Author/Editor		Burja, Silva; Hajdinjak, Dušanka; Seme-Ciglenečki, Polona; Takač, Iztok
Title		Vpliv blage in zmerne nedonošenosti na umrljivost in obolevnost novorojenčkov in dojenčkov (Maribor 2003-2007)
Translated title		The contribution of moderate preterm birth to neonatal and infant nortality and morbidity (Maribor 2003-2007)
Type		članek
Source		In: Takač I, editor. 80 let hospitalne ginekologije in porodništva v Mariboru: mednarodni znanstveni simpozij, Univerzitetni klinični center Maribor, Maribor, 17. 10. 2008. Maribor: Univerzitetni klinični center,
Publication year		2008
Volume		str. 411-21
Language		slo
Abstract		To show the relative risk (RR) of morbidity and mortality of neonates of different gestational age, with special regard to the group of moderately and mildly preterm neonates (gestational age 30-36 weeks) born at University Clinical Centre (UCC) Maribor between 2003 and 2007. The study includes all babies born in the.regional tertiary perinatal center of UCC Maribor between 2003 and 2007.). All study participants were arranged in three groups according to gestational age (G< 30 weeks, 30-36 weeks, and 37 weeks and over), and the stillbirth, mortality and morbidity rates in the neonatal and postneonatal period were analyzed. After leaving the maternity hospital or pediatric department, all survivors discharged from UCC Maribor in the studied period were included in the regular followup program of Child Welfare Centers at Health Centers in Maribor, Ptuj, Lenart, and Slovenska Bistrica. In our study of neonatal results we used data from the Perinatal Information System of Slovenia (PISS), the records of the Institute of Public Health of the RS, and the medical records of UCC Maribor (Neonatology Unit of the Department of Perinatology, and Pediatric ICU of the Department of Pediatrics) and child development clinics from the Maribor region. In the analyzed sample of 10036 neonates, 9105 (90. 7%) were full-term and 931 (9. 3%) were preterm. The total number of liveborn infants was 9978; 9098 of these were full-term and 880 (9.7 %) preterm. In the preterm group, 122 (13.8 %) neonates had a GA <30 weeks and 758 (86.2 %) a GA of 30-36 weeks. Due to physiologic instability, 63 % (494 neonates) born moderately and mildly preterm required treatment in the unit for special neonatal care at the maternity hospital, and 140 (19 %) neonates from the same group were referred for treatment in the neonatal ICU at the pediatric department. (Abs. trunc. at 2000 ch.)
Summary		Cilj je prikaz relativnosti tveganja (RT) za obolevnost in umrljivost novorojenčkov različnih gestacijskih starosti s posebno pozornostjo na skupino zmerno in blago nedonošenih novorojenčkov (nosečnostna starost 30-36 tednov), rojenih v UKC Maribor v letih 2003-2007. V študijo smo vključili vse rojene v regijskem terciarnem perinatalnem centru Univerzitetnega kliničnega centra (UKC) v Mariboru v letih od 2003-2007. Vse udeležence študije smo razvrstili po nosečnostni starosti (NS) v tri skupine (< 30 tednov, 30-36 tednov in 37 in več tednov) in analizirali stopnje mrtvorojenosti, umrljivosti, obolevnosti v neonatalnem in postneonatalnem obdobju. Vsi preživeli otroci, odpuščeni iz UKC Maribor v raziskovanem obdobju, so bili po odpustu iz porodnišnice ali Klinike za pediatrijo vključeni v redni sleditveni program otroških dispanzerjev Zdravstvenega doma Maribor, Ptuj, Lenart, Slovenska Bistrica. V naši študiji neonatalnih rezultatov smo uporabili podatke iz Perinatalnega informacijskega sistema Slovenije (PISS-a), evidence podatkov Inštituta za varovanje zdravja RS ter zapise iz medicinske dokumentacije v UKC Maribor (Enota za neonatologijo Oddelka za perinatologijo in Odsek za pediatrično intenzivno terapijo Klinike za pediatrijo) in razvojnih pediatričnih ambulant mariborske regije. V analiziranem vzorcu 10036 novorojenčkov je bilo donošenih 9105 (90,7 %) in 931 (10,2 %) nedonošenih. Vseh živorojenih je bilo 9978, od tega donošenih 9098 in 880 (9,7 %) nedonošenih. V skupini nedonošenih jih je bilo z NS < 30 tednov (izjemno nedonošenih) 122 (13,8 %) novorojenčkov in NS 30-36 tednov (zmerno in blago nedonošenih) 758 (86,2 %). (Izvl. skrajšan na 2000 zn.)
Descriptors		INFANT, PREMATURE MORBIDITY GESTATIONAL AGE