Mercer H P, Roper P C
Mater Misericordiae Hospital Rockhamptor, Australia.
J Paediatr Child Health. 1997 Apr;33(2):98-101. doi: 10.1111/j.1440-1754.1997.tb01008.x.
This follow-up study was undertaken in an effort to ascertain the morbidity in the survivors of infants < or = 2000 g birthweight cared for in the two Rockhampton intensive care nurseries.
The records of all infants < or = 2000 g delivered in or transferred to Rockhampton during the 11 year period 1979 through 1989 inclusive were extracted. Efforts were made to contact and examine all of these children. Those found to be disabled were assessed as being mildly, moderately or severely affected.
Of the 482 infants of birthweight < or = 2000 g treated in the period under review, 393 survived to be discharged from hospital. Eight were known to have died subsequently. Of the remaining 385 children, 288 (74.8%) were able to be contacted and their health status determined. A total of 36 infants were found to have significant disabilities. Twenty-four were mildly affected, five moderately and seven severely affected. Severe disability in infants of < or = 1000 g was 16% (3/19).
The incidence of disability was established in 74.8% of the surviving population. It was not dissimilar to the incidence of disability in similar birthweight groups in some Australian tertiary centres for the years under study. It is emphasized that the follow-up was incomplete and recognized that the survival rates and incidence of disability in survivors has improved in tertiary centres since the time frame of this study.
进行这项随访研究是为了确定在罗克汉普顿的两个重症监护托儿所接受护理的出生体重≤2000克婴儿幸存者的发病率。
提取了1979年至1989年（含）这11年期间在罗克汉普顿分娩或转入该地的所有出生体重≤2000克婴儿的记录。努力联系并检查所有这些儿童。对那些被发现有残疾的儿童评估为轻度、中度或重度受影响。
在所审查期间接受治疗的482例出生体重≤2000克的婴儿中，393例存活至出院。已知其中8例随后死亡。在其余385名儿童中，288例（74.8%）能够取得联系并确定其健康状况。总共发现36名婴儿有明显残疾。24例为轻度受影响，5例为中度受影响，7例为重度受影响。出生体重≤1000克的婴儿中重度残疾率为16%（3/19）。
在74.8%的存活人群中确定了残疾发生率。这与所研究年份澳大利亚一些三级医疗中心类似出生体重组的残疾发生率并无差异。需要强调的是，随访并不完整，并且认识到自本研究的时间框架以来，三级医疗中心的存活率和幸存者中的残疾发生率已经有所改善。
