Monset-Couchard M, Jaspar M L, de Bethmann O, Relier J P
Arch Fr Pediatr. 1984 Oct;41(8):579-85.
In 1981, 151 neonates with birth weight (B.W.) less than or equal to 1500 g were admitted to the Port-Royal Intensive Care Unit (ICU) (31% of admissions), 81% being born outside. Total mortality was 26% (53% less than or equal to 1000 g). For children who died, the median hospital stay was 9 days; in survivors, it was 69d (109d for BW less than or equal to 1000 g 71d for BW 1001-1250 g, 61d for BW 1251-1500 g), similar in hypotrophic and eutrophic infants. Average weight at direct discharge from Port-Royal ICU was 2627 +/- 565 g. The smaller the infants were at birth, the later they were discharged after assumed term. Complications (more frequent in smaller infants) played a major part in discharge delay. The cost of initial care included every step from birth to final discharge, all hospital charges and transports. Average cost per survivor was 200,356 F, but it reached 336,545 F, in patients with bronchopulmonary dysplasia and 354,605 F in those with necrotizing enterocolitis. Although the mostly good quality of survival justifies these expenses, the authors advocate increased prevention of very early prematurity and severe intra-uterine growth retardation, and development of maternal transport, as well as of prenatal call for a neonatal team in cases of unexpected birth out a of a perinatal center.
1981年，151名出生体重小于或等于1500克的新生儿被收治入皇家港重症监护病房（ICU）（占收治人数的31%），其中81%在院外出生。总死亡率为26%（体重小于或等于1000克的死亡率为53%）。死亡儿童的中位住院时间为9天；存活儿童的中位住院时间为69天（体重小于或等于1000克的为109天，体重1001 - 1250克的为71天，体重1251 - 1500克的为61天），营养不良和营养正常的婴儿情况相似。从皇家港ICU直接出院时的平均体重为2627 +/- 565克。婴儿出生时越小，预计足月后出院越晚。并发症（在较小婴儿中更常见）在出院延迟中起主要作用。初始护理费用包括从出生到最终出院的每一个环节、所有医院收费和运输费用。每位存活者的平均费用为200,356法郎，但患有支气管肺发育不良的患者费用达到336,545法郎，患有坏死性小肠结肠炎的患者费用达到354,605法郎。尽管大多数良好的生存质量证明了这些费用的合理性，但作者主张加强对极早早产和严重宫内生长迟缓的预防，发展孕产妇转运服务，以及在围产期中心以外意外分娩的情况下，在产前呼叫新生儿团队。
