Bohin S, Draper E S, Field D J
Department of Epidemiology and Public Health, University of Leicester.
Arch Dis Child Fetal Neonatal Ed. 1996 Mar;74(2):F110-3. doi: 10.1136/fn.74.2.f110.
The impact of very immature infants on neonatal services was examined within the United Kingdom. The Trent Health Region was used as a geographically defined population. Data were obtained on all infants weighing less than 1501 g at birth and all infants born before 32 weeks gestation between 1991-93. Information relating to length of stay, duration of ventilation, and survival was documented. Only one of 49 infants born before 24 weeks gestation survived. However, 75% of this group were ventilated. Most of the remaining infants died before 48 hours of age. A similar pattern was also seen in infants of 24 and 25 weeks gestation. Infants under 24 weeks gestation comprised 1.5% of all ventilated infants and consumed 2.14% of the total neonatal ventilator days for the region. It is concluded that the United Kingdom operates a conservative policy towards infants born before 24 weeks gestation and as a result resources expended on them are limited.
在英国，对极不成熟婴儿对新生儿服务的影响进行了研究。特伦特健康地区被用作一个地理界定的人群。获取了1991年至1993年间所有出生体重低于1501克的婴儿以及所有孕32周前出生婴儿的数据。记录了与住院时间、通气时间和存活情况相关的信息。孕24周前出生的49名婴儿中只有1名存活。然而，该组中75%的婴儿接受了通气。其余大多数婴儿在48小时龄前死亡。孕24周和25周的婴儿也出现了类似模式。孕24周以下的婴儿占所有接受通气婴儿的1.5%，并消耗了该地区新生儿总通气天数的2.14%。结论是，英国对孕24周前出生的婴儿采取保守政策，因此花费在他们身上的资源有限。
