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Medical Journal of Islamic Republic of Iran، جلد ۳۵، شماره ۱، صفحات ۳۱۴-۳۲۱

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عنوان انگلیسی Survival of very preterm infants in the Islamic Republic of Iran: A population-based retrospective cohort study
چکیده انگلیسی مقاله Background: Estimation of the survival of very preterm infants is necessary to make decisions and design interventions in order to improve their quality of care. This survey aimed to estimate the survival of very preterm infants born at 23 up to 33 weeks of gestational age (GA) in Iran.    Methods: This population-based retrospective cohort study included 8536 infants born before 33 weeks of GA, from March 21st to December 22nd  2013 in Iran. The primary data were extracted from the Iranian national maternal and neonatal registration network (IMAN). All infants who have been discharged alive, followed up by telephone contact up to one year after birth. The Kaplan-Meier and Log-rank tests were performed to estimate survival and to compare survivals, respectively, using SPSS version 26 and R 3.5.2 softwares.    Results: The overall survival was estimated at 56.70% (95% C.I: 55.60%-57.80%) at the end of the follow-up period. Total death rate was estimated at 43.30% and was significantly decreased with increasing birth weight (p< 0.0001). Survival was increased significantly with increasing GA (p< 0.0001), from 5.7% at 23 weeks to 79.6% at 32 weeks. The estimated cumulative proportion of death until the end of the neonatal period had a decreasing trend and then had a steady trend until the end of the follow-up period. The hazard ratio of quadruple or more birth and GA were 1.46 (p=0.021) and 0.83 (p< 0.001), respectively.    Conclusion: The overall estimated survival of very preterm infants was not high. Even with modern perinatal technology and care, early deaths of very preterm infants were still common.
کلیدواژه‌های انگلیسی مقاله Preterm Birth, Survival, Death Rate, Iran

نویسندگان مقاله | Forouzan Akrami
Neonatal Health Research Center, Research Institute for Children’s Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran


| Gohar Mohammadi
Neonatal Health Research Center, Research Institute for Children’s Health, & Administration and Resources Development affairs, Shahid Beheshti University of Medical Sciences, Tehran, Iran


| Mehdi Azizmohammad Looha
Department of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran


| Abbas Habibelahi
Neonatal Health Office, Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran


| Yadollah Mehrabi
Department of Epidemiology, School of Public Health and safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran


| Shahnaz Delbarpoor Ahmadi
Deputy of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran


| Mohammad Heidarzadeh
Department of Pediatrics, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz & Deputy of Public Health, Ministry of Health and Medical Education, Tehran, Iran



نشانی اینترنتی http://mjiri.iums.ac.ir/browse.php?a_code=A-10-2436-2&slc_lang=en&sid=1
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کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده Epidemiology
نوع مقاله منتشر شده Original Research
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