SURVIVAL & HEALTH STATUS ANALYSIS OF PREMATURE, HIGH RISK DELIVERIES

生存

• 批准号: 6290259
• 负责人: Mary D Overpeck
• 金额: --
• 依托单位: EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/6290259
• 关键词: child physical development; chronic disease /disorder; clinical research; dietary mineral; disease /disorder proneness /risk; gestational age; health surveys; human birth weight; human data; infant human (0-1 year); infant mortality; longitudinal human study; low birth weight infant human; nutrition related tag; premature infant human; premature labor; preschool child (1-5); sign /symptom; vitamin therapy

This national study addresses the effect of the available level of technology at the hospital of delivery on preterm deliveries, survival and subsequent health status of children at age three. The national study incorporates oversampling of very low birth weight infants as well as fetal and infant deaths. Survival time of deliveries are analyzed by age at death for infants or gestational age for a fetal death, symptoms at presentation, use of interventions, and level of technological support available at the delivery hospital while accounting for gestational age and other risk factors. Health status differences at age three are from measures included in a 1991 longitudinal follow-up of a nationally representative survey of all children born in 1988 performed by the National Center for Health Statistics (NCHS). The health outcome measures include development, overall health status, chronic conditions, recent illness, use of apnea monitors and ear tubes, vitamin/mineral use, and use of home treatments. Hospital and physician records from the perinatal and pediatric period are included in the analysis. Studies on pregnancies concluded that in 1988, between 30-45% of high risk women delivered outside of hospitals with the highest levels of care at the time. Classification as a live birth rather than a fetal death in pregnancies delivered between 23- 27 weeks gestational age was more likely if women lived in counties with high technology hospitals. Also, reporting of gestational age at 23-27 weeks is inaccurate on birth certificates in about ten percent of cases when compared to multiple information sources from hospital records. - high risk pregnancies, perinatal outcomes, gestational age

这项国家研究探讨了分娩医院可用技术水平对三岁儿童的早产，生存和随后的健康状况的影响。全国研究结合了非常低的出生体重婴儿以及胎儿和婴儿死亡的过度采样。胎儿死亡年龄或胎龄，胎儿死亡，症状，干预措施的使用以及分娩医院可用的技术支持水平，同时考虑胎龄和其他危险因素，对胎儿死亡，症状，使用症状，使用干预措施以及技术支持水平来分析分析的生存时间。三岁时的健康状况差异来自于1991年对1988年全国卫生统计中心（NCHS）表演的所有儿童进行全国代表性调查的纵向随访中的措施。健康结果措施包括发展，整体健康状况，慢性病，最近的疾病，使用呼吸暂停监测器和耳管，维生素/矿物质的使用以及家庭治疗的使用。分析包括围产期和小儿期的医院和医师记录。关于怀孕的研究得出的结论是，1988年，有30-45％的高风险妇女在当时的医院外服务最高的医院。如果妇女居住在高科技医院的县中，则在23至27周之间将胎龄分类为现场出生而不是胎儿死亡。同样，与医院记录的多个信息源相比，在约10％的病例中，出生证明的妊娠年龄报告不准确。 - 高风险怀孕，围产期结局，胎龄