早产儿(37 或 38 周出生)的短期预后:一项回顾性调查。

IF 2.1 3区 医学 Q2 PEDIATRICS Frontiers in Pediatrics Pub Date : 2024-10-10 eCollection Date: 2024-01-01 DOI:10.3389/fped.2024.1430364
Tsubasa Kitamura, Kyosuke Tabata, Yayoi Murano, Daisuke Yoneoka, Tomoyuki Nakazawa, Ken Sakamaki, Hiromichi Shoji
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引用次数: 0

摘要

导言最近,研究人员提出了 "早产儿 "的概念,即妊娠 37 或 38 周时出生的婴儿,并对其预后进行了讨论。虽然早产儿的并发症没有早产儿严重,但这一群体在新生儿中所占的比例要大得多,因此对其预后的评估在临床实践中非常重要:这项观察性研究的对象是在东京都丰岛医院出生的足月儿,目的是了解早产儿的短期疗效。研究分析了从病历中提取的数据:在 4,669 名符合条件的参与者中,463 名(9.9%)在 37 周时出生,1,270 名(27.2%)在 38 周时出生。其余 2936 名婴儿在妊娠 39 周后出生。这项研究揭示了早产儿复杂的临床过程,是对了解早产儿结局的最大贡献之一,有助于确定选择性剖宫产的策略。根据这一结果,选择性剖宫产最好在胎龄 38 周时进行。此外,在临床实践中,了解早产儿复杂的临床过程也很重要。
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Short-term outcomes in early term infants (born at 37 or 38 weeks): a retrospective investigation.

Introduction: Recently, researchers have introduced the concept of 'early term' infants, defined as infants born at 37 or 38 weeks of gestation, and their outcome has been discussed. Although the complications experienced by early term are less severe than those in preterm infants, this group accounts for a much larger proportion of newborns, making the assessment of outcomes important in clinical practice.

Methods: This observational study of term infants born at Tokyo Metropolitan Toshima Hospital aimed to understand the short-term outcomes in early term infants. Data extracted from the medical records were analyzed.

Results: Among 4,669 eligible participants, 463 (9.9%) were born at 37 weeks and 1,270 (27.2%) were born at 38 weeks. The remaining 2,936 infants were born after 39 weeks of gestation. Logistic regression analysis showed higher odds ratio of hospitalization (1.56, 95% CI: 1.37-1.79, p < 0.05), apnea (2.23, 95%CI: 1.08-4.60, p < 0.05), and hypoglycemia (3.13, 95%CI: 1.95-5.03, p < 0.05) in early term infants. In detail, infants born at 37 weeks of gestational age had higher odds ratio for hospitalization (2.07, 95%CI: 1.68-2.35, p < 0.05) and hypoglycemia (4.11, 95%CI 2.22-7.60, p < 0.05) than infants born at 38 weeks of gestational age (1.40, 95%CI: 1.20-1.62, p < 0.05, and 2.78, 95%CI: 1.66-4.67, p < 0.0 respectively).

Discussion: This study revealed complicated clinical course in early term infants, and represents one of the largest contributions to understanding the outcomes of early term infants, and could help to determine strategies for elective cesarean section. According to this result, elective cesarean sections would be better planned at 38 weeks of gestational age. Moreover, in clinical practice, it is important to be aware of the complicated clinical course in early term infants.

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来源期刊
Frontiers in Pediatrics
Frontiers in Pediatrics Medicine-Pediatrics, Perinatology and Child Health
CiteScore
3.60
自引率
7.70%
发文量
2132
审稿时长
14 weeks
期刊介绍: Frontiers in Pediatrics (Impact Factor 2.33) publishes rigorously peer-reviewed research broadly across the field, from basic to clinical research that meets ongoing challenges in pediatric patient care and child health. Field Chief Editors Arjan Te Pas at Leiden University and Michael L. Moritz at the Children''s Hospital of Pittsburgh are supported by an outstanding Editorial Board of international experts. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Frontiers in Pediatrics also features Research Topics, Frontiers special theme-focused issues managed by Guest Associate Editors, addressing important areas in pediatrics. In this fashion, Frontiers serves as an outlet to publish the broadest aspects of pediatrics in both basic and clinical research, including high-quality reviews, case reports, editorials and commentaries related to all aspects of pediatrics.
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