Excess mortality and morbidity among small-for-gestational-age premature infants: A population-based study

Rivka H. Regev*, Ayala Lusky, Tzipora Dolfin, Ita Litmanovitz, Shmuel Arnon, Brian Reichman

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

179 Scopus citations

Abstract

Objective: We examined the effect of intrauterine growth restriction on mortality and morbidity in the Israel cohort of very low birth weight premature infants. Methods: The study population included 2764 singleton very low birth weight infants without congenital malformations born from 24 to 31 weeks of gestation during 1995 to 1999. Four hundred six (15%) were born small for gestational age (SGA). The effect of SGA on death, bronchopulmonary dysplasia, and retinopathy of prematurity was assessed using multiple logistic regression analysis. Results: After adjustment for perinatal risk factor. SGA infants had a 4.52-fold risk for death (95% CI, 3.24-6.33), a 3.42-fold risk for bronchopulmonary dysplasia (95% CI, 2.29-5.13), and a 2.06-fold risk for grade 3 to 4 retinopathy of prematurity (95% CI. 1.15-3.66). Conclusions: SGA premature infants had an increased risk for death, and major morbidity among survivors was increased.

Original languageEnglish
Pages (from-to)186-191
Number of pages6
JournalJournal of Pediatrics
Volume143
Issue number2
DOIs
StatePublished - 1 Aug 2003

Funding

FundersFunder number
Israel Center for Disease Control
Ministerio de Sanidad, Consumo y Bienestar Social

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