Skip Navigation

Journal of Tropical Pediatrics 2000 46(1):15-20; doi:10.1093/tropej/46.1.15
© 2000 by Oxford University Press
This Article
Right arrow Full Text (PDF)
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (1)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Boo, N-Y
Right arrow Articles by Lye, M-S
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Boo, N-Y
Right arrow Articles by Lye, M-S
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

The role of expressed breastmilk and continuous positive airway pressure as predictors of survival in extremely low birthweight infants

N-Y BooA,Z, C-H PuahA and M-S LyeB

A Department of Paediatrics, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Tenteram, 56000 Kuala Lumpur, Malaysia B Department of Epidemiology and Biostatistics, Institute of Medical Research, Kuala Lumpur, Malaysia Z Corresponding author

A case-control study was carried out on 152 extremely low birthweight (ELBW, <1000 g) infants born consecutively in a large Malaysian maternity hospital during a 21-month period to determine the significant predictors associated with survival at discharge. Forty-nine (32.2 per cent) of these infants survived and 103 (67.8 per cent) died. The survivors weighed significantly heavier (mean=888 g, SD=99) than infants who died (mean=763 g, SD=131; p<0.0001). They were also of higher gestational age (mean=28.7 weeks, SD=2.2), than those who died (mean=26.7 weeks, SD=2.5; P<0.0001). Logistic regression analysis showed that, after controlling for various confounders, only three factors were significantly associated with the survival of these infants. These were: (1) increasing birthweight of the infants (with every gram increase in birthweight, adjusted odds ratio of survival was: 1.009; 95 per cent CI 1.004, 1.015; p=0.0006); (2) given nasal continuous positive airway pressure for treatment of respiratory distress syndrome (adjusted odds ratio of survival: 4.2; 95 per cent CI 1.2, 14.0; p=0.02); and (3) given expressed breastmilk (adjusted odds ratio of survival: 57.5; 95 per cent CI: 7, 474; p=0.0002). Maternal illness, intrapartum problems, ethnicity, gestational age, use of antenatal steroid, modes of delivery, Apgar scores, congenital anomalies, respiratory distress syndrome, persistent ductus arteriosus, septicemia, necrotising enterocolitis, chronic lung disease, oxygen therapy, intermittent positive pressure ventilation, surfactant therapy, and blood transfusion were not significant factors associated with increased survival.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.