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. 1992 Jul;67(7):900–904. doi: 10.1136/adc.67.7.900

Birth weight and hospital admission before the age of 2 years.

L Mutch 1, H Ashurst 1, A Macfarlane 1
PMCID: PMC1793827  PMID: 1519955

Abstract

Admission rates to hospital of children born weighing 1500 g or less were compared with those born with birth weights over 1500 g in a retrospective analysis of routinely collected data from the Oxford Record Linkage Study. The children were born in the three five year periods 1968-72, 1974-8, and 1979-83 to women resident in Oxfordshire and West Berkshire. The main measures of the study were survival rates to 28 days after birth and hospital admissions of survivors up to the age of two years. Among babies weighing 1500 g or less, neonatal survival rates rose from 350.2 per 1000 total births in 1968-72 to 577.4 per 1000 among births in 1979-83. Over the same period, the proportion of children admitted to hospital at least once before the age of 2 years rose from 218.6 per 1000 survivors to 444.4 per 1000. In the children with birth weights over 1500 g, survival rates rose from 985.5 to 995.9 per 1000 births and hospital admission rates rose from 98.2 to 144.4 per 1000 survivors over the same time period. Although very low birthweight children did not contribute significantly to total hospital bed occupancy, because their numbers were small in relation to the total number of children in the population, their contribution increased between the five year periods 1968-72 and 1979-83. It should therefore be continuously monitored using routine systems.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Chan K. N., Elliman A., Bryan E., Silverman M. Respiratory symptoms in children of low birth weight. Arch Dis Child. 1989 Sep;64(9):1294–1304. doi: 10.1136/adc.64.9.1294. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. DOUGLAS J. W. B., MOGFORD C. Health of premature children from birth to four years. Br Med J. 1953 Apr 4;1(4813):748–754. doi: 10.1136/bmj.1.4813.748. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Greenough A., Roberton N. R. Effect of a regional neonatal unit on a general paediatric ward. Br Med J (Clin Res Ed) 1985 Jul 20;291(6489):175–176. doi: 10.1136/bmj.291.6489.175. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Greenough A., Roberton N. R. Effect of a regional neonatal unit on a general paediatric ward. Br Med J (Clin Res Ed) 1985 Jul 20;291(6489):175–176. doi: 10.1136/bmj.291.6489.175. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Hack M., Caron B., Rivers A., Fanaroff A. A. The very low birth weight infant: the broader spectrum of morbidity during infancy and early childhood. J Dev Behav Pediatr. 1983 Dec;4(4):243–249. [PubMed] [Google Scholar]
  6. Hack M., DeMonterice D., Merkatz I. R., Jones P., Fanaroff A. A. Rehospitalization of the very-low-birth-weight infant. A continuum of perinatal and environmental morbidity. Am J Dis Child. 1981 Mar;135(3):263–266. doi: 10.1001/archpedi.1981.02130270055018. [DOI] [PubMed] [Google Scholar]
  7. Hagberg B., Hagberg G., Olow I., von Wendt L. The changing panorama of cerebral palsy in Sweden. V. The birth year period 1979-82. Acta Paediatr Scand. 1989 Mar;78(2):283–290. doi: 10.1111/j.1651-2227.1989.tb11071.x. [DOI] [PubMed] [Google Scholar]
  8. Henderson J., Goldacre M., Griffith M. Time spent in hospital by children: trends in the Oxford Record Linkage Study area. Health Trends. 1990;22(4):166–169. [PubMed] [Google Scholar]
  9. Hill A. M. Trends in paediatric medical admissions. BMJ. 1989 Jun 3;298(6686):1479–1483. doi: 10.1136/bmj.298.6686.1479. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. McCormick M. C., Shapiro S., Starfield B. H. Rehospitalization in the first year of life for high-risk survivors. Pediatrics. 1980 Dec;66(6):991–999. [PubMed] [Google Scholar]
  11. Miettinen O. Estimability and estimation in case-referent studies. Am J Epidemiol. 1976 Feb;103(2):226–235. doi: 10.1093/oxfordjournals.aje.a112220. [DOI] [PubMed] [Google Scholar]
  12. Mutch L., Newdick M., Lodwick A., Chalmers I. Secular changes in rehospitalization of very low birth weight infants. Pediatrics. 1986 Jul;78(1):164–171. [PubMed] [Google Scholar]
  13. Payne-James J., Silk D. Clinical nutrition support. BMJ. 1990 Jul 7;301(6742):1–2. doi: 10.1136/bmj.301.6742.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Pharoah P. O., Cooke T., Cooke R. W., Rosenbloom L. Birthweight specific trends in cerebral palsy. Arch Dis Child. 1990 Jun;65(6):602–606. doi: 10.1136/adc.65.6.602. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Skeoch H., Skeoch C., Rosenberg K., Turner T., McIlwaine G. Very low birthweight survivors: illness and readmission to hospital in the first 15 months of life. Br Med J (Clin Res Ed) 1987 Sep 5;295(6598):579–580. doi: 10.1136/bmj.295.6598.579. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. van Zeben-van der Aa D. M., Verloove-Vanhorick S. P., Brand R., Ruys J. H. The use of health services in the first 2 years of life in a nationwide cohort of very preterm and/or very low birthweight infants in The Netherlands: rehospitalisation and out-patient care. Paediatr Perinat Epidemiol. 1991 Jan;5(1):11–26. doi: 10.1111/j.1365-3016.1991.tb00680.x. [DOI] [PubMed] [Google Scholar]

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