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Comparison of neonatal outcomes between multiples and singletons among very low birth weight infants: the Korean Neonatal Network cohort study

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dc.contributor.authorJang, HG-
dc.contributor.authorChoi, S-
dc.contributor.authorNoh, OK-
dc.contributor.authorHwang, JH-
dc.contributor.authorLee, JH-
dc.contributor.authorKorean Neonatal Network-
dc.date.accessioned2023-09-11T06:01:46Z-
dc.date.available2023-09-11T06:01:46Z-
dc.date.issued2023-
dc.identifier.issn1476-7058-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/26348-
dc.description.abstractObjective: To compare neonatal outcomes between multiples and singletons among very low birth weight infants, this was a prospective cohort study that was conducted by collecting data registered in the Korean Neonatal Network database. Methods: From January 2013 to December 2016, there were 8265 infants in the Korean Neonatal Network database, and 2958 of them were from multiples. Among them, 2636 infants were twins, 308 infants were triplets, and 14 infants were quadruplets. Maternal and neonatal variables including and mortality major morbidity were compared. Finally, the predicted rates of major morbidity between singletons and multiples. Results: Multiples had higher gestational age, birth weight, Apgar score at 5 min, rates of cesarean section and artificial reproductive technology but lower maternal hypertension, oligohydramnios, chorioamnionitis rates and Clinical Risk Index for Babies scores II without base excess than the singletons. In univariate analysis, multiples had a lower incidence of respiratory distress syndrome, bronchopulmonary dysplasia, and sepsis. The mortality rate was not significantly different for overall gestational ages except for those born at ≤26 weeks of gestation. In multivariate logistic analysis, the incidences of intraventricular hemorrhage (grade ≥3), and retinopathy of prematurity requiring treatment were significantly higher than the singletons. Conclusions: Mortality was not significantly different between multiples and singletons according to overall gestational age, except for multiples born at ≤26 weeks. A significant higher risk of intraventricular hemorrhage and retinopathy of prematurity requiring treatment was found in multiples. A new strategy to improve the mortality of immature multiples born at ≤26 weeks of gestation should be developed.-
dc.language.isoen-
dc.subject.MESHBirth Weight-
dc.subject.MESHCesarean Section-
dc.subject.MESHCohort Studies-
dc.subject.MESHFemale-
dc.subject.MESHGestational Age-
dc.subject.MESHHemorrhage-
dc.subject.MESHHumans-
dc.subject.MESHInfant-
dc.subject.MESHInfant Mortality-
dc.subject.MESHInfant, Newborn-
dc.subject.MESHInfant, Very Low Birth Weight-
dc.subject.MESHPregnancy-
dc.subject.MESHPregnancy, Multiple-
dc.subject.MESHProspective Studies-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHRetinopathy of Prematurity-
dc.subject.MESHRetrospective Studies-
dc.titleComparison of neonatal outcomes between multiples and singletons among very low birth weight infants: the Korean Neonatal Network cohort study-
dc.typeArticle-
dc.identifier.pmid37558283-
dc.identifier.urlhttps://www.tandfonline.com/doi/full/10.1080/14767058.2023.2245530-
dc.subject.keywordinfant-
dc.subject.keywordmultiple-
dc.subject.keywordoutcome-
dc.subject.keywordPregnancy-
dc.subject.keywordvery low birth weight-
dc.contributor.affiliatedAuthorChoi, S-
dc.contributor.affiliatedAuthorNoh, OK-
dc.contributor.affiliatedAuthorLee, JH-
dc.type.localJournal Papers-
dc.identifier.doi10.1080/14767058.2023.2245530-
dc.citation.titleThe journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians-
dc.citation.volume36-
dc.citation.number2-
dc.citation.date2023-
dc.citation.startPage2245530-
dc.citation.endPage2245530-
dc.identifier.bibliographicCitationThe journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 36(2). : 2245530-2245530, 2023-
dc.identifier.eissn1476-4954-
dc.relation.journalidJ014767058-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Pediatrics & Adolescent Medicine
Journal Papers > School of Medicine / Graduate School of Medicine > Radiation Oncology
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