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Journal of Tropical Pediatrics Advance Access published online on July 23, 2008
Journal of Tropical Pediatrics, doi:10.1093/tropej/fmn064
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© The Author [2008]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Short-Term Outcome of Very Low Birth Weight Infants in a Developing Country: Comparison with the Vermont Oxford Network

Fares Chedid, Suhair Shanteer, Habib Haddad, Iram Musharraf, Zuhair Shihab, Ahmad Imran, Hossam Abou Adma, Nada Salman and Aiman Rahmani

Tawam University Hospital in Association with Johns Hopkins International, Al Ain, Abu Dhabi, UAE

Correspondence: Fares Chedid, PO Box 15258. Al Ain, Abu Dhabi, UAE. Tel: 971 50 4474661. E-mail <fareschedid{at}hotmail.com>.


  Abstract

Objectives: To determine the outcome of very low birth weight infants (VLBWI) admitted to a level III NICU in UAE and compare the results to percentiles published by the Vermont Oxford Network (VON).

Method: Outcome data were collected retrospectively, using standard definitions, on a cohort of VLBWI 500–1500 g admitted between January 2004 and December 2006.

Results: Of the 173 infants weighing 501–1500 g at birth, 85.6% survived until discharge, which corresponds to the 50th percentile (P50) of VON. Chronic lung disease (CLD) occurred in 12.1% (<P25), death or CLD 26.6%, necrotizing enterocolitis (NEC) 5.8% (<P50), intraventricular hemorrhage (IVH) of any grade 17.5% (P25), grade III or IV IVH in 5% (P25), periventricular leucomalacia (PVL) 2.8% (P50), retinopathy of prematurity stage (ROP) 11.3% (<P10). The mortality and morbidity data for the subgroups of 501–1000 g and 1001–1500 g birth weight are also reported.

Conclusion: We report the outcome of VLBWI born in a developing country with high resources. The rates of CLD, IVH and ROP were ≤25th percentile of the VON and mortality, NEC and PVL were in the 50th percentile.


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