvarez, Alejandro, Fernandez-Trisac, José Luis, Pico, M<ce:sup loc='post">a</ce:sup> Luz Couce, Fernández Seara, María José, Gutiérrez, Andrés Martínez, Vizcaíno, Carolina, Iglesias, Miriam Salvador, Zaplana, Honorio Sánchez, Colomer, Belén Fernández, García López, José Enrique, Mozo, Rafael García, González Martínez, M. Teresa, Sebastián, M<ce:sup loc='post">a</ce:sup> Dolores Muro, Carbonell, Marta Balart, Barnusell, Joan Badia, Puiggròs, Mònica Domingo, Aloy, Josep Figueras, Mussons, Francesc Botet, Sanz, Israel Anquela, Galiana, Gemma Ginovart, Coroleu, W., Iriondo, Martin, Vilella, Laura Castells, Porta, Roser, Demestre, Xavier, Nadal, Silvia Martínez, de Frutos Martínez, Cristina, López Cuesta, María Jesús, Mora, Dolores Esquivel, Tardío, Joaquín Ortiz, Benavente, Isabel, Alonso, Almudena, Olmos, Ramón Aguilera, García Cabezas, Miguel A., Jiménez, M<ce:sup loc='post">a</ce:sup> Dolores Martínez, Caballero, M<ce:sup loc='post">a</ce:sup> Pilar Jaraba, Díaz, M<ce:sup loc='post">a</ce:sup> Dolores Ordoñez, Fagundo, Alberto Trujillo, Canals, Lluis Mayol, García-Muñoz Rodrigo, Fermín, Martí, Lourdes Urquía, Moreno Galdo, María Fernanda, Suazo, José Antonio Hurtado, López, Eduardo Narbona, Fernández, José Uberos, Cortajarena Altuna, Miguel A., Zuriarrain, Oihana Muga, Navarro, David Mora, Domínguez, María Teresa, Ruiz del Prado, M<ce:sup loc='post">a</ce:sup> Yolanda, Díez, Inés Esteban, Palau Benavides, María Teresa, Lapeña, Santiago, Prada, Teresa, Mir, Eduard Soler, Sánchez, Araceli Corredera, Vega, Enrique Criado, Prado, Náyade del, Fernández, Cristina, Vilaplana, Lucía Cabanillas, Pérez, Irene Cuadrado, Gómez, Luisa López, Comeche, Laura Domingo, Martín, Isabel Llana, Armengod, Carmen González, Labián, Carmen Muñoz, Muñoz, M<ce:sup loc='post">a</ce:sup> José Santos, Bravo, Dorotea Blanco, Pérez, Vicente, Fernández, M<ce:sup loc='post">a</ce:sup> Dolores Elorza, González, Celia Díaz, Segura, Susana Ares, Azorín, Manuela López, Jimenez, Ana Belén, Sánchez-Tamayo, Tomás, Moreno, Elías Tapia, González, María, Sánchez Martínez, José Enrique, Lloreda García, José María, Orayen, Concepción Goñi, González, Javier Vilas, Albo, María Suárez, Colmenero, Eva González, Gutiérrez González, Elena Pilar, Vacas del Arco, Beatriz, Fernández, Josefina Márquez, Gordillo, Laura Acosta, Asensio, Mercedes Granero, Díaz, Carmen Macías, Albújar, Mar, Jorge, Pedro Fuster, Romero, Sabina, Falero, Mónica Rivero, Escobar Izquierdo, Ana Belén, Capell, Javier Estañ, Macián, M<ce:sup loc='post">a</ce:sup> Isabel Izquierdo, Vicente, M<ce:sup loc='post">a</ce:sup> Mar Montejo, Caballero, Raquel Izquierdo, Martínez, M<ce:sup loc='post">a</ce:sup> Mercedes, Euba, Aintzane, Serna, Amaya Rodríguez, López de Heredia Goya, Juan María, Legorburu, Alberto Pérez, Amorós, Ana Gutiérrez, Marugán Isabel, Víctor Manuel, González, Natalio Hernández, Gracia, Segundo Rite, Faci, M<ce:sup loc='post">a</ce:sup> Purificación Ventura, Villagrasa, M<ce:sup loc='post">a</ce:sup> Pilar Samper, Kofron, Jiri, Brodd, Katarina Strand, Odlind, Andreas, Alberg, Lars, Arwehed, Sofia, Hafström, Ola, Kasemo, Anna, Nederman, Karin, Åhman, Lars, Ingemarsson, Fredrik, Petersson, Henrik, Thurn, Pernilla, Albinsson, Eva, Selander, Bo, Abrahamsson, Thomas, Heimdahl, Ingela, Sveinsdottir, Kristbjorg, Wejryd, Erik, Hedlund, Anna, Söderberg, Maria Katarina, Navér, Lars, Brune, Thomas, Bäckström, Jens, Robinson, Johan, Farooqi, Aijaz, Normann, Erik, Fredriksson, Magnus, Palm, Anders, Rosenqvist, Urban, Walde, Bengt, Hagman, Cecilia, Ohlin, Andreas, Florell, Rein, Smedsaas-Löfvenberg, Agneta, Adams, Mark, Meyer, Philipp, Kusche, Rachel, Schulzke, Sven, Nelle, Mathias, Wagner, Bendicht, Riedel, Thomas, Kaczala, Grégoire, Pfister, Riccardo E., Tolsa, Jean-François, Roth, Matthias, Stocker, Martin, Laubscher, Bernhard, Malzacher, Andreas, Micallef, John P., Hegi, Lukas, Bassler, Dirk, Arlettaz, Romaine, Bernet, Vera, Dani, Carlo, Fiorini, Patrizio, Ghirri, Paolo, Tomasini, Barbara, Mittal, Anita, Kefas, Jonathan, Kamalanathan, Anand, Grosdenier, Michael, Dewhurst, Christopher, Bontea, Andreea, Webb, Delyth, Garr, Ross, Hassan, Ahmed, Ambadkar, Priyadarshan, Dyke, Mark, McDevitt, Katharine, Rewitzky, Glynis, D'Amore, Angela, Kamath, P., Settle, Paul, Maddock, Natasha, Edi-Osagie, Ngozi, Zipitis, Christos, Heal, Carrie, Birch, Jacqeline, Hasib, Abdul, Soe, Aung, Abdul-Malik, Bushra, Kisat, Hamudi, Vasu, Vimal, Sivashankar, Savi, Gupta, Richa, Rawlingson, Chris, Wickham, Tim, Theron, Marice, Kendall, Giles, Gupta, Aashish, Aladangady, Narendra, Ali, Imdad, Jain, Neeraj, Mannan, Khalid, Murthy, Vadivelam, Sullivan, Caroline, Chuang, Shu-Ling, Bate, Tristan, Tyszcuzk, Lidia, Lee, Geraint, Obi, Ozioma, Chang, John, Pai, Vinay, Huddy, Charlotte, Yasin, Salim, Nicholl, Richard, Pandey, Poornima, Cusack, Jonathan, Kairamkonda, Venkatesh, Muogbo, Dominic, Harry, Liza, Surana, Pinki, Broggio, Penny, Pillay, Tilly, Deshpande, Sanjeev, Mahadevan, Moore, Alison, Bastani, Porus, Garbash, Mehdi, Lal, Mithilesh, Abu-Harb, Majd, Allwood, Alex, Selter, Michael, Munyard, Paul, Bartle, David, Paul, Siba, Whincup, Graham, Rekha, Sanghavi, Amess, Philip, Obi, Ben, Reynolds, Peter, Misra, Indranil, De Halpert, Peter, Salgia, Sanjay, Sanghavi, Rekha, Paul, Nicola, Deketelaere, Abby, Khashu, Minesh, Johnson, Mark, Groves, Charlotte, Baird, Jim, Brennan, Nick, Vamvakiti, Katia, McIntyre, John, Holman, Jennifer, Jones, Stephen, Pike, Alison, Cairns, Pamela, Eaton, Megan, Schwarz, Karin, Gibson, David, Miall, Lawrence, Krishnamurthy, Dr, Narayanan, Sankara, Seaton, Sarah E., Draper, Elizabeth S., Kusuda, Satoshi, Håkansson, Stellan, Helenius, Kjell, Reichman, Brian, Vento, Maximo, Darlow, Brian A., Rusconi, Franca, Isayama, Tetsuya, Norman, Mikael, Yang, Junmin, and Modi, Neena

Published
2021
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18. Neonatal Intensive Care Unit-Level Patent Ductus Arteriosus Treatment Rates and Outcomes in Infants Born Extremely Preterm

Author

Harrison, Adele, Synnes, Anne, Ting, Joseph, Cieslak, Zenon, Sherlock, Rebecca, Yee, Wendy, Aziz, Khalid, Toye, Jennifer, Fajardo, Carlos, Kalapesi, Zarin, Sankaran, Koravangattu, Daspal, Sibasis, Seshia, Mary, Alvaro, Ruben, Mukerji, Amit, Da Silva, Orlando, Nwaesei, Chuks, Lee, Kyong-Soon, Dunn, Michael, Lemyre, Brigitte, Dow, Kimberly, Pelausa, Ermelinda, Barrington, Keith, Drolet, Christine, Piedboeuf, Bruno, Claveau, Martine, Beltempo, Marc, Bertelle, Valerie, Masse, Edith, Canning, Roderick, Makary, Hala, Ojah, Cecil, Monterrosa, Luis, Deshpandey, Akhil, Afifi, Jehier, Kajetanowicz, Andrzej, Andersson, Sture, Tammela, Outi, Sankilampi, Ulla, Saarela, Timo, Heymann, Eli, Zangen, Shmuel, Smolkin, Tatyana, Mimouni, Francis, Bader, David, Rothschild, Avi, Strauss, Zipora, Felszer, Clari, Omari, Hussam, Tov-Friedman, Smadar Even, Bar-Oz, Benjamin, Feldman, Michael, Saad, Nizar, Flidel-Rimon, Orna, Weisbrod, Meir, Lubin, Daniel, Litmanovitz, Ita, Kugelman, Amir, Shinwell, Eric, Klinger, Gil, Nijim, Yousif, Bin-Nun, Alona, Golan, Agneta, Mandel, Dror, Fleisher-Sheffer, Vered, Kohelet, David, Bakhrakh, Lev, Hattori, Satoshi, Shirai, Masaru, Ishioka, Toru, Mori, Toshihiko, Amizuka, Takasuke, Huchimukai, Toru, Yoshida, Hiroshi, Sasaki, Ayako, Shimizu, Junichi, Nakamura, Toshihiko, Maruyama, Mami, Matsumoto, Hiroshi, Hosokawa, Shinichi, Taki, Atsuko, Nakagawa, Machiko, Ko, Kyone, Uozumi, Azusa, Nakata, Setsuko, Shimazaki, Akira, Yoda, Tatsuya, Numata, Osamu, Imamura, Hiroaki, Kobayashi, Azusa, Tokuriki, Shuko, Uchida, Yasushi, Arai, Takahiro, Ito, Mitsuhiro, Ieda, Kuniko, Ono, Toshiyuki, Hayashi, Masashi, Maki, Kanemasa, Yamakawa, Mie- Toru, Kawai, Masahiko, Fujii, Noriko, Shiomi, Kozue, Nozaki, Koji, Wada, Hiroshi, Kim, Taho, Tokunaga, Yasuyuki, Takatera, Akihiro, Oshima, Toshio, Sumida, Hiroshi, Michinomae, Yae, Kusumoto, Yoshio, Yoshimoto, Seiji, Morisawa, Takeshi, Ohashi, Tamaki, Takahashi, Yukihiro, Sugimoto, Moriharu, Ono, Noriaki, Miyagawa, Shinichiro, Saijo, Takahiko, Yamagami, Takashi, Koyano, Kosuke, Kobayashi, Shoko, Kanda, Takeshi, Sakemi, Yoshihiro, Aoki, Mikio, Iida, Koichi, Goshi, Mitsushi, Maruyama, Yuko, Kofron, Jiri, Brodd, Katarina Strand, Odlind, Andreas, Alberg, Lars, Arwehed, Sofia, Hafström, Ola, Kasemo, Anna, Nederman, Karin, Åhman, Lars, Ingemarsson, Fredrik, Petersson, Henrik, Thurn, Pernilla, Albinsson, Eva, Selander, Bo, Abrahamsson, Thomas, Heimdahl, Ingela, Sveinsdottir, Kristbjorg, Wejryd, Erik, Hedlund, Anna, Söderberg, Maria Katarina, Navér, Lars, Brune, Thomas, Bäckström, Jens, Robinson, Johan, Farooqi, Aijaz, Normann, Erik, Fredriksson, Magnus, Palm, Anders, Rosenqvist, Urban, Walde, Bengt, Hagman, Cecilia, Ohlin, Andreas, Florell, Rein, Löfvenberg, Agneta Smedsaas, Meyer, Philipp, Kusche, Rachel, Schulzke, Sven, Nelle, Mathias, Wagner, Bendicht, Riedel, Thomas, Kaczala, Grégoire, Pfister, Riccardo E., Tolsa, Jean-François, Roth, Matthias, Stocker, Martin, Laubscher, Bernhard, Malzacher, Andreas, Micallef, John P., Hegi, Lukas, Arlettaz, Romaine, Bernet, Vera, Isayama, Tetsuya, Kusuda, Satoshi, Reichman, Brian, Lee, Shoo K., Lehtonen, Liisa, Norman, Mikael, Adams, Mark, Bassler, Dirk, Helenius, Kjell, Hakansson, Stellan, Yang, Junmin, Jain, Amish, and Shah, Prakesh S.

Published
2020
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20. Longitudinal associations between parental early psychological distress and children’s emotional and behavioural problems during early childhood and self-reported social functioning in 11-year-old children born very preterm

Author

Salomäki, Susanna, primary, Junttila, Niina, additional, Setänen, Sirkku, additional, Rautava, Päivi, additional, Huhtala, Mira, additional, Leppänen, Marika, additional, Lehtonen, Liisa, additional, and Korja, Riikka, additional

Published
2023
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27. Longitudinal associations between parental early psychological distress and children's emotional and behavioural problems during early childhood and self-reported social functioning in 11-year-old children born very preterm.

Author

Salomäki, Susanna, Junttila, Niina, Setänen, Sirkku, Rautava, Päivi, Huhtala, Mira, Leppänen, Marika, Lehtonen, Liisa, and Korja, Riikka

Subjects
LONELINESS, PREMATURE infants, PSYCHOLOGICAL distress, SOCIAL skills, MENTAL depression, DEPRESSION in women, BIRTH weight
Abstract

This study examined longitudinal associations between parental psychological distress (stress and depression) when the child was 2 to 4 years and a child's emotional and behavioural problems at ages 3 to 4, and social functioning (loneliness and social competence) at age 11 in very preterm born children. The participants were Finnish families of 172 very preterm infants (gestational age < 32 weeks and/or birth weight ≤ 1500 g). In girls, higher levels of maternal depression were associated with higher levels of social and emotional loneliness. Furthermore, higher levels of maternal stress and children's externalizing problems were associated with lower levels of experienced empathy. In boys, higher levels of paternal depression were associated with lower levels of social loneliness and impulsive behaviour. In conclusion, early parental psychological distress is associated with early socioemotional development and the later experienced social functioning in former very preterm infants. The sex of the child moderates these associations. [ABSTRACT FROM AUTHOR]

Published
2024
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28. Associations between the aetiology of preterm birth and mortality and neurodevelopment up to 11 years.

Author

Grönroos, Linda, Rautava, Päivi, Setänen, Sirkku, Nyman, Anna, Ekholm, Eeva, Lehtonen, Liisa, Ylijoki, Milla, Ekblad, Mikael, Ekblad, Satu, Eurola, Annika, Haataja, Leena, Haveri, Laura, Helin, Minttu, Huhtala, Mira, Jaakkola, Jere, Joensuu, Eveliina, Karukivi, Max, Kero, Pentti, Korja, Riikka, and Lahti, Katri

Subjects
PREMATURE labor, PREMATURE rupture of fetal membranes, VERY low birth weight, ETIOLOGY of diseases, NEURAL development
Abstract

Aim: To investigate how the aetiology of very preterm birth/very low birth weight is associated with mortality and later neurodevelopmental outcomes. Methods: Very preterm/very low‐birth weight singletons were categorised based on the aetiology of preterm birth: spontaneous preterm birth (n = 47, 28.1%), preterm premature rupture of membranes (n = 56, 33.5%) or placental vascular pathology (n = 64, 38.3%). Mortality, cerebral palsy, severe cognitive impairment by 11 years of age (<2SD) and mean full‐scale intelligence quotient at 11 years were studied in association with birth aetiology. Results: There was no difference in mortality or rate of cerebral palsy according to birth aetiologies. The rate of severe cognitive impairment was lower (4.9% vs. 15.3%) in the preterm premature rupture of the membrane group in comparison to the placental vascular pathology group (OR 0.2, 95% CI 0.03–0.9, adjusted for gestational age). At 11 years, there was no statistically significant difference in the mean full‐scale intelligence quotient. Conclusion: Placental vascular pathology, as the aetiology of very preterm birth/very low birth weight, is associated with a higher rate of severe cognitive impairments in comparison to preterm premature rupture of membranes, although there was no difference in the mean full‐scale intelligence quotient at 11 years. The aetiology of very preterm birth/very low birth weight was not associated with mortality or the rate of cerebral palsy. [ABSTRACT FROM AUTHOR]

Published
2024
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30. Does the Native Language Influence Lexical Composition in Very Preterm Children at the Age of Two Years? A Cross-Linguistic Comparison Study of Italian and Finnish Children

Author

Stolt, Suvi, Savini, Silvia, Guarini, Annalisa, Caselli, Maria Cristina, Matomäki, Jaakko, Lapinleimu, Helena, Haataja, Leena, Lehtonen, Liisa, Alessandroni, Rosina, Faldella, Giacomo, and Sansavini, Alessandra

Abstract

This cross-linguistic study investigated whether the native language has any influence on lexical composition among Italian (N = 125) and Finnish (N = 116) very preterm (born at <32 gestational weeks) children at 24 months (controls: 125 Italian and 146 Finnish full-term children). The investigation also covered the effect of maternal education (ME) on lexical composition. The Italian/Finnish MacArthur Communicative Development Inventory was used for gathering the data. Although the lexicons of the preterm children were smaller than those of the controls, the native language had no major effect on their lexical composition. The ME had a significant effect on preterm children's lexical composition, especially in the Finnish children. The findings indicate that lexical composition is not strongly affected by preterm birth. They also imply that lexical composition is a robust phenomenon that is connected to lexicon size and is not language-specific when analysed in broad terms, although some language-specific features were also detected.

Published
2017
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37. Nordic survey showed wide variation in discharge practices for very preterm infants.

Author

Arwehed, Sofia, Axelin, Anna, Björklund, Lars J., Thernström Blomqvist, Ylva, Heiring, Christian, Jonsson, Baldvin, Klingenberg, Claus, Metsäranta, Marjo, Ågren, Johan, and Lehtonen, Liisa

Subjects
PREMATURE infants, WEIGHT in infancy, INFANT growth, FEEDING tubes, LANGUAGE policy
Abstract

Aim: We aimed to describe clinical practices and criteria for discharge of very preterm infants in Nordic neonatal units. Methods: Medical directors of all 89 level‐2 and level‐3 units in Denmark, Finland, Iceland, Norway and Sweden were invited by e‐mail to complete a web‐based multiple‐choice survey with the option to make additional free‐text comments. Results: We received responses from 83/89 units (93%). In all responding units, discharge readiness was based mainly on clinical assessment with varying criteria. In addition, 36% used formal tests of cardiorespiratory stability and 59% used criteria related to infant weight or growth. For discharge with feeding tube, parental ability to speak the national language or English was mandatory in 45% of units, with large variation among countries. Post‐discharge home visits and video‐consultations were provided by 59% and 51%, respectively. In 54% of units, parental preparation for discharge were not initiated until the last two weeks of hospital stay. Conclusion: Discharge readiness was based mainly on clinical assessment, with criteria varying among units despite similar population characteristics and care structures. This variation indicates a lack of evidence base and may unnecessarily delay discharge; further studies of this matter are needed. Earlier parental preparation and use of interpreters might facilitate earlier discharge. [ABSTRACT FROM AUTHOR]

Published
2024
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38. Gravens by Design: Close Collaboration with Parents Intervention Improves Family-Centered Care and Increases Parent-Infant Closeness in Neonatal Intensive Care Units.

Author

Ahlqvist-Björkroth, Sari and Lehtonen, Liisa

Subjects
*EDUCATION of parents, *OCCUPATIONAL roles, *LENGTH of stay in hospitals, *WELL-being, *NEONATAL intensive care, *INFANT care, *SOCIAL support, *INFANT development, *PSYCHOLOGY of parents, *MEDICAL personnel, *NEONATAL intensive care units, *MEDICAL care, *PATIENTS' families, *FAMILY-centered care, *PARENT-infant relationships, *ABILITY, *TRAINING, *PARENTING, *INTERPROFESSIONAL relations, *QUALITY assurance, *HEALTH care teams, *NEEDS assessment, *REFLECTION (Philosophy), *CORPORATE culture
Abstract

We introduce an intervention, Close Collaboration with Parents, targeted to the multi-professional staff of a neonatal intensive care unit to develop their skills to provide infant care collaboratively with the parents, support parenting, and develop the unit's family-centered care culture. The goals of this intervention align with the factors that parents have identified as supportive and essential for them. The intervention includes theoretical education and bedside practices with parents and infants. These practices stimulate the staff to reflect on their care culture and improvement needs. After the intervention, we have shown that family-centered care improves, and parents spend longer time with their infants in the NICU. The intervention might also improve the growth of preterm infants, shorten their length of stay, and support parents' long-term psychological well-being. The Close Collaboration with Parents intervention has been implemented in 30 units in eight countries. [ABSTRACT FROM AUTHOR]

Published
2023

43. Preterm birth in the Nordic countries—Capacity, management and outcome in neonatal care

Author

Norman, Mikael, primary, Padkær Petersen, Jesper, additional, Stensvold, Hans Jørgen, additional, Thorkelsson, Thordur, additional, Helenius, Kjell, additional, Brix Andersson, Charlotte, additional, Ørum Cueto, Heidi, additional, Domellöf, Magnus, additional, Gissler, Mika, additional, Heino, Anna, additional, Håkansson, Stellan, additional, Jonsson, Baldvin, additional, Klingenberg, Claus, additional, Lehtonen, Liisa, additional, Metsäranta, Marjo, additional, Rønnestad, Arild E., additional, Trautner, Simon, additional, Vatne, Anlaug, additional, Støen, Ragnhild, additional, Brække, Kristin, additional, Reigstad, Hallvard, additional, Navér, Lars, additional, Abrahamsson, Thomas, additional, Sävman, Karin, additional, Blomqvist, Ylva Thernström, additional, Sandblom, Johan, additional, Ingemansson, Fredrik, additional, Saarela, Timo, additional, Korhonen, Päivi, additional, Sankilampi, Ulla, additional, Tommiska, Viena, additional, and Rautava, Samuli, additional

Published
2023
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44. Preterm birth in the Nordic countries—Capacity, management and outcome in neonatal care

Author

Norman, Mikael, Padkær Petersen, Jesper, Stensvold, Hans Jørgen, Thorkelsson, Thordur, Helenius, Kjell, Brix Andersson, Charlotte, Ørum Cueto, Heidi, Domellöf, Magnus, Gissler, Mika, Heino, Anna, Håkansson, Stellan, Jonsson, Baldvin, Klingenberg, Claus, Lehtonen, Liisa, Metsäranta, Marjo, Rønnestad, Arild E., Trautner, Simon, Norman, Mikael, Padkær Petersen, Jesper, Stensvold, Hans Jørgen, Thorkelsson, Thordur, Helenius, Kjell, Brix Andersson, Charlotte, Ørum Cueto, Heidi, Domellöf, Magnus, Gissler, Mika, Heino, Anna, Håkansson, Stellan, Jonsson, Baldvin, Klingenberg, Claus, Lehtonen, Liisa, Metsäranta, Marjo, Rønnestad, Arild E., and Trautner, Simon

Abstract

Aim: Organisation of care, perinatal and neonatal management of very preterm infants in the Nordic regions were hypothesised to vary significantly. The aim of this observational study was to test this hypothesis. Methods: Information on preterm infants in the 21 greater healthcare regions of Denmark, Finland, Iceland, Norway and Sweden was gathered from national registers in 2021. Preterm birth rates, case-mix, perinatal interventions, neonatal morbidity and survival to hospital discharge in very (<32 weeks) and extremely preterm infants (<28 weeks of gestational age) were compared. Results: Out of 287 642 infants born alive, 16 567 (5.8%) were preterm, 2389 (0.83%) very preterm and 800 (0.28%) were extremely preterm. In very preterm infants, exposure to antenatal corticosteroids varied from 85% to 98%, live births occurring at regional centres from 48% to 100%, surfactant treatment from 28% to 69% and use of mechanical ventilation varied from 13% to 77% (p < 0.05 for all comparisons). Significant regional variations within and between countries were also seen in capacity in neonatal care, case-mix and number of admissions, whereas there were no statistically significant differences in survival or major neonatal morbidities. Conclusion: Management of very preterm infants exhibited significant regional variations in the Nordic countries.

Published
2023
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45. Nordic survey showed wide variation in discharge practices for very preterm infants

Author

Arwehed, Sofia, Axelin, Anna, Björklund, Lars J., Thernström Blomqvist, Ylva, Heiring, Christian, Jonsson, Baldvin, Klingenberg, Claus, Metsäranta, Marjo, Ågren, Johan, Lehtonen, Liisa, Arwehed, Sofia, Axelin, Anna, Björklund, Lars J., Thernström Blomqvist, Ylva, Heiring, Christian, Jonsson, Baldvin, Klingenberg, Claus, Metsäranta, Marjo, Ågren, Johan, and Lehtonen, Liisa

Abstract

Aim We aimed to describe clinical practices and criteria for discharge of very preterm infants in Nordic neonatal units. Methods Medical directors of all 89 level-2 and level-3 units in Denmark, Finland, Iceland, Norway and Sweden were invited by e-mail to complete a web-based multiple-choice survey with the option to make additional free-text comments. Results We received responses from 83/89 units (93%). In all responding units, discharge readiness was based mainly on clinical assessment with varying criteria. In addition, 36% used formal tests of cardiorespiratory stability and 59% used criteria related to infant weight or growth. For discharge with feeding tube, parental ability to speak the national language or English was mandatory in 45% of units, with large variation among countries. Post-discharge home visits and video-consultations were provided by 59% and 51%, respectively. In 54% of units, parental preparation for discharge were not initiated until the last two weeks of hospital stay. Conclusion Discharge readiness was based mainly on clinical assessment, with criteria varying among units despite similar population characteristics and care structures. This variation indicates a lack of evidence base and may unnecessarily delay discharge; further studies of this matter are needed. Earlier parental preparation and use of interpreters might facilitate earlier discharge.

Published
2023
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46. Trends, Characteristic, and Outcomes of Preterm Infants Who Received Postnatal Corticosteroid: A Cohort Study from 7 High-Income Countries

Author

Parikh, Shalin, Reichman, Brian, Kusuda, Satoshi; https://orcid.org/0000-0001-5318-8877, Adams, Mark; https://orcid.org/0000-0002-4645-2593, Lehtonen, Liisa; https://orcid.org/0000-0001-8925-2594, Vento, Maximo; https://orcid.org/0000-0003-0061-4742, Norman, Mikael; https://orcid.org/0000-0003-4191-3781, San Feliciano, Laura; https://orcid.org/0000-0002-8875-2359, Isayama, Tetsuya; https://orcid.org/0000-0002-3669-883X, Hakansson, Stellan, Helenius, Kjell; https://orcid.org/0000-0002-6296-6797, Bassler, Dirk, Yang, Junmin, Shah, Prakesh S; https://orcid.org/0000-0002-9920-0488, Gellineo, Lana, Int Network for Evaluation of Outcomes of neonates investigators, Parikh, Shalin, Reichman, Brian, Kusuda, Satoshi; https://orcid.org/0000-0001-5318-8877, Adams, Mark; https://orcid.org/0000-0002-4645-2593, Lehtonen, Liisa; https://orcid.org/0000-0001-8925-2594, Vento, Maximo; https://orcid.org/0000-0003-0061-4742, Norman, Mikael; https://orcid.org/0000-0003-4191-3781, San Feliciano, Laura; https://orcid.org/0000-0002-8875-2359, Isayama, Tetsuya; https://orcid.org/0000-0002-3669-883X, Hakansson, Stellan, Helenius, Kjell; https://orcid.org/0000-0002-6296-6797, Bassler, Dirk, Yang, Junmin, Shah, Prakesh S; https://orcid.org/0000-0002-9920-0488, Gellineo, Lana, and Int Network for Evaluation of Outcomes of neonates investigators

Abstract

INTRODUCTION Our objective was to evaluate the temporal trend of systemic postnatal steroid (PNS) receipt in infants of 24-28 weeks' gestational age, identify characteristics associated with PNS receipt, and correlate PNS receipt with the incidence of bronchopulmonary dysplasia (BPD) and BPD/death from an international cohort included in the iNeo network. METHODS We conducted a retrospective study using data from 2010 to 2018 from seven international networks participating in iNeo (Canada, Finland, Israel, Japan, Spain, Sweden, and Switzerland). Neonates of 24 and 28 weeks' gestational age who survived 7 days and who received PNS were included. We assessed temporal trend of rates of systemic PNS receipt and BPD/death. RESULTS A total of 47,401 neonates were included. The mean (SD) gestational age was 26.4 (1.3) weeks and birth weight was 915 (238) g. The PNS receipt rate was 21% (12-28% across networks) and increased over the years (18% in 2010 to 26% in 2018; p < 0.01). The BPD rate was 39% (28-44% across networks) and remained unchanged over the years (35.2% in 2010 to 35.0% in 2018). Lower gestation, male sex, small for gestational age status, and presence of persistent ductus arteriosus (PDA) were associated with higher rates of PNS receipt, BPD, and BPD/death. CONCLUSION The use of PNS in extremely preterm neonates increased, but there was no correlation between increased use and the BPD rate. Research is needed to determine the optimal timing, dose, and indication for PNS use in preterm neonates.

Published
2023

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