Survival and early complications of preterm infants with birthweight less than 500 grams during a 10‐year period in Hungary

• Published in: Paediatric and perinatal epidemiology 2020-09, Vol.34 (5), p.565-571
• Main Authors: Varga, Péter, Berecz, Botond, Magyar, Zsófia, Pete, Barbara, Romicsné Görbe, Éva, Dombi, Zsófia Anna, Sassi, Lilla, Fanczal, Eszter, Ács, Nándor, Kornya, László, Joó, József Gábor, Valek, Andrea, Harmath, Ágnes, Gasparics, Ákos
• Format: Article
• Language: English
• Subjects: Apgar score; Birth weight; Complications; early complications; extremely low birthweight; Gestational age; Infants; Multiple births; Newborn babies; outcome; Premature babies; preterm infants; Steroids; Survival
• ISSN: 0269-5022; 1365-3016
• DOI: 10.1111/ppe.12598

Background There are limited data available on the survival and early complications of preterm infants with less than 500 g birthweight. To estimate the outcomes for these infants, it is important for caregivers to be aware of perinatal factors that may affect survival. Objectives We assessed the mortality and certain early complications of preterm infants born with less than 500 g in Hungary between 2006 and 2015. Methods We reviewed data of 486 infants from the database of the Hungarian Central Statistical Office and in parallel of 407 infants from the “NICU database.” The study period was divided into two epochs: 2006‐2010 and 2011‐2015. Results The survival was 27.1% in the first epoch and 39.1% in the second epoch, and the incidence of early complications was slightly higher in the second epoch. In the surviving group (first and second epoch combined), gestational age (25.1 vs 23.7 weeks), birthweight (458 vs 447 g) antenatal steroid treatment (66.3% vs 52.3%), surfactant therapy (95.1% vs 84.3%), median Apgar scores (6 vs 3 and 8 vs 5 at 1 and 5 minutes, respectively) and proportion of caesarean delivery (89.3% versus 68.5%) were higher than in the non‐surviving group (first and second epoch combined). The proportion of multiple births was lower in the surviving group (15.7% vs 33.4%). Conclusions Survival of infants with less than 500 g improved between 2006‐2010 and 2011‐2015 in Hungary. The slightly higher occurrence of early complications might be associated with improving survival.