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Preterm birth in the Nordic countries-Capacity, management and outcome in neonatal care

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dc.contributor.author Norman, Mikael
dc.contributor.author Padkaer Petersen, Jesper
dc.contributor.author Stensvold, Hans Jørgen
dc.contributor.author Þórkelsson, Þórður
dc.contributor.author Helenius, Kjell
dc.contributor.author Brix Andersson, Charlotte
dc.contributor.author Ørum Cueto, Heidi
dc.contributor.author Domellöf, Magnus
dc.contributor.author Gissler, Mika
dc.contributor.author Heino, Anna
dc.contributor.author Håkansson, Stellan
dc.contributor.author Jonsson, Baldvin
dc.contributor.author Klingenberg, Claus
dc.contributor.author Lehtonen, Liisa
dc.contributor.author Metsäranta, Marjo
dc.contributor.author Rønnestad, Arild E
dc.contributor.author Trautner, Simon
dc.date.accessioned 2023-04-25T01:05:35Z
dc.date.available 2023-04-25T01:05:35Z
dc.date.issued 2023-07
dc.identifier.citation Norman , M , Padkaer Petersen , J , Stensvold , H J , Þórkelsson , Þ , Helenius , K , Brix Andersson , C , Ørum Cueto , H , Domellöf , M , Gissler , M , Heino , A , Håkansson , S , Jonsson , B , Klingenberg , C , Lehtonen , L , Metsäranta , M , Rønnestad , A E & Trautner , S 2023 , ' Preterm birth in the Nordic countries-Capacity, management and outcome in neonatal care ' , Acta paediatrica (Oslo, Norway : 1992) , vol. 112 , no. 7 , pp. 1422-1433 . https://doi.org/10.1111/apa.16753
dc.identifier.issn 1651-2227
dc.identifier.other 123498021
dc.identifier.other 4acc4a60-0b42-414a-b72c-439a9b21672c
dc.identifier.other 36912750
dc.identifier.other 85150900950
dc.identifier.other unpaywall: 10.1111/apa.16753
dc.identifier.uri https://hdl.handle.net/20.500.11815/4160
dc.description Funding Information: Collaborators: Norwegian Neonatal Network: Anlaug Vatne (Stavanger, Bergen), Ragnhild Støen (Trondheim), Kristin Brække (Stavanger), Hallvard Reigstad (Oslo). Swedish Neonatal Quality Register: Lars Navér (Stockholm), Thomas Abrahamsson (Linköping), Karin Sävman (Göteborg), Ylva Thernström Blomqvist (Uppsala), Johan Sandblom (Skåne), Fredrik Ingemansson (Jönköping). Finnish Very Preterm Infant Register collaboration group: Timo Saarela (Oulu), Päivi Korhonen (Tampere), Ulla Sankilampi (Kuopio), Viena Tommiska (Helsinki), Samuli Rautava (Turku). We thank all neonatal departments in the Nordic countries for contributing and sharing data to our national registers. The creation and completion of the Nordic quality registers have been the work of many and taken decades. To thank all relevant parties would be impossible, none mentioned none forgotten. Funding Information: MN was supported by grants from a regional agreement on clinical research (ALF) between Region Stockholm and Karolinska Institutet (2020‐0443), and from the Childhood Foundation of the Swedish Order of Freemasons. The funding bodies played no role in any aspect of the study or the paper. Publisher Copyright: © 2023 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.
dc.description.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.
dc.format.extent 12
dc.format.extent 2055129
dc.format.extent 1422-1433
dc.language.iso en
dc.relation.ispartofseries Acta paediatrica (Oslo, Norway : 1992); 112(7)
dc.rights info:eu-repo/semantics/openAccess
dc.subject Barnalæknisfræði
dc.subject gestational age
dc.subject mortality
dc.subject neonatal care
dc.subject Nordic country
dc.subject premature
dc.subject Infant Mortality
dc.subject Infant, Premature, Diseases
dc.subject Humans
dc.subject Infant
dc.subject Gestational Age
dc.subject Scandinavian and Nordic Countries/epidemiology
dc.subject Pregnancy
dc.subject Premature Birth/epidemiology
dc.subject Female
dc.subject Infant, Extremely Premature
dc.subject Infant, Newborn
dc.subject Pediatrics, Perinatology and Child Health
dc.title Preterm birth in the Nordic countries-Capacity, management and outcome in neonatal care
dc.type /dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article
dc.description.version Peer reviewed
dc.identifier.doi 10.1111/apa.16753
dc.relation.url http://www.scopus.com/inward/record.url?scp=85150900950&partnerID=8YFLogxK
dc.contributor.department Other departments

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