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EuroNeoNet <strong>Annual</strong> <strong>Report</strong> for VLGAI<br />

&<br />

Individual <strong>Report</strong> for Each Unit Practicipating<br />

in the EuroNeoNet Project<br />

YEAR 2010<br />

October 2012


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLGAI<br />

INDEX<br />

1 METHODOLOGICAL INTRODUCTION. ..................................................... 3<br />

2 DATABASE ELIGIBILITY CRITERIA. ......................................................... 7<br />

3 INTRODUCTION. ........................................................................................ 8<br />

4 GENERAL DATA. ..................................................................................... 10<br />

4.1 ENS Project Participating Units. ......................................................... 10<br />

4.2 Sample Size ....................................................................................... 11<br />

5 RESULTS .................................................................................................. 12<br />

5.1 Deaths in Delivery Room description ................................................. 12<br />

5.2 2010 Cohort General Description: Admitted babies. .......................... 21<br />

6 RESULTS. ................................................................................................. 32<br />

6.1 Multiple Gestation Rate ...................................................................... 32<br />

6.2 Prenatal Steroids Rate. ...................................................................... 38<br />

6.3 Caesarean section Rate. .................................................................... 43<br />

6.4 Resuscitation in Delivery Room rate. ................................................. 48<br />

6.5 Surfactant at any Time Rate. ............................................................. 53<br />

6.6 Surfactant within the First hour of Life Rate. ...................................... 58<br />

6.7 RDS Rate. .......................................................................................... 63<br />

6.8 Early Sepsis Rate............................................................................... 69<br />

6.9 Pneumothorax Rate. .......................................................................... 75<br />

6.10 PIVH (Grades III or IV) Rate. ............................................................. 81<br />

6.11 NEC Rate. .......................................................................................... 87<br />

6.12 Focal Gastrointestinal Perforation Rate. ............................................ 93<br />

6.13 ROP (Grades >=3)Rate. .................................................................... 99<br />

6.14 O 2 on day 28 Rate. ........................................................................... 105<br />

6.15 O 2 on week 36 Rate. ........................................................................ 111<br />

6.16 Late Bacterial Sepsis Rate. .............................................................. 117<br />

6.17 Steroids for CLD Rate. ..................................................................... 123<br />

6.18 Cystic PVL Rate. .............................................................................. 128<br />

6.19 Mortality Rate. .................................................................................. 134<br />

7 LENGTH OF STAY ANALYSIS FOR VLGAI DISCHARGED TO HOME. 143<br />

7.1 Sample Size ..................................................................................... 143<br />

7.2 Lenght of stay (days) description ..................................................... 144<br />

8 ANNEX .................................................................................................... 147<br />

8.1 Delivery Room Deaths Description .................................................. 148<br />

8.2 Demographic Individual Data ........................................................... 149<br />

8.3 Main Results .................................................................................... 156<br />

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1 METHODOLOGICAL INTRODUCTION.<br />

A fundamental base for the individual analysis of Neonatology Units is the<br />

comparison of basic indicators. The objective is to identify areas that could<br />

improve, help to set priorities and document different results in health, between<br />

two or more Units.<br />

Crude mortality or morbidity or other event rates, are useful general measures<br />

in the comparative analysis raised above. On the other hand, its use can be<br />

inappropriate when the different populations studied are not comparable by<br />

reason of gestational age, birth weight, sex, socio-economic status or other<br />

factors that can influence the crude rates magnitude and its interpretation. This<br />

type of phenomenon is called confounding effect (1,2,3).<br />

To deal with the confounding effect, the use of specific rates determined by<br />

well-defined subgroups is a procedure widely spread in this type of<br />

comparisons. However, although these specific rates permit study the<br />

behaviour of health events and compare different Units in a more accurate way,<br />

the problem appears when the number of subgroups defined is big (4). In these<br />

cases, to calculate the specific rates spends a lot of time because of the<br />

number of operations needed. If sample size for each group is small the specific<br />

rates con become imprecise.<br />

<strong>Standard</strong>isation of rates is a classic epidemiological method that minimises the<br />

confounding effect of factors that are assumed to behave in a different way in<br />

each population studied. It also provides a summary measure, which is easily<br />

understood, and in particular, helpful to those who need a health situation<br />

synthetic index.<br />

In our case the factor most frequently used, is birth weight. <strong>Standard</strong>isation can<br />

be used when mortality comparisons between Units are done, because birth<br />

weight structure has a huge impact on the absolute risk a baby has.<br />

There are two main approaches to standardisation. The first uses as the<br />

standard a population distribution (direct method), and the second, a set of<br />

specific rates (indirect method).<br />

In the direct method, the expected rate for the Units studied is calculated<br />

assuming its distribution is the same to an established one according to the<br />

confounding item. The population used is called “<strong>Standard</strong>” and its subgroups<br />

correspond to the confounding item. The expected rate per Unit is calculated by<br />

applying the specific rate for the subgroups of the <strong>Standard</strong> population to the<br />

Units populations.<br />

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Indirect Method.<br />

The approach in the indirect method is completely different to the one in the<br />

direct method. Instead of using a standard population, <strong>Standard</strong> specific rates<br />

(or reference rates) are applied to the populations compared, according to the<br />

confusor item. The result of this is the expected number of cases for each Unit<br />

and subgroup. If the observed number of cases is divided by the expected<br />

number of cases in each Unit and subgroup, the <strong>Standard</strong>ised<br />

Mortality/Morbidity Rate (SMR) is obtained.<br />

This rate permits the comparison between each Unit studied with the population<br />

whose specific rates have been considered as standard.<br />

Conclusions can be made only by calculating and observing the SMR. If this<br />

rate is above 1 (o 100 if is treated as a percentage) the mortality risk in the<br />

observed population is greater than the one in the standard population<br />

supposing the same experience and risk for the observed population than for<br />

the standard one. On the other hand, if the SMR is under 1 (o 100), the<br />

mortality risk in the observed population is lower than the expected in the<br />

reference population.<br />

In addition indirect method adjusted rates can be calculated multiplying the row<br />

rate of each population by its SMR (4). As in the direct method, a unique value<br />

is obtained for each population so differences in the population distributions are<br />

considered.<br />

SMR are easily calculated and provide relative risk estimation between the<br />

standard population and the one studied. These are frequently used in<br />

epidemiology to compare different groups.<br />

However, we have to take in account that in some situations these comparisons<br />

are not suitable. For instance: when the rates in the studied groups and the<br />

standard groups according to the classes of the confusor item are not<br />

homogeneous (7). Above this, the comparisons between each group and the<br />

reference population is always is outstanding.<br />

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In the next table an example using the indirect standardisation method is<br />

shown.<br />

Example.<br />

Crude mortality rate in the NU (<strong>Neonatal</strong> Unit) was of 16,4 per 100 VLBWI. The<br />

aim is to study if the differences in mortality (o mortality risk) between the Unit<br />

studied and the whole set according to the indirect method are statistically<br />

significant. For this, the following data are needed.<br />

<br />

<br />

<br />

The mortality specific rates according to the subgroups in the<br />

confusor item in the standard population.<br />

The UN population divided by groups of birth weight (confounding<br />

item).<br />

The total observed number of deaths in the UN.<br />

First, the expected number of deaths must be calculated multiplying the<br />

standard rates to the number of cases in each subgroup of the UN population.<br />

(Column (3) = (1) * (2)/100). Then we must add all the expected deaths<br />

calculated for each subgroup, and also the observed deaths.<br />

The SMR is obtained by dividing the total number of observed deaths by the<br />

total number of expected deaths.<br />

Mortality specific rates<br />

according to birth<br />

weight groups (1)<br />

NU population (i)<br />

(2)<br />

Observed Deaths<br />

(3)<br />

Expected deaths in (i)<br />

< 501 g 75 - - -<br />

501 - 750 g 52,1 10 6 5,21<br />

751 - 1000 g 23,4 18 4 4,21<br />

1001 - 1250 g 9,9 21 1 2,08<br />

1251 - 1500 g 4,9 24 1 1,18<br />

Total 73 12 12,68<br />

SMR for UN = 12/12,68 = 0,95.<br />

SMR (%) for UN = (12/12,68) * 100 = 95%.<br />

The value of the SMR (95%) means that the mortality risk in the Unit<br />

studied is a 5% less than the expected, had the studied Unit had the<br />

standard population specific mortality rates across the different strata of<br />

birth weight (confounder in this case). In conlcusion the Unit has a<br />

sloghtly lower standardised mortality rate than expected, Ussually 95% CI<br />

are estimated for the SMR as a measure of its precision and to check<br />

whether the "null value" (SMR=1) is included in the interval.<br />

The 95% CI permit us say, that there is a 95% of probability that the SMR<br />

is between 0,41 and 1,49. As the "null value" (1) is included we have no<br />

evidence that this Unit's SMR is significantly different fromn the reference<br />

population's SMR.<br />

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As neonates’ population is affected not only by birth weight, it has been<br />

considered to apply more than one confounding item, and therefore try to solve<br />

the homogeinity problem. At least standardization has been done by birth<br />

weight, gestational age and gender. For some of the outcomes predictive items<br />

resulting form a logistic regression over more than 30.000 thousand registers<br />

have been used as confounding items.<br />

To resume, adjusted rates permit more valid comparisons between populations,<br />

which will help stablishing priorities between groups.<br />

Furthermore, this report not only intends to allow comaprisons between units<br />

studied, but to draw a picture of the general performing of the unit in realtion to<br />

the whole set of units.<br />

A way of establishing the position that a Unit has inside the set of Units studied<br />

is to calculate the percentile corresponding to each Unit according to the<br />

studied item. This percentile shows the position but not the difference in<br />

magnitude between Units in the item. A 95 percentile in mortality is a negative<br />

result. If differences between units are very small, that is, there is very small<br />

variability; the SMR that is in position 95 probably differs from the previous one<br />

in only some decimals.<br />

To be able to quantify the position reached by each Unit, the typified score for<br />

SMR is calculated. In this report, these are calculated in such a way that a<br />

result above 0 is a positive result and the intensity of it is given by the score<br />

itself. The length of the bar shows how positive/negative the result is. The<br />

bigger the score is, the better the result is; and the smaller (negative score), the<br />

worse is. If the stick crosses the discontinuous line (+/- 1.96), the result will be<br />

statistically significant.<br />

References:<br />

1. Last J. Dictionary of Epidemiology, Fourth Edition. New York, New York: Oxford University<br />

Press. 2001<br />

2. Jenicek M, Cléroux R. Epidemiología: Principios, Técnicas y Aplicaciones. Barcelona,<br />

España: Salvat Editores. 1987.<br />

3. Gordis L. Epidemiology. Philadelphia, PA: W.B. Saunders Company. 1996.<br />

4. Pagano M, Gauvreau K. Principles of Biostatistics. Belmont, California: Wadsworth, Inc.<br />

1993.<br />

5. Kramer S. Clinical Epidemiology and Biostatistics. A primer for Clinical Investigators and<br />

Decision-makers. Berlin Heidelberg, German: Springer_verlag. 1998.<br />

6. Waterhouse J et al. (eds.). Cancer incidence in five continents. Lyon, France: IARC. 1976.<br />

7. Szklo M, Nieto J. Epidemiology, Bwyond the basics. Gaithersburg, MD: Aspen Publishers<br />

Inc. 2000<br />

8. http:// www.paho.org/Spanish/SHA/be_v23n3-cover.htm<br />

Tomado del Boletín Epidemiológico, Vol. 23 No. 3, septiembre 2002.<br />

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2 DATABASE ELIGIBILITY CRITERIA.<br />

Any infant born alive at your hospital, whether or not was admitted to your<br />

NICU, should be reported if his/her:<br />

Birth Weight (BW) is less than 1501 g<br />

OR<br />

Gestational Age (GA) is less than 32 wks (31 + 6 days inclusive).<br />

All livebirths must be reported, no matter if his/her gestational age is below 22<br />

weeks or the birth weight is below 401g.<br />

All outborn infants of same BW and GA as above, admitted to any location in<br />

your hospital within 28 days of birth should also be included, only if the baby<br />

has never been discharged home.<br />

Outborn babies admitted to the <strong>Neonatal</strong> Unit after the 28th day of life, should<br />

not be included in the Database, since by international definitions those babies<br />

are no longer “newborn” but “infants”.<br />

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3 INTRODUCTION.<br />

A statistical analysis of the VLBW/VLGA infants cohort data (defined in<br />

protocol), for the cases sent before September of 2012 is performed in this<br />

report. These cases correspond to babies born in Units shown in Table 4.1.<br />

The <strong>Report</strong> consists on two main parts. The first part is common to every unit<br />

that has collaborated with data for the cohort analysed (Sections 5 to 7). The<br />

second part (Section 8) changes form unit to unit. Each unit will receive an<br />

analyses only for their own data (condifentiallity is assured).<br />

The common part is divided in three sections, a general descriptive analysis<br />

section (#5), a benchmarking section (#6) and a length of stay analysis section<br />

(#7).<br />

General descritptive analysis includes a description of babies died in the<br />

delivery room (section 5.1) in terms of counts and percentatges, means,<br />

medians, standards deviations and percentiles depending on the nature of the<br />

item described. All items collected for babies died in deliver room are described<br />

including major birth defects description and possible causes of death. (After this<br />

section, babies died in delivery room are excluded from the rest of the analyses done in<br />

the report).<br />

The main population is also decribed in section 5.2, including perinatal risks<br />

factors, interventions, diagnoses and morbi-mortality outcomes. At the end of<br />

the section row global rates and stratified rates by birth weight groups and<br />

gestational age gropus for several items have been calculated.<br />

Once the population has been described, a univariate analysis of each item has<br />

been done. These analyses permit to establish the position that each Unit<br />

occupies compared with the other Units, and also the position in relation to the<br />

whole set (Point 6: Benchmarking). The statistical procedure has been<br />

described in the Methodological Introduction (Point 1).<br />

The analysis done in previous sections, shows which is the position that a Unit<br />

occupies in relation to the whole set of Units for items considered relevant. In<br />

the next section (Point 7), the total stay of VLBW/VLGA inafants that were<br />

discharged to home have been analysed.<br />

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Finally, once all the items considered relevant according to the study objectives<br />

have been analysed, a more accurate description of these and other items for<br />

each Unit separately, has been done (Point 8: Annex.). Firstly demographic<br />

items are described, including prenatal care, Bag/Mask in delivery room and so<br />

on… Secondly, in the next section, items related with Morbimortality have been<br />

analysed, and finally, a section called Main Results has been included. This<br />

section gives a global view of which is the position of each Unit inside the whole<br />

set of Units. On the one hand, this analysis shows the position of the Unit (Point<br />

8.3.1), and on the other hand, it quantifies this position (Point 8.3.2). This<br />

section tries to provide a summarised picture of the Unit's condition so just<br />

taking a short look to the graph you can get a grasp of the global results for the<br />

studied Unit.<br />

To distinguish one Unit from another, a code has been assigned to each. We<br />

will provide each Unit ONLY its code at the same time as this report is<br />

delivered. This way the confidentiality of data is preserved.<br />

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4 GENERAL DATA.<br />

4.1 ENS Project Participating Units.<br />

The following list corresponds to the Units that have sent complete and verified<br />

data for the year 2010, before May the 31 st of 2012.<br />

Table 4.1<br />

Type Unit Responsible for the Project Country City<br />

Associated Klinische Abteilung für Neonatologie Berndt Urlesberger Austria Graz<br />

Collaborative LKH Klagenfurt Raimund Kraschl Austria Klagenfurt<br />

Collaborative General Hospital of Leoben Anna Trinkl Austria Leoben<br />

Collaborative Chirec (Edith Ravell) Mark Flansh Belgium Bruxelles<br />

Collaborative CHU Saint Luc Christian Debauche Belgium Bruxelles<br />

Collaborative CHU Saint Pierre Dominique Haumont Belgium Bruxelles<br />

Collaborative CHU de Chraleroi Eric Cavatorta Belgium Charleroi<br />

Collaborative CHU Saint Vincent Pierre Maton Belgium Chetien<br />

Collaborative CHU Ziekenhuis Oost-Limburg Claire Theyskens Belgium Genk<br />

Collaborative CHU de la Citadelle Jacques Rijo Belgium Liége<br />

Collaborative CHU Tivoli Genevieve Malfilatre Belgium Tivoli<br />

Collaborative General Faculty Hospital in Prague Richard Plavka Czech Republic Bohemia<br />

Associated Oulu University Hospital Mikko N. Hallman Finland Oulu<br />

Collaborative Hospital Edouart Heriot Olivier Claris France Lyon<br />

Collaborative Hospital de la Concepcion Umberto Simeoni France Marseille<br />

Associated University Children's Hospital Helmut Hummler Germany Ulm<br />

Collaborative Ginekologiczno Polozniczy Szipital Kliniczny Janusz Gadzinowski Poland Poznan<br />

Collaborative Portugal <strong>Neonatal</strong> Network Alexandra Almeida Portugal Portugal<br />

Associated Spanish <strong>Neonatal</strong> Network (SEN 1500) Josep Figueras Spain Spain<br />

Collaborative Swedish National Network (PNQ) Gunnar Sjörs/Stellan Hakansson Sweden Sweden<br />

Collaborative Hospital of Aarau --- Switzerland Aarau<br />

Collaborative Hospital of Basel --- Switzerland Basel<br />

Collaborative Inselspital Children Hospital Olaf Ahrens Switzerland Berne<br />

Collaborative Hospital of Chur --- Switzerland Chur<br />

Collaborative Hospital of Geneva --- Switzerland Geneve<br />

Collaborative Hospital of Lausane --- Switzerland Lausane<br />

Collaborative Hospital of Luzern Thomas Berger Switzerland Luzern<br />

Collaborative Hospital of St. Gallen --- Switzerland St. Gallen<br />

Collaborative Neonatology Clinic Hans Ulrich Bucher Switzerland Zurick<br />

Collaborative Meral Medical Faculty Rahmi Ors Turkey Selcuk<br />

Associated Liverpool Womens Hospital Michael Weindling UK Liverpool<br />

Associated North Ireland Network Stan Craig UK UK<br />

To preserve units’ confidentiality the number of cases and percentage that each<br />

unit represent inside the total of infants born in 2010 is not described.<br />

Each year, more units, regional and national networks are interested in the<br />

project. This means that the number of units collaborating by country is<br />

increasing, being mandatory the need to describe each country’s<br />

representatitvity.<br />

For 2010 data, a 33.5% of infants were born in Spain, a 14.6% in Portugal, a<br />

10.7% in Switzerland, a 9.2% in Sweden, a 8.1% in the UK, a 7.1% in Belgium<br />

and the remaining 16.8% in the other ENN countries.<br />

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4.2 Sample Size<br />

The total number of cases received for 2010 VLGAI cohort for Units that have<br />

sent complete and verified data were 7,540.<br />

2011 Cohort<br />

Sample Size<br />

N = 7,540<br />

Died in DR<br />

N = 103<br />

(1.4%)<br />

Admitted to the NICU<br />

N = 7,437 (98.6%)<br />

Home<br />

N = 4,903<br />

(65.9%)<br />

Trasnferred<br />

N = 1,748<br />

(23.5%)<br />

Died<br />

N = 766<br />

(10.3%)<br />

Still<br />

Hospitalized<br />

N = 20 (0.3%)<br />

The purpose of this report is to help units to perform better by comparing results<br />

to other units pertaining the network and to the whole set of data. Therefore,<br />

comparisons must be done over reliable data and moreover, restrictions must<br />

be applied, if not results would be meaningless.<br />

For that reason, data is divided, firstly, in babies died in delivery room and<br />

babies admitted to the NICU.<br />

In 2010 cohort a 1.4% of babies died in delivery room. That is, 103 babies.<br />

These, will be analysed in the following section, separately from babies<br />

admitted to the NICU. (Section 5.1 Deaths in delivery room description).<br />

General analysis (benchmarking) will be performed over admitted babies in<br />

Section 6. A 65.9% of babies admitted to the NICU were discharged home.<br />

Length of stay will be analysed globaly and for each unit for those babies in<br />

Secion 7.<br />

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5 RESULTS<br />

5.1 Deaths in Delivery Room description<br />

Data recorded for deaths in delivery room is smaller than for admitted babies.<br />

Birth weight, gestational age, birth length, birth head circumference, Prenatal<br />

Care, Prenatal Steroids, Mode of delivery, Gender, Multiple birth, Major Birth<br />

Defects, Apgar Scores, delivery room resuscitation and need for surfactant are<br />

recorded, together with information on death. All these information is described<br />

for dead in delivery room babies below.<br />

Birth Weight<br />

Mean birth weight for 2010 cohort babies died in delivery room has been of<br />

640.1 g. Extreme values are those under 307 g., and above 1,392. (Percentile 5<br />

and Percentile 95).<br />

Birth weight<br />

Mean (SD) 640.1 (273.4)<br />

95% CI (Mean) (586.6;693.5)<br />

Med [Q 1 ,Q 3 ] 580 [480;710]<br />

Min-Max 212 – 1,800<br />

P 5 -P 95 307-1,392<br />

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Gestational Age<br />

Median gestational age for 2010 cohort babies died in delivery room has been<br />

of 23 weeks. Extreme values are those under 21 weeks, and above 30.8 weeks<br />

(Percentile 5 and Percentile 95).<br />

Gestational Age<br />

Mean (SD) 23.9 (2.6)<br />

95% CI (Mean) (23.4;24.4)<br />

Med [Q1,Q3] 23 [22 ; 24]<br />

Min-Max 20-33<br />

P5-P95 21-30.8<br />

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Birth Length and Birth Head Cirumference<br />

Median birth length for 2010 cohort babies dien in delivery room has been of<br />

3.31 cm. Extreme values are those under 26.8 cm, and above 37.9 cm<br />

(Percentile 5 and Percentile 95).<br />

For birth head circumference median was of 22.6 cm. Extreme values are those<br />

under 19.3 cm, and above 27 cm (Percentile 5 and Percentile 95).<br />

Birth length<br />

Birth head<br />

circumference<br />

Mean (SD) 31.3(3.3) 22.6 (2.1)<br />

95% CI (Mean) (30.2;32.5) (21.9;23.3)<br />

Med [Q 1 ,Q 3 ] 31 (29.2;32) 22.5(21-23.5)<br />

Min-Max 26-43 19-27<br />

P 5 -P 95 26.8-37.9 19.3-27<br />

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Apgar Scores<br />

For babies died in delivery room, 1-min Apgar Score mean has been of 1.6, and<br />

5-min score mean of 1.4. None of them scored more than 5.<br />

1-min Apgar<br />

Score<br />

5-min Apgar<br />

Score<br />

Mean (SD) 1.6 (1.4) 1.4 (1.5)<br />

95% CI (Mean) (1.3;1.9) (1.1 , 1.8)<br />

Med [Q 1 ,Q 3 ] 1 [1;2] 1 [1,2]<br />

Min-Max 0 -7 0 – 9<br />

P 5 -P 95 0 -5 0 - 5<br />

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Perinatal Factors<br />

For died in delivery room population, more than half were male (54.9%). A<br />

23.3% of babies were born by caesarean section, a 18.4% were multiple, a<br />

23.5% of all babies received some prenatal steroids and a 98.7% received<br />

prenatal care.<br />

N %<br />

Male 56 54.9<br />

Multiple Gestation 19 18.4<br />

Caesarean Section 24 23.3<br />

Prenatal Steroids (Inc. + Compl.) 20 23.5<br />

Prenatal Care 75 98.7<br />

Gender<br />

54.9%<br />

Multiple Gestation<br />

18.4%<br />

Caesarean Section<br />

23.3%<br />

Prenatal Steroids (Inc. + Compl.)<br />

23.5%<br />

Prenatal Care<br />

98.7%<br />

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Resuscitation in Delivery Room<br />

A 21.6% of babies died in delivery room needed some kind of resuscitation<br />

(excluding oxygen). Oxygen rate was of 24.5%.<br />

Delivery Room Resuscitation N %<br />

Oxygen 25 24.5<br />

Any Non Aggressive Positive Ventilation 18 17.6<br />

Endotracheal Intubation 17 16.7<br />

Adrenaline/Epinephrine 7 6.9<br />

Cardiac Compression 7 6.9<br />

Any Resuscitation in Delivery Room (ex. O 2 ) 22 21.6<br />

Oxygen<br />

24.5%<br />

Non Aggressive Positive Ventilation<br />

17.6%<br />

Endotracheal Intubation<br />

16.7%<br />

Adrenaline/Epinephrine<br />

6.9%<br />

Cardiac Compression<br />

6.9%<br />

Any Resuscitation in DR (Ex. O 2 )<br />

21.6%<br />

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Note: Only analysed deaths in Delivery Room.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLGAI<br />

Major Birth Defects<br />

A 21.4% of babies died in delivery room had a major birth defect; a 91.7% had<br />

one and an 8.3% two. These 22 babies summed 24 congenital abnormalities.<br />

Most common birth defect was skeletal dysplasia (12.5%).<br />

Major Birth Defect N %<br />

Skeletal dysplasia 3 12,5<br />

Anencephaly and similar malformations 2 8,3<br />

Bilateral renal agenesis 2 8,3<br />

Down s syndrome 2 8,3<br />

Hydranencephaly 2 8,3<br />

Hypoplastic left heart syndrome 2 8,3<br />

Double outlet right ventricle 1 4,2<br />

Edwards' syndrome and Patau's syndrome 1 4,2<br />

Holoprosencephaly 1 4,2<br />

Meningomyelocele 1 4,2<br />

Transposition of the great vessels 1 4,2<br />

Other CNS Defects 2 8,3<br />

Other GI Defects 2 8,3<br />

Other defects of metabolism and other origin 1 4,2<br />

Other GU Defects 1 4,2<br />

Total 24 100<br />

Need for Surfactant<br />

Only two babies that died in delivery room needed surfactant. One of them<br />

received one surfactant dose at 5 minutes of life, and the other a single dose at<br />

3 hours and 40 minutes of life.<br />

EuroNeoNet 2010<br />

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Note: Only analysed deaths in Delivery Room.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLGAI<br />

Cause of death<br />

Cause of death was only specified for 59 babies of 103 that died in delivery<br />

room. Most frequent cause was Extreme Prematurity (28.8%), followed by<br />

Congenital Malformations (27.1%).<br />

Cause of Death N %<br />

Extreme Prematurity 17 28,8<br />

Congenital Malformation 16 27,1<br />

Respiratory Failure 7 11,9<br />

Sepsis 2 3,4<br />

Severe Pulmonary Immaturity 2 3,4<br />

Chorioamnionitis 1 1,7<br />

Fetal Ascites Hydrops 1 1,7<br />

Neurological 1 1,7<br />

Unknown 1 1,7<br />

Other 11 18,6<br />

Total 59 100<br />

Extreme Prematurity 28.8%<br />

Congenital Malformations 27.1%<br />

Respiratory Failure 11.9%<br />

Sepsis 3.4%<br />

Severe Pulmonary Immaturity 3.4%<br />

Chorioamnionitis 1.7%<br />

Feta Ascites Hydrops 1.7%<br />

Neurological 1.7%<br />

Unknown 1.7%<br />

Other 18.6%<br />

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Note: Only analysed deaths in Delivery Room.


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<strong>Annual</strong> <strong>Report</strong> for VLGAI<br />

An autopsy was done to 49.3% of babies and therapeutic efforts were limited to<br />

an 88.9% of babies died in delivery room.<br />

N %<br />

Autopsy 37 49.3<br />

Therapeutic efforts limited 72 88.9<br />

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Note: Only analysed deaths in Delivery Room.


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<strong>Annual</strong> <strong>Report</strong> for VLGAI<br />

5.2 2010 Cohort General Description: Admitted babies.<br />

Total number of admitted babies in EuroNeoNet NICU’s for 2010 cohort, has<br />

been of 7,437.<br />

5.2.1 Perinatal Risk Factors<br />

Birth Weight<br />

Mean birth weight for 2010 babies admitted to the NICU has been of 1,179.3 g.<br />

Extreme values are those under 613.6 g., and above 1,720g. (Percentile 5 and<br />

Percentile 95).<br />

Birth weight<br />

Mean (SD) 1,179.3 (342.2)<br />

95% CI (Mean) (1,171.5;1,1187)<br />

Med [Q 1 ,Q 3 ] 1,200 [920;1,420]<br />

Min-Max 227 -3,064<br />

P 5 -P 95 613.6 - 1,720<br />

EuroNeoNet 2010<br />

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Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


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5.2.2 Gestational Age<br />

Median gestational age for 2010 cohort has been of 29 weeks. Extreme values<br />

are those under 24 weeks, and above 33 weeks (Percentile 5 and Percentile<br />

95).<br />

Gestational Age<br />

Mean (SD) 29.1 (2.7)<br />

95% CI (Mean) (29 , 29.1)<br />

Med [Q1,Q3] 29 [27 ; 31]<br />

Min-Max 21 - 41<br />

P5-P95 24 - 33<br />

EuroNeoNet 2010<br />

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Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


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5.2.3 Apgar Scores<br />

1-min Apgar Score mean has been of 6.2, and 5-min score mean of 8.<br />

1-min Apgar<br />

Score<br />

5-min Apgar<br />

Score<br />

Mean (SD) 6.2 (2.5) 8 (2)<br />

95% CI (Mean) (6.13 , 6.24) (7.93 , 8.02)<br />

Med [Q 1 ,Q 3 ] 7 [5;8] 8 [7,9]<br />

Min-Max 0 – 10 0 – 10<br />

P 5 -P 95 1 – 9 4 - 10<br />

EuroNeoNet 2010<br />

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Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLGAI<br />

5.2.4 Perinatal Factors<br />

More than half of the population were male (51.4%). A 70.8% of babies were<br />

born by caesarean section and a 33.1% were multiple.<br />

Regarding to prenatal care and prenatal steroids, a 85.6% of babies received<br />

prenatal care and a 84.5% received prenatal steroids (incomplete or complete).<br />

N %<br />

Male 3,819 51.4<br />

Multiple Birth 2,458 33.1<br />

Caesarean Section 5,257 70.8<br />

Prenatal Steroids 6,203 84.5<br />

Prenatal Care 5,049 85.6<br />

Gender<br />

51.4%<br />

Multiple Birth<br />

33.1%<br />

Caesarean Section<br />

70.8%<br />

Prenatal Steroids<br />

84.5%<br />

Prenatal Care<br />

85.6%<br />

EuroNeoNet 2010<br />

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Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


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<strong>Annual</strong> <strong>Report</strong> for VLGAI<br />

5.2.5 Respiratory <strong>System</strong><br />

A 64.6% of babies admitted to the NICU received some kind of resuscitation in<br />

Delivery Room, excluding Oxygen.<br />

Need for surfactant rate was of 48.3% and surfactant was administrated within<br />

the first hour of life in a 27.5% of babies.<br />

Respiratory Distress syndrome was diagnosed in a 65.1% of babies admitted to<br />

the NICU.<br />

N %<br />

Resuscitatin in DR 4,790 64.6<br />

Surfactant at any time 3,590 48.3<br />

Surfactant within the first hour of life 1,985 27.5<br />

RDS Diagnose 4,752 65.1<br />

Resuscitation in Delivery Room<br />

64.6%<br />

Surfactant at any time<br />

48.3%<br />

Surfactant within the 1 st hour of life<br />

48.3%<br />

RDS<br />

65.1%<br />

0 20 40 60 80<br />

EuroNeoNet 2010<br />

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Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


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<strong>Annual</strong> <strong>Report</strong> for VLGAI<br />

5.2.6 Early Bacterial Sepsis<br />

Early Bacterial Sepsis was diagnosed in a 3.4% of babies admitted to the NICU.<br />

Most frequent pathogen was Escherichia coli (22.7%), followed by Group betahemolytic<br />

streptococcus (13.3%). Pathogen type wasn’t specified for 45 of<br />

babies that had an early bacterial sepsis.<br />

N %<br />

Early Bacterial Sepsis 248 3.4<br />

Early Bacterial Sepsis Pathogen N %<br />

Escherichia coli 46 22,7<br />

Group B beta-hemolytic streptococcus 27 13,3<br />

Staphylococcus epidermidis 25 12,3<br />

Enterococcus faecalis (Streptococcus faecalis) 17 8,4<br />

Staphylococcus aureus 12 5,9<br />

Listeria monocytogenes 9 4,4<br />

Klebsiella pneumoniae 7 3,4<br />

Cándida albicans 4 2<br />

Serratia marcescens 4 2<br />

Citrobacter species 3 1,5<br />

Enterobacter cloacae 1 0,5<br />

Moraxella spp 1 0,5<br />

Neisseria meningitidis 1 0,5<br />

Ralstonia species 1 0,5<br />

Stenotrophomonas maltophilia 1 0,5<br />

Streptococcus pneumoniae 1 0,5<br />

Ureaplasma urealiticum 1 0,5<br />

Other Candida spp (C.parapsilosis and othyer) 1 0,5<br />

Other Streptococcus spp (S. group A, S. group D and other) 3 1,5<br />

Other Virus 1 0,5<br />

Other 37 18,2<br />

Total 203 100<br />

EuroNeoNet 2010<br />

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Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLGAI<br />

5.2.7 Diagnoses<br />

A 3.6% of babies admitted to the NICU were diagnosed of Pneumothorax, a<br />

5.5% of NEC and a 1.8% of Focal Gastrintestinal Perforation.<br />

N %<br />

Pneumothorax Diagnose 270 3.6<br />

NEC Diagnose 404 5.5<br />

Focal Gastrointestinal Diagnose 129 1.8<br />

Pneumothorax<br />

3.6 %<br />

Necrotizing Enterocholitis<br />

5.5%<br />

Focal Gastrointestinal Perforation<br />

1.8%<br />

EuroNeoNet 2010<br />

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Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


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<strong>Annual</strong> <strong>Report</strong> for VLGAI<br />

5.2.8 Morbi-Mortality<br />

Mortality rate for babies admitted to the NICU was of a 10.3%.<br />

BPD was diagnosed in a 16.8%, severe PIVH in a 7.8%, Cystic PVL in a 4.4%<br />

and a 23.3% had a late bacterial sepsis.<br />

N %<br />

Severe PIVH (Grades III-IV) 520 7.8<br />

Oxygen on week 36 (BPD) 640 16.8<br />

Late Bacterial Sepsis 1,721 23.3<br />

Cystic PVL 285 4.4<br />

Overall Mortality 766 10.3<br />

PIVH(Grades III or IV)<br />

7.8%<br />

Oxygen on week 36 (BPD)<br />

16.8%<br />

Late Bacterial Sepsis<br />

23.3%<br />

Cystic PVL<br />

4.4%<br />

Mortality<br />

10.3%<br />

EuroNeoNet 2010<br />

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Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLGAI<br />

From the 1,721 babies that had a late bacterial sepsis, only a 57.6% (992)<br />

registered which pathogen caused the infection.<br />

Number of Infections’ episode N %<br />

One episode 809 81.6<br />

Two episodes 128 12.9<br />

Three episodes 55 5.5<br />

An 81.6% had only one sepsis episode, a 12.9% two and a 5.5% three. That<br />

sums 1,230 late sepsis episodes. The most frequent pathogen was<br />

Staphylococcus epidermidis (45.9%) followed by Stahylococcus aureus (8.8%).<br />

Late Bacterial Sepsis Pathogen N %<br />

Staphylococcus epidermidis 565 45,9<br />

Staphylococcus aureus 108 8,8<br />

Klebsiella pneumoniae 98 8<br />

Escherichia coli 71 5,8<br />

Enterococcus faecalis (Streptococcus faecalis) 64 5,2<br />

Enterobacter cloacae 49 4<br />

Serratia marcescens 38 3,1<br />

Group B beta-hemolytic streptococcus 29 2,4<br />

Pseudomonas aeruginosa 29 2,4<br />

Cándida albicans 28 2,3<br />

Candida parapsilopsis 10 0,8<br />

Proteus mirabilis 5 0,4<br />

Other Streptococcus spp 5 0,4<br />

Stenotrophomonas maltophilia 5 0,4<br />

Acinetobacter spp 4 0,3<br />

Other Enterococcus spp 4 0,3<br />

Other Serratia spp 4 0,3<br />

Other Pseudomonas 2 0,2<br />

Oher virus 2 0,2<br />

Citrobacter species 1 0,1<br />

Ureaplasma urealiticum 1 0,1<br />

Clamidia 1 0,1<br />

Clostridium spp 1 0,1<br />

Other Klebsiella spp 18 1,5<br />

Other Candida spp 7 0,6<br />

Other Enterobacter spp 1 0,1<br />

Other Proteus spp 1 0,1<br />

Other 79 6,4<br />

Total 1230 100<br />

EuroNeoNet 2010<br />

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Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLGAI<br />

5.2.9 Global Results Summary: Risk factors, interventions and general results.<br />

5.2.9.1 By Birth Weight<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr.<br />

> 1500 gr. TOTAL<br />

Nº % Nº % Nº % Nº % Nº % Nº % Nº %<br />

Nº of babies recalled 108 1,5 866 11,6 1405 18,9 1709 23 2409 32,4 940 12,6 7437 100<br />

Male 47 43,5 397 45,8 716 51 864 50,6 1240 51,5 555 59 3819 51,4<br />

Multiple Gestation 27 25 235 27,1 443 31,6 551 32,2 886 36,8 316 33,6 2458 33,1<br />

Prenatal Steroids 81 77,1 742 86,9 1206 87,3 1453 86,1 1933 81,4 788 84,1 6203 84,5<br />

Caesarean Section 66 61,1 540 62,4 1017 72,6 1286 75,3 1775 73,7 573 61 5257 70,8<br />

Resuscitation in Delivery Area (1) 91 84,3 785 90,9 1149 82 1098 64,5 1164 48,6 503 53,7 4790 64,6<br />

Surfactant at any time 78 72,2 728 84,2 1027 73,1 821 48,1 697 28,9 239 25,4 3590 48,3<br />

Surfactant within the first hour of life 57 53,8 512 61,8 631 47,2 431 26 269 11,4 85 9,1 1985 27,5<br />

RDS Diagnose (2) 83 77,6 740 88,3 1126 82,4 1112 66,8 1152 48,4 539 57,3 4752 65,1<br />

Early Sepsis 4 3,8 48 5,8 64 4,7 65 3,9 46 1,9 21 2,3 248 3,4<br />

Mortality 55 50,9 303 35 222 15,8 94 5,5 70 2,9 22 2,3 766 10,3<br />

Pneumothorax (2) 5 4,6 49 5,7 70 5 44 2,6 72 3 30 3,2 270 3,6<br />

PIVH (Grades > 0) (3) 32 39 353 45,6 453 35,4 359 23,2 300 14 132 16,2 1629 24,5<br />

PIVH (Grades III or IV) (3) 12 14,6 163 21,1 162 12,6 99 6,4 62 2,9 22 2,7 520 7,8<br />

NEC (2) 12 11,2 110 13 116 8,5 91 5,4 55 2,3 20 2,1 404 5,5<br />

FGP (2) 7 6,5 32 3,8 51 3,7 23 1,4 14 0,6 2 0,2 129 1,8<br />

ROP (Grades > 0) (4) 22 48,9 282 53,7 371 34,3 219 16,1 135 8,1 22 4 1051 20,1<br />

Oxygen on day 28 (5) 43 91,5 443 85,4 618 60,1 362 28,6 163 11,2 25 5,9 1654 34,9<br />

Oxygen on week 36 (6) 15 46,9 203 48,8 222 27,8 123 12,6 64 4,9 13 4,8 640 16,8<br />

Steroids for CLD (2) 16 17,2 159 20,6 143 11,3 53 3,4 25 1,1 14 1,8 410 6,2<br />

Cystic PVL (2) 3 3,2 39 4,8 73 5,4 71 4,3 66 2,9 33 3,7 285 4<br />

Late Sepsis (2) 29 27,9 358 42,1 544 39,1 392 23,1 318 13,3 80 8,6 1721 23,3<br />

(1) Excluding Oxygen in Delivery Area. (3) Exluded Babies Died in Delivery Room and Without Cranial Imaging Done. (5) Excluded Babies Dischraged Before Day 28 of Life<br />

(2) Deaths in Delivery Room Excluded. (4) Excluded Babies Died in Delivery Room and Without Retinal Exam Done (6) Excluded Babies Discharged Before Week 36 Adjusted to Gestational Age.<br />

RDS: Respiratory Distress Syndrome.<br />

NEC: Necrotizing Enterocholitis<br />

ROP: Retinopathy of Prematurity.<br />

PIVH: Periventricular-Intraventricular Haemorrhage.<br />

FGP: Focal Gastrointestinal Perforation.<br />

PVL: Periventricual Leukomalacia.<br />

EuroNeoNet 2010<br />

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Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


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5.2.9.2 By Gestational Age.<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk.<br />

> 31 wk. TOTAL<br />

Nº % Nº % Nº % Nº % Nº % Nº % Nº %<br />

Nº of babies recalled 116 1,6 738 9,9 1260 16,9 1732 23,3 2453 33 1138 15,3 7437 100<br />

Male 63 54,3 387 52,4 655 52 954 55,1 1251 51 509 44,8 3819 51,4<br />

Multiple Gestation 33 28,4 208 28,2 373 29,6 531 30,7 919 37,5 394 34,6 2458 33,1<br />

Prenatal Steroids 67 59,8 621 85,2 1078 87,3 1508 87,8 2110 86,6 819 73,7 6203 84,5<br />

Caesarean Section 23 19,8 355 48,2 877 69,9 1244 71,9 1763 71,9 995 87,4 5257 70,8<br />

Resuscitation in Delivery Area (1) 101 87,8 704 95,4 1060 84,1 1201 69,6 1298 53,1 426 37,8 4790 64,6<br />

Surfactant at any time 92 79,3 670 90,8 1000 79,5 996 57,5 753 30,7 79 6,9 3590 48,3<br />

Surfactant within the first hour of life 71 62,3 508 71,9 643 53,7 472 28,3 260 10,8 31 2,7 1985 27,5<br />

RDS Diagnose (2) 88 76,5 654 91,7 1083 88 1283 76,2 1378 56,9 266 23,5 4752 65,1<br />

Early Sepsis 9 8,3 58 8,1 68 5,5 59 3,5 46 1,9 8 0,7 248 3,4<br />

Mortality 83 71,6 282 38,2 199 15,8 102 5,9 69 2,8 31 2,7 766 10,3<br />

Pneumothorax (2) 6 5,2 62 8,4 52 4,1 64 3,7 75 3,1 11 1 270 3,6<br />

PIVH (Grades > 0) (3) 53 63,1 364 55,1 419 36,4 369 23,3 320 14,7 104 10,6 1629 24,5<br />

PIVH (Grades III or IV) (3) 33 39,3 185 28 149 12,9 91 5,7 48 2,2 14 1,4 520 7,8<br />

NEC (2) 13 11,3 83 11,6 118 9,6 101 6 64 2,6 25 2,2 404 5,5<br />

FGP (2) 3 2,6 36 5 46 3,7 23 1,4 18 0,7 3 0,3 129 1,8<br />

ROP (Grades > 0) (4) 19 65,5 258 60 370 38,1 252 18 129 7,5 23 3,4 1051 20,1<br />

Oxygen on day 28 (5) 26 96,3 369 88,5 661 72,2 441 33,8 128 8,6 29 5 1654 34,9<br />

Oxygen on week 36 (6) 8 61,5 142 47,8 238 35,3 145 16,6 71 6,4 36 4,3 640 16,8<br />

Steroids for CLD (2) 15 12,9 143 21,8 148 13,1 61 4 35 1,6 8 0,8 410 6,2<br />

Cystic PVL (2) 3 3,3 38 5,5 79 6,5 69 4,1 78 3,3 18 1,7 285 4<br />

Late Sepsis (2) 33 30 310 42,9 510 40,8 418 24,3 319 13,1 131 11,5 1721 23,3<br />

(1) Excluding Oxygen in Delivery Area. (3) Exluded Babies Died in Delivery Room and Without Cranial Imaging Done. (5) Excluded Babies Dischraged Before Day 28 of Life<br />

(2) Deaths in Delivery Room Excluded. (4) Excluded Babies Died in Delivery Room and Without Retinal Exam Done (6) Excluded Babies Discharged Before Week 36 Adjusted to Gestational Age.<br />

RDS: Respiratory Distress Syndrome.<br />

NEC: Necrotizing Enterocholitis<br />

ROP: Retinopathy of Prematurity.<br />

PIVH: Periventricular-Intraventricular Haemorrhage.<br />

FGP: Focal Gastrointestinal Perforation.<br />

PVL: Periventricual Leukomalacia.<br />

EuroNeoNet 2010<br />

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Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


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6 RESULTS.<br />

6.1 Multiple Gestation Rate<br />

Definition: any birth involving more than one infant.<br />

6.1.1 Multiple Gestation Rate by Birth Weight per Unit.<br />

The global multiple gestation rate for 2010 cohort has been of 33.1%, with a<br />

variation of 15.4% and 68.4% within units.<br />

Unit<br />

Code<br />

Multiple Gestation Rate against Birth Weight by Participating Unit<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

N % N % N % N % N % N % N %<br />

1 1 100 5 62,5 4 26,7 7 33,3 12 38,7 7 36,8 36 37,9<br />

2 --- --- --- --- --- --- 1 20 3 42,9 2 22,2 6 24<br />

3 --- --- 4 25 4 17,4 14 37,8 9 25 10 23,8 41 26,5<br />

4 2 66,7 2 25 --- --- 3 18,8 8 38,1 4 28,6 19 27,1<br />

5 1 33,3 6 28,6 7 23,3 11 34,4 9 23,1 11 26,2 45 26,9<br />

6 1 11,1 4 25 13 38,2 11 40,7 15 34,1 14 33,3 58 33,7<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- 1 16,7 1 11,1 4 80 6 27,3<br />

9 --- --- --- --- --- --- 3 30 2 13,3 1 14,3 6 16,7<br />

10 1 100 3 42,9 2 28,6 3 18,8 5 35,7 10 62,5 24 39,3<br />

11 --- --- 4 30,8 10 40 12 36,4 13 27,7 5 19,2 44 30,3<br />

12 --- --- 13 23,2 22 27,2 33 33,3 65 41,9 29 33,3 162 33,7<br />

13 --- --- --- --- --- --- --- --- 4 33,3 --- --- 4 16<br />

14 1 33,3 5 15,2 10 21,3 29 43,3 48 39 18 35,3 111 34,3<br />

15 --- --- --- --- 3 13,6 2 28,6 9 25 2 18,2 16 19,3<br />

16 --- --- --- --- 2 50 2 50 8 42,1 3 27,3 15 37,5<br />

17 --- --- 3 33,3 5 35,7 7 26,9 13 46,4 6 46,2 34 37,8<br />

18 --- --- --- --- 2 28,6 7 30,4 8 36,4 4 30,8 21 30,4<br />

19 --- --- 1 12,5 1 16,7 3 20 5 26,3 6 33,3 16 23,9<br />

20 --- --- 1 20 6 33,3 2 12,5 9 37,5 7 46,7 25 31,6<br />

21 --- --- 3 100 1 20 3 27,3 8 44,4 --- --- 15 36,6<br />

22 --- --- 2 40 4 36,4 4 33,3 4 21,1 5 31,3 19 29,7<br />

23 --- --- 8 25,8 15 29,4 15 26,3 9 18,8 7 25,9 54 25,1<br />

24 --- --- 7 26,9 19 33,9 18 36,7 18 43,9 --- --- 62 36<br />

25 --- --- --- --- --- --- 3 30 4 33,3 --- --- 7 28<br />

26 --- --- 7 36,8 5 35,7 8 57,1 15 68,2 --- --- 35 50,7<br />

27 --- --- --- --- 3 25 5 55,6 8 38,1 --- --- 16 33,3<br />

28 --- --- --- --- 6 75 1 50 6 66,7 --- --- 13 68,4<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 --- --- 5 50 5 25 7 63,6 12 36,4 --- --- 29 39,2<br />

31 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

32 1 50 2 33,3 1 14,3 4 50 2 22,2 --- --- 10 31,3<br />

33 1 25 7 38,9 16 51,6 17 50 25 48,1 1 100 67 47,9<br />

34 1 100 1 16,7 3 25 2 20 9 69,2 --- --- 16 38,1<br />

35 --- --- 3 50 3 37,5 1 33,3 --- --- --- --- 7 28<br />

36 --- --- 5 62,5 9 75 6 33,3 13 41,9 --- --- 33 47,8<br />

37 --- --- --- --- --- --- 2 18,2 4 19 --- --- 6 15,4<br />

38 --- --- 3 60 3 37,5 4 40 6 33,3 --- --- 16 38,1<br />

39 --- --- 2 40 6 33,3 3 25 4 18,2 1 50 16 27,1<br />

40 --- --- 2 50 1 20 4 50 7 53,8 --- --- 14 45,2<br />

41 --- --- 1 9,1 3 25 4 26,7 4 19 --- --- 12 20<br />

42 --- --- 1 50 3 50 4 22,2 1 12,5 --- --- 9 26,5<br />

43 --- --- 1 50 6 66,7 4 36,4 18 60 --- --- 29 55,8<br />

44 --- --- --- --- 5 55,6 6 50 15 60 --- --- 26 50<br />

45 --- --- --- --- 2 28,6 3 25 4 25 --- --- 9 22,5<br />

TOTAL<br />

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Unit<br />

Code<br />

Multiple Gestation Rate against Birth Weight by Participating Unit<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

46 --- --- 1 50 --- --- 2 40 3 100 --- --- 6 54,5<br />

47 --- --- --- --- 1 25 2 33,3 3 20 --- --- 6 21,4<br />

48 --- --- --- --- --- --- 1 25 10 52,6 --- --- 11 37,9<br />

49 --- --- 1 33,3 4 80 1 10 2 50 --- --- 8 36,4<br />

50 --- --- 1 25 7 87,5 3 42,9 4 50 --- --- 15 55,6<br />

51 --- --- 4 36,4 6 26,1 7 20 9 32,1 6 27,3 32 26,4<br />

52 1 33,3 6 31,6 10 23,8 9 24,3 20 40,8 --- --- 46 30,7<br />

53 --- --- 3 50 --- --- 3 60 4 30,8 --- --- 10 33,3<br />

54 --- --- --- --- --- --- 2 100 4 57,1 --- --- 6 46,2<br />

55 --- --- --- --- 15 41,7 22 36,7 35 50,7 --- --- 72 38,9<br />

56 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

57 --- --- 1 12,5 1 9,1 3 25 6 26,1 --- --- 11 20,4<br />

58 --- --- 2 50 2 15,4 4 22,2 8 30,8 --- --- 16 26,2<br />

59 --- --- --- --- --- --- 1 33,3 2 28,6 --- --- 3 21,4<br />

60 --- --- --- --- 2 28,6 3 23,1 2 12,5 --- --- 7 17,5<br />

61 --- --- 3 33,3 5 55,6 5 35,7 6 46,2 --- --- 19 42,2<br />

62 --- --- 5 71,4 1 16,7 1 11,1 3 30 --- --- 10 30,3<br />

63 --- --- 3 37,5 2 8,3 17 42,5 15 30,6 --- --- 37 30,6<br />

64 --- --- --- --- 2 40 1 8,3 7 30,4 --- --- 10 24,4<br />

65 --- --- --- --- --- --- 3 30 3 21,4 --- --- 6 15,8<br />

66 --- --- 1 20 8 32 7 33,3 8 47,1 --- --- 24 34,8<br />

67 --- --- 7 38,9 12 40 8 25 21 47,7 1 100 49 39,2<br />

68 --- --- 2 18,2 6 50 2 11,1 3 20 --- --- 13 23,2<br />

69 --- --- 1 33,3 --- --- 3 50 3 25 --- --- 7 31,8<br />

70 --- --- 1 16,7 11 44 10 50 19 50 19 70,4 60 51,7<br />

71 --- --- 5 62,5 4 66,7 2 33,3 9 75 --- --- 20 62,5<br />

72 --- --- --- --- --- --- 1 100 --- --- --- --- 1 50<br />

73 --- --- --- --- 2 40 4 30,8 --- --- --- --- 6 24<br />

74 1 50 7 41,2 9 37,5 7 30,4 7 26,9 14 48,3 45 37,2<br />

75 --- --- 7 58,3 4 33,3 13 46,4 8 29,6 8 40 40 40<br />

76 --- --- 8 38,1 12 42,9 7 23,3 14 42,4 7 23,3 48 32,9<br />

77 1 33,3 7 77,8 --- --- 5 38,5 12 50 3 37,5 28 41,2<br />

78 --- --- --- --- --- --- 7 50 7 53,8 3 30 17 35,4<br />

79 --- --- --- --- --- --- 4 23,5 8 30,8 5 27,8 17 21<br />

80 --- --- 1 33,3 7 63,6 2 33,3 10 62,5 1 33,3 21 53,8<br />

81 --- --- 5 50 5 23,8 3 13,6 16 38,1 9 39,1 38 31,7<br />

82 --- --- 1 20 4 36,4 3 25 5 26,3 4 26,7 17 27<br />

83 5 71,4 7 28 9 31 12 37,5 17 39,5 22 57,9 72 41,4<br />

84 --- --- 1 11,1 7 38,9 3 18,8 19 45,2 --- --- 30 34,1<br />

85 --- --- --- --- 4 50 --- --- 2 15,4 --- --- 6 17,6<br />

86 --- --- 3 60 7 38,9 1 16,7 7 46,7 4 66,7 22 44<br />

87 2 100 1 33,3 --- --- 7 35 7 30,4 7 43,8 24 35,3<br />

88 --- --- 8 29,6 9 34,6 10 28,6 13 33,3 5 19,2 45 29<br />

89 --- --- --- --- --- --- 5 38,5 7 58,3 5 31,3 17 37<br />

90 --- --- --- --- 3 33,3 4 36,4 8 32 8 36,4 23 32,4<br />

91 --- --- --- --- --- --- 3 33,3 5 31,3 3 25 11 23,4<br />

92 1 100 9 25,7 19 45,2 22 43,1 24 40,7 1 50 76 40<br />

93 4 28,6 6 15,8 8 22,9 8 17 19 31,7 13 25,5 58 23,7<br />

94 1 9,1 6 23,1 15 38,5 13 43,3 10 40 3 20 48 32,9<br />

95 1 100 --- --- 4 33,3 2 28,6 5 29,4 6 54,5 18 31<br />

96 --- --- --- --- 6 35,3 4 30,8 5 22,7 2 12,5 17 24,3<br />

TOTAL 27 25 235 27,1 443 31,6 551 32,2 886 36,8 316 33,6 2458 33,1<br />

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6.1.2 Multiple Gestation Rate by Gestational Age per Unit.<br />

Table 6.1.2 shows the multiple gestation distribution according to gestational<br />

age for each Unit.<br />

Unit<br />

Code<br />

Multiple Gestation Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 1 50 3 30 8 47,1 6 27,3 11 33,3 7 63,6 36 37,9<br />

2 --- --- --- --- --- --- --- --- 3 21,4 3 60 6 24<br />

3 --- --- 2 14,3 8 42,1 9 27,3 19 27,1 3 21,4 41 26,5<br />

4 2 66,7 2 25 --- --- 1 7,1 10 37 4 57,1 19 27,1<br />

5 2 22,2 --- --- 11 27,5 12 42,9 17 25 3 27,3 45 26,9<br />

6 3 37,5 5 26,3 9 31 14 35,9 22 35,5 5 33,3 58 33,7<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- --- --- 6 46,2 --- --- 6 27,3<br />

9 --- --- --- --- 2 33,3 --- --- 4 30,8 --- --- 6 16,7<br />

10 --- --- 4 57,1 2 50 2 14,3 13 46,4 3 42,9 24 39,3<br />

11 --- --- 4 30,8 11 57,9 6 16,2 12 23,1 11 45,8 44 30,3<br />

12 --- --- 9 24,3 17 25,4 35 30,2 69 39,2 32 38,1 162 33,7<br />

13 --- --- --- --- --- --- 3 42,9 --- --- 1 16,7 4 16<br />

14 --- --- --- --- 12 34,3 27 33,3 51 40,5 21 32,3 111 34,3<br />

15 --- --- 1 25 --- --- 1 5,9 9 36 5 22,7 16 19,3<br />

16 --- --- --- --- 2 50 2 50 4 22,2 7 58,3 15 37,5<br />

17 --- --- 2 66,7 3 18,8 9 39,1 13 41,9 7 41,2 34 37,8<br />

18 --- --- --- --- 2 18,2 10 62,5 4 15,4 5 41,7 21 30,4<br />

19 --- --- 1 12,5 --- --- 2 12,5 11 39,3 2 18,2 16 23,9<br />

20 --- --- 2 25 4 23,5 2 20 14 45,2 3 23,1 25 31,6<br />

21 --- --- 2 66,7 2 40 2 33,3 7 33,3 2 33,3 15 36,6<br />

22 --- --- 4 57,1 2 22,2 6 40 4 17,4 3 30 19 29,7<br />

23 1 100 9 31 11 27,5 15 24,2 17 25,8 1 5,9 54 25,1<br />

24 --- --- 2 13,3 17 34,7 24 40,7 19 39,6 --- --- 62 36<br />

25 --- --- --- --- --- --- 2 16,7 1 25 4 57,1 7 28<br />

26 1 50 4 40 5 33,3 6 42,9 14 73,7 5 55,6 35 50,7<br />

27 --- --- --- --- 2 16,7 10 50 4 50 --- --- 16 33,3<br />

28 --- --- --- --- 4 80 2 50 3 50 4 100 13 68,4<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 --- --- 6 50 5 31,3 2 20 10 55,6 6 37,5 29 39,2<br />

31 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

32 --- --- 4 57,1 1 14,3 2 28,6 --- --- 3 60 10 31,3<br />

33 --- --- 5 29,4 14 50 11 45,8 27 54 10 50 67 47,9<br />

34 --- --- 2 33,3 2 16,7 4 50 5 71,4 3 33,3 16 38,1<br />

35 --- --- 2 66,7 3 42,9 --- --- 2 33,3 --- --- 7 28<br />

36 --- --- 6 75 4 50 9 56,3 8 42,1 6 33,3 33 47,8<br />

37 --- --- --- --- --- --- --- --- 4 26,7 2 20 6 15,4<br />

38 --- --- 3 100 2 28,6 2 18,2 6 54,5 3 30 16 38,1<br />

39 --- --- --- --- 7 46,7 6 37,5 1 10 2 14,3 16 27,1<br />

40 1 100 --- --- 1 33,3 3 30 6 60 3 42,9 14 45,2<br />

41 --- --- --- --- 4 44,4 2 11,8 4 33,3 2 13,3 12 20<br />

42 --- --- --- --- 5 55,6 1 12,5 2 22,2 1 16,7 9 26,5<br />

43 --- --- 2 33,3 --- --- 3 50 11 64,7 13 65 29 55,8<br />

44 --- --- 2 50 2 25 3 25 4 44,4 15 78,9 26 50<br />

45 --- --- --- --- --- --- 5 29,4 1 14,3 3 30 9 22,5<br />

EuroNeoNet 2010 34<br />

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Unit<br />

Code<br />

Multiple Gestation Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

46 1 100 --- --- --- --- 2 40 2 66,7 1 100 6 54,5<br />

47 --- --- --- --- 2 40 1 14,3 2 25 1 16,7 6 21,4<br />

48 --- --- --- --- --- --- 4 40 5 71,4 2 28,6 11 37,9<br />

49 --- --- 1 100 2 25 2 33,3 3 42,9 --- --- 8 36,4<br />

50 --- --- 2 50 4 66,7 4 57,1 3 42,9 2 66,7 15 55,6<br />

51 2 50 3 20 7 38,9 --- --- 12 30,8 8 47,1 32 26,4<br />

52 2 100 5 18,5 4 16,7 9 28,1 17 44,7 9 33,3 46 30,7<br />

53 --- --- 2 66,7 2 25 --- --- 6 66,7 --- --- 10 33,3<br />

54 --- --- --- --- --- --- --- --- 4 80 2 50 6 46,2<br />

55 --- --- --- --- 19 37,3 19 43,2 17 40,5 17 53,1 72 38,9<br />

56 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

57 --- --- 1 20 --- --- 2 15,4 5 50 3 21,4 11 20,4<br />

58 --- --- 2 40 2 25 3 27,3 5 25 4 25 16 26,2<br />

59 --- --- --- --- --- --- --- --- 1 25 2 40 3 21,4<br />

60 --- --- --- --- 3 60 1 12,5 3 20 --- --- 7 17,5<br />

61 --- --- 1 20 4 50 2 22,2 8 50 4 57,1 19 42,2<br />

62 --- --- 3 60 4 44,4 --- --- 1 12,5 2 28,6 10 30,3<br />

63 --- --- 2 28,6 2 8,3 12 48 11 31,4 10 33,3 37 30,6<br />

64 --- --- --- --- 1 14,3 2 22,2 3 25 4 33,3 10 24,4<br />

65 --- --- --- --- --- --- 4 33,3 2 50 --- --- 6 15,8<br />

66 1 50 2 18,2 --- --- 13 52 5 38,5 3 42,9 24 34,8<br />

67 --- --- 8 44,4 8 34,8 16 40 12 44,4 5 29,4 49 39,2<br />

68 --- --- --- --- 7 41,2 2 14,3 3 21,4 1 20 13 23,2<br />

69 --- --- --- --- 1 25 1 33,3 2 50 3 30 7 31,8<br />

70 --- --- 6 50 6 35,3 6 26,1 31 70,5 11 55 60 51,7<br />

71 --- --- 5 71,4 2 33,3 3 75 6 75 4 57,1 20 62,5<br />

72 --- --- --- --- --- --- 1 100 --- --- --- --- 1 50<br />

73 --- --- --- --- 2 33,3 2 25 2 28,6 --- --- 6 24<br />

74 --- --- 5 38,5 11 45,8 12 34,3 17 34,7 --- --- 45 37,2<br />

75 --- --- 8 66,7 2 15,4 8 36,4 17 44,7 5 33,3 40 40<br />

76 --- --- 7 36,8 9 37,5 5 19,2 19 33,9 8 38,1 48 32,9<br />

77 --- --- 6 54,5 3 33,3 6 30 11 55 2 25 28 41,2<br />

78 --- --- --- --- --- --- 6 37,5 8 42,1 3 60 17 35,4<br />

79 --- --- --- --- --- --- 6 30 8 26,7 3 25 17 21<br />

80 --- --- --- --- 6 60 4 57,1 4 44,4 7 58,3 21 53,8<br />

81 --- --- 5 62,5 3 16,7 6 20 16 35,6 8 42,1 38 31,7<br />

82 --- --- --- --- 4 36,4 5 33,3 8 30,8 --- --- 17 27<br />

83 6 66,7 --- --- 13 38,2 15 35,7 36 54,5 2 18,2 72 41,4<br />

84 --- --- 4 36,4 4 26,7 2 15,4 16 45,7 4 33,3 30 34,1<br />

85 --- --- 2 33,3 2 40 --- --- 2 16,7 --- --- 6 17,6<br />

86 --- --- 3 42,9 4 36,4 4 44,4 10 58,8 1 20 22 44<br />

87 3 100 --- --- --- --- 2 16,7 16 48,5 3 33,3 24 35,3<br />

88 1 25 9 39,1 7 23,3 8 25,8 15 32,6 5 23,8 45 29<br />

89 --- --- --- --- --- --- 4 40 11 47,8 2 25 17 37<br />

90 --- --- 2 40 2 18,2 2 15,4 16 43,2 1 20 23 32,4<br />

91 --- --- --- --- --- --- 2 14,3 6 33,3 3 60 11 23,4<br />

92 1 20 12 36,4 15 34,1 20 41,7 18 48,6 10 43,5 76 40<br />

93 4 19 6 23,1 5 16,1 12 25 21 24,1 10 31,3 58 23,7<br />

94 --- --- 7 21,9 11 34,4 20 57,1 7 22,6 3 27,3 48 32,9<br />

95 1 25 1 11,1 1 50 4 30,8 9 47,4 2 18,2 18 31<br />

96 --- --- --- --- 5 38,5 6 35,3 5 16,1 1 14,3 17 24,3<br />

TOTAL 33 28,4 208 28,2 373 29,6 531 30,7 919 37,5 394 34,6 2458 33,1<br />

EuroNeoNet 2010 35<br />

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6.1.3 Multiple Gestation <strong>Standard</strong>ized Rate by Perintal Risk Factors.<br />

Graph 6.1.3, corresponds to the 95% CI for the standardised multiple<br />

gestation adjusted rate.<br />

The general interpretation for graphs like 6.1.3 is the following:<br />

<br />

<br />

<br />

If the standardised rate is under 1, the male rate in the Unit studied is below the<br />

one expected in the standard population. Moreover, if the complete CI for the<br />

standardised rate is under 1, this rate will be below the standard population rate<br />

with a 95% confidence, for any sample of the studied Unit.<br />

If number 1 is inside the 95% CI, sometimes the rate will be below the standard<br />

population rate or above it.<br />

On the other hand, when the 95% CI is completely above number one, the rate<br />

for the Unit studied will be above the standard population rate in any sample<br />

you choose for that Unit with a 95% confidence.<br />

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Graph 6.1.3<br />

The explanation for Unit 19 is the following:<br />

<br />

The standardised multiple gestation rate is under 1, so the multiple gestation rate in the studied Unit is lower than the rate in the<br />

standard population. However, number one is inside the 95% CI, so with a 95% confidence level the standardised multiple gestation rate<br />

will sometimes be under and above one. Therefore there is no statistical significant evidence that the multiple gestation rate for Unit 19<br />

is different to the standard's population rate.<br />

The results for Units 9, 13, 15, 23, 37, 41, 60, 65, 79, 85 and 93 reached statistical significant relevance, being the multiple<br />

gestation rate for these Units significantly smaller than the one expected according to the standard’s population multiple<br />

gestation distribution. On the other hand, Units 26, 33, 43, 70 and 71 had a bigger significant multiple gestation rate than<br />

the one expected according to the standard’s population multiple gestation distribution.<br />

Units 29, 31 and 56 didn’t register multiple gestations.<br />

Note 1: <strong>Standard</strong>ization items: Birth weight Z-Score by gestational age and gender.<br />

Note 2: Units with 5 or less babies admitted have not been analyzed in this section.<br />

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6.2 Prenatal Steroids Rate.<br />

Definition: Betamethasone, dexamethasone or hydrocortisone given prior to delivery<br />

(Incomplete and Complete administration).<br />

6.2.1 Prenatal Steroids Rate by Birth Weight.<br />

The global prenatal steroids (Inc. + Compl.) rate for 2010 cohort has been of<br />

84.5%, with a variation of 13.8% and 100% within units.<br />

Unit<br />

Code<br />

Prenatal Steroids Rate against Birth Weight by Participating Unit<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

1 1 100 8 100 13 86,7 17 81 22 71 19 100 80 84,2<br />

2 --- --- 1 100 3 100 3 60 5 71,4 9 100 21 84<br />

3 1 100 11 68,8 19 82,6 26 70,3 30 83,3 34 81 121 78,1<br />

4 3 100 5 62,5 7 87,5 14 87,5 17 81 11 78,6 57 81,4<br />

5 2 66,7 16 76,2 27 90 28 87,5 28 71,8 28 66,7 129 77,2<br />

6 6 66,7 15 93,8 31 91,2 26 96,3 29 65,9 36 85,7 143 83,1<br />

7 --- --- --- --- --- --- --- --- --- --- 1 100 1 33,3<br />

8 --- --- --- --- 2 100 6 100 4 57,1 3 60 15 75<br />

9 --- --- --- --- 2 66,7 6 60 12 80 6 85,7 26 72,2<br />

10 1 100 7 100 7 100 12 75 12 85,7 13 81,3 52 85,2<br />

11 1 100 12 92,3 25 100 29 87,9 39 83 24 92,3 130 89,7<br />

12 3 100 52 92,9 72 88,9 87 87,9 136 88,3 75 86,2 425 88,5<br />

13 --- --- 1 100 4 80 1 50 12 100 5 100 23 92<br />

14 3 100 30 90,9 42 89,4 60 89,6 104 84,6 47 92,2 286 88,3<br />

15 1 100 5 83,3 21 95,5 6 85,7 35 97,2 10 90,9 78 94<br />

16 --- --- 1 50 3 75 3 75 16 84,2 7 63,6 30 75<br />

17 --- --- 8 88,9 14 100 23 88,5 25 89,3 12 92,3 82 91,1<br />

18 --- --- 2 50 6 85,7 16 69,6 19 86,4 9 69,2 52 75,4<br />

19 1 100 7 87,5 4 66,7 12 80 17 89,5 18 100 59 88,1<br />

20 1 100 5 100 14 77,8 14 87,5 15 62,5 12 80 61 77,2<br />

21 --- --- 2 66,7 2 40 9 81,8 15 83,3 2 50 30 73,2<br />

22 1 100 5 100 11 100 11 91,7 15 78,9 12 75 55 85,9<br />

23 1 100 30 96,8 43 84,3 50 87,7 47 97,9 22 81,5 193 89,8<br />

24 --- --- 24 92,3 49 86 42 85,7 37 90,2 --- --- 152 87,9<br />

25 --- --- --- --- 3 100 9 90 9 75 --- --- 21 84<br />

26 --- --- 16 84,2 11 78,6 14 100 19 90,5 --- --- 60 88,2<br />

27 --- --- 5 83,3 11 91,7 8 88,9 14 66,7 --- --- 38 79,2<br />

28 --- --- --- --- 8 100 2 100 9 100 --- --- 19 100<br />

29 1 100 1 100 1 33,3 2 66,7 7 77,8 --- --- 12 70,6<br />

30 --- --- 8 80 16 88,9 9 90 26 92,9 --- --- 59 89,4<br />

31 --- --- --- --- 3 100 1 50 5 100 --- --- 9 90<br />

32 1 50 5 83,3 7 100 8 100 7 77,8 --- --- 28 87,5<br />

33 3 75 15 83,3 26 83,9 31 91,2 47 90,4 1 100 123 87,9<br />

34 1 100 5 83,3 9 100 9 90 11 100 --- --- 35 94,6<br />

35 1 100 6 100 8 100 3 100 7 100 --- --- 25 100<br />

36 --- --- 7 87,5 9 75 11 61,1 19 61,3 --- --- 46 66,7<br />

37 --- --- 3 100 3 100 11 100 17 81 --- --- 34 87,2<br />

38 1 100 5 100 7 87,5 9 90 10 58,8 --- --- 32 78<br />

39 --- --- 5 100 13 72,2 11 91,7 16 72,7 2 100 47 79,7<br />

40 --- --- 2 66,7 1 100 5 62,5 11 91,7 1 100 20 80<br />

41 --- --- 8 72,7 10 83,3 15 100 14 70 1 100 48 81,4<br />

42 --- --- 2 100 5 83,3 14 77,8 4 50 --- --- 25 73,5<br />

43 --- --- 1 50 9 100 10 90,9 23 76,7 --- --- 43 82,7<br />

44 --- --- 6 100 8 88,9 11 100 19 76 --- --- 44 86,3<br />

45 --- --- 4 80 7 100 11 91,7 12 75 --- --- 34 85<br />

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Unit<br />

Code<br />

Prenatal Steroids Rate against Birth Weight by Participating Unit<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

46 1 100 2 100 --- --- 4 80 2 100 --- --- 9 90<br />

47 --- --- 2 66,7 3 75 5 83,3 9 60 --- --- 19 67,9<br />

48 --- --- 1 100 4 80 3 75 17 89,5 --- --- 25 86,2<br />

49 --- --- 3 100 5 100 10 100 4 100 --- --- 22 100<br />

50 --- --- 3 75 8 100 6 100 7 87,5 --- --- 24 92,3<br />

51 2 100 10 90,9 21 91,3 30 85,7 26 92,9 22 100 111 91,7<br />

52 2 100 18 100 35 87,5 32 86,5 35 71,4 --- --- 122 83,6<br />

53 --- --- 6 100 6 100 2 66,7 11 84,6 --- --- 25 89,3<br />

54 1 100 3 100 --- --- 1 50 5 71,4 --- --- 10 76,9<br />

55 --- --- 18 90 31 86,1 47 87 62 89,9 --- --- 158 88,3<br />

56 --- --- --- --- 4 100 6 100 6 85,7 --- --- 16 94,1<br />

57 --- --- 7 87,5 11 100 12 100 18 78,3 --- --- 48 88,9<br />

58 --- --- 3 75 9 81,8 13 81,3 19 79,2 --- --- 44 80<br />

59 --- --- 2 100 2 100 2 66,7 4 57,1 --- --- 10 71,4<br />

60 --- --- 3 75 6 85,7 10 76,9 12 75 --- --- 31 77,5<br />

61 --- --- 7 77,8 9 100 11 78,6 13 100 --- --- 40 88,9<br />

62 1 100 5 100 6 100 9 100 6 60 --- --- 27 87,1<br />

63 --- --- 7 87,5 19 86,4 35 89,7 36 81,8 --- --- 97 85,8<br />

64 --- --- 1 100 5 100 11 91,7 19 86,4 --- --- 36 90<br />

65 --- --- 4 66,7 7 87,5 9 90 12 85,7 --- --- 32 84,2<br />

66 1 100 4 80 22 91,7 21 100 15 88,2 --- --- 63 92,6<br />

67 --- --- 15 83,3 27 90 29 90,6 33 75 1 100 105 84<br />

68 --- --- 10 90,9 11 91,7 14 77,8 12 80 --- --- 47 83,9<br />

69 --- --- 3 100 1 100 6 100 10 83,3 --- --- 20 90,9<br />

70 --- --- 6 100 22 88 17 85 30 78,9 19 70,4 94 81<br />

71 --- --- 8 100 6 100 6 100 11 91,7 --- --- 31 96,9<br />

72 --- --- --- --- --- --- 1 100 1 100 --- --- 2 100<br />

73 1 100 3 100 5 100 9 69,2 2 66,7 --- --- 20 80<br />

74 2 100 17 100 16 66,7 18 78,3 24 92,3 20 69 97 80,2<br />

75 --- --- 9 75 9 75 24 85,7 20 74,1 19 95 81 81<br />

76 4 100 21 100 26 92,9 27 90 30 90,9 29 96,7 137 93,8<br />

77 3 100 9 100 10 90,9 10 76,9 19 79,2 6 75 57 83,8<br />

78 1 100 5 83,3 4 100 14 100 13 100 10 100 47 97,9<br />

79 1 100 10 90,9 8 100,0 17 100 23 88,5 13 72,2 72 88,9<br />

80 --- --- 3 100 9 81,8 5 83,3 14 87,5 2 66,7 33 84,6<br />

81 2 100 10 100 18 85,7 17 77,3 34 81 23 100 104 86,7<br />

82 1 100 5 100 10 90,9 11 91,7 14 73,7 15 100 56 88,9<br />

83 5 71,4 19 76 20 69 21 65,6 26 60,5 26 68,4 117 67,2<br />

84 3 100 5 55,6 16 88,9 15 93,8 32 76,2 --- --- 71 80,7<br />

85 1 100 4 100 4 50 3 60 5 38,5 1 33,3 18 52,9<br />

86 --- --- 4 80 16 88,9 6 100 13 86,7 5 83,3 44 88<br />

87 --- --- 2 66,7 4 100 20 100 22 95,7 16 100 64 94,1<br />

88 2 100 25 92,6 26 100 33 94,3 35 89,7 24 92,3 145 93,5<br />

89 --- --- 2 100 3 100 12 92,3 11 91,7 14 87,5 42 91,3<br />

90 --- --- 4 100 9 100 9 81,8 19 76 21 95,5 62 87,3<br />

91 --- --- 2 40 4 80 9 100 14 87,5 12 100 41 87,2<br />

92 1 100 29 85,3 35 83,3 44 86,3 49 87,5 2 100 160 86<br />

93 1 8,3 25 75,8 25 89,3 32 78 40 74,1 38 79,2 161 74,5<br />

94 11 100 24 100 36 94,7 27 93,1 21 87,5 13 86,7 132 93,6<br />

95 --- --- 1 10 1 8,3 2 28,6 1 5,9 3 27,3 8 13,8<br />

96 --- --- 2 100 16 94,1 11 84,6 20 90,9 14 87,5 63 90<br />

TOTAL 81 77,1 742 86,9 1206 87,3 1453 86,1 1933 81,4 788 84,1 6203 84,5<br />

EuroNeoNet 2010 39<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.2.2 Prenatal Steroids Rate by Gestational Age.<br />

Table 6.2.2 shows the Prenatal Steroids distribution according to GA for each<br />

Unit.<br />

Unit<br />

Code<br />

Prenatal Steroids Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 2 100 9 90 15 88,2 20 90,9 29 87,9 5 45,5 80 84,2<br />

2 --- --- 2 100 --- --- 4 100 14 100 1 20 21 84<br />

3 4 80 13 92,9 13 68,4 24 72,7 57 81,4 10 71,4 121 78,1<br />

4 2 66,7 6 75 9 81,8 13 92,9 23 85,2 4 57,1 57 81,4<br />

5 7 77,8 9 81,8 34 85 24 85,7 48 70,6 7 63,6 129 77,2<br />

6 5 62,5 18 94,7 27 93,1 34 87,2 51 82,3 8 53,3 143 83,1<br />

7 --- --- --- --- --- --- --- --- 1 50 --- --- 1 33,3<br />

8 --- --- --- --- --- --- 2 100 10 76,9 3 60 15 75<br />

9 --- --- 2 100 3 50 7 77,8 11 84,6 3 60 26 72,2<br />

10 1 100 7 100 4 100 11 78,6 22 78,6 7 100 52 85,2<br />

11 --- --- 12 92,3 19 100 31 83,8 48 92,3 20 83,3 130 89,7<br />

12 1 100 31 83,8 58 86,6 106 91,4 158 89,8 71 85,5 425 88,5<br />

13 --- --- --- --- 1 50 7 100 9 100 6 100 23 92<br />

14 --- --- 12 75 33 94,3 75 92,6 116 92,1 50 76,9 286 88,3<br />

15 --- --- 2 50 15 100 17 100 24 96 20 90,9 78 94<br />

16 --- --- 1 100 4 100 4 100 13 72,2 8 66,7 30 75<br />

17 --- --- 3 100 15 93,8 21 91,3 28 90,3 15 88,2 82 91,1<br />

18 --- --- 2 50 7 63,6 15 93,8 18 69,2 10 83,3 52 75,4<br />

19 --- --- 5 62,5 4 100 14 87,5 27 96,4 9 81,8 59 88,1<br />

20 --- --- 6 75 15 88,2 9 90 23 74,2 8 61,5 61 77,2<br />

21 --- --- 3 100 1 20 4 66,7 17 81 5 83,3 30 73,2<br />

22 --- --- 6 85,7 9 100 15 100 19 82,6 6 60 55 85,9<br />

23 1 100 26 89,7 36 90 55 88,7 61 92,4 14 82,4 193 89,8<br />

24 --- --- 13 86,7 43 87,8 53 88,3 43 89,6 --- --- 152 87,9<br />

25 --- --- --- --- 1 50 12 100 3 75 5 71,4 21 84<br />

26 1 50 8 80 13 86,7 13 92,9 19 100 6 75 60 88,2<br />

27 --- --- 1 50 11 91,7 16 80 7 87,5 3 50 38 79,2<br />

28 --- --- --- --- 5 100 4 100 6 100 4 100 19 100<br />

29 --- --- 1 50 2 100 3 50 3 75 3 100 12 70,6<br />

30 2 100 11 91,7 9 69,2 9 100 17 100 11 84,6 59 89,4<br />

31 --- --- --- --- 1 100 2 100 2 66,7 4 100 9 90<br />

32 1 100 5 71,4 7 100 7 100 5 100 3 60 28 87,5<br />

33 --- --- 15 88,2 25 89,3 21 87,5 44 88 18 90 123 87,9<br />

34 --- --- 6 100 9 90 6 85,7 7 100 7 100 35 94,6<br />

35 --- --- 3 100 7 100 5 100 6 100 4 100 25 100<br />

36 --- --- 6 75 5 62,5 10 62,5 14 73,7 11 61,1 46 66,7<br />

37 --- --- 3 100 4 100 5 71,4 15 100 7 70 34 87,2<br />

38 --- --- 3 100 6 85,7 9 81,8 10 90,9 4 44,4 32 78<br />

39 1 50 1 50 12 80 15 93,8 10 100 8 57,1 47 79,7<br />

40 --- --- --- --- 2 100 6 75 6 85,7 6 85,7 20 80<br />

41 --- --- 5 71,4 6 66,7 15 88,2 11 91,7 11 78,6 48 81,4<br />

42 --- --- 2 100 7 77,8 7 87,5 8 88,9 1 16,7 25 73,5<br />

43 --- --- 5 83,3 2 66,7 6 100 15 88,2 15 75 43 82,7<br />

44 --- --- 4 100 7 87,5 11 91,7 8 88,9 14 77,8 44 86,3<br />

45 --- --- 2 66,7 3 100 17 100 5 71,4 7 70 34 85<br />

EuroNeoNet 2010 40<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

Unit<br />

Code<br />

Prenatal Steroids Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

46 1 100 --- --- 1 100 4 80 3 100 --- --- 9 90<br />

47 --- --- 1 50 4 80 5 71,4 7 87,5 2 33,3 19 67,9<br />

48 --- --- --- --- 5 100 8 80 6 85,7 6 85,7 25 86,2<br />

49 --- --- 1 100 8 100 6 100 7 100 --- --- 22 100<br />

50 --- --- 3 75 6 100 7 100 5 83,3 3 100 24 92,3<br />

51 3 75 13 86,7 16 88,9 25 89,3 38 97,4 16 94,1 111 91,7<br />

52 2 100 23 92 21 91,3 30 93,8 32 86,5 14 51,9 122 83,6<br />

53 --- --- 3 100 6 100 4 80 7 77,8 5 100 25 89,3<br />

54 --- --- 3 100 1 100 --- --- 3 60 3 75 10 76,9<br />

55 2 100 13 92,9 38 77,6 40 95,2 39 97,5 26 81,3 158 88,3<br />

56 --- --- 3 100 2 100 5 100 3 100 3 75 16 94,1<br />

57 2 66,7 5 100 9 100 12 92,3 9 90 11 78,6 48 88,9<br />

58 --- --- 4 80 4 80 11 100 19 95 6 46,2 44 80<br />

59 --- --- 1 100 1 100 3 100 4 100 1 20 10 71,4<br />

60 --- --- 3 75 3 60 6 75 12 80 7 87,5 31 77,5<br />

61 --- --- 3 60 8 100 8 88,9 14 87,5 7 100 40 88,9<br />

62 --- --- 5 100 7 100 4 100 7 87,5 4 57,1 27 87,1<br />

63 --- --- 4 66,7 21 91,3 22 88 30 90,9 20 76,9 97 85,8<br />

64 --- --- 1 100 7 100 9 100 12 100 7 63,6 36 90<br />

65 --- --- 3 60 7 77,8 11 91,7 4 100 7 87,5 32 84,2<br />

66 2 100 8 80 10 90,9 25 100 13 100 5 71,4 63 92,6<br />

67 --- --- 15 83,3 21 91,3 35 87,5 22 81,5 12 70,6 105 84<br />

68 1 100 5 100 14 82,4 11 78,6 12 85,7 4 80 47 83,9<br />

69 1 100 --- --- 4 100 3 100 4 100 8 80 20 90,9<br />

70 --- --- 12 100 15 88,2 22 95,7 35 79,5 10 50 94 81<br />

71 --- --- 7 100 6 100 4 100 8 100 6 85,7 31 96,9<br />

72 --- --- --- --- --- --- 1 100 1 100 --- --- 2 100<br />

73 --- --- 2 100 5 83,3 6 75 5 71,4 2 100 20 80<br />

74 --- --- 12 92,3 20 83,3 25 71,4 40 81,6 --- --- 97 80,2<br />

75 --- --- 8 66,7 9 69,2 21 95,5 32 84,2 11 73,3 81 81<br />

76 --- --- 19 100 24 100 24 92,3 53 94,6 17 81 137 93,8<br />

77 --- --- 11 100 8 88,9 17 85 16 80 5 62,5 57 83,8<br />

78 --- --- 1 50 6 100 16 100 19 100 5 100 47 97,9<br />

79 --- --- 8 100 10 90,9 19 95 24 80 11 91,7 72 88,9<br />

80 --- --- 1 100 9 90 6 85,7 8 88,9 9 75 33 84,6<br />

81 --- --- 7 87,5 16 88,9 25 83,3 42 93,3 14 73,7 104 86,7<br />

82 --- --- 7 100 10 90,9 14 93,3 24 92,3 1 25 56 88,9<br />

83 4 44,4 9 75 25 73,5 28 66,7 46 69,7 5 45,5 117 67,2<br />

84 2 100 6 54,5 14 93,3 10 76,9 32 91,4 7 58,3 71 80,7<br />

85 1 100 5 83,3 2 40 3 37,5 7 58,3 --- --- 18 52,9<br />

86 1 100 5 71,4 10 90,9 9 100 15 88,2 4 80 44 88<br />

87 --- --- 1 100 10 100 12 100 33 100 8 88,9 64 94,1<br />

88 2 50 23 100 30 100 27 87,1 45 97,8 18 85,7 145 93,5<br />

89 --- --- 2 100 3 100 10 100 19 82,6 8 100 42 91,3<br />

90 --- --- 5 100 9 81,8 11 84,6 33 89,2 4 80 62 87,3<br />

91 --- --- 1 25 5 100 13 92,9 18 100 4 80 41 87,2<br />

92 5 100 27 84,4 35 81,4 43 89,6 30 85,7 20 87 160 86<br />

93 4 23,5 20 87 22 84,6 34 85 65 78,3 16 59,3 161 74,5<br />

94 5 100 31 100 29 96,7 33 97,1 25 83,3 9 81,8 132 93,6<br />

95 1 25 --- --- --- --- 3 23,1 4 21,1 --- --- 8 13,8<br />

96 --- --- 2 100 13 100 14 82,4 28 90,3 6 85,7 63 90<br />

TOTAL 67 59,8 621 85,2 1078 87,3 1508 87,8 2110 86,6 819 73,7 6203 84,5<br />

EuroNeoNet 2010 41<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.2.3 Prenatal Steroids <strong>Standard</strong>ized Rate by Perinatal Risk Factors.<br />

Graph 6.2.3<br />

The results for Units 83, 85, 93 and 95 reached statistical significant relevance, being the multiple gestation rate for these<br />

Units significantly smaller than the one expected according to the standard’s population multiple gestation distribution.<br />

Note 1: <strong>Standard</strong>ization items: Birth weight Z-Score by gestational age and gender.<br />

Note 2: Units with 5 or less babies admitted have not been analyzed in this section.<br />

EuroNeoNet 2010 42<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.3 Caesarean section Rate.<br />

Definition: any caesarean delivery (elective or emergency).<br />

6.3.1 Caesarean Section Rate by Birth Weight.<br />

The global Caesarean Section rate for 2010 cohort has been of 70.8%, with a<br />

variation of 46.6% and 100% within units.<br />

Unit<br />

Code<br />

Caesarean Section Rate against Birth Weight by Participating Unit<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- 4 50 10 66,7 18 85,7 19 61,3 9 47,4 60 63,2<br />

2 --- --- 1 100 2 66,7 5 100 6 85,7 2 22,2 16 64<br />

3 1 100 10 62,5 19 82,6 31 83,8 30 83,3 20 47,6 111 71,6<br />

4 1 33,3 5 62,5 7 87,5 9 56,3 17 81 9 64,3 48 68,6<br />

5 3 100 16 76,2 25 83,3 22 68,8 29 74,4 25 59,5 120 71,9<br />

6 5 55,6 9 56,3 25 73,5 14 51,9 23 52,3 23 54,8 99 57,6<br />

7 --- --- --- --- --- --- --- --- 2 100 1 100 3 100<br />

8 --- --- --- --- 2 100 6 100 9 100 1 20 18 81,8<br />

9 --- --- --- --- 1 33,3 7 70 12 80 2 28,6 22 61,1<br />

10 1 100 5 71,4 6 85,7 12 75 9 64,3 14 87,5 47 77<br />

11 1 100 7 53,8 19 76 23 69,7 35 74,5 17 65,4 102 70,3<br />

12 1 33,3 36 64,3 62 76,5 82 82,8 107 69 52 59,8 340 70,7<br />

13 --- --- 1 100 5 100 --- --- 11 91,7 1 20 18 72<br />

14 3 100 23 69,7 35 74,5 56 83,6 100 81,3 29 56,9 246 75,9<br />

15 1 100 5 83,3 18 81,8 3 42,9 30 83,3 --- --- 57 68,7<br />

16 --- --- 1 50 3 75 3 75 15 78,9 6 54,5 28 70<br />

17 --- --- 9 100 13 92,9 24 92,3 23 82,1 12 92,3 81 90<br />

18 --- --- 3 75 3 42,9 13 56,5 15 68,2 6 46,2 40 58<br />

19 1 100 5 62,5 4 66,7 14 93,3 14 73,7 11 61,1 49 73,1<br />

20 --- --- 5 100 12 66,7 14 87,5 19 79,2 13 86,7 63 79,7<br />

21 --- --- 1 33,3 1 20 9 81,8 13 72,2 1 25 25 61<br />

22 1 100 2 40 7 63,6 7 58,3 10 52,6 5 31,3 32 50<br />

23 1 100 13 41,9 39 78 37 64,9 34 70,8 19 70,4 143 66,8<br />

24 --- --- 20 80 43 79,6 40 85,1 30 75 --- --- 133 80,1<br />

25 --- --- --- --- 2 66,7 3 30 7 58,3 --- --- 12 48<br />

26 --- --- 13 68,4 8 57,1 11 78,6 14 63,6 --- --- 46 66,7<br />

27 --- --- 3 50 9 75 8 88,9 19 90,5 --- --- 39 81,3<br />

28 --- --- --- --- 6 75 --- --- 7 77,8 --- --- 13 68,4<br />

29 1 100 1 100 2 66,7 3 100 8 88,9 --- --- 15 88,2<br />

30 --- --- 5 50 10 50 10 90,9 21 63,6 --- --- 46 62,2<br />

31 --- --- --- --- 2 66,7 2 100 5 83,3 --- --- 9 81,8<br />

32 1 50 2 33,3 4 57,1 3 37,5 5 55,6 --- --- 15 46,9<br />

33 3 75 5 27,8 21 67,7 23 67,6 35 67,3 1 100 88 62,9<br />

34 1 100 4 66,7 4 33,3 8 80 9 69,2 --- --- 26 61,9<br />

35 1 100 3 50 4 50 3 100 4 57,1 --- --- 15 60<br />

36 --- --- 5 62,5 7 58,3 13 72,2 29 93,5 --- --- 54 78,3<br />

37 --- --- 3 100 3 100 8 72,7 17 81 --- --- 31 79,5<br />

38 1 100 5 100 6 75 10 100 17 94,4 --- --- 39 92,9<br />

39 --- --- 4 80 15 83,3 9 75 15 68,2 2 100 45 76,3<br />

40 --- --- 2 50 5 100 8 100 12 92,3 1 100 28 90,3<br />

41 --- --- 8 72,7 10 83,3 13 86,7 17 81 1 100 49 81,7<br />

42 --- --- 2 100 6 100 13 72,2 8 100 --- --- 29 85,3<br />

43 --- --- 1 50 6 66,7 8 72,7 25 83,3 --- --- 40 76,9<br />

44 --- --- 5 83,3 7 77,8 7 58,3 15 60 --- --- 34 65,4<br />

EuroNeoNet 2010 43<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

Unit<br />

Code<br />

Caesarean Section Rate against Birth Weight by Participating Unit<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

45 --- --- 4 80 6 85,7 10 83,3 10 62,5 --- --- 30 75<br />

46 1 100 1 50 --- --- 5 100 3 100 --- --- 10 90,9<br />

47 --- --- 1 33,3 3 75 4 66,7 10 66,7 --- --- 18 64,3<br />

48 --- --- 1 100 4 80 3 75 14 73,7 --- --- 22 75,9<br />

49 --- --- 1 33,3 5 100 7 70 3 75 --- --- 16 72,7<br />

50 --- --- 3 75 7 87,5 6 85,7 7 87,5 --- --- 23 85,2<br />

51 2 100 7 63,6 20 87 22 62,9 20 71,4 14 63,6 85 70,2<br />

52 2 66,7 13 68,4 31 73,8 31 83,8 36 73,5 --- --- 113 75,3<br />

53 --- --- 6 100 3 50 5 100 9 69,2 --- --- 23 76,7<br />

54 1 100 1 33,3 --- --- 2 100 7 100 --- --- 11 84,6<br />

55 --- --- 14 70 30 83,3 52 86,7 54 78,3 --- --- 150 81,1<br />

56 --- --- --- --- --- --- 1 16,7 7 100 --- --- 8 47,1<br />

57 --- --- 2 25 8 72,7 11 91,7 13 56,5 --- --- 34 63<br />

58 --- --- 1 25 9 69,2 11 61,1 16 61,5 --- --- 37 60,7<br />

59 --- --- 2 100 2 100 2 66,7 5 71,4 --- --- 11 78,6<br />

60 --- --- 3 75 5 71,4 10 76,9 11 68,8 --- --- 29 72,5<br />

61 --- --- 7 77,8 9 100 13 92,9 12 92,3 --- --- 41 91,1<br />

62 1 100 2 28,6 6 100 5 55,6 7 70 --- --- 21 63,6<br />

63 --- --- 3 37,5 11 45,8 32 80 36 73,5 --- --- 82 67,8<br />

64 --- --- 1 100 3 60 9 75 17 73,9 --- --- 30 73,2<br />

65 --- --- 3 50 1 12,5 7 70 10 71,4 --- --- 21 55,3<br />

66 1 100 3 60 14 56 17 81 10 58,8 --- --- 45 65,2<br />

67 --- --- 13 72,2 18 60 21 65,6 26 59,1 1 100 79 63,2<br />

68 --- --- 10 90,9 11 91,7 8 44,4 11 73,3 --- --- 40 71,4<br />

69 --- --- 1 33,3 1 100 5 83,3 11 91,7 --- --- 18 81,8<br />

70 --- --- 1 16,7 20 80 12 60 26 68,4 17 63 76 65,5<br />

71 --- --- 6 75 3 50 4 66,7 8 66,7 --- --- 21 65,6<br />

72 --- --- --- --- --- --- --- --- 1 100 --- --- 1 50<br />

73 --- --- 2 66,7 5 100 8 61,5 2 66,7 --- --- 17 68<br />

74 2 100 14 82,4 20 83,3 17 73,9 11 42,3 20 69 84 69,4<br />

75 1 100 4 33,3 11 91,7 17 60,7 15 55,6 14 70 62 62<br />

76 3 75 16 76,2 23 82,1 26 86,7 29 87,9 19 63,3 116 79,5<br />

77 3 100 9 100 11 100 12 92,3 23 95,8 7 87,5 65 95,6<br />

78 1 100 5 83,3 3 75 12 85,7 10 76,9 7 70 38 79,2<br />

79 1 100 10 90,9 7 87,5 17 100 19 73,1 13 72,2 67 82,7<br />

80 --- --- 3 100 11 100 6 100 15 93,8 2 66,7 37 94,9<br />

81 1 50 6 60 11 52,4 16 72,7 30 71,4 17 73,9 81 67,5<br />

82 1 100 5 100 11 100 12 100 17 89,5 12 80 58 92,1<br />

83 5 71,4 17 68 23 79,3 30 93,8 40 93 33 86,8 148 85,1<br />

84 3 100 8 88,9 17 94,4 14 87,5 39 92,9 --- --- 81 92<br />

85 1 100 4 100 8 100 5 100 12 92,3 2 66,7 32 94,1<br />

86 --- --- 4 80 14 77,8 6 100 12 80 5 83,3 41 82<br />

87 --- --- 1 33,3 2 50 16 80 15 65,2 6 37,5 40 58,8<br />

88 1 50 19 70,4 15 57,7 29 82,9 32 82,1 20 76,9 116 74,8<br />

89 --- --- 2 100 3 100 12 92,3 6 50 9 56,3 32 69,6<br />

90 --- --- 4 100 6 66,7 7 63,6 20 80 12 54,5 49 69<br />

91 --- --- 2 40 1 20 7 77,8 9 56,3 3 25 22 46,8<br />

92 --- --- 11 31,4 30 71,4 32 62,7 29 49,2 1 50 103 54,2<br />

93 --- --- 17 44,7 20 58,8 26 55,3 40 66,7 31 60,8 134 54,9<br />

94 7 63,6 11 42,3 14 35,9 15 50 13 52 8 53,3 68 46,6<br />

95 --- --- 2 20 8 66,7 6 85,7 17 100 11 100 44 75,9<br />

96 --- --- 2 100 15 88,2 11 84,6 19 86,4 6 37,5 53 75,7<br />

TOTAL 66 61,1 540 62,4 1017 72,6 1286 75,3 1775 73,7 573 61 5257 70,8<br />

EuroNeoNet 2010 44<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.3.2 Caesarean Section Rate by Gestational Age<br />

Table 6.3.2 shows the Caesarean Section distribution according to Gestational<br />

Age for each Unit.<br />

Caesarean Section Rate against Gestational Age by Participating Unit<br />

Unit<br />

Code<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

1 --- --- 4 40 13 76,5 15 68,2 18 54,5 10 90,9 60 63,2<br />

2 --- --- 1 50 --- --- 2 50 8 57,1 5 100 16 64<br />

3 2 40 7 50 18 94,7 25 75,8 46 65,7 13 92,9 111 71,6<br />

4 1 33,3 5 62,5 8 72,7 6 42,9 21 77,8 7 100 48 68,6<br />

5 4 44,4 10 90,9 29 72,5 20 71,4 46 67,6 11 100 120 71,9<br />

6 1 12,5 12 63,2 20 69 21 53,8 36 58,1 9 60 99 57,6<br />

7 --- --- --- --- --- --- --- --- 2 100 1 100 3 100<br />

8 --- --- --- --- --- --- 2 100 9 69,2 7 100 18 81,8<br />

9 --- --- 1 50 3 50 4 44,4 9 69,2 5 100 22 61,1<br />

10 --- --- 6 85,7 3 75 9 64,3 22 78,6 7 100 47 77<br />

11 --- --- 2 15,4 15 78,9 24 64,9 38 73,1 23 95,8 102 70,3<br />

12 --- --- 16 43,2 46 68,7 88 75,9 121 68,8 69 82,1 340 70,7<br />

13 --- --- 1 100 1 50 6 85,7 4 44,4 6 100 18 72<br />

14 --- --- 4 25 29 82,9 62 76,5 90 71,4 61 93,8 246 75,9<br />

15 --- --- 1 25 12 80 12 70,6 11 44 21 95,5 57 68,7<br />

16 1 100 --- --- 3 75 3 75 10 55,6 11 91,7 28 70<br />

17 --- --- 3 100 14 87,5 23 100 25 80,6 16 94,1 81 90<br />

18 --- --- --- --- 7 63,6 10 62,5 15 57,7 8 66,7 40 58<br />

19 --- --- 3 37,5 4 100 11 68,8 21 75 10 90,9 49 73,1<br />

20 --- --- 3 37,5 15 88,2 10 100 23 74,2 12 92,3 63 79,7<br />

21 --- --- --- --- 2 40 3 50 14 66,7 6 100 25 61<br />

22 --- --- 3 42,9 5 55,6 10 66,7 7 30,4 7 70 32 50<br />

23 --- --- 10 35,7 26 65 42 67,7 50 75,8 15 88,2 143 66,8<br />

24 --- --- 9 60 36 80 48 84,2 40 83,3 --- --- 133 80,1<br />

25 --- --- --- --- 1 50 5 41,7 1 25 5 71,4 12 48<br />

26 --- --- 5 50 11 73,3 12 85,7 10 52,6 8 88,9 46 66,7<br />

27 --- --- 1 50 7 58,3 18 90 8 100 5 83,3 39 81,3<br />

28 --- --- --- --- 3 60 3 75 4 66,7 3 75 13 68,4<br />

29 --- --- 1 50 2 100 6 100 4 100 2 66,7 15 88,2<br />

30 --- --- 6 50 7 43,8 6 60 12 66,7 15 93,8 46 62,2<br />

31 --- --- --- --- --- --- 2 100 2 66,7 5 100 9 81,8<br />

32 --- --- 3 42,9 2 28,6 3 42,9 3 60 4 80 15 46,9<br />

33 --- --- 3 17,6 15 53,6 16 66,7 36 72 18 90 88 62,9<br />

34 --- --- 2 33,3 5 41,7 7 87,5 5 71,4 7 77,8 26 61,9<br />

35 --- --- --- --- 3 42,9 3 60 5 83,3 4 100 15 60<br />

36 --- --- 5 62,5 3 37,5 11 68,8 17 89,5 18 100 54 78,3<br />

37 --- --- 3 100 2 50 3 42,9 13 86,7 10 100 31 79,5<br />

38 --- --- 3 100 5 71,4 11 100 10 90,9 10 100 39 92,9<br />

39 --- --- 2 100 12 80 11 68,8 9 90 11 78,6 45 76,3<br />

40 --- --- --- --- 2 66,7 10 100 10 100 6 85,7 28 90,3<br />

41 --- --- 3 42,9 8 88,9 16 94,1 9 75 13 86,7 49 81,7<br />

42 --- --- 2 100 8 88,9 5 62,5 8 88,9 6 100 29 85,3<br />

43 --- --- 2 33,3 1 33,3 5 83,3 12 70,6 20 100 40 76,9<br />

44 --- --- 3 75 5 62,5 9 75 6 66,7 11 57,9 34 65,4<br />

45 --- --- 2 66,7 2 66,7 11 64,7 5 71,4 10 100 30 75<br />

EuroNeoNet 2010 45<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

Caesarean Section Rate against Gestational Age by Participating Unit<br />

Unit<br />

Code<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

46 --- --- --- --- 1 100 5 100 3 100 1 100 10 90,9<br />

47 --- --- --- --- 4 80 3 42,9 5 62,5 6 100 18 64,3<br />

48 --- --- --- --- 4 80 7 70 5 71,4 6 85,7 22 75,9<br />

49 --- --- 1 100 5 62,5 5 83,3 5 71,4 --- --- 16 72,7<br />

50 --- --- 3 75 5 83,3 5 71,4 7 100 3 100 23 85,2<br />

51 3 75 9 60 13 72,2 18 64,3 26 66,7 16 94,1 85 70,2<br />

52 --- --- 17 63 18 75 25 78,1 31 81,6 22 81,5 113 75,3<br />

53 --- --- 3 100 5 62,5 4 80 7 77,8 4 80 23 76,7<br />

54 --- --- 1 33,3 1 100 --- --- 5 100 4 100 11 84,6<br />

55 --- --- 7 50 40 78,4 39 88,6 34 81 30 93,8 150 81,1<br />

56 --- --- --- --- --- --- 1 20 3 100 4 100 8 47,1<br />

57 --- --- --- --- 8 88,9 12 92,3 3 30 11 78,6 34 63<br />

58 --- --- 1 20 4 50 7 63,6 11 55 14 87,5 37 60,7<br />

59 --- --- 1 100 1 100 2 66,7 2 50 5 100 11 78,6<br />

60 --- --- 2 50 4 80 3 37,5 12 80 8 100 29 72,5<br />

61 --- --- 4 80 7 87,5 9 100 15 93,8 6 85,7 41 91,1<br />

62 --- --- 2 40 4 44,4 2 50 6 75 7 100 33 63,6<br />

63 --- --- --- --- 12 50 15 60 28 80 27 90 82 67,8<br />

64 --- --- --- --- 4 57,1 8 88,9 8 66,7 10 83,3 30 73,2<br />

65 --- --- 1 20 2 22,2 10 83,3 2 50 6 75 21 55,3<br />

66 --- --- 5 45,5 6 54,5 17 68 10 76,9 7 100 45 65,2<br />

67 --- --- 11 61,1 8 34,8 30 75 17 63 13 76,5 79 63,2<br />

68 --- --- 5 100 13 76,5 7 50 11 78,6 4 80 40 71,4<br />

69 --- --- --- --- 3 75 1 33,3 4 100 10 100 18 81,8<br />

70 --- --- 5 41,7 12 70,6 15 65,2 29 65,9 15 75 76 65,5<br />

71 --- --- 3 42,9 4 66,7 3 75 7 87,5 4 57,1 21 65,6<br />

72 --- --- --- --- --- --- --- --- 1 100 --- --- 1 50<br />

73 --- --- --- --- 5 83,3 4 50 6 85,7 2 100 17 68<br />

74 --- --- 9 69,2 20 83,3 24 68,6 31 63,3 --- --- 84 69,4<br />

75 --- --- 3 25 12 92,3 14 63,6 22 57,9 11 73,3 62 62<br />

76 --- --- 13 68,4 18 75 22 84,6 42 75 21 100 116 79,5<br />

77 --- --- 11 100 9 100 19 95 19 95 7 87,5 65 95,6<br />

78 --- --- 1 50 6 100 9 56,3 17 89,5 5 100 38 79,2<br />

79 --- --- 7 87,5 10 90,9 18 90 22 73,3 10 83,3 67 82,7<br />

80 --- --- 1 100 10 100 7 100 8 88,9 11 91,7 37 94,9<br />

81 --- --- 6 75 7 38,9 18 60 36 80 14 73,7 81 67,5<br />

82 --- --- 7 100 11 100 14 93,3 22 84,6 4 100 58 92,1<br />

83 6 66,7 5 41,7 28 82,4 37 88,1 62 93,9 10 90,9 148 85,1<br />

84 2 100 10 90,9 13 86,7 13 100 31 88,6 12 100 81 92<br />

85 1 100 6 100 5 100 8 100 10 83,3 2 100 32 94,1<br />

86 --- --- 5 71,4 10 90,9 8 88,9 13 76,5 5 100 41 82<br />

87 --- --- --- --- 6 60 5 41,7 22 66,7 7 77,8 40 58,8<br />

88 --- --- 13 56,5 23 76,7 22 71 39 84,8 19 90,5 116 74,8<br />

89 --- --- 2 100 3 100 7 70 14 60,9 6 75 32 69,6<br />

90 --- --- 3 60 7 63,6 8 61,5 26 70,3 5 100 49 69<br />

91 --- --- --- --- 3 60 8 57,1 7 38,9 4 80 22 46,8<br />

92 --- --- 8 24,2 28 63,6 25 52,1 22 59,5 20 87 103 54,2<br />

93 --- --- 4 15,4 16 53,3 29 60,4 60 69 25 78,1 134 54,9<br />

94 2 40 10 31,3 12 37,5 19 54,3 20 64,5 5 45,5 68 46,6<br />

95 --- --- 2 22,2 2 100 11 84,6 19 100 10 90,9 44 75,9<br />

96 --- --- 1 50 12 92,3 13 76,5 21 67,7 6 85,7 53 75,7<br />

TOTAL 23 19,8 355 48,2 877 69,9 1244 71,9 1763 71,9 995 87,4 5257 70,8<br />

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6.3.3 Caesarean Section Srandardized Rate by Perinatal Risk Factors<br />

Graph 6.3.3 corresponds to the 95% CI for the standardised caesarean section adjusted rate.<br />

Graph 6.3<br />

The results for Units 91, 92, 93 and 94 reached statistical significant relevance, being the caesarean section rate for these<br />

Units significantly smaller than the one expected according to the standard’s population caesarean section distribution.<br />

On the other hand, Units 17, 77, 82 and 84 had a bigger significant caesarean section rate than the one expected according<br />

to the standard’s population multiple gestation distribution.<br />

Note 1: <strong>Standard</strong>ization items: Birth weight Z-Score by gestational age and gender.<br />

Note 2: Units with 5 or less babies admitted have not been analyzed in this section.<br />

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6.4 Resuscitation in Delivery Room rate.<br />

Definition: Any respiratory support given in the delivery area. Resuscitation in Delivery Room<br />

rate does not consider Oxygen in Delivery Room.<br />

6.4.1 Resuscitation in Delivery Room Rate By Birth Weight.<br />

The global resuscitation in delivery room rate for 2010 cohort has been of<br />

64.6%, with a variation of 26.3% and 100% within units.<br />

Resuscitation in Delivery Area Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 1 100 7 87,5 12 80 13 61,9 10 32,3 10 52,6 53 55,8<br />

2 --- --- 1 100 2 66,7 1 20 6 85,7 4 44,4 14 56<br />

3 1 100 14 87,5 15 65,2 22 59,5 14 38,9 7 16,7 73 47,1<br />

4 3 100 7 87,5 7 87,5 6 37,5 5 23,8 5 35,7 33 47,1<br />

5 3 100 18 85,7 25 83,3 19 59,4 14 35,9 15 35,7 94 56,3<br />

6 4 44,4 13 81,3 24 70,6 11 40,7 9 20,5 10 23,8 71 41,3<br />

7 --- --- --- --- --- --- --- --- 1 50 --- --- 1 33,3<br />

8 --- --- --- --- 1 50 2 33,3 3 33,3 1 20 7 31,8<br />

9 --- --- --- --- 3 100 5 50 7 46,7 2 28,6 17 47,2<br />

10 1 100 7 100 5 71,4 9 56,3 2 14,3 3 18,8 27 44,3<br />

11 1 100 12 92,3 20 80 16 48,5 14 29,8 14 53,8 77 53,1<br />

12 3 100 51 91,1 62 76,5 52 52,5 55 35,5 37 42,5 260 54,1<br />

13 --- --- --- --- 5 100 2 100 7 58,3 1 20 15 60<br />

14 3 100 27 81,8 30 63,8 30 44,8 58 47,2 23 45,1 171 52,8<br />

15 1 100 4 66,7 20 90,9 5 71,4 29 80,6 6 54,5 65 78,3<br />

16 --- --- 2 100 3 75 3 75 11 57,9 11 100 30 75<br />

17 --- --- 9 100 14 100 24 92,3 20 71,4 11 84,6 78 86,7<br />

18 --- --- 1 25 5 71,4 12 52,2 8 36,4 6 46,2 32 46,4<br />

19 1 100 8 100 5 83,3 10 66,7 8 42,1 13 72,2 45 67,2<br />

20 1 100 5 100 18 100 15 93,8 17 70,8 10 66,7 66 83,5<br />

21 --- --- 3 100 3 60 6 54,5 7 38,9 1 25 20 48,8<br />

22 1 100 4 80 9 81,8 2 16,7 6 31,6 4 25 26 40,6<br />

23 1 100 29 93,5 39 76,5 33 57,9 21 44,7 9 33,3 132 61,7<br />

24 --- --- 14 53,8 28 49,1 17 34,7 18 43,9 --- --- 77 44,5<br />

25 --- --- --- --- 1 33,3 5 50 5 41,7 --- --- 11 44<br />

26 --- --- 16 84,2 12 85,7 7 50 7 31,8 --- --- 42 60,9<br />

27 --- --- 6 100 8 66,7 5 55,6 12 57,1 --- --- 31 64,6<br />

28 --- --- --- --- 4 50 1 50 --- --- --- --- 5 26,3<br />

29 1 100 1 100 1 33,3 2 66,7 7 77,8 --- --- 12 70,6<br />

30 --- --- 10 100 16 80 6 54,5 18 54,5 --- --- 50 67,6<br />

31 --- --- --- --- 2 66,7 2 100 1 16,7 --- --- 5 45,5<br />

32 2 100 6 100 7 100 7 87,5 4 44,4 --- --- 26 81,3<br />

33 3 75 14 77,8 20 64,5 21 61,8 24 46,2 1 100 83 59,3<br />

34 1 100 6 100 11 91,7 6 75 6 46,2 --- --- 30 75<br />

35 --- --- 5 83,3 6 75 2 66,7 4 57,1 --- --- 17 68<br />

36 --- --- 8 100 10 83,3 8 44,4 8 25,8 --- --- 34 49,3<br />

37 --- --- 2 66,7 3 100 6 54,5 8 38,1 1 100 20 51,3<br />

38 1 100 5 100 8 100 5 50 8 44,4 --- --- 27 64,3<br />

39 --- --- 5 100 17 94,4 10 83,3 11 50 1 50 44 74,6<br />

40 --- --- 3 75 2 40 4 50 1 7,7 --- --- 10 32,3<br />

41 --- --- 9 81,8 10 83,3 11 73,3 9 42,9 1 100 40 66,7<br />

42 --- --- 2 100 6 100 13 72,2 5 62,5 --- --- 26 76,5<br />

43 --- --- 2 100 6 66,7 7 63,6 8 26,7 --- --- 23 44,2<br />

44 --- --- 4 66,7 7 77,8 6 50 8 32 --- --- 25 48,1<br />

45 --- --- 5 100 6 85,7 7 58,3 4 25 --- --- 22 55<br />

46 1 100 2 100 --- --- 4 80 2 66,7 --- --- 9 81,8<br />

EuroNeoNet 2010 48<br />

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Resuscitation in Delivery Area Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

47 --- --- 3 100 4 100 2 33,3 7 46,7 --- --- 16 57,1<br />

48 --- --- 1 100 4 80 2 50 9 47,4 --- --- 16 55,2<br />

49 --- --- 3 100 5 100 10 100 1 25 --- --- 19 86,4<br />

50 --- --- 4 100 6 75 6 85,7 4 50 --- --- 20 74,1<br />

51 2 100 11 100 22 95,7 30 85,7 18 64,3 15 68,2 98 81<br />

52 1 33,3 18 94,7 28 66,7 17 45,9 21 42,9 --- --- 85 56,7<br />

53 --- --- 4 66,7 5 83,3 3 60 7 53,8 --- --- 19 63,3<br />

54 1 100 3 100 --- --- 1 50 1 14,3 --- --- 6 46,2<br />

55 --- --- 20 100 32 88,9 45 75 22 32,4 --- --- 119 64,7<br />

56 --- --- --- --- 4 100 2 33,3 1 14,3 --- --- 7 41,2<br />

57 --- --- 7 87,5 9 81,8 6 50 15 65,2 --- --- 37 68,5<br />

58 --- --- 4 100 13 100 14 77,8 15 57,7 --- --- 46 75,4<br />

59 --- --- 2 100 1 50 1 33,3 3 42,9 --- --- 7 50<br />

60 --- --- 4 100 7 100 9 69,2 5 31,3 --- --- 25 62,5<br />

61 --- --- 7 77,8 5 55,6 11 78,6 7 53,8 --- --- 30 66,7<br />

62 1 100 5 71,4 3 50 3 33,3 2 20 --- --- 14 42,4<br />

63 --- --- 7 87,5 18 75 24 60 23 46,9 --- --- 72 59,5<br />

64 --- --- 1 100 3 60 7 58,3 5 21,7 --- --- 16 39<br />

65 --- --- 4 66,7 5 62,5 6 60 5 35,7 --- --- 20 52,6<br />

66 1 100 4 80 22 88 13 61,9 9 52,9 --- --- 49 71<br />

67 --- --- 14 77,8 27 90 23 71,9 20 45,5 1 100 85 68<br />

68 --- --- 11 100 12 100 9 50 8 53,3 --- --- 40 71,4<br />

69 --- --- 3 100 1 100 3 60 5 41,7 --- --- 12 57,1<br />

70 --- --- 6 100 24 96 17 85 23 60,5 20 74,1 90 77,6<br />

71 --- --- 8 100 4 66,7 4 66,7 2 16,7 --- --- 18 56,3<br />

72 --- --- --- --- --- --- 1 100 --- --- --- --- 1 50<br />

73 1 100 3 100 5 100 6 46,2 --- --- --- --- 15 60<br />

74 2 100 17 100 23 95,8 23 100 26 100 29 100 120 99,2<br />

75 1 100 12 100 10 83,3 19 67,9 24 88,9 14 70 80 80<br />

76 4 100 20 95,2 28 100 23 76,7 22 66,7 17 56,7 114 78,1<br />

77 3 100 9 100 10 90,9 11 84,6 19 79,2 7 87,5 59 86,8<br />

78 --- --- 3 50 2 50 3 21,4 3 23,1 5 50 16 33,3<br />

79 1 100 11 100 8 100 15 88,2 23 88,5 16 88,9 74 91,4<br />

80 --- --- 3 100 8 72,7 5 83,3 4 25 3 100 23 59<br />

81 2 100 9 90 14 66,7 16 72,7 17 40,5 12 52,2 70 58,3<br />

82 1 100 5 100 11 100 5 41,7 4 21,1 6 40 32 50,8<br />

83 7 100 25 100 25 86,2 27 84,4 27 62,8 20 52,6 131 75,3<br />

84 3 100 9 100 18 100 16 100 39 92,9 --- --- 85 96,6<br />

85 1 100 4 100 8 100 3 60 7 53,8 --- --- 23 67,6<br />

86 --- --- 5 100 17 94,4 3 50 12 80 4 66,7 41 82<br />

87 2 100 3 100 4 100 15 75 14 60,9 9 56,3 47 69,1<br />

88 2 100 27 100 26 100 32 91,4 25 64,1 21 80,8 133 85,8<br />

89 --- --- 2 100 3 100 8 61,5 5 41,7 6 37,5 24 52,2<br />

90 --- --- 4 100 8 88,9 8 72,7 15 60 11 50 46 64,8<br />

91 --- --- 5 100 5 100 7 77,8 11 68,8 6 50 34 72,3<br />

92 1 100 34 97,1 42 100 45 88,2 35 59,3 1 50 158 83,2<br />

93 8 57,1 37 100 35 100 45 95,7 54 90 49 96,1 228 93,4<br />

94 11 100 26 100 31 79,5 18 60 8 32 3 20 97 66,4<br />

95 1 100 9 100 9 100 4 100 7 100 8 100 38 100<br />

96 --- --- 2 100 17 100 12 92,3 15 68,2 13 81,3 59 84,3<br />

TOTAL 91 84,3 785 90,9 1149 82 1098 64,5 1164 48,6 503 53,7 4790 64,6<br />

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6.4.2 Resuscitation in Delivery Room Rate by Gestational Age.<br />

Table 6.4.2 shows the Resuscitation in Delivery Room distribution according<br />

to GA for each Unit.<br />

Resuscitation in Delivery Area Rate against Gestational Age by Participating Unit<br />

Unit<br />

Code<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 2 100 10 100 14 82,4 9 40,9 15 45,5 3 27,3 53 55,8<br />

2 --- --- 2 100 --- --- 3 75 7 50 2 40 14 56<br />

3 5 100 13 92,9 14 73,7 18 54,5 21 30 2 14,3 73 47,1<br />

4 3 100 8 100 6 54,5 5 35,7 11 40,7 --- --- 33 47,1<br />

5 8 88,9 11 100 34 85 14 50 23 33,8 4 36,4 94 56,3<br />

6 3 37,5 17 89,5 21 72,4 16 41 11 17,7 3 20 71 41,3<br />

7 --- --- --- --- --- --- --- --- 1 50 --- --- 1 33,3<br />

8 --- --- --- --- --- --- 1 50 5 38,5 1 14,3 7 31,8<br />

9 --- --- 2 100 4 66,7 5 55,6 5 38,5 1 20 17 47,2<br />

10 1 100 7 100 4 100 9 64,3 6 21,4 --- --- 27 44,3<br />

11 --- --- 13 100 13 68,4 20 54,1 24 46,2 7 29,2 77 53,1<br />

12 1 100 36 97,3 56 83,6 77 66,4 67 38,1 23 27,4 260 54,1<br />

13 --- --- 1 100 2 100 6 85,7 4 44,4 2 33,3 15 60<br />

14 1 100 14 87,5 29 82,9 48 59,3 54 42,9 25 38,5 171 52,8<br />

15 --- --- 4 100 13 86,7 16 94,1 18 72 14 63,6 65 78,3<br />

16 1 100 1 100 3 75 2 50 14 77,8 9 75 30 75<br />

17 --- --- 3 100 16 100 23 100 27 87,1 9 52,9 78 86,7<br />

18 --- --- 2 50 8 72,7 6 37,5 13 50 3 25 32 46,4<br />

19 --- --- 8 100 3 75 14 87,5 17 60,7 3 27,3 45 67,2<br />

20 --- --- 8 100 17 100 9 90 24 77,4 8 61,5 66 83,5<br />

21 --- --- 3 100 3 60 4 66,7 10 47,6 --- --- 20 48,8<br />

22 --- --- 7 100 6 66,7 5 33,3 6 26,1 2 20 26 40,6<br />

23 1 100 29 100 34 85 33 53,2 29 44,6 6 35,3 132 61,7<br />

24 1 100 15 100 18 36,7 27 45 16 33,3 --- --- 77 44,5<br />

25 --- --- --- --- 2 100 6 50 1 25 2 28,6 11 44<br />

26 2 100 10 100 13 86,7 8 57,1 7 36,8 2 22,2 42 60,9<br />

27 --- --- 2 100 10 83,3 14 70 4 50 1 16,7 31 64,6<br />

28 --- --- --- --- 3 60 2 50 --- --- --- --- 5 26,3<br />

29 --- --- 1 50 2 100 5 83,3 3 75 1 33,3 12 70,6<br />

30 2 100 12 100 12 75 6 60 9 50 9 56,3 50 67,6<br />

31 --- --- --- --- --- --- 2 100 2 66,7 1 20 5 45,5<br />

32 1 100 7 100 7 100 7 100 3 60 1 20 26 81,3<br />

33 --- --- 14 82,4 20 71,4 16 66,7 27 54 6 30 83 59,3<br />

34 --- --- 6 100 12 100 4 57,1 6 85,7 2 25 30 75<br />

35 --- --- 3 100 6 85,7 3 60 5 83,3 --- --- 17 68<br />

36 --- --- 8 100 7 87,5 10 62,5 6 31,6 3 16,7 34 49,3<br />

37 --- --- 1 33,3 3 75 4 57,1 7 46,7 5 50 20 51,3<br />

38 --- --- 3 100 7 100 8 72,7 8 72,7 1 10 27 64,3<br />

39 2 100 2 100 14 93,3 11 68,8 8 80 7 50 44 74,6<br />

40 1 100 --- --- 2 66,7 4 40 2 20 1 14,3 10 32,3<br />

41 --- --- 7 100 6 66,7 13 76,5 8 66,7 6 40 40 66,7<br />

42 --- --- 2 100 9 100 8 100 4 44,4 3 50 26 76,5<br />

43 --- --- 6 100 2 66,7 5 83,3 6 35,3 4 20 23 44,2<br />

44 --- --- 3 75 5 62,5 5 41,7 2 22,2 10 52,6 25 48,1<br />

45 --- --- 3 100 2 66,7 11 64,7 2 28,6 4 40 22 55<br />

46 1 100 --- --- 1 100 4 80 3 100 --- --- 9 81,8<br />

EuroNeoNet 2010 50<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


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Resuscitation in Delivery Area Rate against Gestational Age by Participating Unit<br />

Unit<br />

Code<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

47 --- --- 2 100 4 80 4 57,1 4 50 2 33,3 16 57,1<br />

48 --- --- --- --- 4 80 6 60 3 42,9 3 42,9 16 55,2<br />

49 --- --- 1 100 8 100 6 100 4 57,1 --- --- 19 86,4<br />

50 --- --- 4 100 6 100 5 71,4 5 71,4 --- --- 20 74,1<br />

51 4 100 15 100 17 94,4 25 89,3 27 69,2 10 58,8 98 81<br />

52 2 100 23 85,2 19 79,2 17 53,1 14 36,8 10 37 85 56,7<br />

53 --- --- 3 100 6 75 5 100 3 33,3 2 40 19 63,3<br />

54 --- --- 3 100 1 100 --- --- 1 20 1 25 6 46,2<br />

55 2 100 14 100 50 98 29 67,4 20 47,6 4 12,5 119 64,7<br />

56 --- --- 3 100 1 50 3 60 --- --- --- --- 7 41,2<br />

57 2 66,7 5 100 9 100 9 69,2 5 50 7 50 37 68,5<br />

58 1 100 5 100 8 100 8 72,7 16 80 8 50 46 75,4<br />

59 --- --- 1 100 1 100 2 66,7 1 25 2 40 7 50<br />

60 --- --- 4 100 5 100 3 37,5 10 66,7 3 37,5 25 62,5<br />

61 --- --- 5 100 3 37,5 8 88,9 12 75 2 28,6 30 66,7<br />

62 --- --- 4 80 3 33,3 3 75 3 37,5 1 14,3 14 42,4<br />

63 --- --- 6 85,7 19 79,2 21 84 14 40 12 40 72 59,5<br />

64 --- --- 1 100 5 71,4 4 44,4 3 25 3 25 16 39<br />

65 --- --- 2 40 7 77,8 9 75 1 25 1 12,5 20 52,6<br />

66 2 100 9 81,8 10 90,9 19 76 6 46,2 3 42,9 49 71<br />

67 --- --- 15 83,3 22 95,7 30 75 12 44,4 6 35,3 85 68<br />

68 1 100 5 100 15 88,2 8 57,1 7 50 4 80 40 71,4<br />

69 1 100 --- --- 4 100 1 33,3 2 66,7 4 40 12 57,1<br />

70 --- --- 12 100 15 88,2 22 95,7 32 72,7 9 45 90 77,6<br />

71 --- --- 6 85,7 6 100 1 25 4 50 1 14,3 18 56,3<br />

72 --- --- --- --- --- --- 1 100 --- --- --- --- 1 50<br />

73 --- --- 2 100 5 83,3 6 75 2 28,6 --- --- 15 60<br />

74 --- --- 13 100 23 95,8 35 100 49 100 --- --- 120 99,2<br />

75 --- --- 12 100 11 84,6 16 72,7 28 73,7 13 86,7 80 80<br />

76 --- --- 19 100 23 95,8 25 96,2 37 66,1 10 47,6 114 78,1<br />

77 --- --- 11 100 9 100 18 90 16 80 5 62,5 59 86,8<br />

78 --- --- 1 50 2 33,3 9 56,3 4 21,1 --- --- 16 33,3<br />

79 --- --- 8 100 11 100 20 100 28 93,3 7 58,3 74 91,4<br />

80 --- --- 1 100 8 80 4 57,1 6 66,7 4 33,3 23 59<br />

81 --- --- 8 100 14 77,8 17 56,7 23 51,1 8 42,1 70 58,3<br />

82 --- --- 7 100 10 90,9 7 46,7 8 30,8 --- --- 32 50,8<br />

83 9 100 12 100 32 94,1 32 76,2 38 57,6 8 72,7 131 75,3<br />

84 2 100 11 100 15 100 13 100 35 100 9 75 85 96,6<br />

85 1 100 6 100 5 100 8 100 3 25 --- --- 23 67,6<br />

86 1 100 7 100 10 90,9 8 88,9 13 76,5 2 40 41 82<br />

87 3 100 1 100 9 90 9 75 21 63,6 4 44,4 47 69,1<br />

88 4 100 23 100 30 100 30 96,8 37 80,4 9 42,9 133 85,8<br />

89 --- --- 2 100 3 100 7 70 9 39,1 3 37,5 24 52,2<br />

90 --- --- 5 100 11 100 9 69,2 19 51,4 2 40 46 64,8<br />

91 1 100 4 100 4 80 12 85,7 9 50 4 80 34 72,3<br />

92 5 100 33 100 44 100 42 87,5 25 67,6 9 39,1 158 83,2<br />

93 16 76,2 25 96,2 31 100 46 97,9 84 96,6 26 81,3 228 93,4<br />

94 5 100 30 93,8 24 75 26 74,3 9 29 3 27,3 97 66,4<br />

95 3 100 9 100 2 100 10 100 12 100 2 100 38 100<br />

96 --- --- 2 100 13 100 17 100 23 74,2 4 57,1 59 84,3<br />

TOTAL 101 87,8 704 95,4 1060 84,1 1201 69,6 1298 53,1 426 37,8 4790 64,6<br />

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6.4.3 Resuscitation in Delivery Room Rate by Perinatal Risk Factors<br />

Graph 6.4.3, corresponds to the 95% CI for the standardised resuscitation in delivery room adjusted rate.<br />

Graph 6.4.3<br />

The results for Units 3, 6, 8, 10, 12, 14, 22, 24, 28, 40, 64 and 78 reached statistical significant relevance, being the<br />

resuscitation in delivery room rate for these Units significantly smaller than the one expected according to the standard’s<br />

population resuscitation in delivery room distribution. On the other hand, Units 17, 51, 74, 77, 79, 84, 88, 92 and 93 had a<br />

bigger significant resuscitation in delivery room rate than the one expected according to the standard’s population<br />

resuscitation in delivery room distribution.<br />

Note 1: <strong>Standard</strong>ization items: Birth weight Z-Score by gestational age and gender.<br />

Note 2: Units with 5 or less babies admitted have not been analyzed in this section.<br />

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6.5 Surfactant at any Time Rate.<br />

Definition: exogenous surfactant given to the infant at any time.<br />

6.5.1 Surfactant at any time Rate by Birth Weight.<br />

The global surfactant at any time rate for 2010 cohort has been of 48.3%, with a<br />

variation of 18% and 81.5% within units.<br />

Unit<br />

Code<br />

Surfactant at Any Time Rate against Birth Weight by Participating Unit<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

1 1 100 6 75 11 73,3 8 38,1 5 16,1 5 26,3 36 37,9<br />

2 --- --- 1 100 1 33,3 1 20 1 14,3 2 22,2 6 24<br />

3 1 100 14 87,5 15 65,2 15 40,5 7 19,4 3 7,1 55 35,5<br />

4 3 100 8 100 5 62,5 4 25 2 9,5 1 7,1 23 32,9<br />

5 3 100 17 81 24 80 15 46,9 5 12,8 2 4,8 66 39,5<br />

6 5 55,6 12 75 17 50 4 14,8 7 15,9 1 2,4 46 26,7<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- 2 100 3 50 2 22,2 --- --- 7 31,8<br />

9 1 100 --- --- 3 100 10 100 6 40 2 28,6 22 61,1<br />

10 1 100 7 100 6 85,7 11 68,8 4 28,6 6 37,5 35 57,4<br />

11 1 100 11 84,6 19 76 8 24,2 14 29,8 2 7,7 55 37,9<br />

12 3 100 54 96,4 64 79 53 53,5 55 35,5 34 39,1 263 54,7<br />

13 --- --- --- --- 4 80 2 100 2 16,7 1 20 9 36<br />

14 3 100 29 87,9 31 66 36 53,7 33 26,8 15 29,4 147 45,4<br />

15 1 100 5 83,3 17 77,3 1 14,3 11 30,6 5 45,5 40 48,2<br />

16 --- --- 2 100 3 75 1 25 5 26,3 3 27,3 14 35<br />

17 --- --- 9 100 8 57,1 12 46,2 8 28,6 7 53,8 44 48,9<br />

18 --- --- --- --- 4 57,1 10 43,5 9 40,9 4 30,8 27 39,1<br />

19 1 100 6 75 5 83,3 4 26,7 4 21,1 5 27,8 25 37,3<br />

20 --- --- 5 100 11 61,1 6 37,5 8 33,3 7 46,7 37 46,8<br />

21 --- --- 3 100 5 100 7 63,6 10 55,6 2 50 27 65,9<br />

22 1 100 4 80 8 72,7 8 66,7 5 26,3 7 43,8 33 51,6<br />

23 1 100 31 100 41 82 42 73,7 22 45,8 10 37 147 68,7<br />

24 --- --- 24 92,3 42 73,7 27 55,1 16 39 --- --- 109 63<br />

25 --- --- --- --- 2 66,7 5 50 1 8,3 --- --- 8 32<br />

26 --- --- 16 84,2 14 100 4 28,6 5 22,7 --- --- 39 56,5<br />

27 --- --- 5 83,3 10 83,3 6 66,7 14 66,7 --- --- 35 72,9<br />

28 --- --- --- --- 5 62,5 --- --- --- --- --- --- 5 26,3<br />

29 1 100 1 100 1 33,3 --- --- 3 33,3 --- --- 6 35,3<br />

30 --- --- 9 90 14 70 1 9,1 6 18,2 --- --- 30 40,5<br />

31 --- --- --- --- 1 33 1 50 --- --- --- --- 2 18,2<br />

32 2 100 6 100 4 57,1 6 75 1 11,1 --- --- 19 59,4<br />

33 3 75 15 83,3 18 58,1 12 35,3 14 26,9 --- --- 62 44,3<br />

34 1 100 5 83,3 12 100 4 40 1 7,7 --- --- 23 54,8<br />

35 1 100 6 100 8 100 1 33,3 2 28,6 --- --- 18 72<br />

36 --- --- 8 100 9 75 10 55,6 10 32,3 --- --- 37 53,6<br />

37 --- --- 3 100 1 33,3 4 36,4 5 23,8 1 100 14 35,9<br />

38 1 100 5 100 6 75 6 60 4 22,2 --- --- 22 52,4<br />

39 --- --- 5 100 15 83,3 6 50 2 9,1 1 50 29 49,2<br />

40 --- --- 3 75 2 40 5 62,5 2 15,4 1 100 13 41,9<br />

41 --- --- 4 36,4 9 75 6 40 5 23,8 1 100 25 41,7<br />

42 --- --- --- --- 6 100 8 44,4 1 12,5 --- --- 15 44,1<br />

43 --- --- 1 50 4 44,4 3 27,3 3 10 --- --- 11 21,2<br />

44 --- --- 6 100 6 66,7 2 16,7 5 20 --- --- 19 36,5<br />

45 --- --- 5 100 4 57,1 6 50 2 12,5 --- --- 17 42,5<br />

46 1 100 2 100 --- --- 3 60 2 66,7 --- --- 8 72,7<br />

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Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


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Unit<br />

Code<br />

Surfactant at Any Time Rate against Birth Weight by Participating Unit<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

47 --- --- 3 100 2 50 4 66,7 5 33,3 --- --- 14 50<br />

48 --- --- 1 100 3 60 2 50 6 31,6 --- --- 12 41,4<br />

49 --- --- 3 100 4 80 6 60 2 50 --- --- 15 68,2<br />

50 --- --- 4 100 8 100 3 42,9 3 37,5 --- --- 18 66,7<br />

51 2 100 11 100 22 95,7 17 48,6 9 32,1 7 31,8 68 56,2<br />

52 2 66,7 16 84,2 29 69 15 40,5 18 36,7 --- --- 80 53,3<br />

53 --- --- 4 66,7 5 83,3 1 20 4 30,8 --- --- 14 46,7<br />

54 1 100 3 100 --- --- 1 50 2 28,6 --- --- 7 53,8<br />

55 --- --- 20 100 33 91,7 42 70 19 27,5 --- --- 114 61,6<br />

56 --- --- --- --- 4 100 6 100 3 42,9 --- --- 13 76,5<br />

57 --- --- 8 100 8 72,7 6 50 9 39,1 --- --- 31 57,4<br />

58 --- --- 2 50 4 30,8 2 11,1 3 11,5 --- --- 11 18<br />

59 --- --- 2 100 1 50 --- --- 1 14,3 --- --- 4 28,6<br />

60 --- --- 3 75 6 85,7 6 46,2 6 37,5 --- --- 21 52,5<br />

61 --- --- 3 33,3 5 55,6 7 50 6 46,2 --- --- 21 46,7<br />

62 1 100 5 71,4 4 66,7 4 44,4 --- --- --- --- 14 42,4<br />

63 --- --- 8 100 20 83,3 20 50 18 36,7 --- --- 66 54,5<br />

64 --- --- --- --- 2 40 4 33,3 3 13 --- --- 9 22<br />

65 --- --- 3 50 6 75 4 40 4 28,6 --- --- 17 44,7<br />

66 1 100 5 100 24 96 18 85,7 7 41,2 --- --- 55 79,7<br />

67 --- --- 9 50 21 70 4 12,5 13 29,5 1 100 48 38,4<br />

68 --- --- 11 100 11 91,7 10 55,6 11 73,3 --- --- 43 76,8<br />

69 --- --- 3 100 1 100 1 16,7 2 16,7 --- --- 7 31,8<br />

70 --- --- 3 50 10 40 3 15 8 21,1 3 11,1 27 23,3<br />

71 --- --- 5 62,5 3 50 4 66,7 3 25 --- --- 15 46,9<br />

72 --- --- --- --- --- --- 1 100 --- --- --- --- 1 50<br />

73 1 100 3 100 5 100 9 69,2 --- --- --- --- 18 72<br />

74 1 50 14 82,4 17 70,8 12 52,2 9 34,6 8 27,6 61 50,4<br />

75 1 100 8 66,7 8 66,7 3 10,7 7 25,9 2 10 29 29<br />

76 4 100 18 85,7 20 71,4 15 50 7 21,2 8 26,7 72 49,3<br />

77 3 100 6 66,7 7 63,6 5 38,5 5 20,8 --- --- 26 38,2<br />

78 --- --- 5 83,3 2 50 3 21,4 3 23,1 1 10 14 29,2<br />

79 1 100 9 81,8 8 100 8 47,1 12 46,2 9 50 47 58<br />

80 --- --- 3 100 9 81,8 3 50 6 37,5 1 33,3 22 56,4<br />

81 1 50 7 70 13 61,9 8 36,4 8 19 5 21,7 42 35<br />

82 1 100 5 100 9 81,8 6 50 7 36,8 1 6,7 29 46<br />

83 4 57,1 19 76 13 44,8 20 62,5 13 30,2 7 18,4 76 43,7<br />

84 3 100 8 88,9 16 88,9 9 56,3 13 31 --- --- 49 55,7<br />

85 1 100 3 75 7 87,5 3 60 8 61,5 --- --- 22 64,7<br />

86 --- --- 4 80 13 72,2 3 50 4 26,7 --- --- 24 48<br />

87 2 100 3 100 4 100 10 50 3 13 2 12,5 24 35,3<br />

88 2 100 27 100 26 100 26 74,3 10 25,6 12 46,2 103 66,5<br />

89 --- --- 2 100 3 100 6 46,2 2 16,7 6 37,5 19 41,3<br />

90 --- --- 4 100 8 88,9 4 36,4 8 32 5 22,7 29 40,8<br />

91 --- --- 5 100 3 60 5 55,6 6 37,5 3 25 22 46,8<br />

92 1 100 31 88,6 40 95,2 43 86 37 62,7 2 100 154 81,5<br />

93 --- --- 30 81,1 18 51,4 22 46,8 15 25 12 23,5 97 39,8<br />

94 9 81,8 16 61,5 20 51,3 8 26,7 9 36 4 26,7 66 45,2<br />

95 --- --- 8 80 8 66,7 2 28,6 6 35,3 6 54,5 30 51,7<br />

96 --- --- 2 100 17 100 10 76,9 5 22,7 6 37,5 40 57,1<br />

TOTAL 78 72,2 728 84,2 1027 73,1 821 48,1 697 28,9 239 25,4 3590 48,3<br />

EuroNeoNet 2010 54<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

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6.5.2 Surfactant at any time Rate by Gestational Age.<br />

Table 6.5.2 shows the Surfactant at any Time distribution according to<br />

gestational age for each Unit.<br />

Unit<br />

Code<br />

Surfactant at Any Time Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 2 100 10 100 12 70,6 5 22,7 7 21,2 --- --- 36 37,9<br />

2 --- --- 2 100 --- --- 1 25 3 21,4 --- --- 6 24<br />

3 5 100 13 92,9 14 73,7 15 45,5 8 11,4 --- --- 55 35,5<br />

4 3 100 8 100 7 63,6 1 7,1 4 14,8 --- --- 23 32,9<br />

5 8 88,9 11 100 32 80 8 28,6 7 10,3 --- --- 66 39,5<br />

6 3 37,5 17 89,5 12 41,4 13 33,3 1 1,6 --- --- 46 26,7<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- 2 100 5 38,5 --- --- 7 31,8<br />

9 1 100 2 100 6 100 8 88,9 5 38,5 --- --- 22 61,1<br />

10 1 100 7 100 4 100 14 100 9 32,1 --- --- 35 57,4<br />

11 --- --- 13 100 11 57,9 20 54,1 8 15,4 3 12,5 55 37,9<br />

12 1 100 36 97,3 63 94 90 77,6 67 38,1 6 7,1 263 54,7<br />

13 --- --- 1 100 2 100 2 28,6 4 44,4 --- --- 9 36<br />

14 1 100 16 100 31 88,6 50 61,7 42 33,3 7 10,8 147 45,4<br />

15 --- --- 4 100 13 86,7 11 64,7 12 48 --- --- 40 48,2<br />

16 1 100 1 100 2 50 2 50 5 27,8 3 25 14 35<br />

17 --- --- 3 100 13 81,3 17 73,9 10 32,3 1 5,9 44 48,9<br />

18 --- --- 2 50 6 54,5 8 50 11 42,3 --- --- 27 39,1<br />

19 --- --- 6 75 3 75 9 56,3 6 21,4 1 9,1 25 37,3<br />

20 --- --- 7 87,5 12 70,6 4 40 13 41,9 1 7,7 37 46,8<br />

21 --- --- 3 100 5 100 5 83,3 14 66,7 --- --- 27 65,9<br />

22 --- --- 6 85,7 7 77,8 10 66,7 9 39,1 1 10 33 51,6<br />

23 1 100 29 100 37 94,9 38 61,3 33 50 9 52,9 147 68,7<br />

24 1 100 15 100 41 83,7 42 70 10 20,8 --- --- 109 63<br />

25 --- --- --- --- 2 100 6 50 --- --- --- --- 8 32<br />

26 2 100 10 100 15 100 6 42,9 6 31,6 --- --- 39 56,5<br />

27 --- --- 2 100 11 91,7 17 85 5 62,5 --- --- 35 72,9<br />

28 --- --- --- --- 4 80 --- --- 1 16,7 --- --- 5 26,3<br />

29 --- --- 2 100 1 50 2 33,3 1 25 --- --- 6 35,3<br />

30 2 100 12 100 10 62,5 4 40 2 11,1 --- --- 30 40,5<br />

31 --- --- --- --- --- --- 1 50 1 33,3 --- --- 2 18,2<br />

32 1 100 7 100 5 71,4 4 57,1 1 20 1 20 19 59,4<br />

33 1 100 16 94,1 18 64,3 10 41,7 15 30 2 10 62 44,3<br />

34 --- --- 6 100 11 91,7 4 50 1 14,3 1 11,1 23 54,8<br />

35 --- --- 3 100 7 100 4 80 4 66,7 --- --- 18 72<br />

36 --- --- 8 100 8 100 7 43,8 13 68,4 1 5,6 37 53,6<br />

37 --- --- 3 100 2 50 4 57,1 4 26,7 1 10 14 35,9<br />

38 --- --- 3 100 7 100 6 54,5 6 54,5 --- --- 22 52,4<br />

39 2 100 2 100 14 93,3 8 50 2 20 1 7,1 29 49,2<br />

40 1 100 --- --- 2 66,7 7 70 2 20 1 14,3 13 41,9<br />

41 --- --- 3 42,9 7 77,8 10 58,8 3 25 2 13,3 25 41,7<br />

42 --- --- 2 100 6 66,7 5 62,5 2 22,2 --- --- 15 44,1<br />

43 --- --- 5 83,3 1 33,3 2 33,3 2 11,8 1 5 11 21,2<br />

44 --- --- 4 100 6 75 5 41,7 4 44,4 --- --- 19 36,5<br />

45 --- --- 3 100 3 100 10 58,8 --- --- 1 10 17 42,5<br />

EuroNeoNet 2010 55<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

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Unit<br />

Code<br />

Surfactant at Any Time Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

46 1 100 --- --- 1 100 3 60 3 100 --- --- 8 72,7<br />

47 --- --- 2 100 4 80 5 71,4 3 37,5 --- --- 14 50<br />

48 --- --- --- --- 4 80 5 50 3 42,9 --- --- 12 41,4<br />

49 --- --- 1 100 7 87,5 5 83,3 2 28,6 --- --- 15 68,2<br />

50 --- --- 4 100 6 100 5 71,4 3 42,9 --- --- 18 66,7<br />

51 3 75 15 100 17 94,4 16 57,1 16 41 1 5,9 68 56,2<br />

52 2 100 24 88,9 19 79,2 13 40,6 18 47,4 4 14,8 80 53,3<br />

53 --- --- 3 100 5 62,5 3 60 2 22,2 1 20 14 46,7<br />

54 --- --- 3 100 1 100 --- --- 1 20 2 50 7 53,8<br />

55 2 100 14 100 48 94,1 31 70,5 18 42,9 1 3,1 114 61,6<br />

56 --- --- 3 100 2 100 5 100 2 66,7 1 25 13 76,5<br />

57 3 100 5 100 9 100 7 53,8 5 50 2 14,3 31 57,4<br />

58 1 100 3 60 3 37,5 2 18,2 2 10 --- --- 11 18<br />

59 --- --- 1 100 1 100 1 33,3 1 25 --- --- 4 28,6<br />

60 --- --- 4 100 5 100 2 25 10 66,7 --- --- 21 52,5<br />

61 --- --- 2 40 5 62,5 7 77,8 6 37,5 1 14,3 21 46,7<br />

62 --- --- 3 60 7 77,8 3 75 1 12,5 --- --- 14 42,4<br />

63 --- --- 7 100 22 91,7 20 80 13 37,1 4 13,3 66 54,5<br />

64 --- --- 1 100 4 57,1 2 22,2 2 16,7 --- --- 9 22<br />

65 --- --- 3 60 7 77,8 6 50 --- --- 1 12,5 17 44,7<br />

66 2 100 11 100 11 100 23 92 8 61,5 --- --- 55 79,7<br />

67 --- --- 13 72,2 13 56,5 16 40 6 22,2 --- --- 48 38,4<br />

68 1 100 5 100 16 94,1 11 78,6 9 64,3 1 20 43 76,8<br />

69 1 100 --- --- 4 100 1 33,3 1 25 --- --- 7 31,8<br />

70 --- --- 6 50 6 35,3 9 39,1 6 13,6 --- --- 27 23,3<br />

71 --- --- 5 71,4 3 50 4 100 2 25 1 14,3 15 46,9<br />

72 --- --- --- --- --- --- 1 100 --- --- --- --- 1 50<br />

73 --- --- 2 100 5 83,3 7 87,5 4 57,1 --- --- 18 72<br />

74 --- --- 11 84,6 20 83,3 17 48,6 13 26,5 --- --- 61 50,4<br />

75 --- --- 8 66,7 8 61,5 7 31,8 6 15,8 --- --- 29 29<br />

76 --- --- 19 100 18 75 15 57,7 18 32,1 2 9,5 72 49,3<br />

77 --- --- 9 81,8 6 66,7 7 35 4 20 --- --- 26 38,2<br />

78 --- --- 1 50 4 66,7 6 37,5 3 15,8 --- --- 14 29,2<br />

79 --- --- 8 100 10 90,9 15 75 14 46,7 --- --- 47 58<br />

80 --- --- 1 100 10 100 4 57,1 6 66,7 1 8,3 22 56,4<br />

81 --- --- 6 75 15 83,3 12 40 9 20 --- --- 42 35<br />

82 --- --- 7 100 10 90,9 9 60 3 11,5 --- --- 29 46<br />

83 9 100 10 83,3 21 61,8 21 50 14 21,2 1 9,1 76 43,7<br />

84 2 100 11 100 13 86,7 9 69,2 14 40 --- --- 49 55,7<br />

85 1 100 5 83,3 4 80 7 87,5 5 41,7 --- --- 22 64,7<br />

86 1 100 7 100 8 72,7 3 33,3 4 23,5 1 20 24 48<br />

87 3 100 1 100 9 90 4 33,3 7 21,2 --- --- 24 35,3<br />

88 4 100 23 100 30 100 29 93,5 17 37 --- --- 103 66,5<br />

89 --- --- 2 100 2 66,7 7 70 8 34,8 --- --- 19 41,3<br />

90 --- --- 5 100 9 81,8 6 46,2 9 24,3 --- --- 29 40,8<br />

91 1 100 4 100 4 80 8 57,1 5 27,8 --- --- 22 46,8<br />

92 5 100 32 97 41 95,3 45 93,8 27 73 4 17,4 154 81,5<br />

93 7 33,3 23 88,5 21 67,7 20 42,6 25 28,7 1 3,1 97 39,8<br />

94 5 100 23 71,9 14 43,8 14 40 7 22,6 3 27,3 66 45,2<br />

95 1 25 9 100 2 100 8 61,5 9 47,4 1 9,1 30 51,7<br />

96 --- --- 2 100 13 100 13 76,5 11 35,5 1 14,3 40 57,1<br />

TOTAL 92 79,3 670 90,8 1000 79,5 996 57,5 753 30,7 79 6,9 3590 48,3<br />

EuroNeoNet 2010 56<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


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6.5.3 Surfactant at any time <strong>Standard</strong>ized Rate by Perinatal Risk Factors.<br />

Graph 6.5.3, corresponds to the 95% CI for the standardised surfactant at any time adjusted rate.<br />

Graph 6.5.3<br />

The results for Units 2, 3, 4, 6, 31, 43, 58, 64, 70, 75, 78 and 81 reached statistical significant relevance, being the surfactant<br />

at any time rate for these Units significantly smaller than the one expected according to the standard’s population<br />

surfactant at any time distribution. On the other hand, Units 23, 24, 27, 55, 66, 68, 88 and 92 had a bigger significant<br />

surfactant at any time rate than the one expected according to the standard’s population surfactant at any time<br />

distribution.<br />

Note 1: <strong>Standard</strong>ization items: Birth weight Z-Score by gestational age and gender.<br />

Note 2: Units with 5 or less babies admitted have not been analyzed in this section.<br />

EuroNeoNet 2010 57<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


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6.6 Surfactant within the First hour of Life Rate.<br />

Definition: Surfactant administrated within the first hour of life. No surfactant administration was<br />

considered as a NO.<br />

Note: In this section Units NOT RECORDING time of administration have been<br />

excluded.<br />

6.6.1 Surfactant within the First hour of Life Rate By Birth Weight.<br />

The global surfactant within the first hour of life rate for 2010 cohort has been of<br />

27.5%, with a variation of 1% and 77.2% within units.<br />

Unit<br />

Code<br />

Surfactant within the First Hour of Life Rate against<br />

Birth Weight by Participating Unit<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

1 1 100 6 75 8 53,3 5 23,8 2 6,5 3 15,8 25 26,3<br />

2 --- --- 1 100 1 33,3 --- --- 1 14,3 --- --- 3 12<br />

3 1 100 11 68,8 12 52,2 10 27 3 8,3 2 4,8 39 25,2<br />

4 3 100 7 87,5 3 37,5 1 6,3 --- --- --- --- 14 20<br />

5 3 100 16 76,2 19 63,3 12 37,5 3 7,7 --- --- 53 31,7<br />

6 3 33,3 9 56,3 13 38,2 2 7,4 3 6,8 1 2,4 31 18<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- 2 100 2 33,3 --- --- --- --- 4 18,2<br />

9 --- --- --- --- --- --- 5 50 2 13,3 2 28,6 9 25<br />

10 1 100 4 57,1 4 57,1 9 56,3 --- --- 1 6,3 19 31,1<br />

11 --- --- 6 46,2 9 36 1 3 4 8,5 --- --- 20 13,8<br />

12 2 66,7 39 70,9 36 46,8 26 26,5 16 10,7 15 17,6 134 28,6<br />

13 --- --- --- --- 2 40 --- --- --- --- --- --- 2 8<br />

14 2 66,7 20 60,6 18 38,3 14 20,9 17 13,8 4 8 75 23,2<br />

15 --- --- 4 66,7 10 45,5 --- --- 1 2,8 --- --- 15 18,1<br />

16 --- --- 2 100 --- --- --- --- --- --- 1 9,1 3 7,5<br />

17 --- --- 7 77,8 7 50 6 23,1 5 17,9 1 7,7 26 28,9<br />

18 --- --- --- --- 2 28,6 3 13 --- --- --- --- 5 7,2<br />

19 1 100 5 62,5 4 66,7 4 26,7 4 21,1 4 22,2 22 32,8<br />

20 --- --- 1 20 3 16,7 --- --- 1 4,2 1 6,7 6 7,6<br />

21 --- --- 3 100 5 100 4 36,4 7 38,9 1 25 20 48,8<br />

22 1 100 4 80 5 45,5 1 8,3 1 5,3 2 12,5 14 21,9<br />

23 1 100 29 96,7 33 66 28 50 12 25 4 14,8 107 50,5<br />

24 --- --- 9 34,6 17 29,8 17 34,7 7 17,1 --- --- 50 28,9<br />

25 --- --- --- --- 1 33,3 --- --- --- --- --- --- 1 4<br />

26 --- --- 7 50 6 50 2 14,3 1 5 --- --- 16 26,7<br />

27 --- --- --- --- 2 33,3 2 25 7 41,2 --- --- 11 34,4<br />

28 --- --- --- --- 3 37,5 --- --- --- --- --- --- 3 15,8<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 --- --- 7 70 8 40 1 9,1 3 9,1 --- --- 19 25,7<br />

31 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

32 2 100 2 33,3 3 42,9 1 12,5 --- --- --- --- 8 25,8<br />

33 3 75 14 77,8 15 48,4 5 14,7 8 15,4 --- --- 45 32,1<br />

34 --- --- 4 80 9 75 2 22,2 1 7,7 --- --- 16 41<br />

35 --- --- 6 100 6 75 1 33,3 1 14,3 --- --- 14 56<br />

36 --- --- 2 100 1 20 3 27,3 1 4,5 --- --- 7 17,5<br />

37 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

38 --- --- 5 100 4 50 2 20 2 11,1 --- --- 13 31<br />

39 --- --- 3 75 10 71,4 6 50 1 4,8 1 50 21 39,6<br />

40 --- --- 1 25 1 20 3 37,5 1 7,7 --- --- 6 20<br />

41 --- --- 3 27,3 1 11,1 --- --- 1 5 --- --- 5 9,3<br />

42 --- --- --- --- 1 20 --- --- --- --- --- --- 1 3,3<br />

43 --- --- 1 50 3 33,3 2 18,2 2 6,7 --- --- 8 15,4<br />

44 --- --- 4 66,7 2 22,2 --- --- --- --- --- --- 6 11,5<br />

EuroNeoNet 2010 58<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

Unit<br />

Code<br />

Surfactant within the First Hour of Life Rate against<br />

Birth Weight by Participating Unit<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

45 --- --- 1 33,3 2 28,6 3 27,3 --- --- --- --- 6 17,1<br />

46 1 100 1 50 --- --- 1 20 --- --- --- --- 3 27,3<br />

47 --- --- 1 33,3 --- --- 1 16,7 --- --- --- --- 2 7,1<br />

48 --- --- --- --- --- --- --- --- 2 10,5 --- --- 2 6,9<br />

49 --- --- 3 100 2 40 3 30 --- --- --- --- 8 36,4<br />

50 --- --- 3 75 7 87,5 2 28,6 2 25 --- --- 14 51,9<br />

51 2 100 11 100 19 82,6 13 37,1 7 25 5 22,7 57 47,1<br />

52 --- --- 11 57,9 9 26,5 3 8,3 4 8,5 --- --- 27 19,4<br />

53 --- --- 2 33,3 3 50 --- --- --- --- --- --- 5 16,7<br />

54 --- --- 1 33,3 --- --- 1 50 1 14,3 --- --- 3 23,1<br />

55 --- --- 17 94,4 27 84,4 26 54,2 8 12,1 --- --- 78 47,6<br />

56 --- --- --- --- 4 100 5 83,3 3 42,9 --- --- 12 70,6<br />

57 --- --- 4 50 7 63,6 2 16,7 5 21,7 --- --- 18 33,3<br />

58 --- --- 2 50 2 15,4 2 11,1 --- --- --- --- 6 9,8<br />

59 --- --- 1 50 1 50 --- --- --- --- --- --- 2 14,3<br />

60 --- --- 3 75 5 71,4 6 46,2 1 6,3 --- --- 15 37,5<br />

61 --- --- 3 33,3 --- --- 2 18,2 2 20 --- --- 7 19,4<br />

62 1 100 3 42,9 2 33,3 1 11,1 --- --- --- --- 7 21,2<br />

63 --- --- 3 50 13 65 12 30,8 9 19,1 --- --- 37 33<br />

64 --- --- --- --- 2 40 3 27,3 --- --- --- --- 5 13,5<br />

65 --- --- 1 16,7 --- --- 2 20 1 7,1 --- --- 4 10,5<br />

66 1 100 1 20 10 40 7 33,3 2 11,8 --- --- 21 30,4<br />

67 --- --- 3 21,4 10 47,6 1 3,3 5 12,5 --- --- 19 18,1<br />

68 --- --- 7 63,6 9 75 8 47,1 2 16,7 --- --- 26 50<br />

69 --- --- 2 66,7 1 100 --- --- 1 8,3 --- --- 4 18,2<br />

70 --- --- 1 16,7 4 16 3 15 4 10,5 3 11,1 15 12,9<br />

71 --- --- 5 62,5 2 33,3 1 16,7 1 8,3 --- --- 9 28,1<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 1 100 1 100 4 100 4 50 --- --- --- --- 10 58,8<br />

74 1 50 7 41,2 8 38,1 4 17,4 --- --- 2 6,9 22 18,6<br />

75 --- --- --- --- --- --- --- --- --- --- 1 5 1 1<br />

76 4 100 17 81 17 60,7 10 33,3 5 15,2 5 16,7 58 39,7<br />

77 3 100 6 66,7 4 36,4 2 15,4 4 17,4 --- --- 19 28,4<br />

78 --- --- 1 16,7 1 25 --- --- --- --- --- --- 2 4,2<br />

79 --- --- 9 81,8 7 100 7 41,2 10 38,5 6 33,3 39 49,4<br />

80 --- --- 2 66,7 4 40 1 16,7 --- --- --- --- 7 18,4<br />

81 --- --- 1 10 7 33,3 4 18,2 1 2,4 --- --- 13 10,8<br />

82 1 100 5 100 7 63,6 3 25 4 21,1 1 6,7 21 33,3<br />

83 4 57,1 15 60 6 20,7 11 34,4 2 4,7 1 2,6 39 22,4<br />

84 3 100 8 88,9 10 55,6 5 31,3 5 11,9 --- --- 31 35,2<br />

85 1 100 3 75 3 37,5 --- --- 3 23,1 --- --- 10 29,4<br />

86 --- --- 4 80 8 44,4 1 16,7 3 20 --- --- 16 32<br />

87 1 50 3 100 4 100 6 30 --- --- --- --- 14 20,6<br />

88 2 100 24 88,9 23 88,5 17 48,6 5 12,8 3 12 74 48,1<br />

89 --- --- 1 50 3 100 3 23,1 --- --- 1 6,3 8 17,4<br />

90 --- --- 4 100 5 62,5 4 36,4 2 8 2 9,1 17 24,3<br />

91 --- --- 3 60 1 20 2 22,2 2 12,5 2 16,7 10 21,3<br />

92 1 100 31 88,6 39 92,9 41 82 32 54,2 2 100 146 77,2<br />

93 --- --- 21 60 12 36,4 9 20 8 13,3 2 3,9 52 21,8<br />

94 6 54,5 5 19,2 5 12,8 --- --- --- --- --- --- 16 11<br />

95 --- --- 7 70 7 58,3 1 14,3 1 5,9 4 36,4 20 34,5<br />

96 --- --- 2 100 16 94,1 8 61,5 4 18,2 2 12,5 32 45,7<br />

TOTAL 57 53,8 512 61,8 631 47,2 431 26 269 11,4 85 9,1 1985 27,5<br />

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6.6.2 Surfactant within the First hour of Life Rate by Gestational Age.<br />

Table 6.6.2 shows the surfactant within the first hour of life distribution<br />

according to gestational age for each Unit.<br />

Unit<br />

Code<br />

Surfactant Within the First Hour of Life Rate against<br />

Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 2 100 10 100 8 47,1 1 4,5 4 12,1 --- --- 25 26,3<br />

2 --- --- 2 100 --- --- --- --- 1 7,1 --- --- 3 12<br />

3 4 80 12 85,7 12 63,2 8 24,2 3 4,3 --- --- 39 25,2<br />

4 3 100 8 100 3 27,3 --- --- --- --- --- --- 14 20<br />

5 7 77,8 11 100 28 70 3 10,7 4 5,9 --- --- 53 31,7<br />

6 3 37,5 12 63,2 9 31 6 15,4 1 1,6 --- --- 31 18<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- 2 100 2 15,4 --- --- 4 18,2<br />

9 --- --- --- --- 5 83,3 1 11,1 3 23,1 --- --- 9 25<br />

10 1 100 4 57,1 4 100 8 57,1 2 7,1 --- --- 19 31,1<br />

11 --- --- 9 69,2 5 26,3 4 10,8 --- --- 2 8,3 20 13,8<br />

12 1 100 31 83,8 35 54,7 45 40,9 20 11,6 2 2,4 134 28,6<br />

13 --- --- 1 100 1 50 --- --- --- --- --- --- 2 8<br />

14 1 100 11 68,8 21 60 23 28,4 14 11,2 5 7,7 75 23,2<br />

15 --- --- 4 100 8 53,3 3 17,6 --- --- --- --- 15 18,1<br />

16 1 100 1 100 --- --- --- --- 1 5,6 --- --- 3 7,5<br />

17 --- --- 3 100 12 75 10 43,5 1 3,2 --- --- 26 28,9<br />

18 --- --- --- --- 5 45,5 --- --- --- --- --- --- 5 7,2<br />

19 --- --- 5 62,5 2 50 9 56,3 5 17,9 1 9,1 22 32,8<br />

20 --- --- 2 25 3 17,6 --- --- 1 3,2 --- --- 6 7,6<br />

21 --- --- 3 100 5 100 4 66,7 8 38,1 --- --- 20 48,8<br />

22 --- --- 5 71,4 5 55,6 2 13,3 2 8,7 --- --- 14 21,9<br />

23 1 100 28 100 34 87,2 28 45,9 13 19,7 3 17,6 107 50,5<br />

24 --- --- 11 73,3 15 30,6 19 31,7 5 10,4 --- --- 50 28,9<br />

25 --- --- --- --- 1 50 --- --- --- --- --- --- 1 4<br />

26 --- --- 7 87,5 5 45,5 2 15,4 2 11,1 --- --- 16 26,7<br />

27 --- --- --- --- 2 50 8 47,1 1 20 --- --- 11 34,4<br />

28 --- --- --- --- 3 60 --- --- --- --- --- --- 3 15,8<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 2 100 8 66,7 6 37,5 2 20 1 5,6 --- --- 19 25,7<br />

31 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

32 1 100 4 57,1 2 28,6 1 14,3 --- --- --- --- 8 25,8<br />

33 1 100 15 88,2 14 50 6 25 8 16 1 5 45 32,1<br />

34 --- --- 3 75 10 83,3 2 28,6 --- --- 1 11,1 16 41<br />

35 --- --- 3 100 6 85,7 2 40 3 50 --- --- 14 56<br />

36 --- --- 2 100 --- --- --- --- 5 45,5 --- --- 7 17,5<br />

37 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

38 --- --- 3 100 5 71,4 4 36,4 1 9,1 --- --- 13 31<br />

39 1 50 1 100 10 83,3 7 46,7 2 20 --- --- 21 39,6<br />

40 1 100 --- --- --- --- 5 50 --- --- --- --- 6 20<br />

41 --- --- 2 28,6 1 14,3 2 14,3 --- --- --- --- 5 9,3<br />

42 --- --- 1 50 --- --- --- --- --- --- --- --- 1 3,3<br />

43 --- --- 4 66,7 1 33,3 1 16,7 1 5,9 1 5 8 15,4<br />

44 --- --- 2 50 4 50 --- --- --- --- --- --- 6 11,5<br />

45 --- --- 1 50 1 33,3 4 28,6 --- --- --- --- 6 17,1<br />

46 --- --- --- --- 1 100 1 20 1 33,3 --- --- 3 27,3<br />

47 --- --- 1 50 1 20 --- --- --- --- --- --- 2 7,1<br />

48 --- --- --- --- --- --- 2 20 --- --- --- --- 2 6,9<br />

49 --- --- 1 100 6 75 1 16,7 --- --- --- --- 8 36,4<br />

50 --- --- 4 100 5 83,3 4 57,1 1 14,3 --- --- 14 51,9<br />

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Unit<br />

Code<br />

Surfactant Within the First Hour of Life Rate against<br />

Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

51 3 75 15 100 14 77,8 12 42,9 12 30,8 1 5,9 57 47,1<br />

52 2 100 11 50 7 33,3 2 6,7 3 8,1 2 7,4 27 19,4<br />

53 --- --- 1 33,3 3 37,5 1 20 --- --- --- --- 5 16,7<br />

54 --- --- 1 33,3 --- --- --- --- 1 20 1 25 3 23,1<br />

55 1 100 14 100 38 86,4 17 50 8 20,5 --- --- 78 47,6<br />

56 --- --- 3 100 2 100 5 100 1 33,3 1 25 12 70,6<br />

57 --- --- 5 100 7 77,8 4 30,8 1 10 1 7,1 18 33,3<br />

58 1 100 3 60 1 12,5 --- --- 1 5 --- --- 6 9,8<br />

59 --- --- 1 100 1 100 --- --- --- --- --- --- 2 14,3<br />

60 --- --- 4 100 4 80 2 25 5 33,3 --- --- 15 37,5<br />

61 --- --- 2 40 --- --- 3 50 2 14,3 --- --- 7 19,4<br />

62 --- --- 3 60 1 11,1 2 50 1 12,5 --- --- 7 21,2<br />

63 --- --- 4 66,7 12 60 15 62,5 5 15,2 1 3,4 37 33<br />

64 --- --- 1 100 3 50 1 12,5 --- --- --- --- 5 13,5<br />

65 --- --- --- --- 3 33,3 1 8,3 --- --- --- --- 4 10,5<br />

66 --- --- 7 63,6 6 54,5 6 24 2 15,4 --- --- 21 30,4<br />

67 --- --- 7 50 5 31,3 4 12,1 3 12 --- --- 19 18,1<br />

68 1 100 3 60 13 81,3 5 41,7 4 30,8 --- --- 26 50<br />

69 1 100 --- --- 3 75 --- --- --- --- --- --- 4 18,2<br />

70 --- --- 2 16,7 2 11,8 6 26,1 5 11,4 --- --- 15 12,9<br />

71 --- --- 5 71,4 3 50 --- --- --- --- 1 14,3 9 28,1<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 --- --- 2 100 5 83,3 2 66,7 1 25 --- --- 10 58,8<br />

74 --- --- 6 46,2 10 47,6 4 11,4 2 4,1 --- --- 22 18,6<br />

75 --- --- --- --- --- --- --- --- 1 2,6 --- --- 1 1<br />

76 --- --- 19 100 14 58,3 12 46,2 11 19,6 2 9,5 58 39,7<br />

77 --- --- 8 72,7 5 55,6 4 20 2 10,5 --- --- 19 28,4<br />

78 --- --- --- --- 1 16,7 1 6,3 --- --- --- --- 2 4,2<br />

79 --- --- 8 100 9 90 12 63,2 10 33,3 --- --- 39 49,4<br />

80 --- --- 1 100 4 40 2 28,6 --- --- --- --- 7 18,4<br />

81 --- --- 2 25 7 38,9 2 6,7 2 4,4 --- --- 13 10,8<br />

82 --- --- 7 100 8 72,7 4 26,7 2 7,7 --- --- 21 33,3<br />

83 9 100 6 50 13 38,2 8 19 3 4,5 --- --- 39 22,4<br />

84 2 100 11 100 9 60 4 30,8 5 14,3 --- --- 31 35,2<br />

85 1 100 2 33,3 4 80 3 37,5 --- --- --- --- 10 29,4<br />

86 1 100 6 85,7 4 36,4 1 11,1 3 17,6 1 20 16 32<br />

87 2 66,7 1 100 8 80 2 16,7 1 3 --- --- 14 20,6<br />

88 4 100 23 100 27 90 15 48,4 5 11,1 --- --- 74 48,1<br />

89 --- --- 2 100 2 66,7 4 40 --- --- --- --- 8 17,4<br />

90 --- --- 5 100 8 80 2 15,4 2 5,4 --- --- 17 24,3<br />

91 1 100 2 50 2 40 3 21,4 2 11,1 --- --- 10 21,3<br />

92 5 100 32 97 41 95,3 43 89,6 22 59,5 3 13 146 77,2<br />

93 3 14,3 16 69,6 15 50 11 24,4 7 8 --- --- 52 21,8<br />

94 3 60 12 37,5 1 3,1 --- --- --- --- --- --- 16 11<br />

95 1 25 8 88,9 1 50 7 53,8 2 10,5 1 9,1 20 34,5<br />

96 --- --- 2 100 13 100 10 58,8 7 22,6 --- --- 32 45,7<br />

TOTAL 71 62,3 508 71,9 643 53,7 472 28,3 260 10,8 31 2,7 1985 27,5<br />

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6.6.3 Surfactant within the First hour of Life <strong>Standard</strong>ized Rate by Perinatal Risk Factors.<br />

Graph 6.6.3 corresponds to the 95% CI for the standardised surfactant within the first hour of life adjusted rate.<br />

Graph 6.6.3<br />

The results for Units 2, 6, 11, 13, 15, 16, 18, 20, 25, 36, 41, 42, 43, 44, 45, 47, 48, 52, 58, 61, 64, 65, 67, 70, 74, 75, 78, 81 and 94<br />

reached statistical significant relevance, being the surfactant within the first hour of life rate for these Units significantly<br />

smaller than the one expected according to the standard’s population surfactant within the first hour of life distribution. On<br />

the other hand, Units 23, 51, 55, 56, 68, 76, 79, 88, 92 and 96 had a bigger significant surfactant within the first hour of life rate<br />

than the one expected according to the standard’s population surfactant within the first hour of life distribution.<br />

Units 29, 31 and 37 didn’t register surfactant within the first hour of life.<br />

Note 1: <strong>Standard</strong>ization items: Birth weight Z-Score by gestational age and gender.<br />

Note 2: Units with 5 or less babies admitted have not been analyzed in this section.<br />

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6.7 RDS Rate.<br />

Definition: RDS defined as:<br />

A: A PaO2 6.6 Kpa).<br />

AND<br />

B: A chest radiogram consistent with RDS (low lung volumes and reticulogranular appearance<br />

of lung fields, with or without air bronchograms).<br />

6.7.1 RDS Rate by Birth Weight.<br />

The global RDS rate for 2010 cohort has been of 65.1%, with a variation of 16%<br />

and 94.2% within units.<br />

RDS Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 1 100 7 87,5 12 80 10 47,6 12 38,7 9 47,4 51 53,7<br />

2 --- --- 1 100 2 66,7 2 40 2 28,6 2 22,2 9 36<br />

3 1 100 13 81,3 19 82,6 20 54,1 18 50 6 14,3 77 49,7<br />

4 3 100 7 87,5 8 100 14 87,5 4 19 7 50 43 61,4<br />

5 3 100 20 95,2 21 70 21 65,6 8 20,5 16 38,1 89 53,3<br />

6 6 66,7 12 75 22 64,7 12 44,4 16 36,4 12 28,6 80 46,5<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- 1 50 4 66,7 5 55,6 2 40 12 54,5<br />

9 1 100 --- --- 3 100 10 100 8 53,3 3 42,9 25 69,4<br />

10 1 100 7 100 6 85,7 12 75 7 50 8 50 41 67,2<br />

11 1 100 11 84,6 24 96 18 54,5 20 42,6 6 23,1 80 55,2<br />

12 3 100 55 98,2 76 93,8 89 89,9 104 67,1 71 81,6 398 82,7<br />

13 --- --- --- --- 5 100 2 100 7 58,3 4 80 18 72<br />

14 3 100 32 97 42 89,4 57 85,1 75 61 40 78,4 249 76,9<br />

15 1 100 6 100 22 100 7 100 25 69,4 9 81,8 70 84,3<br />

16 --- --- 2 100 4 100 2 50 10 52,6 6 54,5 24 60<br />

17 --- --- 9 100 13 92,9 19 73,1 14 50 10 76,9 65 72,2<br />

18 --- --- 4 100 5 71,4 16 69,6 16 72,7 7 53,8 48 69,6<br />

19 1 100 7 87,5 5 83,3 8 53,3 6 31,6 7 38,9 34 50,7<br />

20 --- --- 5 100 16 88,9 13 81,3 15 62,5 10 66,7 59 74,7<br />

21 --- --- 3 100 5 100 9 81,8 11 61,1 3 75 31 75,6<br />

22 1 100 5 100 10 90,9 10 83,3 7 36,8 9 56,3 42 65,6<br />

23 --- --- 2 50 9 69,2 9 69,2 15 75 24 88,9 59 76,6<br />

24 --- --- 26 100 57 100 45 91,8 35 85,4 --- --- 163 94,2<br />

25 --- --- --- --- 2 66,7 5 50 3 25 --- --- 10 40<br />

26 --- --- 17 94,4 14 100 8 57,1 15 68,2 --- --- 54 79,4<br />

27 --- --- 5 83,3 12 100 7 77,8 15 71,4 --- --- 39 81,3<br />

28 --- --- --- --- 5 62,5 --- --- --- --- --- --- 5 26,3<br />

29 1 100 1 100 2 66,7 1 33,3 5 55,6 --- --- 10 58,8<br />

30 --- --- 9 90 14 70 6 54,5 10 30,3 --- --- 39 52,7<br />

31 --- --- --- --- 1 33,3 1 50 --- --- --- --- 2 18,2<br />

32 2 100 5 83,3 3 42,9 6 75 1 11,1 --- --- 17 53,1<br />

33 2 50 17 94,4 17 54,8 13 38,2 11 21,2 --- --- 60 42,9<br />

34 1 100 5 83,3 12 100 7 70 2 15,4 --- --- 27 64,3<br />

35 1 100 --- --- 1 12,5 1 33,3 1 14,3 --- --- 4 16<br />

36 --- --- 8 100 10 83,3 11 61,1 12 38,7 --- --- 41 59,4<br />

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RDS Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

37 --- --- 3 100 2 66,7 7 63,6 9 42,9 1 100 22 56,4<br />

38 1 100 5 100 7 87,5 7 70 5 27,8 --- --- 25 59,5<br />

39 --- --- 4 80 11 61,1 5 41,7 3 13,6 1 50 24 40,7<br />

40 --- --- 4 100 4 80 8 100 3 23,1 1 100 20 64,5<br />

41 --- --- 10 90,9 11 91,7 11 73,3 12 57,1 1 100 45 75<br />

42 --- --- 1 50 6 100 13 72,2 2 25 --- --- 22 64,7<br />

43 --- --- 2 100 6 66,7 7 63,6 8 26,7 --- --- 23 44,2<br />

44 --- --- 6 100 5 55,6 --- --- 4 16 --- --- 15 28,8<br />

45 --- --- 5 100 3 42,9 5 41,7 2 12,5 --- --- 15 37,5<br />

46 1 100 2 100 --- --- 3 60 2 66,7 --- --- 8 72,7<br />

47 --- --- 3 100 2 50 4 66,7 5 33,3 --- --- 14 50<br />

48 --- --- 1 100 3 60 2 50 11 57,9 --- --- 17 58,6<br />

49 --- --- 3 100 4 80 6 60 2 50 --- --- 15 68,2<br />

50 --- --- 4 100 8 100 3 42,9 3 37,5 --- --- 18 66,7<br />

51 2 100 11 100 23 100 21 60 11 39,3 6 27,3 74 61,2<br />

52 2 66,7 16 84,2 30 71,4 15 40,5 20 40,8 --- --- 83 55,3<br />

53 --- --- 5 83,3 6 100 3 60 7 53,8 --- --- 21 70<br />

54 1 100 3 100 --- --- 1 50 4 57,1 --- --- 9 69,2<br />

55 --- --- 20 100 36 100 52 86,7 45 65,2 --- --- 153 82,7<br />

56 --- --- --- --- 4 100 1 16,7 1 14,3 --- --- 6 35,3<br />

57 --- --- 7 87,5 8 72,7 6 50 8 34,8 --- --- 29 53,7<br />

58 --- --- 4 100 5 38,5 6 33,3 5 19,2 --- --- 20 32,8<br />

59 --- --- 2 100 1 50 --- --- 1 14,3 --- --- 4 28,6<br />

60 --- --- 3 75 6 85,7 6 46,2 5 31,3 --- --- 20 50<br />

61 --- --- 6 66,7 8 88,9 8 57,1 6 46,2 --- --- 28 62,2<br />

62 1 100 6 85,7 3 50 4 44,4 --- --- --- --- 14 42,4<br />

63 --- --- 8 100 21 87,5 20 50 21 42,9 --- --- 70 57,9<br />

64 --- --- 1 100 1 20 6 50 5 21,7 --- --- 13 31,7<br />

65 --- --- 5 83,3 6 75 4 40 5 35,7 --- --- 20 52,6<br />

66 --- --- 5 100 24 96 17 81 7 41,2 --- --- 53 76,8<br />

67 --- --- 13 72,2 24 80 11 34,4 17 38,6 1 100 66 52,8<br />

68 --- --- 11 100 11 91,7 11 61,1 11 73,3 --- --- 44 78,6<br />

69 --- --- 3 100 1 100 1 16,7 3 25 --- --- 8 36,4<br />

70 --- --- 4 66,7 14 56 8 40 13 34,2 6 22,2 45 38,8<br />

71 --- --- 4 50 3 50 4 66,7 2 16,7 --- --- 13 40,6<br />

72 --- --- --- --- --- --- 1 100 --- --- --- --- 1 50<br />

73 1 100 3 100 5 100 8 61,5 1 33,3 --- --- 18 72<br />

74 2 100 17 100 22 91,7 18 78,3 22 84,6 28 96,6 109 90,1<br />

75 1 100 12 100 12 100 28 100 22 81,5 18 90 93 93<br />

76 3 75 21 100 27 96,4 23 76,7 25 75,8 19 63,3 118 80,8<br />

77 3 100 9 100 11 100 12 92,3 18 75 8 100 61 89,7<br />

78 --- --- 6 100 4 100 6 42,9 5 38,5 3 30 24 50<br />

79 1 100 11 100 8 100 13 76,5 21 80,8 16 88,9 70 86,4<br />

80 --- --- 3 100 10 90,9 4 66,7 11 68,8 2 66,7 30 76,9<br />

81 2 100 8 80 15 71,4 17 77,3 29 69 17 73,9 88 73,3<br />

82 1 100 5 100 10 90,9 12 100 12 63,2 11 73,3 51 81<br />

83 7 100 25 100 24 82,8 31 96,9 26 60,5 30 78,9 143 82,2<br />

84 3 100 9 100 18 100 14 87,5 28 66,7 --- --- 72 81,8<br />

85 1 100 3 75 8 100 5 100 9 69,2 --- --- 26 76,5<br />

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RDS Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

86 --- --- 5 100 17 94,4 3 50 14 93,3 4 66,7 43 86<br />

87 2 100 3 100 4 100 18 90 14 60,9 10 62,5 51 75<br />

88 2 100 26 96,3 26 100 30 85,7 19 48,7 16 61,5 119 76,8<br />

89 --- --- 2 100 3 100 10 76,9 10 83,3 15 93,8 40 87<br />

90 --- --- 4 100 9 100 9 81,8 13 52 14 63,6 49 69<br />

91 --- --- 5 100 5 100 7 77,8 12 75 11 91,7 40 85,1<br />

92 1 100 35 100 42 100 42 82,4 27 45,8 2 100 149 78,4<br />

93 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

94 11 100 25 96,2 36 92,3 26 86,7 18 72 11 73,3 127 87<br />

95 1 100 10 100 9 75 4 57,1 8 47,1 9 81,8 41 70,7<br />

96 --- --- 2 100 14 82,4 10 76,9 5 22,7 7 43,8 38 54,3<br />

TOTAL 83 77,6 740 88,3 1126 82,4 1112 66,8 1152 48,4 539 57,3 4752 65,1<br />

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6.7.2 RDS Rate by Gestational Age.<br />

Table 6.7.2 shows the RDS distribution according to gestational age for each<br />

Unit.<br />

RDS Rate against Gestational Age by Participating Unit<br />

Unit<br />

Code<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 2 100 10 100 16 94,1 12 54,5 10 30,3 1 9,1 51 53,7<br />

2 --- --- 2 100 --- --- 3 75 4 28,6 --- --- 9 36<br />

3 5 100 14 100 16 84,2 22 66,7 18 25,7 2 14,3 77 49,7<br />

4 3 100 7 87,5 11 100 9 64,3 13 48,1 --- --- 43 61,4<br />

5 9 100 11 100 30 75 14 50 23 33,8 2 18,2 89 53,3<br />

6 3 37,5 17 89,5 22 75,9 23 59 15 24,2 --- --- 80 46,5<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- 1 50 8 61,5 3 42,9 12 54,5<br />

9 1 100 2 100 6 100 8 88,9 7 53,8 1 20 25 69,4<br />

10 1 100 7 100 4 100 14 100 14 50 1 14,3 41 67,2<br />

11 --- --- 13 100 15 78,9 29 78,4 17 32,7 6 25 80 55,2<br />

12 1 100 36 97,3 66 98,5 111 95,7 135 76,7 49 58,3 398 82,7<br />

13 --- --- 1 100 2 100 5 71,4 8 88,9 2 33,3 18 72<br />

14 1 100 16 100 34 97,1 76 93,8 95 75,4 27 41,5 249 76,9<br />

15 --- --- 4 100 15 100 17 100 23 92 11 50 70 84,3<br />

16 1 100 1 100 3 75 4 100 11 61,1 4 33,3 24 60<br />

17 --- --- 3 100 16 100 21 91,3 24 77,4 1 5,9 65 72,2<br />

18 --- --- 4 100 10 90,9 15 93,8 15 57,7 4 33,3 48 69,6<br />

19 --- --- 7 87,5 3 75 13 81,3 10 35,7 1 9,1 34 50,7<br />

20 --- --- 8 100 16 94,1 8 80 23 74,2 4 30,8 59 74,7<br />

21 --- --- 3 100 5 100 5 83,3 18 85,7 --- --- 31 75,6<br />

22 --- --- 7 100 9 100 12 80 13 56,5 1 10 42 65,6<br />

23 --- --- 3 75 6 60 10 71,4 30 83,3 10 76,9 59 76,6<br />

24 1 100 15 100 49 100 56 93,3 42 87,5 --- --- 163 94,2<br />

25 --- --- --- --- 2 100 7 58,3 --- --- 1 14,3 10 40<br />

26 2 100 10 100 15 100 12 92,3 14 73,7 1 11,1 54 79,4<br />

27 --- --- 2 100 12 100 18 90 6 75 1 16,7 39 81,3<br />

28 --- --- --- --- 4 80 --- --- 1 16,7 --- --- 5 26,3<br />

29 --- --- 2 100 1 50 4 66,7 2 50 1 33,3 10 58,8<br />

30 2 100 11 91,7 12 75 6 60 5 27,8 3 18,8 39 52,7<br />

31 --- --- --- --- --- --- 1 50 1 33,3 --- --- 2 18,2<br />

32 1 100 5 71,4 5 71,4 4 57,1 1 20 1 20 17 53,1<br />

33 1 100 17 100 17 60,7 12 50 11 22 2 10 60 42,9<br />

34 --- --- 6 100 12 100 5 62,5 1 14,3 3 33,3 27 64,3<br />

35 --- --- --- --- --- --- 1 20 3 50 --- --- 4 16<br />

36 --- --- 8 100 8 100 10 62,5 15 78,9 --- --- 41 59,4<br />

37 --- --- 3 100 3 75 4 57,1 10 66,7 2 20 22 56,4<br />

38 --- --- 3 100 7 100 6 54,5 9 81,8 --- --- 25 59,5<br />

39 2 100 2 100 10 66,7 7 43,8 2 20 1 7,1 24 40,7<br />

40 1 100 --- --- 3 100 9 90 5 50 2 28,6 20 64,5<br />

41 --- --- 6 85,7 9 100 15 88,2 11 91,7 4 26,7 45 75<br />

42 --- --- 2 100 9 100 6 75 4 44,4 1 16,7 22 64,7<br />

43 --- --- 6 100 3 100 4 66,7 8 47,1 2 10 23 44,2<br />

44 --- --- 4 100 5 62,5 4 33,3 2 22,2 --- --- 15 28,8<br />

45 --- --- 3 100 3 100 8 47,1 --- --- 1 10 15 37,5<br />

46 1 100 --- --- 1 100 3 60 3 100 --- --- 8 72,7<br />

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RDS Rate against Gestational Age by Participating Unit<br />

Unit<br />

Code<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

47 --- --- 2 100 4 80 5 71,4 3 37,5 --- --- 14 50<br />

48 --- --- --- --- 4 80 8 80 4 57,1 1 14,3 17 58,6<br />

49 --- --- 1 100 7 87,5 5 83,3 2 28,6 --- --- 15 68,2<br />

50 --- --- 4 100 6 100 5 71,4 3 42,9 --- --- 18 66,7<br />

51 3 75 15 100 17 94,4 20 71,4 18 46,2 1 5,9 74 61,2<br />

52 2 100 25 92,6 19 79,2 13 40,6 20 52,6 4 14,8 83 55,3<br />

53 --- --- 3 100 8 100 5 100 4 44,4 1 20 21 70<br />

54 --- --- 3 100 1 100 --- --- 3 60 2 50 9 69,2<br />

55 2 100 14 100 51 100 43 97,7 33 78,6 10 31,3 153 82,7<br />

56 --- --- 3 100 1 50 1 20 1 33,3 --- --- 6 35,3<br />

57 3 100 5 100 9 100 7 53,8 4 40 1 7,1 29 53,7<br />

58 1 100 4 80 6 75 5 45,5 4 20 --- --- 20 32,8<br />

59 --- --- 1 100 1 100 1 33,3 1 25 --- --- 4 28,6<br />

60 --- --- 4 100 5 100 2 25 9 60 --- --- 20 50<br />

61 --- --- 5 100 7 87,5 7 77,8 8 50 1 14,3 28 62,2<br />

62 --- --- 4 80 7 77,8 3 75 --- --- --- --- 14 42,4<br />

63 --- --- 7 100 22 91,7 20 80 17 48,6 4 13,3 70 57,9<br />

64 --- --- 1 100 2 28,6 6 66,7 4 33,3 --- --- 13 31,7<br />

65 --- --- 4 80 8 88,9 7 58,3 --- --- 1 12,5 20 52,6<br />

66 2 100 10 90,9 11 100 22 88 8 61,5 --- --- 53 76,8<br />

67 --- --- 14 77,8 21 91,3 23 57,5 8 29,6 --- --- 66 52,8<br />

68 1 100 5 100 16 94,1 11 78,6 10 71,4 1 20 44 78,6<br />

69 1 100 --- --- 4 100 1 33,3 2 50 --- --- 8 36,4<br />

70 --- --- 9 75 10 58,8 13 56,5 12 27,3 1 5 45 38,8<br />

71 --- --- 5 71,4 3 50 3 75 2 25 --- --- 13 40,6<br />

72 --- --- --- --- --- --- 1 100 --- --- --- --- 1 50<br />

73 --- --- 2 100 5 83,3 7 87,5 4 57,1 --- --- 18 72<br />

74 --- --- 12 92,3 24 100 31 88,6 42 85,7 --- --- 109 90,1<br />

75 --- --- 12 100 13 100 22 100 35 92,1 11 73,3 93 93<br />

76 --- --- 18 94,7 24 100 25 96,2 42 75 9 42,9 118 80,8<br />

77 --- --- 11 100 9 100 20 100 18 90 3 37,5 61 89,7<br />

78 --- --- 1 50 6 100 9 56,3 8 42,1 --- --- 24 50<br />

79 --- --- 8 100 11 100 19 95 27 90 5 41,7 70 86,4<br />

80 --- --- 1 100 10 100 7 100 7 77,8 5 41,7 30 76,9<br />

81 --- --- 7 87,5 16 88,9 26 86,7 33 73,3 6 31,6 88 73,3<br />

82 --- --- 7 100 11 100 14 93,3 18 69,2 1 25 51 81<br />

83 9 100 12 100 33 97,1 37 88,1 48 72,7 4 36,4 143 82,2<br />

84 2 100 11 100 15 100 12 92,3 30 85,7 2 16,7 72 81,8<br />

85 1 100 5 83,3 5 100 8 100 7 58,3 --- --- 26 76,5<br />

86 1 100 7 100 11 100 8 88,9 14 82,4 2 40 43 86<br />

87 3 100 1 100 10 100 11 91,7 21 63,6 5 55,6 51 75<br />

88 4 100 23 100 30 100 30 96,8 27 58,7 5 23,8 119 76,8<br />

89 --- --- 2 100 3 100 10 100 22 95,7 3 37,5 40 87<br />

90 --- --- 5 100 11 100 9 69,2 23 62,2 1 20 49 69<br />

91 1 100 4 100 5 100 14 100 13 72,2 3 60 40 85,1<br />

92 5 100 33 100 43 97,7 40 83,3 22 59,5 6 26,1 149 78,4<br />

93 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

94 5 100 32 100 30 93,8 31 88,6 22 71 7 63,6 127 87<br />

95 4 100 9 100 2 100 10 76,9 13 68,4 3 27,3 41 70,7<br />

96 --- --- 2 100 11 84,6 12 70,6 12 38,7 1 14,3 38 54,3<br />

TOTAL 88 76,5 654 91,7 1083 88 1283 76,2 1378 56,9 266 23,5 4752 65,1<br />

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6.7.3 RDS <strong>Standard</strong>ized Rate by Perinatal Risk Factors.<br />

Graph 6.7.3, corresponds to the 95% CI for the standardised RDS adjusted rate.<br />

Graph 6.7.3<br />

The results for Units 2, 6, 23, 28, 31, 33, 35, 39, 44, 45, 58, 59, 64, 69 and 70 reached statistical significant relevance, being<br />

the RDS rate for these Units significantly smaller than the one expected according to the standard’s population RDS<br />

distribution. On the other hand, Units 12, 14, 15, 24, 55, 74, 75, 76, 77, 79, 83, 84 and 94 had a bigger significant RDS rate<br />

than the one expected according to the standard’s population RDS distribution.<br />

Unit 93 didn’t register RDS.<br />

Note 1: <strong>Standard</strong>ization items: Birth weight Z-Score by gestational age and gender.<br />

Note 2: Units with 5 or less babies admitted have not been analyzed in this section.<br />

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6.8 Early Sepsis Rate.<br />

Definition: if a bacterial pathogen from the list in Appendix I (ENS Manual) was recovered from<br />

a blood and/or cerebrospinal fluid culture obtained before day 3 of life.<br />

6.8.1 Early Sepsis Rate by Birth Weight.<br />

The global Early sepsis rate for 2010 cohort has been of 3.4%, with a variation<br />

of 0.7% and 20.5% within units.<br />

Early Bacterial Sepsis Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- --- --- 1 6,7 2 9,5 1 3,2 1 5,3 5 5,3<br />

2 --- --- --- --- --- --- --- --- --- --- 1 11,1 1 4<br />

3 --- --- --- --- 3 13 2 5,4 --- --- 1 2,4 6 3,9<br />

4 --- --- 1 12,5 --- --- --- --- --- --- --- --- 1 1,4<br />

5 1 33,3 2 9,5 1 3,3 --- --- --- --- --- --- 4 2,4<br />

6 --- --- --- --- 1 2,9 --- --- --- --- 1 2,4 2 1,2<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

9 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

10 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

11 --- --- --- --- --- --- --- --- --- --- 1 3,8 1 0,7<br />

12 --- --- 3 5,4 1 1,2 --- --- 3 1,9 1 1,1 8 1,7<br />

13 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

14 --- --- --- --- 2 4,3 1 1,5 1 0,8 1 2 5 1,5<br />

15 --- --- 1 16,7 5 22,7 --- --- 4 11,1 1 9,1 11 13,3<br />

16 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

17 --- --- --- --- --- --- --- --- 1 3,6 --- --- 1 1,1<br />

18 --- --- --- --- 1 14,3 6 26,1 --- --- 1 7,7 8 11,6<br />

19 --- --- 1 12,5 --- --- --- --- 1 5,3 --- --- 2 3<br />

20 --- --- --- --- 1 5,6 --- --- --- --- --- --- 1 1,3<br />

21 --- --- 2 66,7 --- --- --- --- --- --- --- --- 2 4,9<br />

22 --- --- --- --- --- --- --- --- 1 5,3 --- --- 1 1,6<br />

23 --- --- 10 32,3 6 11,8 11 19,3 5 10,4 --- --- 32 14,9<br />

24 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

25 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

26 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

27 --- --- 1 16,7 2 16,7 --- --- --- --- --- --- 3 6,3<br />

28 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 --- --- 1 10 --- --- --- --- --- --- --- --- 1 1,4<br />

31 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

32 --- --- 1 16,7 1 14,3 --- --- --- --- --- --- 2 6,3<br />

33 --- --- 1 5,6 --- --- 1 2,9 --- --- --- --- 2 1,4<br />

34 --- --- --- --- 2 16,7 --- --- --- --- --- --- 2 4,8<br />

35 --- --- 1 16,7 1 12,5 --- --- --- --- --- --- 2 8<br />

36 --- --- --- --- 1 8,3 --- --- --- --- --- --- 1 1,4<br />

37 --- --- 1 33,3 --- --- 1 9,1 2 9,5 --- --- 4 10,3<br />

38 --- --- --- --- --- --- 1 10 --- --- --- --- 1 2,4<br />

39 --- --- --- --- 2 11,1 1 8,3 --- --- --- --- 3 5,1<br />

40 --- --- --- --- --- --- 2 25 1 7,7 1 100 4 12,9<br />

41 --- --- --- --- 1 8,3 1 6,7 --- --- --- --- 2 3,3<br />

42 --- --- --- --- 1 16,7 2 11,1 1 12,5 --- --- 4 11,8<br />

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Early Bacterial Sepsis Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

43 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

44 --- --- --- --- 1 11,1 --- --- --- --- --- --- 1 1,9<br />

45 --- --- --- --- --- --- 3 25 --- --- --- --- 3 7,5<br />

46 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

47 --- --- --- --- --- --- --- --- 1 6,7 --- --- 1 3,6<br />

48 --- --- --- --- --- --- --- --- 1 5,3 --- --- 1 3,4<br />

49 --- --- --- --- 1 20 1 10 --- --- --- --- 2 9,1<br />

50 --- --- 1 25 --- --- --- --- --- --- --- --- 1 3,7<br />

51 --- --- --- --- 1 4,3 --- --- --- --- --- --- 1 0,8<br />

52 --- --- --- --- --- --- 1 2,7 --- --- --- --- 1 0,7<br />

53 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

54 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

55 --- --- 4 20 6 17,1 5 8,5 1 1,4 --- --- 16 8,7<br />

56 --- --- --- --- --- --- --- --- 2 28,6 --- --- 2 11,8<br />

57 --- --- --- --- --- --- --- --- 1 4,3 --- --- 1 1,9<br />

58 --- --- --- --- 1 7,7 --- --- 1 3,8 --- --- 2 3,3<br />

59 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

60 --- --- --- --- --- --- 2 15,4 1 6,3 --- --- 3 7,7<br />

61 --- --- 1 11,1 --- --- --- --- 1 7,7 --- --- 2 4,4<br />

62 --- --- 1 14,3 1 16,7 1 11,1 --- --- --- --- 3 9,1<br />

63 --- --- --- --- --- --- 3 7,5 1 2 --- --- 4 3,3<br />

64 --- --- --- --- --- --- 1 8,3 --- --- --- --- 1 2,4<br />

65 --- --- --- --- --- --- 1 10 1 7,1 --- --- 2 5,3<br />

66 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

67 --- --- --- --- 3 10 4 12,5 1 2,3 1 100 9 7,2<br />

68 --- --- --- --- --- --- 1 5,6 --- --- --- --- 1 1,8<br />

69 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

70 --- --- --- --- 1 4 --- --- --- --- --- --- 1 0,9<br />

71 --- --- --- --- --- --- --- --- 1 8,3 --- --- 1 3,1<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 --- --- --- --- --- --- 3 23,1 --- --- --- --- 3 12<br />

74 --- --- 1 5,9 --- --- --- --- 1 3,8 3 10,3 5 4,1<br />

75 --- --- 1 8,3 --- --- --- --- 2 7,4 2 10 5 5<br />

76 --- --- --- --- 1 3,6 --- --- --- --- 2 6,7 3 2,1<br />

77 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

78 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

79 --- --- --- --- --- --- --- --- 1 3,8 --- --- 1 1,2<br />

80 --- --- --- --- 1 9,1 --- --- --- --- --- --- 1 2,6<br />

81 --- --- --- --- --- --- 1 4,5 1 2,4 --- --- 2 1,7<br />

82 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

83 1 14,3 2 8 --- --- --- --- 2 4,7 1 2,6 6 3,4<br />

84 1 33,3 7 77,8 3 16,7 4 25 3 7,1 --- --- 18 20,5<br />

85 --- --- --- --- 3 37,5 --- --- 1 7,7 --- --- 4 11,8<br />

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Early Bacterial Sepsis Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

86 --- --- 1 20 4 22,2 --- --- --- --- 1 16,7 6 12<br />

87 --- --- 1 33,3 1 25 --- --- --- --- --- --- 2 2,9<br />

88 --- --- 1 3,8 2 7,7 --- --- --- --- --- --- 3 1,9<br />

89 --- --- --- --- 1 33,3 --- --- --- --- --- --- 1 2,2<br />

90 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

91 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

92 --- --- --- --- --- --- 1 5,9 1 3,4 --- --- 2 2,4<br />

93 --- --- 1 2,8 --- --- 1 2,1 --- --- --- --- 2 0,8<br />

94 1 9,1 --- --- --- --- 1 3,3 --- --- --- --- 2 1,4<br />

96 --- --- --- --- --- --- --- --- --- --- 1 6,3 1 1,4<br />

TOTAL 4 3,8 48 5,8 64 4,7 65 3,9 46 1,9 21 2,3 248 3,4<br />

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6.8.2 Early Sepsis Rate by Gestational Age.<br />

Table 6.8.2 shows the Early Bacterial Sepsis distribution according to<br />

gestational age for each Unit.<br />

Unit<br />

Code<br />

Early Bacterial Sepsis Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- --- --- 2 11,8 2 9,1 1 3 --- --- 5 5,3<br />

2 --- --- --- --- --- --- --- --- 1 7,1 --- --- 1 4<br />

3 --- --- 2 14,3 --- --- 4 12,1 --- --- --- --- 6 3,9<br />

4 --- --- 1 12,5 --- --- --- --- --- --- --- --- 1 1,4<br />

5 1 11,1 1 9,1 2 5 --- --- --- --- --- --- 4 2,4<br />

6 --- --- 1 5,3 --- --- --- --- 1 1,6 --- --- 2 1,2<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

9 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

10 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

11 --- --- --- --- --- --- --- --- 1 1,9 --- --- 1 0,7<br />

12 --- --- 4 10,8 --- --- 1 0,9 3 1,7 --- --- 8 1,7<br />

13 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

14 --- --- --- --- 2 5,7 1 1,2 2 1,6 --- --- 5 1,5<br />

15 --- --- 2 50 4 26,7 3 17,6 2 8 --- --- 11 13,3<br />

16 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

17 --- --- --- --- --- --- 1 4,3 --- --- --- --- 1 1,1<br />

18 --- --- 1 25 3 27,3 2 12,5 2 7,7 --- --- 8 11,6<br />

19 --- --- 1 12,5 --- --- --- --- 1 3,6 --- --- 2 3<br />

20 --- --- 1 12,5 --- --- --- --- --- --- --- --- 1 1,3<br />

21 --- --- 2 66,7 --- --- --- --- --- --- --- --- 2 4,9<br />

22 --- --- --- --- --- --- --- --- 1 4,3 --- --- 1 1,6<br />

23 --- --- 11 37,9 11 27,5 9 14,5 1 1,5 --- --- 32 14,9<br />

24 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

25 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

26 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

27 --- --- 1 50 2 16,7 --- --- --- --- --- --- 3 6,3<br />

28 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 --- --- 1 8,3 --- --- --- --- --- --- --- --- 1 1,4<br />

31 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

32 1 100 --- --- 1 14,3 --- --- --- --- --- --- 2 6,3<br />

33 --- --- 1 5,9 --- --- --- --- 1 2 --- --- 2 1,4<br />

34 --- --- --- --- 2 16,7 --- --- --- --- --- --- 2 4,8<br />

35 --- --- --- --- 2 28,6 --- --- --- --- --- --- 2 8<br />

36 --- --- --- --- 1 12,5 --- --- --- --- --- --- 1 1,4<br />

37 --- --- 1 33,3 --- --- 1 14,3 1 6,7 1 10 4 10,3<br />

38 --- --- --- --- 1 14,3 --- --- --- --- --- --- 1 2,4<br />

39 --- --- --- --- 2 13,3 1 6,3 --- --- --- --- 3 5,1<br />

40 --- --- --- --- --- --- 2 20 2 20 --- --- 4 12,9<br />

41 --- --- --- --- 1 11,1 --- --- 1 8,3 --- --- 2 3,3<br />

42 --- --- 1 50 1 11,1 2 25 --- --- --- --- 4 11,8<br />

43 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

44 --- --- 1 25 --- --- --- --- --- --- --- --- 1 1,9<br />

45 --- --- --- --- --- --- 3 17,6 --- --- --- --- 3 7,5<br />

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Unit<br />

Code<br />

Early Bacterial Sepsis Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

46 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

47 --- --- --- --- --- --- --- --- 1 12,5 --- --- 1 3,6<br />

48 --- --- --- --- --- --- 1 10 --- --- --- --- 1 3,4<br />

49 --- --- --- --- 1 12,5 1 16,7 --- --- --- --- 2 9,1<br />

50 --- --- --- --- 1 16,7 --- --- --- --- --- --- 1 3,7<br />

51 --- --- 1 6,7 --- --- --- --- --- --- --- --- 1 0,8<br />

52 --- --- --- --- --- --- 1 3,1 --- --- --- --- 1 0,7<br />

53 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

54 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

55 --- --- 4 28,6 7 13,7 5 11,6 --- --- --- --- 16 8,7<br />

56 --- --- --- --- --- --- --- --- 1 33,3 1 25 2 11,8<br />

57 --- --- --- --- --- --- --- --- 1 10 --- --- 1 1,9<br />

58 --- --- --- --- --- --- 1 9,1 --- --- 1 6,3 2 3,3<br />

59 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

60 --- --- --- --- --- --- 2 25 1 6,7 --- --- 3 7,7<br />

61 --- --- --- --- 1 12,5 1 11,1 --- --- --- --- 2 4,4<br />

62 --- --- 1 20 --- --- 2 50 --- --- --- --- 3 9,1<br />

63 --- --- --- --- 2 8,3 1 4 1 2,9 --- --- 4 3,3<br />

64 --- --- --- --- --- --- --- --- --- --- 1 8,3 1 2,4<br />

65 --- --- --- --- --- --- 1 8,3 --- --- 1 12,5 2 5,3<br />

66 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

67 --- --- 2 11,1 2 8,7 3 7,5 2 7,4 --- --- 9 7,2<br />

68 --- --- --- --- 1 5,9 --- --- --- --- --- --- 1 1,8<br />

69 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

70 --- --- 1 8,3 --- --- --- --- --- --- --- --- 1 0,9<br />

71 --- --- --- --- --- --- --- --- --- --- 1 14,3 1 3,1<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 --- --- --- --- --- --- 1 12,5 2 28,6 --- --- 3 12<br />

74 --- --- 1 7,7 --- --- --- --- 4 8,2 --- --- 5 4,1<br />

75 --- --- 1 8,3 --- --- 2 9,1 2 5,3 --- --- 5 5<br />

76 --- --- --- --- 1 4,2 --- --- 2 3,6 --- --- 3 2,1<br />

77 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

78 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

79 --- --- --- --- --- --- --- --- 1 3,3 --- --- 1 1,2<br />

80 --- --- --- --- 1 10 --- --- --- --- --- --- 1 2,6<br />

81 --- --- --- --- 1 5,6 1 3,3 --- --- --- --- 2 1,7<br />

82 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

83 3 33,3 --- --- --- --- 2 4,8 1 1,5 --- --- 6 3,4<br />

84 2 100 8 72,7 3 20 1 7,7 3 8,6 1 8,3 18 20,5<br />

85 --- --- 1 16,7 2 40 --- --- 1 8,3 --- --- 4 11,8<br />

86 --- --- 2 28,6 3 27,3 --- --- 1 5,9 --- --- 6 12<br />

87 --- --- 1 100 1 10 --- --- --- --- --- --- 2 2,9<br />

88 1 25 1 4,3 1 3,4 --- --- --- --- --- --- 3 1,9<br />

89 --- --- --- --- 1 33,3 --- --- --- --- --- --- 1 2,2<br />

90 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

91 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

92 --- --- --- --- 1 4,2 1 7,7 --- --- --- --- 2 2,4<br />

93 1 4,8 --- --- 1 3,3 --- --- --- --- --- --- 2 0,8<br />

94 --- --- 1 3,1 --- --- --- --- --- --- 1 9,1 2 1,4<br />

96 --- --- --- --- --- --- --- --- 1 3,2 --- --- 1 1,4<br />

TOTAL 9 8,3 58 8,1 68 5,5 59 3,5 46 1,9 8 0,7 248 3,4<br />

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6.8.3 Early Sepsis <strong>Standard</strong>ized Rate by Perinatal Risk Factors.<br />

Graph 6.8.3, corresponds to the 95% CI for the standardised early bacterial sepsis adjusted rate.<br />

Graph 6.8.3<br />

The results for Units 6, 11, 12, 14, 17, 20, 33, 51, 52, 70, 79, 81, 92, 93 and 94 reached statistical significant relevance, being<br />

the early bacterial sepsis rate for these Units significantly smaller than the one expected according to the standard’s<br />

population early bacterial sepsis distribution. On the other hand, Units 15, 23, 55 and 84 had a bigger significant early<br />

bacterial sepsis rate than the one expected according to the standard’s population early bacterial sepsis distribution.<br />

Units 8, 9, 10, 13, 16, 24, 25, 26, 28, 29, 31, 43, 46, 53, 54, 59, 66, 69, 77, 78, 82, 90 and 91 didn’t register early bacterial sepsis.<br />

Note 1: <strong>Standard</strong>ization items: Birth weight Z-Score by gestational age and gender.<br />

Note 2: Units with 5 or less babies admitted have not been analyzed in this section.<br />

EuroNeoNet 2010 74<br />

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6.9 Pneumothorax Rate.<br />

Definition: if the infant had extrapleural air diagnosed by chest radiograph or needle aspiration<br />

(thoracentesis).<br />

For infants who had thoracic surgery and a chest tube was placed at the time of surgery OR if<br />

free air was only present on a Chest Radiograph taken immediately after thoracic surgery and<br />

was not treated with a chest tube, check NO.<br />

For infants who had thoracic surgery and then later developed extrapleural air diagnosed by<br />

Chest Radiograph or needle thoracentesis, check YES.<br />

6.9.1 Pneumothorax Rate by Birth Weight.<br />

Table 6.9.1 shows the Pneumothorax distribution according to birth weight<br />

groups for each Unit.<br />

The global pneumothorax rate for 2010 cohort has been of 3.6%, with a<br />

variation of 0.6% and 15.4% within units.<br />

Unit<br />

Code<br />

NTX Rate against Birth Weight by Participating Unit<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- --- --- --- --- --- --- 1 3,2 1 5,3 2 2,1<br />

2 --- --- 1 100 --- --- --- --- --- --- 1 11,1 2 8<br />

3 --- --- --- --- 3 13 --- --- 2 5,6 --- --- 5 3,2<br />

4 --- --- --- --- --- --- --- --- 1 4,8 --- --- 1 1,4<br />

5 --- --- --- --- 1 3,3 --- --- 3 7,7 3 7,1 7 4,2<br />

6 --- --- --- --- --- --- --- --- --- --- 1 2,4 1 0,6<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

9 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

10 --- --- --- --- 1 14,3 --- --- 3 21,4 2 12,5 6 9,8<br />

11 --- --- --- --- 1 4 --- --- 1 2,1 --- --- 2 1,4<br />

12 1 33,3 7 12,5 6 7,4 4 4 4 2,6 4 4,6 26 5,4<br />

13 --- --- --- --- 1 20 --- --- --- --- --- --- 1 4<br />

14 --- --- --- --- 2 4,3 3 4,5 6 4,9 2 3,9 13 4<br />

15 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

16 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

17 --- --- --- --- --- --- 1 3,8 --- --- 1 7,7 2 2,2<br />

18 --- --- --- --- --- --- 1 4,3 --- --- --- --- 1 1,4<br />

19 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

20 --- --- --- --- 1 5,6 --- --- 2 8,3 --- --- 3 3,8<br />

21 --- --- --- --- --- --- --- --- --- --- 1 25 1 2,4<br />

22 --- --- 1 20 --- --- --- --- --- --- --- --- 1 1,6<br />

23 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

24 --- --- --- --- 2 3,5 --- --- --- --- --- --- 2 1,2<br />

25 --- --- --- --- --- --- 1 10 --- --- --- --- 1 4<br />

26 --- --- 1 5,3 2 14,3 --- --- 1 4,5 --- --- 4 5,8<br />

27 --- --- 1 16,7 --- --- --- --- --- --- --- --- 1 2,1<br />

28 --- --- --- --- 1 12,5 --- --- --- --- --- --- 1 5,3<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 --- --- --- --- 3 15 --- --- 1 3 --- --- 4 5,4<br />

31 --- --- --- --- --- --- --- --- 1 16,7 --- --- 1 9,1<br />

32 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

33 --- --- 2 11,1 --- --- --- --- 1 1,9 --- --- 3 2,1<br />

34 --- --- 2 33,3 1 8,3 --- --- --- --- --- --- 3 7,1<br />

EuroNeoNet 2010 75<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


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NTX Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

35 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

36 --- --- 1 12,5 --- --- 1 5,6 2 6,5 --- --- 4 5,8<br />

37 --- --- --- --- --- --- --- --- 1 4,8 --- --- 1 2,6<br />

38 1 100 --- --- --- --- --- --- --- --- --- --- 1 2,4<br />

39 --- --- --- --- 2 11,1 --- --- --- --- --- --- 2 3,4<br />

40 --- --- 1 25 --- --- 1 12,5 --- --- --- --- 2 6,5<br />

41 --- --- --- --- 1 8,3 --- --- --- --- 1 100 2 3,4<br />

42 --- --- 1 50 --- --- 1 5,6 --- --- --- --- 2 5,9<br />

43 --- --- --- --- 1 11,1 --- --- 1 3,3 --- --- 2 3,8<br />

44 --- --- --- --- --- --- --- --- 2 8 --- --- 2 3,8<br />

45 --- --- --- --- --- --- --- --- 1 6,3 --- --- 1 2,5<br />

46 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

47 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

48 --- --- --- --- 1 20 --- --- 1 5,3 --- --- 2 6,9<br />

49 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

50 --- --- --- --- --- --- --- --- 1 12,5 --- --- 1 3,7<br />

51 1 50 1 9,1 6 26,1 2 5,7 5 17,9 --- --- 15 12,4<br />

52 --- --- 1 5,3 2 4,8 1 2,7 --- --- --- --- 4 2,7<br />

53 --- --- 1 16,7 --- --- --- --- 1 7,7 --- --- 2 6,7<br />

54 1 100 1 33,3 --- --- --- --- --- --- --- --- 2 15,4<br />

55 --- --- --- --- 2 5,6 --- --- 1 1,4 --- --- 3 1,6<br />

56 --- --- --- --- 1 25 --- --- --- --- --- --- 1 5,9<br />

57 --- --- 1 12,5 --- --- 2 16,7 --- --- --- --- 3 5,6<br />

58 --- --- --- --- --- --- 1 5,6 1 3,8 --- --- 2 3,3<br />

59 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

60 --- --- --- --- --- --- --- --- 4 25 --- --- 4 10<br />

61 --- --- 2 22,2 --- --- --- --- 1 7,7 --- --- 3 6,7<br />

62 --- --- 2 28,6 1 16,7 1 11,1 --- --- --- --- 4 12,1<br />

63 --- --- 1 12,5 2 8,3 1 2,5 --- --- --- --- 4 3,3<br />

64 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

65 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

66 --- --- 1 20 2 8 1 4,8 --- --- --- --- 4 5,8<br />

67 --- --- 5 27,8 8 26,7 2 6,3 3 6,8 --- --- 18 14,4<br />

68 --- --- 1 9,1 --- --- --- --- --- --- --- --- 1 1,8<br />

69 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

70 --- --- 1 16,7 --- --- 1 5 1 2,6 3 11,1 6 5,2<br />

71 --- --- 1 12,5 --- --- 1 16,7 --- --- --- --- 2 6,3<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 --- --- 2 66,7 --- --- --- --- --- --- --- --- 2 8<br />

74 --- --- 3 17,6 3 12,5 2 8,7 2 7,7 --- --- 10 8,3<br />

75 --- --- 1 8,3 1 8,3 2 7,1 2 7,4 --- --- 6 6<br />

76 --- --- 1 4,8 --- --- 2 6,7 1 3 1 3,3 5 3,4<br />

77 --- --- 1 11,1 1 9,1 1 7,7 --- --- --- --- 3 4,4<br />

78 --- --- --- --- --- --- --- --- 1 7,7 --- --- 1 2,1<br />

79 --- --- --- --- --- --- 1 5,9 --- --- 1 5,6 2 2,5<br />

80 --- --- --- --- 1 9,1 --- --- 1 6,3 --- --- 2 5,1<br />

81 --- --- --- --- 1 4,8 --- --- --- --- 1 4,3 2 1,7<br />

82 1 100 --- --- --- --- 2 16,7 1 5,3 --- --- 4 6,3<br />

83 --- --- 2 8 1 3,4 --- --- 1 2,3 2 5,3 6 3,4<br />

84 --- --- --- --- --- --- 1 6,3 1 2,4 --- --- 2 2,3<br />

EuroNeoNet 2010 76<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

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NTX Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

85 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

86 --- --- 1 20 1 5,6 --- --- 1 6,7 --- --- 3 6<br />

87 --- --- --- --- --- --- 1 5 --- --- --- --- 1 1,5<br />

88 --- --- --- --- 3 11,5 3 8,6 3 7,7 2 7,7 11 7,1<br />

89 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

90 --- --- --- --- 2 22,2 --- --- --- --- --- --- 2 2,8<br />

91 --- --- --- --- --- --- 1 11,1 --- --- 3 25 4 8,5<br />

92 --- --- 1 2,9 1 2,4 1 2 2 3,4 --- --- 5 2,6<br />

93 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

94 --- --- --- --- 1 2,6 1 3,3 1 4 --- --- 3 2,1<br />

95 --- --- --- --- --- --- --- --- 1 5,9 --- --- 1 1,7<br />

96 --- --- --- --- --- --- --- --- 1 4,5 --- --- 1 1,4<br />

TOTAL 5 4,6 49 5,7 70 5 44 2,6 72 3 30 3,2 270 3,6<br />

EuroNeoNet 2010 77<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


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6.9.2 Pneumothorax Rate by Gestational Age.<br />

Table 6.9.2 shows the Pneumothorax distribution according to gestational age<br />

for each Unit.<br />

Unit<br />

Code<br />

NTX Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- --- --- --- --- 1 4,5 1 3 --- --- 2 2,1<br />

2 --- --- 1 50 --- --- --- --- 1 7,1 --- --- 2 8<br />

3 --- --- 3 21,4 --- --- 1 3 1 1,4 --- --- 5 3,2<br />

4 --- --- --- --- --- --- --- --- 1 3,7 --- --- 1 1,4<br />

5 --- --- --- --- --- --- 3 10,7 3 4,4 1 9,1 7 4,2<br />

6 --- --- --- --- --- --- --- --- 1 1,6 --- --- 1 0,6<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

9 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

10 --- --- --- --- --- --- 2 14,3 4 14,3 --- --- 6 9,8<br />

11 --- --- --- --- --- --- 1 2,7 1 1,9 --- --- 2 1,4<br />

12 1 100 4 10,8 7 10,4 9 7,8 4 2,3 1 1,2 26 5,4<br />

13 --- --- 1 100 --- --- --- --- --- --- --- --- 1 4<br />

14 --- --- 2 12,5 --- --- 3 3,7 7 5,6 1 1,5 13 4<br />

15 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

16 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

17 --- --- --- --- --- --- 1 4,3 1 3,2 --- --- 2 2,2<br />

18 --- --- --- --- --- --- 1 6,3 --- --- --- --- 1 1,4<br />

19 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

20 --- --- --- --- 1 5,9 1 10 1 3,2 --- --- 3 3,8<br />

21 --- --- --- --- --- --- --- --- 1 4,8 --- --- 1 2,4<br />

22 --- --- 1 14,3 --- --- --- --- --- --- --- --- 1 1,6<br />

23 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

24 --- --- --- --- 2 4,1 --- --- --- --- --- --- 2 1,2<br />

25 --- --- --- --- 1 50 --- --- --- --- --- --- 1 4<br />

26 --- --- 1 10 2 13,3 --- --- 1 5,3 --- --- 4 5,8<br />

27 --- --- --- --- 1 8,3 --- --- --- --- --- --- 1 2,1<br />

28 --- --- --- --- 1 20 --- --- --- --- --- --- 1 5,3<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 1 50 2 16,7 --- --- --- --- 1 5,6 --- --- 4 5,4<br />

31 --- --- --- --- --- --- --- --- --- --- 1 20 1 9,1<br />

32 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

33 --- --- 2 11,8 --- --- --- --- 1 2 --- --- 3 2,1<br />

34 --- --- 1 16,7 2 16,7 --- --- --- --- --- --- 3 7,1<br />

35 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

36 --- --- 1 12,5 --- --- --- --- 3 15,8 --- --- 4 5,8<br />

37 --- --- --- --- --- --- --- --- 1 6,7 --- --- 1 2,6<br />

38 --- --- --- --- 1 14,3 --- --- --- --- --- --- 1 2,4<br />

39 --- --- --- --- 1 6,7 --- --- 1 10 --- --- 2 3,4<br />

40 --- --- --- --- 1 33,3 1 10 --- --- --- --- 2 6,5<br />

41 --- --- --- --- --- --- 2 11,8 --- --- --- --- 2 3,4<br />

42 --- --- --- --- 1 11,1 1 12,5 --- --- --- --- 2 5,9<br />

43 --- --- 1 16,7 --- --- --- --- 1 5,9 --- --- 2 3,8<br />

44 --- --- --- --- --- --- --- --- 2 22,2 --- --- 2 3,8<br />

45 --- --- --- --- --- --- 1 5,9 --- --- --- --- 1 2,5<br />

EuroNeoNet 2010 78<br />

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Unit<br />

Code<br />

NTX Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

46 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

47 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

48 --- --- --- --- --- --- 2 20 --- --- --- --- 2 6,9<br />

49 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

50 --- --- --- --- --- --- 1 14,3 --- --- --- --- 1 3,7<br />

51 --- --- 6 40 3 16,7 1 3,6 3 7,7 2 11,8 15 12,4<br />

52 --- --- 2 7,4 1 4,2 1 3,1 --- --- --- --- 4 2,7<br />

53 --- --- 1 33,3 --- --- --- --- --- --- 1 20 2 6,7<br />

54 --- --- 2 66,7 --- --- --- --- --- --- --- --- 2 15,4<br />

55 --- --- --- --- --- --- 2 4,5 --- --- 1 3,1 3 1,6<br />

56 --- --- 1 33,3 --- --- --- --- --- --- --- --- 1 5,9<br />

57 1 33,3 --- --- 1 11,1 1 7,7 --- --- --- --- 3 5,6<br />

58 --- --- --- --- --- --- --- --- 2 10 --- --- 2 3,3<br />

59 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

60 --- --- --- --- --- --- 1 12,5 3 20 --- --- 4 10<br />

61 --- --- 2 40 --- --- --- --- 1 6,3 --- --- 3 6,7<br />

62 --- --- 1 20 2 22,2 1 25 --- --- --- --- 4 12,1<br />

63 --- --- 1 14,3 3 12,5 --- --- --- --- --- --- 4 3,3<br />

64 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

65 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

66 1 50 1 9,1 1 9,1 1 4 --- --- --- --- 4 5,8<br />

67 --- --- 7 38,9 4 17,4 5 12,5 2 7,4 --- --- 18 14,4<br />

68 --- --- 1 20 --- --- --- --- --- --- --- --- 1 1,8<br />

69 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

70 --- --- 1 8,3 --- --- 1 4,3 4 9,1 --- --- 6 5,2<br />

71 --- --- 1 14,3 --- --- 1 25 --- --- --- --- 2 6,3<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 --- --- 1 50 --- --- 1 12,5 --- --- --- --- 2 8<br />

74 --- --- 4 30,8 1 4,2 4 11,4 1 2 --- --- 10 8,3<br />

75 --- --- --- --- 3 23,1 --- --- 3 7,9 --- --- 6 6<br />

76 --- --- 1 5,3 1 4,2 1 3,8 2 3,6 --- --- 5 3,4<br />

77 --- --- 2 18,2 --- --- 1 5 --- --- --- --- 3 4,4<br />

78 --- --- --- --- --- --- 1 6,3 --- --- --- --- 1 2,1<br />

79 --- --- --- --- --- --- 1 5 1 3,3 --- --- 2 2,5<br />

80 --- --- --- --- 1 10 --- --- --- --- 1 8,3 2 5,1<br />

81 --- --- --- --- --- --- 1 3,3 1 2,2 --- --- 2 1,7<br />

82 --- --- --- --- 2 18,2 2 13,3 --- --- --- --- 4 6,3<br />

83 1 11,1 1 8,3 1 2,9 --- --- 3 4,5 --- --- 6 3,4<br />

84 --- --- --- --- --- --- --- --- 2 5,7 --- --- 2 2,3<br />

85 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

86 --- --- 1 14,3 1 9,1 --- --- 1 5,9 --- --- 3 6<br />

87 --- --- --- --- 1 10 --- --- --- --- --- --- 1 1,5<br />

88 --- --- 2 8,7 2 6,7 3 9,7 3 6,5 1 4,8 11 7,1<br />

89 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

90 --- --- 1 20 1 9,1 --- --- --- --- --- --- 2 2,8<br />

91 --- --- --- --- 1 20 1 7,1 2 11,1 --- --- 4 8,5<br />

92 1 20 1 3 1 2,3 1 2,1 1 2,7 --- --- 5 2,6<br />

93 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

94 --- --- 1 3,1 --- --- 1 2,9 1 3,2 --- --- 3 2,1<br />

95 --- --- --- --- --- --- --- --- --- --- 1 9,1 1 1,7<br />

96 --- --- --- --- --- --- --- --- 1 3,2 --- --- 1 1,4<br />

TOTAL 6 5,2 62 8,4 52 4,1 64 3,7 75 3,1 11 1 270 3,6<br />

EuroNeoNet 2010 79<br />

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6.9.3 Pneumothorax <strong>Standard</strong>ized Rate by Perintal Risk Factors.<br />

Graph 6.9.3, corresponds to the 95% CI for the standardised pneumothorax adjusted rate.<br />

Graph 6.9.3<br />

The results for Units 6, 11, 24, 55, 81, 92, 95 and 96 reached statistical significant relevance, being the pneumothorax rate<br />

for these Units significantly smaller than the one expected according to the standard’s population pneumothorax<br />

distribution. On the other hand, Units 51 and 67 had a bigger significant pneumothorax rate than the one expected<br />

according to the standard’s population pneumothorax distribution.<br />

Units 8, 9, 15, 16, 19, 23, 29, 32, 35, 46, 47, 49, 59, 64, 65, 69, 85, 89 and 93 didn’t register pneumothorax.<br />

Note 1: <strong>Standard</strong>ization items: Birth weight Z-Score by gestational age, gender, 1-min Apgar<br />

Score, 5-min apgar Score and multiple gestation.<br />

Note 2: Units with 5 or less babies admitted have not been analyzed in this section.<br />

EuroNeoNet 2010 80<br />

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6.10 PIVH (Grades III or IV) Rate.<br />

Definition: If a cranial imaging was performed, enter grade based on criteria below:<br />

Grade 0 - No subependymal or intraventricular hemorrhage.<br />

Grade 1 – Subependymal germinal matrix hemorrhage only.<br />

Grade 2 – Intraventricular blood, no ventricular dilation.<br />

Grade 3 - Intraventricular blood, ventricular dilation.<br />

Grade 4 – Intraparenchymal hemorrhage.<br />

If multiple ultrasounds were done on or before day 28 record the most severe grade.<br />

Value calculated only for babies with a cranial imaging done, and grades recorded.<br />

6.10.1 PIVH (Grades III or IV) Rate by Birth Weight.<br />

The global PIVH (Grades III or IV) rate for 2010 cohort has been of 7.8%, with a<br />

variation of 1.4% and 24.6% within units.<br />

PIVH (Grades III or IV) Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- 1 12,5 1 6,7 2 12,5 --- --- --- --- 4 5,5<br />

2 --- --- --- --- 1 33,3 1 25 1 20 --- --- 3 20<br />

3 1 100 4 26,7 3 13,6 2 8 --- --- --- --- 10 7,8<br />

4 1 50 2 28,6 --- --- 1 6,7 --- --- --- --- 4 8<br />

5 --- --- 3 16,7 1 3,8 1 4,2 1 4,8 1 3,6 7 5,8<br />

6 1 20 4 26,7 4 13,3 --- --- --- --- 1 2,9 10 6,9<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- 1 16,7 1 16,7 1 20 3 15,8<br />

9 --- --- --- --- --- --- 1 11,1 1 6,7 --- --- 2 6,1<br />

10 --- --- --- --- 1 14,3 --- --- --- --- --- --- 1 1,8<br />

11 --- --- 3 23,1 1 4 3 9,4 2 4,5 2 7,7 11 7,8<br />

12 2 66,7 16 32 10 13,9 4 4,3 9 6,6 6 7,7 47 10,9<br />

13 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

14 --- --- 5 17,2 4 8,9 4 6,2 4 3,4 --- --- 17 5,6<br />

15 --- --- --- --- 1 5,9 --- --- --- --- --- --- 1 1,4<br />

16 --- --- 1 50 --- --- --- --- --- --- --- --- 1 2,8<br />

17 --- --- 1 12,5 1 7,1 1 4,3 --- --- --- --- 3 3,5<br />

18 --- --- 1 25 --- --- 1 5 1 4,8 1 8,3 4 6,3<br />

19 --- --- 2 25 --- --- --- --- --- --- --- --- 2 3,1<br />

20 --- --- 1 20 1 5,6 --- --- 1 4,2 --- --- 3 3,8<br />

21 --- --- --- --- 2 50 1 9,1 --- --- --- --- 3 7,5<br />

22 --- --- --- --- 1 9,1 --- --- 1 5,3 --- --- 2 3,1<br />

23 --- --- 2 25 7 38,9 4 22,2 2 20 --- --- 15 24,6<br />

24 --- --- 5 19,2 6 10,5 4 8,3 1 2,6 --- --- 16 9,4<br />

25 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

26 --- --- 2 11,8 1 7,1 1 7,7 --- --- --- --- 4 6,1<br />

27 --- --- 1 16,7 2 20 1 14,3 3 16,7 --- --- 7 17,1<br />

28 --- --- --- --- 1 12,5 --- --- --- --- --- --- 1 5,6<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 --- --- 2 20 6 33,3 1 10 1 3,1 --- --- 10 14,3<br />

EuroNeoNet 2010 81<br />

Note: Excluded babies died in Delivery Room and babies without cranial imaging done.Analyzed population: Admitted<br />

babies with a cranial imaging done.


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PIVH (Grades III or IV) Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

31 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

32 1 50 1 16,7 2 28,6 --- --- --- --- --- --- 4 12,5<br />

33 --- --- 1 6,3 3 10 1 3,1 1 2,2 --- --- 6 4,7<br />

34 --- --- --- --- 3 25 --- --- --- --- --- --- 3 7,1<br />

35 --- --- --- --- 1 12,5 --- --- --- --- --- --- 1 4<br />

36 --- --- 1 12,5 2 18,2 1 5,9 1 3,2 --- --- 5 7,5<br />

37 --- --- 1 33,3 --- --- 1 11,1 1 6,3 --- --- 3 9,4<br />

38 --- --- 1 20 --- --- --- --- --- --- --- --- 1 2,4<br />

39 --- --- 1 20 1 5,6 1 8,3 --- --- --- --- 3 5,1<br />

40 --- --- 1 25 --- --- 1 12,5 --- --- --- --- 2 7,1<br />

41 --- --- 5 45,5 4 33,3 1 6,7 --- --- 1 100 11 18,6<br />

42 --- --- --- --- 1 20 1 5,9 --- --- --- --- 2 6,3<br />

43 --- --- 1 50 3 37,5 --- --- 2 6,7 --- --- 6 11,8<br />

44 --- --- --- --- 2 22,2 1 8,3 --- --- --- --- 3 5,8<br />

45 --- --- 2 40 --- --- --- --- --- --- --- --- 2 5,7<br />

46 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

47 --- --- --- --- 1 25 --- --- --- --- --- --- 1 3,8<br />

48 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

49 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

50 --- --- 1 33,3 --- --- --- --- 1 12,5 --- --- 2 7,7<br />

51 --- --- 2 20 5 21,7 3 8,6 1 3,7 --- --- 11 9,2<br />

52 1 33,3 4 21,1 12 28,6 2 5,7 1 2,1 --- --- 20 13,6<br />

53 --- --- 2 33,3 1 16,7 --- --- --- --- --- --- 3 10<br />

54 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

55 --- --- 6 46,2 5 19,2 11 22 --- --- --- --- 22 15,9<br />

56 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

57 --- --- 2 28,6 1 10 1 8,3 --- --- --- --- 4 7,7<br />

58 --- --- 2 50 2 15,4 --- --- 1 4,5 --- --- 5 8,8<br />

59 --- --- 1 50 --- --- --- --- --- --- --- --- 1 7,1<br />

60 --- --- --- --- --- --- 1 7,7 1 6,3 --- --- 2 5,1<br />

61 --- --- 2 22,2 --- --- --- --- --- --- --- --- 2 4,8<br />

62 --- --- 1 16,7 --- --- 2 22,2 --- --- --- --- 3 9,4<br />

63 --- --- 1 12,5 7 30,4 4 10,3 --- --- --- --- 12 10,2<br />

64 --- --- --- --- --- --- 1 11,1 --- --- --- --- 1 3,6<br />

65 --- --- 1 16,7 1 12,5 2 20 --- --- --- --- 4 10,5<br />

66 --- --- 1 20 1 4,3 1 5 --- --- --- --- 3 4,5<br />

67 --- --- 5 31,3 6 20,7 --- --- --- --- --- --- 11 9,3<br />

68 --- --- 3 33,3 1 10 1 5,9 2 14,3 --- --- 7 14<br />

69 --- --- --- --- --- --- 1 16,7 --- --- --- --- 1 4,8<br />

70 --- --- 1 20 4 16 --- --- --- --- --- --- 5 4,5<br />

71 --- --- --- --- 2 33,3 --- --- --- --- --- --- 2 6,3<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 --- --- 1 100 1 33,3 --- --- --- --- --- --- 2 22,2<br />

74 --- --- 6 35,3 1 4,2 1 4,3 1 3,8 1 3,4 10 8,3<br />

75 --- --- 4 33,3 --- --- 1 3,7 2 7,4 1 5,3 8 8,2<br />

76 --- --- 5 23,8 3 11,1 2 6,7 1 3,1 1 3,3 12 8,3<br />

77 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

78 --- --- --- --- --- --- 1 7,1 1 7,7 --- --- 2 4,2<br />

79 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

80 --- --- 1 33,3 1 9,1 --- --- --- --- --- --- 2 5,1<br />

EuroNeoNet 2010 82<br />

Note: Excluded babies died in Delivery Room and babies without cranial imaging done.Analyzed population: Admitted<br />

babies with a cranial imaging done.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

PIVH (Grades III or IV) Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

81 --- --- --- --- 1 4,8 --- --- 2 4,9 --- --- 3 2,5<br />

82 --- --- 1 20 --- --- --- --- 1 5,3 1 6,7 3 4,9<br />

83 3 42,9 3 12 1 3,4 5 15,6 1 2,3 --- --- 13 7,5<br />

84 1 33,3 3 33,3 3 16,7 1 6,3 --- --- --- --- 8 9,2<br />

85 --- --- 1 25 1 12,5 1 20 2 15,4 --- --- 5 14,7<br />

86 --- --- 1 25 4 22,2 --- --- --- --- --- --- 5 10,2<br />

87 --- --- --- --- --- --- 1 5 --- --- --- --- 1 1,6<br />

88 1 50 8 30,8 5 20 3 9,4 1 3,6 --- --- 18 13,2<br />

89 --- --- --- --- 1 33,3 --- --- --- --- --- --- 1 2,4<br />

90 --- --- --- --- --- --- 1 9,1 --- --- --- --- 1 1,5<br />

91 --- --- 1 25 --- --- --- --- --- --- 1 12,5 2 5,3<br />

92 --- --- 5 16,1 5 13,5 4 10,5 2 5,7 --- --- 16 11,2<br />

93 --- --- 13 39,4 7 20,6 3 6,5 5 8,8 3 6,1 31 14,2<br />

94 --- --- 3 11,5 2 5,3 1 3,3 --- --- 1 6,7 7 4,8<br />

96 --- --- 1 50 --- --- 2 15,4 2 9,1 --- --- 5 7,2<br />

TOTAL 12 14,6 163 21,1 162 12,6 99 6,4 62 2,9 22 2,7 520 7,8<br />

.<br />

EuroNeoNet 2010 83<br />

Note: Excluded babies died in Delivery Room and babies without cranial imaging done.Analyzed population: Admitted<br />

babies with a cranial imaging done.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.10.2 PIVH (Grades III or IV) Rate by Gestational Age.<br />

Table 6.10.2 shows the PIVH (Grades III or IV) distribution according to<br />

gestational age for each Unit.<br />

Unit<br />

Code<br />

PIVH (Grades III or IV) Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- 2 20 2 12,5 --- --- --- --- --- --- 4 5,5<br />

2 --- --- 1 50 --- --- --- --- 1 16,7 1 33,3 3 20<br />

3 2 40 4 28,6 3 17,6 1 3,8 --- --- --- --- 10 7,8<br />

4 --- --- 3 37,5 --- --- 1 7,7 --- --- --- --- 4 8<br />

5 1 12,5 2 20 2 5,4 --- --- 1 2,3 1 25 7 5,8<br />

6 1 25 6 35,3 2 7,1 --- --- 1 1,9 --- --- 10 6,9<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- 1 50 2 15,4 --- --- 3 15,8<br />

9 --- --- --- --- 1 20 1 11,1 --- --- --- --- 2 6,1<br />

10 --- --- 1 33,3 --- --- --- --- --- --- --- --- 1 1,8<br />

11 --- --- 4 30,8 --- --- 5 13,9 2 4 --- --- 11 7,8<br />

12 1 100 15 48,4 10 16,9 9 8,2 10 6,3 2 2,7 47 10,9<br />

13 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

14 --- --- 4 26,7 5 15,6 6 7,5 2 1,7 --- --- 17 5,6<br />

15 --- --- 1 33,3 --- --- --- --- --- --- --- --- 1 1,4<br />

16 1 100 --- --- --- --- --- --- --- --- --- --- 1 2,8<br />

17 --- --- --- --- 2 15,4 --- --- --- --- 1 5,9 3 3,5<br />

18 --- --- --- --- 2 20 1 6,7 1 4 --- --- 4 6,3<br />

19 --- --- 2 25 --- --- --- --- --- --- --- --- 2 3,1<br />

20 --- --- 2 25 --- --- --- --- --- --- 1 7,7 3 3,8<br />

21 --- --- 1 33,3 1 25 1 16,7 --- --- --- --- 3 7,5<br />

22 --- --- --- --- 1 11,1 1 6,7 --- --- --- --- 2 3,1<br />

23 --- --- 5 50 2 14,3 2 12,5 4 22,2 2 66,7 15 24,6<br />

24 1 100 5 33,3 7 14,3 3 5,2 --- --- --- --- 16 9,4<br />

25 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

26 1 50 1 11,1 1 6,7 1 7,7 --- --- --- --- 4 6,1<br />

27 --- --- --- --- 4 40 2 11,1 1 14,3 --- --- 7 17,1<br />

28 --- --- --- --- 1 20 --- --- --- --- --- --- 1 5,6<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 1 50 6 50 3 20 --- --- --- --- --- --- 10 14,3<br />

31 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

32 --- --- 3 42,9 1 14,3 --- --- --- --- --- --- 4 12,5<br />

33 --- --- 2 13,3 3 11,5 --- --- 1 2,3 --- --- 6 4,7<br />

34 --- --- --- --- 3 25 --- --- --- --- --- --- 3 7,1<br />

35 --- --- --- --- 1 14,3 --- --- --- --- --- --- 1 4<br />

36 --- --- 2 25 --- --- 1 6,7 1 5,6 1 5,6 5 7,5<br />

37 --- --- 1 50 --- --- 2 28,6 --- --- --- --- 3 9,4<br />

38 --- --- --- --- 1 14,3 --- --- --- --- --- --- 1 2,4<br />

39 1 50 --- --- --- --- 1 6,3 1 10 --- --- 3 5,1<br />

40 1 100 --- --- --- --- 1 12,5 --- --- --- --- 2 7,1<br />

41 --- --- 5 71,4 2 22,2 4 23,5 --- --- --- --- 11 18,6<br />

42 --- --- --- --- 2 22,2 --- --- --- --- --- --- 2 6,3<br />

43 --- --- 4 80 1 33,3 --- --- --- --- 1 5 6 11,8<br />

44 --- --- 1 25 2 25 --- --- --- --- --- --- 3 5,8<br />

45 --- --- 1 33,3 --- --- 1 6,7 --- --- --- --- 2 5,7<br />

EuroNeoNet 2010 84<br />

Note: Excluded babies died in Delivery Room and babies without cranial imaging done.Analyzed population: Admitted<br />

babies with a cranial imaging done.


EuroNeoNet<br />

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Unit<br />

Code<br />

PIVH (Grades III or IV) Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

46 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

47 --- --- --- --- 1 20 --- --- --- --- --- --- 1 3,8<br />

48 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

49 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

50 --- --- --- --- 1 20 1 14,3 --- --- --- --- 2 7,7<br />

51 2 66,7 2 13,3 2 11,1 4 14,3 1 2,6 --- --- 11 9,2<br />

52 1 50 10 37 7 29,2 2 6,3 --- --- --- --- 20 13,6<br />

53 --- --- 2 66,7 1 12,5 --- --- --- --- --- --- 3 10<br />

54 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

55 1 50 3 30 14 36,8 3 8,8 1 3 --- --- 22 15,9<br />

56 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

57 1 50 2 40 1 12,5 --- --- --- --- --- --- 4 7,7<br />

58 1 100 2 40 1 12,5 1 9,1 --- --- --- --- 5 8,8<br />

59 --- --- --- --- 1 100 --- --- --- --- --- --- 1 7,1<br />

60 --- --- --- --- --- --- 1 12,5 1 7,1 --- --- 2 5,1<br />

61 --- --- 2 40 --- --- --- --- --- --- --- --- 2 4,8<br />

62 --- --- 1 25 2 22,2 --- --- --- --- --- --- 3 9,4<br />

63 --- --- 3 42,9 5 22,7 4 16 --- --- --- --- 12 10,2<br />

64 --- --- --- --- 1 16,7 --- --- --- --- --- --- 1 3,6<br />

65 --- --- 1 20 3 33,3 --- --- --- --- --- --- 4 10,5<br />

66 1 50 --- --- 2 18,2 --- --- --- --- --- --- 3 4,5<br />

67 --- --- 7 43,8 4 20 --- --- --- --- --- --- 11 9,3<br />

68 1 100 2 50,0 2 13,3 2 15,4 --- --- --- --- 7 14<br />

69 --- --- --- --- --- --- --- --- --- --- 1 10 1 4,8<br />

70 --- --- 2 18,2 3 17,6 --- --- --- --- --- --- 5 4,5<br />

71 --- --- 2 28,6 --- --- --- --- --- --- --- --- 2 6,3<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 --- --- 1 50 1 50 --- --- --- --- --- --- 2 22,2<br />

74 --- --- 6 46,2 1 4,2 2 5,7 1 2 --- --- 10 8,3<br />

75 --- --- 4 33,3 --- --- --- --- 3 8,1 1 6,7 8 8,2<br />

76 --- --- 7 36,8 2 8,7 1 3,8 2 3,6 --- --- 12 8,3<br />

77 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

78 --- --- --- --- --- --- 2 12,5 --- --- --- --- 2 4,2<br />

79 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

80 --- --- --- --- 2 20 --- --- --- --- --- --- 2 5,1<br />

81 --- --- --- --- 2 11,8 --- --- --- --- 1 5,6 3 2,5<br />

82 --- --- --- --- 1 9,1 1 6,7 1 3,8 --- --- 3 4,9<br />

83 6 66,7 --- --- 1 2,9 4 9,5 2 3 --- --- 13 7,5<br />

84 --- --- 4 36,4 4 26,7 --- --- --- --- --- --- 8 9,2<br />

85 --- --- 1 16,7 1 20 2 25 1 8,3 --- --- 5 14,7<br />

86 --- --- 3 50 1 9,1 1 11,1 --- --- --- --- 5 10,2<br />

87 --- --- --- --- 1 11,1 --- --- --- --- --- --- 1 1,6<br />

88 2 50 12 52,2 1 3,4 1 3,4 2 4,7 --- --- 18 13,2<br />

89 --- --- 1 50 --- --- --- --- --- --- --- --- 1 2,4<br />

90 --- --- --- --- 1 9,1 --- --- --- --- --- --- 1 1,5<br />

91 --- --- 1 25 --- --- --- --- 1 7,7 --- --- 2 5,3<br />

92 1 25 6 20 6 16,2 3 7,1 --- --- --- --- 16 11,2<br />

93 3 42,9 10 43,5 8 26,7 8 17,4 2 2,4 --- --- 31 14,2<br />

94 2 40 3 9,7 --- --- 1 2,9 1 3,2 --- --- 7 4,8<br />

96 --- --- 1 50 --- --- 2 11,8 1 3,2 1 14,3 5 7,2<br />

TOTAL 33 39,3 185 28 149 12,9 91 5,7 48 2,2 14 1,4 520 7,8<br />

EuroNeoNet 2010 85<br />

Note: Excluded babies died in Delivery Room and babies without cranial imaging done.Analyzed population: Admitted<br />

babies with a cranial imaging done.


EuroNeoNet<br />

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6.10.3 PIVH (Grades III or IV) <strong>Standard</strong>ized Rate by Perinatal Risk Factors.<br />

Graph 6.10.3, corresponds to the 95% CI for the standardised PIVH (Grades III or IV) rate adjusted.<br />

Graph 6.10.3<br />

The results for Units 1, 5, 15, 19, 33, 70, 81 and 94 reached statistical significant relevance, being the PIVH (Grades III or VI)<br />

rate for these Units significantly smaller than the one expected according to the standard’s population PIVH (Grades III or<br />

IV) distribution. On the other hand, Units 12, 30 and 35 had a bigger significant PIVH (Grades III or IV) rate than the one<br />

expected according to the standard’s population PIVH (Grades III or IV) distribution.<br />

Units 13, 25, 29, 31, 46, 48, 49, 54, 56, 77 and 79 didn’t register PIVH (Grades III or IV).<br />

Note 1: <strong>Standard</strong>ization items: Gender, Prenatal Steroids use, 1-min Apgar Score, 5-min apgar<br />

Score. Mode of Delivery and Major Birth Defects.<br />

Note 2: Units with 5 or less babies admitted have not been analyzed in this section.<br />

EuroNeoNet 2010 86<br />

Note: Excluded babies died in Delivery Room and babies without cranial imaging done.Analyzed population: Admitted babies with a cranial imaging done.


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6.11 NEC Rate.<br />

Definition: if the infant had NEC diagnosed at surgery, at postmortem examination or clinically<br />

and radiographically using the following criteria:<br />

A. - One or more of the following clinical signs present:<br />

1. - Bilious gastric aspirate or emesis<br />

2. - Abdominal distension<br />

3. - Occult or gross blood in stool (no fissure)<br />

AND<br />

B. - One or more of the following radiographic findings present:<br />

1. - Pneumatosis intestinalis (cystic or linear)<br />

2. - Hepato-biliary gas<br />

3. – Pneumoperitoneum<br />

Note 1: Infants should be coded as having FOCAL GASTROINTESTINAL PERFORATION, not<br />

as NEC even if satisfying the definition of NEC but, are found at surgery or postmortem<br />

examination for that episode to have a Focal Gastrointestinal Perforation.<br />

6.11.1 NEC Rate by Birth Weight.<br />

The global NEC rate for 2010 cohort has been of 5.5%, with a variation of 0.8%<br />

and 21.1% within units.<br />

Unit<br />

Code<br />

NEC Rate against Birth Weight by Participating Unit<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- --- --- 2 13,3 1 4,8 --- --- --- --- 3 3,2<br />

2 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

3 --- --- 4 25 8 34,8 2 5,4 --- --- --- --- 14 9<br />

4 --- --- 1 12,5 --- --- --- --- --- --- --- --- 1 1,4<br />

5 1 33,3 4 19 --- --- --- --- 1 2,6 --- --- 6 3,6<br />

6 1 11,1 4 25 1 2,9 1 3,7 --- --- --- --- 7 4,1<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

9 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

10 --- --- 1 14,3 --- --- 1 6,3 1 7,1 --- --- 3 4,9<br />

11 --- --- --- --- 6 24 1 3 1 2,1 --- --- 8 5,5<br />

12 2 66,7 12 21,4 6 7,4 11 11,1 2 1,3 4 4,6 37 7,7<br />

13 --- --- --- --- 1 20 --- --- 2 16,7 --- --- 3 12<br />

14 2 66,7 3 9,1 8 17 5 7,5 2 1,6 1 2 21 6,5<br />

15 --- --- 3 50 2 9,1 --- --- --- --- --- --- 5 6<br />

16 --- --- --- --- 1 25 1 25 1 5,3 --- --- 3 7,5<br />

17 --- --- 1 11,1 1 7,1 --- --- 4 14,3 1 7,7 7 7,8<br />

18 --- --- --- --- --- --- --- --- 2 9,1 --- --- 2 2,9<br />

19 --- --- --- --- --- --- 1 6,7 --- --- --- --- 1 1,5<br />

20 --- --- --- --- --- --- 1 6,3 --- --- --- --- 1 1,3<br />

21 --- --- --- --- --- --- --- --- --- --- 1 25 1 2,4<br />

22 --- --- --- --- 1 9,1 --- --- --- --- 1 6,3 2 3,1<br />

23 --- --- 5 50 2 16,7 3 16,7 1 6,7 2 7,4 13 15,9<br />

24 --- --- --- --- 2 3,5 4 8,2 --- --- --- --- 6 3,5<br />

25 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

26 --- --- 1 5,3 --- --- --- --- 1 4,5 --- --- 2 2,9<br />

27 --- --- --- --- --- --- --- --- 1 4,8 --- --- 1 2,1<br />

28 --- --- --- --- 3 37,5 1 50 --- --- --- --- 4 21,1<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 --- --- 4 40 2 10 --- --- 1 3 --- --- 7 9,5<br />

EuroNeoNet 2010 87<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

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NEC Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

31 --- --- --- --- --- --- 1 50 --- --- --- --- 1 9,1<br />

32 1 50 3 50 2 28,6 --- --- --- --- --- --- 6 18,8<br />

33 --- --- --- --- 1 3,2 1 2,9 3 5,8 --- --- 5 3,6<br />

34 --- --- 2 33,3 1 9,1 --- --- --- --- --- --- 3 7,3<br />

35 --- --- 2 33,3 1 12,5 --- --- --- --- --- --- 3 12<br />

36 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

37 --- --- 1 33,3 1 33,3 --- --- 2 9,5 --- --- 4 10,3<br />

38 1 100 1 20 --- --- 1 10 --- --- --- --- 3 7,1<br />

39 --- --- 1 20 1 5,6 2 16,7 --- --- --- --- 4 6,8<br />

40 --- --- --- --- --- --- 1 12,5 --- --- --- --- 1 3,2<br />

41 --- --- 2 18,2 1 8,3 --- --- 2 9,5 --- --- 5 8,3<br />

42 --- --- 1 50 2 33,3 4 22,2 --- --- --- --- 7 20,6<br />

43 --- --- --- --- --- --- 1 9,1 --- --- --- --- 1 1,9<br />

44 --- --- 2 33,3 5 55,6 2 16,7 1 4 --- --- 10 19,2<br />

45 --- --- 1 20 --- --- 1 8,3 1 6,3 --- --- 3 7,5<br />

46 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

47 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

48 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

49 --- --- 1 33,3 --- --- --- --- --- --- --- --- 1 4,5<br />

50 --- --- --- --- 1 12,5 1 14,3 1 12,5 --- --- 3 11,1<br />

51 1 50 1 9,1 3 13 1 2,9 1 3,6 1 4,5 8 6,6<br />

52 --- --- 3 15,8 4 9,5 2 5,4 --- --- --- --- 9 6<br />

53 --- --- --- --- 1 16,7 --- --- 1 7,7 --- --- 2 6,7<br />

54 --- --- --- --- --- --- --- --- 1 14,3 --- --- 1 7,7<br />

55 --- --- 4 20 5 13,9 8 13,3 2 2,9 --- --- 19 10,3<br />

56 --- --- --- --- --- --- 1 16,7 --- --- --- --- 1 5,9<br />

57 --- --- --- --- 2 18,2 --- --- 2 8,7 --- --- 4 7,4<br />

58 --- --- 1 25 1 7,7 1 5,6 --- --- --- --- 3 4,9<br />

59 --- --- --- --- --- --- --- --- 1 14,3 --- --- 1 7,1<br />

60 --- --- --- --- --- --- 1 7,7 --- --- --- --- 1 2,5<br />

61 --- --- 2 22,2 2 22,2 --- --- 1 7,7 --- --- 5 11,1<br />

62 --- --- --- --- 1 16,7 2 22,2 --- --- --- --- 3 9,1<br />

63 --- --- 2 25 3 12,5 --- --- --- --- --- --- 5 4,1<br />

64 --- --- --- --- --- --- 2 16,7 1 4,3 --- --- 3 7,3<br />

65 --- --- 1 16,7 1 12,5 1 10 --- --- --- --- 3 7,9<br />

66 --- --- --- --- --- --- 1 4,8 --- --- --- --- 1 1,4<br />

67 --- --- 4 22,2 4 13,3 4 12,5 1 2,3 --- --- 13 10,4<br />

68 --- --- --- --- 1 8,3 1 5,6 --- --- --- --- 2 3,6<br />

69 --- --- 1 33,3 --- --- --- --- --- --- --- --- 1 4,5<br />

70 --- --- --- --- 3 12 --- --- 2 5,3 --- --- 5 4,3<br />

71 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 --- --- 1 33,3 1 20 3 23,1 --- --- --- --- 5 20<br />

74 --- --- 1 5,9 --- --- --- --- --- --- --- --- 1 0,8<br />

75 --- --- 2 16,7 2 16,7 1 3,6 --- --- --- --- 5 5<br />

76 1 25 2 9,5 1 3,6 1 3,3 --- --- --- --- 5 3,4<br />

77 1 33,3 --- --- --- --- --- --- --- --- --- --- 1 1,5<br />

78 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

79 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

80 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

EuroNeoNet 2010 88<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

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NEC Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

81 --- --- --- --- 1 4,8 --- --- --- --- --- --- 1 0,8<br />

82 --- --- --- --- --- --- --- --- 1 5,3 1 6,7 2 3,2<br />

83 --- --- 2 8 2 6,9 1 3,1 2 4,7 --- --- 7 4<br />

84 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

85 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

86 --- --- --- --- 2 11,1 --- --- --- --- --- --- 2 4<br />

87 --- --- --- --- 1 25 --- --- 1 4,3 --- --- 2 2,9<br />

88 --- --- 3 11,1 2 7,7 2 5,7 --- --- 2 7,7 9 5,8<br />

89 --- --- --- --- 2 66,7 --- --- --- --- --- --- 2 4,3<br />

90 --- --- --- --- --- --- --- --- --- --- 1 4,5 1 1,4<br />

91 --- --- 1 20 1 20 1 11,1 2 12,5 2 16,7 7 14,9<br />

92 --- --- 8 22,9 4 9,5 3 5,9 5 8,5 --- --- 20 10,5<br />

93 --- --- 9 23,7 1 2,9 2 4,3 1 1,7 2 3,9 15 6,1<br />

94 1 9,1 1 3,8 --- --- 2 6,7 --- --- 1 6,7 5 3,4<br />

95 --- --- 1 10 3 25 2 28,6 --- --- --- --- 6 10,3<br />

96 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

TOTAL 12 11,2 110 13 116 8,5 91 5,4 55 2,3 20 2,1 404 5,5<br />

EuroNeoNet 2010 89<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


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6.11.2 NEC Rate by Gestational Age.<br />

Table 6.11.2 shows the NEC distribution according to gestational age for each<br />

Unit.<br />

Unit<br />

Code<br />

NEC Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- 2 20 1 5,9 --- --- --- --- --- --- 3 3,2<br />

2 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

3 2 40 7 50 2 10,5 2 6,1 1 1,4 --- --- 14 9<br />

4 --- --- 1 12,5 --- --- --- --- --- --- --- --- 1 1,4<br />

5 3 33,3 1 9,1 1 2,5 --- --- --- --- 1 9,1 6 3,6<br />

6 --- --- 4 21,1 2 6,9 --- --- --- --- 1 6,7 7 4,1<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

9 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

10 --- --- --- --- 1 25 2 14,3 --- --- --- --- 3 4,9<br />

11 --- --- 2 15,4 3 15,8 1 2,7 1 1,9 1 4,2 8 5,5<br />

12 --- --- 10 27 11 16,4 9 7,8 4 2,3 3 3,6 37 7,7<br />

13 --- --- --- --- 1 50 --- --- 2 22,2 --- --- 3 12<br />

14 --- --- 3 18,8 9 25,7 5 6,2 2 1,6 2 3,1 21 6,5<br />

15 --- --- 1 25 1 6,7 2 11,8 1 4 --- --- 5 6<br />

16 --- --- --- --- 1 25 --- --- --- --- 2 16,7 3 7,5<br />

17 --- --- --- --- 1 6,3 2 8,7 3 9,7 1 5,9 7 7,8<br />

18 --- --- --- --- --- --- 1 6,3 1 3,8 --- --- 2 2,9<br />

19 --- --- --- --- 1 25 --- --- --- --- --- --- 1 1,5<br />

20 --- --- --- --- --- --- 1 10 --- --- --- --- 1 1,3<br />

21 --- --- --- --- --- --- --- --- 1 4,8 --- --- 1 2,4<br />

22 --- --- --- --- 1 11,1 --- --- 1 4,3 --- --- 2 3,1<br />

23 --- --- 3 37,5 5 50 2 11,8 3 9,1 --- --- 13 15,9<br />

24 --- --- --- --- 3 6,3 2 3,3 1 2,1 --- --- 6 3,5<br />

25 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

26 1 50 --- --- --- --- --- --- 1 5,3 --- --- 2 2,9<br />

27 --- --- --- --- --- --- --- --- 1 12,5 --- --- 1 2,1<br />

28 --- --- --- --- 2 40 1 25 --- --- 1 25 4 21,1<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 1 50 2 16,7 3 18,8 --- --- 1 5,6 --- --- 7 9,5<br />

31 --- --- --- --- --- --- --- --- 1 33,3 --- --- 1 9,1<br />

32 --- --- 3 42,9 2 28,6 1 14,3 --- --- --- --- 6 18,8<br />

33 --- --- --- --- 1 3,6 1 4,2 2 4 1 5 5 3,6<br />

34 --- --- --- --- 2 18,2 --- --- 1 14,3 --- --- 3 7,3<br />

35 --- --- 2 66,7 1 14,3 --- --- --- --- --- --- 3 12<br />

36 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

37 --- --- 1 33,3 --- --- --- --- 2 13,3 1 10 4 10,3<br />

38 --- --- --- --- 2 28,6 1 9,1 --- --- --- --- 3 7,1<br />

39 --- --- --- --- 1 6,7 2 12,5 1 10 --- --- 4 6,8<br />

40 --- --- --- --- --- --- 1 10 --- --- --- --- 1 3,2<br />

41 --- --- 1 14,3 1 11,1 --- --- 1 8,3 2 13,3 5 8,3<br />

42 --- --- 1 50 --- --- 1 12,5 5 55,6 --- --- 7 20,6<br />

43 --- --- --- --- --- --- --- --- 1 5,9 --- --- 1 1,9<br />

44 --- --- --- --- 5 62,5 4 33,3 --- --- 1 5,3 10 19,2<br />

45 --- --- 1 33,3 --- --- 1 5,9 1 14,3 --- --- 3 7,5<br />

EuroNeoNet 2010 90<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

Unit<br />

Code<br />

NEC Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

46 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

47 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

48 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

49 --- --- 1 100 --- --- --- --- --- --- --- --- 1 4,5<br />

50 --- --- 1 25 --- --- 1 14,3 1 14,3 --- --- 3 11,1<br />

51 1 25 2 13,3 1 5,6 2 7,1 1 2,6 1 5,9 8 6,6<br />

52 1 50 3 11,1 4 16,7 1 3,1 --- --- --- --- 9 6<br />

53 --- --- --- --- 1 12,5 1 20 --- --- --- --- 2 6,7<br />

54 --- --- --- --- --- --- --- --- 1 20 --- --- 1 7,7<br />

55 --- --- 3 21,4 8 15,7 6 13,6 --- --- 2 6,3 19 10,3<br />

56 --- --- --- --- --- --- --- --- 1 33,3 --- --- 1 5,9<br />

57 --- --- 1 20 --- --- 1 7,7 2 20 --- --- 4 7,4<br />

58 --- --- 1 20 --- --- --- --- 2 10 --- --- 3 4,9<br />

59 --- --- --- --- --- --- --- --- --- --- 1 20 1 7,1<br />

60 --- --- --- --- --- --- --- --- 1 6,7 --- --- 1 2,5<br />

61 --- --- 1 20 1 12,5 3 33,3 --- --- --- --- 5 11,1<br />

62 --- --- --- --- 2 22,2 1 25 --- --- --- --- 3 9,1<br />

63 --- --- --- --- 3 12,5 2 8 --- --- --- --- 5 4,1<br />

64 --- --- --- --- --- --- 1 11,1 1 8,3 1 8,3 3 7,3<br />

65 --- --- --- --- 2 22,2 1 8,3 --- --- --- --- 3 7,9<br />

66 --- --- --- --- --- --- 1 4 --- --- --- --- 1 1,4<br />

67 --- --- 4 22,2 4 17,4 4 10 --- --- 1 5,9 13 10,4<br />

68 --- --- --- --- 1 5,9 1 7,1 --- --- --- --- 2 3,6<br />

69 1 100 --- --- --- --- --- --- --- --- --- --- 1 4,5<br />

70 --- --- 1 8,3 1 5,9 2 8,7 1 2,3 --- --- 5 4,3<br />

71 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 --- --- --- --- --- --- 5 62,5 --- --- --- --- 5 20<br />

74 --- --- --- --- --- --- 1 2,9 --- --- --- --- 1 0,8<br />

75 --- --- 2 16,7 2 15,4 --- --- 1 2,6 --- --- 5 5<br />

76 --- --- 1 5,3 2 8,3 1 3,8 --- --- 1 4,8 5 3,4<br />

77 --- --- --- --- 1 11,1 --- --- --- --- --- --- 1 1,5<br />

78 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

79 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

80 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

81 --- --- --- --- 1 5,6 --- --- --- --- --- --- 1 0,8<br />

82 --- --- --- --- --- --- --- --- 2 7,7 --- --- 2 3,2<br />

83 --- --- 1 8,3 3 8,8 1 2,4 2 3 --- --- 7 4<br />

84 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

85 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

86 --- --- --- --- 2 18,2 --- --- --- --- --- --- 2 4<br />

87 --- --- --- --- --- --- 2 16,7 --- --- --- --- 2 2,9<br />

88 --- --- 2 8,7 2 6,7 4 12,9 1 2,2 --- --- 9 5,8<br />

89 --- --- --- --- 1 33,3 1 10 --- --- --- --- 2 4,3<br />

90 --- --- --- --- --- --- --- --- 1 2,7 --- --- 1 1,4<br />

91 --- --- 1 25 2 40 3 21,4 1 5,6 --- --- 7 14,9<br />

92 --- --- 6 18,2 4 9,1 8 16,7 2 5,4 --- --- 20 10,5<br />

93 1 4,8 6 23,1 3 9,7 3 6,3 2 2,3 --- --- 15 6,1<br />

94 2 40 --- --- 2 6,3 --- --- 1 3,2 --- --- 5 3,4<br />

95 --- --- 1 11,1 1 50 2 15,4 1 5,3 1 9,1 6 10,3<br />

96 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

TOTAL 13 11,3 83 11,6 118 9,6 101 6 64 2,6 25 2,2 404 5,5<br />

EuroNeoNet 2010 91<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.11.3 NEC <strong>Standard</strong>ized Rate by Perinatal Firsk Factors.<br />

Graph 6.11.3 corresponds to the 95% CI for the standardised NEC rate adjusted.<br />

Graph 6.11.3<br />

The results for Units 4, 19, 20, 24, 66, 74, 77, 81 and 90 reached statistical significant relevance, being the NEC rate for<br />

these Units significantly smaller than the one expected according to the standard’s population NEC distribution. On the<br />

other hand, Unit 44 had a bigger significant NEC rate than the one expected according to the standard’s population NEC<br />

distribution.<br />

Units 2, 8, 9, 25, 29, 36, 46, 47, 48, 71, 78, 79, 80, 84, 85 and 96 didn’t register NEC<br />

Note 1: <strong>Standard</strong>ization items: Birth weight Z-Score by gestational age and gender.<br />

Note 2: Units with 5 or less babies admitted have not been analyzed in this section.<br />

EuroNeoNet 2010 92<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.12 Focal Gastrointestinal Perforation Rate.<br />

Definition: if the infant had a Focal Gastrointestinal Perforation separate from NEC. This<br />

diagnosis will be based on visual inspection of the bowel at the time of surgery or postmortem<br />

examination that demonstrates a single focal perforation with the remainder of the bowel<br />

appearing normal.<br />

6.12.1 Focal Gastrointestinal Perforation Rate by Birth Weight.<br />

The global Focal Gastrointestinal Perforation rate for 2010 cohort has been of<br />

1.8%, with a variation of 0.6% and 10.5% within units.<br />

Focal Gastrointestinal Perforation Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

2 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

3 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

4 --- --- --- --- --- --- --- --- 1 4,8 --- --- 1 1,4<br />

5 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

6 --- --- 1 6,3 --- --- --- --- --- --- --- --- 1 0,6<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

9 --- --- --- --- --- --- --- --- 2 13,3 --- --- 2 5,6<br />

10 --- --- --- --- 3 42,9 --- --- --- --- --- --- 3 4,9<br />

11 --- --- --- --- 2 8 --- --- --- --- --- --- 2 1,4<br />

12 --- --- 6 10,7 2 2,5 4 4 1 0,6 1 1,1 14 2,9<br />

13 --- --- --- --- 1 20 --- --- --- --- --- --- 1 4<br />

14 --- --- 2 6,1 2 4,3 1 1,5 1 0,8 --- --- 6 1,9<br />

15 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

16 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

17 --- --- --- --- --- --- --- --- 1 3,6 --- --- 1 1,1<br />

18 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

19 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

20 --- --- --- --- 2 11,1 --- --- --- --- --- --- 2 2,5<br />

21 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

22 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

23 --- --- 3 23,1 4 19 --- --- --- --- --- --- 7 6,5<br />

24 --- --- --- --- 2 3,5 1 2 --- --- --- --- 3 1,7<br />

25 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

26 --- --- --- --- 1 7,1 --- --- --- --- --- --- 1 1,4<br />

27 --- --- --- --- 1 8,3 1 11,1 1 4,8 --- --- 3 6,3<br />

28 --- --- --- --- 2 25 --- --- --- --- --- --- 2 10,5<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 --- --- 1 10 2 10 --- --- --- --- --- --- 3 4,1<br />

31 --- --- --- --- --- --- 1 50 --- --- --- --- 1 9,1<br />

32 1 50 --- --- --- --- --- --- --- --- --- --- 1 3,1<br />

33 --- --- --- --- 3 9,7 1 2,9 --- --- --- --- 4 2,9<br />

34 --- --- --- --- 1 9,1 --- --- --- --- --- --- 1 2,4<br />

35 --- --- 1 16,7 --- --- --- --- --- --- --- --- 1 4<br />

36 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

37 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

38 1 100 --- --- --- --- --- --- --- --- --- --- 1 2,5<br />

EuroNeoNet 2010 93<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

Focal Gastrointestinal Perforation Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

39 --- --- --- --- --- --- 1 8,3 --- --- --- --- 1 1,7<br />

40 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

41 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

42 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

43 --- --- --- --- --- --- 1 9,1 --- --- --- --- 1 1,9<br />

44 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

45 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

46 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

47 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

48 --- --- --- --- --- --- --- --- 1 5,3 --- --- 1 3,4<br />

49 --- --- 1 33,3 --- --- --- --- --- --- --- --- 1 4,5<br />

50 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

51 1 50 --- --- 1 4,3 2 5,7 1 3,6 1 4,5 6 5<br />

52 1 33,3 1 5,3 3 7,1 1 2,7 --- --- --- --- 6 4<br />

53 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

54 1 100 --- --- --- --- --- --- --- --- --- --- 1 7,7<br />

55 --- --- 2 10 4 11,1 --- --- --- --- --- --- 6 3,2<br />

56 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

57 --- --- --- --- 1 9,1 --- --- --- --- --- --- 1 1,9<br />

58 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

59 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

60 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

61 --- --- 1 11,1 --- --- --- --- --- --- --- --- 1 2,2<br />

62 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

63 --- --- --- --- 3 12,5 1 2,5 1 2 --- --- 5 4,1<br />

64 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

65 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

66 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

67 --- --- 1 5,6 2 6,7 2 6,3 --- --- --- --- 5 4<br />

68 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

69 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

70 --- --- --- --- 3 12 1 5 1 2,6 --- --- 5 4,3<br />

71 --- --- --- --- 1 16,7 1 16,7 --- --- --- --- 2 6,3<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

74 --- --- 1 5,9 --- --- --- --- --- --- --- --- 1 0,8<br />

75 --- --- 1 8,3 --- --- --- --- --- --- --- --- 1 1<br />

76 --- --- 1 4,8 1 3,6 --- --- 1 3 --- --- 3 2,1<br />

77 1 33,3 --- --- --- --- --- --- --- --- --- --- 1 1,5<br />

78 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

79 --- --- 1 9,1 --- --- --- --- --- --- --- --- 1 1,2<br />

80 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

81 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

82 --- --- --- --- --- --- --- --- 1 5,3 --- --- 1 1,6<br />

83 --- --- 1 4 --- --- --- --- --- --- --- --- 1 0,6<br />

84 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

85 --- --- 1 25 --- --- 1 20 --- --- --- --- 2 5,9<br />

86 --- --- --- --- 1 5,6 --- --- --- --- --- --- 1 2<br />

87 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

88 --- --- 1 3,7 --- --- 2 5,7 --- --- --- --- 3 1,9<br />

EuroNeoNet 2010 94<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

Focal Gastrointestinal Perforation Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

89 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

90 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

91 --- --- 1 20 --- --- --- --- --- --- --- --- 1 2,1<br />

92 --- --- 2 5,7 3 7,1 --- --- 1 1,7 --- --- 6 3,2<br />

93 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

94 1 9,1 1 3,8 --- --- --- --- --- --- --- --- 2 1,4<br />

95 --- --- 1 10 --- --- 1 14,3 --- --- --- --- 2 3,4<br />

96 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

TOTAL 7 6,5 32 3,8 51 3,7 23 1,4 14 0,6 2 0,2 129 1,8<br />

EuroNeoNet 2010 95<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.12.2 Focal Gastrointestinal Perforation Rate by Gestational Age.<br />

Table 6.12.2 shows the Focal Gastrointestinal Perforation distribution<br />

according to gestational age for each Unit.<br />

Focal Gastrointestinal Perforation Rate against Gestational Age by Participating Unit<br />

Unit<br />

Code<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

2 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

3 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

4 --- --- --- --- --- --- 1 7,1 --- --- --- --- 1 1,4<br />

5 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

6 1 12,5 --- --- --- --- --- --- --- --- --- --- 1 0,6<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

9 --- --- --- --- 1 16,7 1 11,1 --- --- --- --- 2 5,6<br />

10 --- --- --- --- 3 75 --- --- --- --- --- --- 3 4,9<br />

11 --- --- 1 7,7 1 5,3 --- --- --- --- --- --- 2 1,4<br />

12 --- --- 4 10,8 3 4,5 3 2,6 4 2,3 --- --- 14 2,9<br />

13 --- --- --- --- 1 50 --- --- --- --- --- --- 1 4<br />

14 --- --- --- --- 4 11,4 1 1,2 1 0,8 --- --- 6 1,9<br />

15 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

16 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

17 --- --- --- --- --- --- 1 4,3 --- --- --- --- 1 1,1<br />

18 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

19 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

20 --- --- 2 25 --- --- --- --- --- --- --- --- 2 2,5<br />

21 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

22 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

23 --- --- 4 30,8 3 23,1 --- --- --- --- --- --- 7 6,5<br />

24 --- --- --- --- 3 6,1 --- --- --- --- --- --- 3 1,7<br />

25 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

26 --- --- --- --- 1 6,7 --- --- --- --- --- --- 1 1,4<br />

27 --- --- --- --- 1 8,3 1 5 1 12,5 --- --- 3 6,3<br />

28 --- --- --- --- 2 40 --- --- --- --- --- --- 2 10,5<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 --- --- 1 8,3 2 12,5 --- --- --- --- --- --- 3 4,1<br />

31 --- --- --- --- --- --- --- --- 1 33,3 --- --- 1 9,1<br />

32 --- --- 1 14,3 --- --- --- --- --- --- --- --- 1 3,1<br />

33 --- --- --- --- 3 10,7 --- --- 1 2 --- --- 4 2,9<br />

34 --- --- 1 16,7 --- --- --- --- --- --- --- --- 1 2,4<br />

35 --- --- 1 33,3 --- --- --- --- --- --- --- --- 1 4<br />

36 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

37 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

38 --- --- --- --- 1 16,7 --- --- --- --- --- --- 1 2,5<br />

39 --- --- --- --- --- --- --- --- 1 10 --- --- 1 1,7<br />

40 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

41 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

42 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

43 --- --- --- --- --- --- --- --- 1 5,9 --- --- 1 1,9<br />

44 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

45 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

EuroNeoNet 2010 96<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

Focal Gastrointestinal Perforation Rate against Gestational Age by Participating Unit<br />

Unit<br />

Code<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

46 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

47 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

48 --- --- --- --- --- --- --- --- 1 14,3 --- --- 1 3,4<br />

49 --- --- 1 100 --- --- --- --- --- --- --- --- 1 4,5<br />

50 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

51 --- --- 1 6,7 --- --- 3 10,7 1 2,6 1 5,9 6 5<br />

52 --- --- 2 7,4 --- --- 2 6,3 2 5,3 --- --- 6 4<br />

53 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

54 --- --- 1 33,3 --- --- --- --- --- --- --- --- 1 7,7<br />

55 --- --- 2 14,3 2 3,9 2 4,5 --- --- --- --- 6 3,2<br />

56 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

57 --- --- --- --- --- --- 1 7,7 --- --- --- --- 1 1,9<br />

58 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

59 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

60 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

61 --- --- 1 20 --- --- --- --- --- --- --- --- 1 2,2<br />

62 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

63 --- --- 1 14,3 2 8,3 1 4 --- --- 1 3,3 5 4,1<br />

64 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

65 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

66 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

67 --- --- 3 16,7 1 4,3 1 2,5 --- --- --- --- 5 4<br />

68 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

69 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

70 --- --- --- --- 3 17,6 1 4,3 1 2,3 --- --- 5 4,3<br />

71 --- --- --- --- 1 16,7 --- --- 1 12,5 --- --- 2 6,3<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

74 --- --- 1 7,7 --- --- --- --- --- --- --- --- 1 0,8<br />

75 --- --- 1 8,3 --- --- --- --- --- --- --- --- 1 1<br />

76 --- --- 1 5,3 1 4,2 --- --- --- --- 1 4,8 3 2,1<br />

77 --- --- --- --- 1 11,1 --- --- --- --- --- --- 1 1,5<br />

78 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

79 --- --- 1 12,5 --- --- --- --- --- --- --- --- 1 1,2<br />

80 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

81 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

82 --- --- --- --- --- --- --- --- 1 3,8 --- --- 1 1,6<br />

83 1 11,1 --- --- --- --- --- --- --- --- --- --- 1 0,6<br />

84 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

85 1 100 --- --- --- --- --- --- 1 8,3 --- --- 2 5,9<br />

86 --- --- --- --- 1 9,1 --- --- --- --- --- --- 1 2<br />

87 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

88 --- --- --- --- 2 6,7 1 3,2 --- --- --- --- 3 1,9<br />

89 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

90 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

91 --- --- --- --- 1 20 --- --- --- --- --- --- 1 2,1<br />

92 --- --- 3 9,1 1 2,3 2 4,2 --- --- --- --- 6 3,2<br />

93 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

94 --- --- 1 3,1 1 3,1 --- --- --- --- --- --- 2 1,4<br />

95 --- --- 1 11,1 --- --- 1 7,7 --- --- --- --- 2 3,4<br />

96 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

TOTAL 3 2,6 36 5 46 3,7 23 1,4 18 0,7 3 0,3 129 1,8<br />

EuroNeoNet 2010 97<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.12.3 Focal Gastrointestinal Perforation <strong>Standard</strong>ized Rate by Perinatal Risk Factors.<br />

Graph 6.12.3 corresponds to the 95% CI for the standardised focal gastrointestinal perforation adjusted rate.<br />

Graph 6.12.3<br />

The results for Unit 83 reached statistical significant relevance, being the focal gastrointestinal perforation rate for these<br />

Units significantly smaller than the one expected according to the standard’s population focal gastrointestinal perforation<br />

distribution. On the other hand none Unit had a bigger significant focal gastrointestinal perforation rate than the one<br />

expected according to the standard’s population focal gastrointestinal distribution.<br />

Units 1, 2, 3, 5, 8, 15, 16, 18, 19, 21, 22, 25, 29, 36, 37, 40, 41, 42, 44, 45, 46, 47, 50, 53, 56, 58, 59, 60, 62, 64, 65, 66, 68, 69, 73,<br />

78, 80, 81, 84, 87, 89, 90, 93 and 96 didn’t register focal gastrointestinal perforarion.<br />

Note 1: <strong>Standard</strong>ization items: Birth weight Z-Score by gestational age and gender.<br />

Note 2: Units with 5 or less babies admitted have not been analyzed in this section.<br />

EuroNeoNet 2010 98<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.13 ROP (Grades >=3)Rate.<br />

Definition: if an indirect ophthalmologic examination for ROP was performed at any time, the<br />

WORST grade, according to the following classification is registered.<br />

Grade 0 – No evidence of ROP lesions.<br />

Grade 1 – White demarcation line between vascular and avascular retina.<br />

Grade 2 – Elevated demarcation line or ridge.<br />

Grade 3 – Ridge with extraretinal fibrovascular proliferation.<br />

Grade 4 – Subtotal retinal detachment.<br />

Grade 5 – Total retinal detachment.<br />

6.13.1 ROP (Grades >=3) Rate by Birth Weight.<br />

The global ROP (Grades >= 3) rate for 2010 cohort has been of 3.4%, with a<br />

variation of 2.6% and 100% within units.<br />

ROP (Grades >=III) Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- --- --- 2 15,4 1 6,3 --- --- --- --- 3 4,8<br />

2 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

3 --- --- 2 22,2 2 10 --- --- --- --- --- --- 4 3,8<br />

4 --- --- 3 50 1 14,3 --- --- --- --- --- --- 4 9,8<br />

5 1 33,3 3 27,3 --- --- --- --- --- --- --- --- 4 3,4<br />

6 --- --- 2 14,3 4 15,4 --- --- --- --- --- --- 6 4,7<br />

8 --- --- --- --- --- --- 1 20 --- --- --- --- 1 8,3<br />

9 --- --- --- --- 1 33,3 1 11,1 1 10 --- --- 3 12<br />

10 --- --- 2 66,7 --- --- --- --- --- --- --- --- 2 4,1<br />

11 --- --- 3 30 2 9,1 2 8 --- --- --- --- 7 7<br />

12 --- --- 6 16,7 3 4,7 2 2,6 1 1 --- --- 12 3,6<br />

13 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

14 --- --- 6 26,1 4 9,5 --- --- 1 1 --- --- 11 4,2<br />

15 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

16 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

17 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

18 --- --- 1 33,3 1 14,3 --- --- --- --- --- --- 2 3,8<br />

19 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

20 --- --- --- --- 1 7,1 --- --- --- --- --- --- 1 1,6<br />

21 --- --- --- --- 1 33,3 1 10 --- --- --- --- 2 6,3<br />

22 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

23 --- --- 2 8 --- --- --- --- --- --- --- --- 2 1,4<br />

24 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

25 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

26 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

27 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

28 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 --- --- 4 50 2 14,3 --- --- --- --- --- --- 6 10,3<br />

31 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

32 --- --- 1 25 --- --- --- --- --- --- --- --- 1 3,8<br />

33 --- --- 3 21,4 3 10 1 3,1 1 2,4 --- --- 8 6,7<br />

34 1 100 --- --- 1 14,3 --- --- --- --- --- --- 2 8,7<br />

EuroNeoNet 2010 99<br />

Note: Excluded babies died in Delivery Room and without reinal exam done. Analyzed population: Admitted babies with<br />

retinal exam done.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

ROP (Grades >=III) Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

35 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

36 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

37 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

38 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

39 --- --- --- --- 1 7,1 1 10 --- --- --- --- 2 4,2<br />

40 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

41 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

42 --- --- --- --- 3 75 --- --- --- --- --- --- 3 12<br />

43 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

44 --- --- 1 16,7 --- --- --- --- --- --- --- --- 1 2,1<br />

45 --- --- 1 100 --- --- 1 14,3 --- --- --- --- 2 8,7<br />

46 1 100 --- --- --- --- --- --- --- --- --- --- 1 10<br />

47 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

48 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

49 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

50 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

51 --- --- --- --- 2 10,5 1 4,8 --- --- --- --- 3 5,5<br />

52 --- --- 1 7,1 --- --- --- --- --- --- --- --- 1 0,9<br />

53 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

54 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

55 --- --- 3 30 1 4,3 1 2 1 2 --- --- 6 4,5<br />

56 --- --- --- --- --- --- --- --- 1 16,7 --- --- 1 6,7<br />

57 --- --- 1 33,3 --- --- --- --- --- --- --- --- 1 2,4<br />

58 --- --- 1 50 1 9,1 --- --- --- --- --- --- 2 4,1<br />

59 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

60 --- --- --- --- 2 28,6 1 7,7 1 6,3 --- --- 4 10<br />

61 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

62 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

63 --- --- 1 25 1 6,7 --- --- --- --- --- --- 2 2,1<br />

64 --- --- --- --- --- --- --- --- 1 6,7 --- --- 1 3,4<br />

65 --- --- 2 50 1 20 --- --- --- --- --- --- 3 9,7<br />

66 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

67 --- --- --- --- 1 3,8 --- --- --- --- --- --- 1 0,9<br />

68 --- --- 1 25 --- --- --- --- --- --- --- --- 1 2,2<br />

69 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

70 --- --- 1 33,3 --- --- --- --- --- --- --- --- 1 1,4<br />

71 --- --- 2 28,6 --- --- --- --- --- --- --- --- 2 8<br />

73 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

74 --- --- --- --- 3 14,3 --- --- --- --- --- --- 3 3<br />

75 --- --- --- --- 2 20 --- --- --- --- --- --- 2 2,3<br />

76 --- --- 3 15,8 2 9,5 --- --- --- --- --- --- 5 4,5<br />

77 --- --- 1 11,1 2 20 --- --- --- --- --- --- 3 4,7<br />

78 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

79 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

80 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

81 --- --- --- --- 1 6,3 --- --- --- --- 1 5,9 2 2,4<br />

82 1 100 --- --- --- --- --- --- --- --- --- --- 1 2<br />

83 --- --- 3 16,7 1 3,8 --- --- --- --- --- --- 4 2,9<br />

84 --- --- 1 16,7 --- --- --- --- --- --- --- --- 1 1,5<br />

85 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

86 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

EuroNeoNet 2010 100<br />

Note: Excluded babies died in Delivery Room and without reinal exam done. Analyzed population: Admitted babies with<br />

retinal exam done.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

ROP (Grades >=III) Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

87 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

88 --- --- 1 9,1 2 15,4 1 5,9 --- --- --- --- 4 5,4<br />

89 --- --- 1 50 --- --- --- --- --- --- --- --- 1 2,9<br />

90 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

91 --- --- --- --- 1 25 --- --- --- --- --- --- 1 3,4<br />

92 --- --- 4 36,4 5 35,7 --- --- --- --- --- --- 9 25,7<br />

93 --- --- 3 14,3 5 15,6 --- --- 2 4,2 --- --- 10 5,5<br />

94 1 12,5 5 38,5 1 4 --- --- --- --- --- --- 7 9,2<br />

95 --- --- --- --- 3 33,3 1 33,3 1 16,7 2 40 7 30,4<br />

96 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

TOTAL 45 11,1 75 14,3 69 6,4 16 1,2 11 0,7 3 0,5 179 3,4<br />

EuroNeoNet 2010 101<br />

Note: Excluded babies died in Delivery Room and without reinal exam done. Analyzed population: Admitted babies with<br />

retinal exam done.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.13.2 ROP (Grades >=3) Rate by Gestational Age.<br />

Table 6.13.2 shows the ROP (Grades >= 3) distribution according to gestational<br />

age for each Unit.<br />

Unit<br />

Code<br />

ROP (Grades >=III) Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- 1 14,3 2 11,8 --- --- --- --- --- --- 3 4,8<br />

2 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

3 --- --- 4 40 --- --- --- --- --- --- --- --- 4 3,8<br />

4 --- --- 4 66,7 --- --- --- --- --- --- --- --- 4 9,8<br />

5 2 40 --- --- 2 5,9 --- --- --- --- --- --- 4 3,4<br />

6 --- --- 4 33,3 2 8,3 --- --- --- --- --- --- 6 4,7<br />

8 --- --- --- --- --- --- 1 50 --- --- --- --- 1 8,3<br />

9 --- --- --- --- 1 20 1 11,1 1 14,3 --- --- 3 12<br />

10 --- --- 2 40 --- --- --- --- --- --- --- --- 2 4,1<br />

11 --- --- 3 27,3 --- --- 4 12,5 --- --- --- --- 7 7<br />

12 --- --- 3 18,8 6 11,3 3 2,9 --- --- --- --- 12 3,6<br />

13 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

14 --- --- 5 55,6 3 10 2 2,6 1 1 --- --- 11 4,2<br />

15 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

16 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

17 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

18 --- --- 1 25 1 14,3 --- --- --- --- --- --- 2 3,8<br />

19 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

20 --- --- 1 16,7 --- --- --- --- --- --- --- --- 1 1,6<br />

21 --- --- 1 100 --- --- --- --- 1 5,9 --- --- 2 6,3<br />

22 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

23 1 100 --- --- 1 2,9 --- --- --- --- --- --- 2 1,4<br />

24 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

25 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

26 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

27 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

28 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 --- --- 4 50 2 15,4 --- --- --- --- --- --- 6 10,3<br />

31 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

32 1 100 --- --- --- --- --- --- --- --- --- --- 1 3,8<br />

33 --- --- 4 30,8 3 12 --- --- 1 2,2 --- --- 8 6,7<br />

34 --- --- 2 66,7 --- --- --- --- --- --- --- --- 2 8,7<br />

35 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

36 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

37 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

38 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

39 --- --- --- --- 1 9,1 1 7,1 --- --- --- --- 2 4,2<br />

40 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

41 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

42 --- --- 1 100 2 28,6 --- --- --- --- --- --- 3 12<br />

43 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

44 --- --- 1 33,3 --- --- --- --- --- --- --- --- 1 2,1<br />

EuroNeoNet 2010 102<br />

Note: Excluded babies died in Delivery Room and without reinal exam done. Analyzed population: Admitted babies with<br />

retinal exam done.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

Unit<br />

Code<br />

ROP (Grades >=III) Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

45 --- --- 1 100 --- --- 1 7,7 --- --- --- --- 2 8,7<br />

46 --- --- --- --- 1 100 --- --- --- --- --- --- 1 10<br />

47 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

48 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

49 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

50 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

51 --- --- 1 7,7 1 6,3 1 5,6 --- --- --- --- 3 5,5<br />

52 --- --- 1 5 --- --- --- --- --- --- --- --- 1 0,9<br />

53 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

54 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

55 --- --- 3 42,9 2 5,7 --- --- 1 2,7 --- --- 6 4,5<br />

56 --- --- --- --- --- --- 1 20 --- --- --- --- 1 6,7<br />

57 --- --- 1 50 --- --- --- --- --- --- --- --- 1 2,4<br />

58 --- --- 1 33,3 1 14,3 --- --- --- --- --- --- 2 4,1<br />

59 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

60 --- --- 1 25 --- --- 1 12,5 2 13,3 --- --- 4 10<br />

61 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

62 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

63 --- --- --- --- 2 14,3 --- --- --- --- --- --- 2 2,1<br />

64 --- --- --- --- --- --- --- --- 1 11,1 --- --- 1 3,4<br />

65 --- --- 1 50 2 28,6 --- --- --- --- --- --- 3 9,7<br />

66 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

67 --- --- 1 9,1 --- --- --- --- --- --- --- --- 1 0,9<br />

68 --- --- 1 100 --- --- --- --- --- --- --- --- 1 2,2<br />

69 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

70 --- --- 1 20 --- --- --- --- --- --- --- --- 1 1,4<br />

71 --- --- 1 20 1 20 --- --- --- --- --- --- 2 8<br />

73 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

74 --- --- 1 10 2 9,5 --- --- --- --- --- --- 3 3<br />

75 --- --- 1 25 1 7,7 --- --- --- --- --- --- 2 2,3<br />

76 --- --- 4 28,6 1 5,3 --- --- --- --- --- --- 5 4,5<br />

77 --- --- 1 11,1 2 22,2 --- --- --- --- --- --- 3 4,7<br />

78 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

79 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

80 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

81 --- --- --- --- 1 7,1 1 3,6 --- --- --- --- 2 2,4<br />

82 --- --- --- --- 1 9,1 --- --- --- --- --- --- 1 2<br />

83 --- --- 2 20 1 3,2 1 2,9 --- --- --- --- 4 2,9<br />

84 1 50 --- --- --- --- --- --- --- --- --- --- 1 1,5<br />

85 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

86 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

87 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

88 --- --- 2 25 2 11,1 --- --- --- --- --- --- 4 5,4<br />

89 --- --- 1 50 --- --- --- --- --- --- --- --- 1 2,9<br />

90 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

91 --- --- 1 50 --- --- --- --- --- --- --- --- 1 3,4<br />

92 --- --- 6 46,2 2 13,3 1 16,7 --- --- --- --- 9 25,7<br />

93 --- --- 6 35,3 --- --- 3 7,9 1 1,4 --- --- 10 5,5<br />

94 2 66,7 5 20,8 --- --- --- --- --- --- --- --- 7 9,2<br />

95 --- --- --- --- 1 50 4 44,4 1 11,1 1 33,3 7 30,4<br />

96 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

TOTAL 29 24,1 85 19,8 50 5,1 26 1,9 10 0,6 1 0,1 179 3,4<br />

EuroNeoNet 2010 103<br />

Note: Excluded babies died in Delivery Room and without reinal exam done. Analyzed population: Admitted babies with<br />

retinal exam done.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.13.3 ROP (Grades >=3) <strong>Standard</strong>ized Rate by Perinatal Risk Factors.<br />

Graph 6.13.3 corresponds to the 95% CI for the standardised ROP (Grades >= 3) rate adjusted rate.<br />

Graph 6.13.3<br />

The results for Units 12, 20, 23, 52, 63, 67, 75, 81, 83, 84, 91 and 93 reached statistical significant relevance, being the ROP<br />

(Grades >=3) rate for these Units significantly smaller than the one expected according to the standard’s population rop<br />

(Grades >=3) distribution. On the other hand none Unit had a bigger significant ROP (Grades >=3) rate than the one<br />

expected according to the standard’s population ROP (Grades >=3) distribution.<br />

Units 2, 13, 15, 16, 17, 19, 22, 24, 25, 26, 27, 28, 29, 31, 35, 36, 37, 38, 40, 41, 43, 47, 48, 49, 50, 53, 54, 59, 61, 62, 66, 69, 73,<br />

78, 79, 80, 85, 86, 87, 90 and 96 didn’t register ROP (Grades >0).<br />

Note 1: <strong>Standard</strong>ization items: Birth weight Z-Score by gestational age , 1-min Apgar Score, 5-<br />

min apgar Score and Mode of Delivery.<br />

Note 2: Units with 5 or less babies admitted have not been analyzed in this section.<br />

EuroNeoNet 2010 104<br />

Note: Excluded babies died in Delivery Room and without reinal exam done. Analyzed population: Admitted babies with retinal exam done.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.14 O 2 on day 28 Rate.<br />

Definition: if the infant was still in hospital and received any supplemental oxygen on day 28.<br />

Note 1: if the infant died or was discharged prior to day 28, and was not readmitted on or before<br />

day 28, the item is Not Applicable, so not listed in these results.<br />

Note 2: Excluded babies discharged before day 28.<br />

6.14.1 O 2 on day 28 Rate by Birth Weight.<br />

The global Supplemental Oxygen on day 28 rate for 2010 cohort has been of<br />

34.9%, with a variation of 6.5% and 100% within units.<br />

Supplemental Oxygen on day 28 Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- 1 100 --- --- --- --- --- --- --- --- 1 100<br />

3 --- --- 3 75 3 100 --- --- --- --- --- --- 6 85,7<br />

4 --- --- 3 100 1 100 --- --- --- --- --- --- 4 100<br />

5 2 100 6 100 1 100 --- --- --- --- --- --- 9 100<br />

6 1 100 1 100 1 100 --- --- --- --- --- --- 3 100<br />

8 --- --- --- --- --- --- 1 16,7 1 25 --- --- 2 15,4<br />

9 --- --- --- --- 1 33,3 5 83,3 4 36,4 1 50 11 50<br />

10 1 100 5 100 5 83,3 6 46,2 2 20 1 10 20 44,4<br />

11 1 100 5 62,5 3 14,3 1 6,7 --- --- --- --- 10 15,4<br />

12 1 100 32 94,1 39 59,1 19 24,7 14 18,2 3 6,8 108 36,1<br />

13 --- --- --- --- 1 33,3 1 50 --- --- --- --- 2 11,8<br />

14 1 100 20 83,3 15 38,5 11 18 7 9 --- --- 54 23,9<br />

15 --- --- 4 80 12 60 1 16,7 5 16,7 --- --- 22 31<br />

16 --- --- 1 100 2 50 --- --- --- --- --- --- 3 9,4<br />

17 --- --- 8 100 9 64,3 8 44,4 4 19 --- --- 29 42<br />

18 --- --- 2 66,7 6 85,7 4 21,1 3 20 2 33,3 17 34<br />

19 1 100 6 100 3 75 3 25 2 12,5 --- --- 15 29,4<br />

20 --- --- 4 100 9 60 3 21,4 --- --- --- --- 16 24,6<br />

21 --- --- 1 100 2 66,7 --- --- --- --- --- --- 3 9,4<br />

22 --- --- 1 100 3 30 2 16,7 --- --- --- --- 6 12,5<br />

23 --- --- 25 100 28 80 17 51,5 4 14,8 3 25 77 58,3<br />

24 --- --- 14 77,8 21 50 10 25,6 --- --- --- --- 45 37,8<br />

25 --- --- --- --- 2 66,7 2 25 2 25 --- --- 6 31,6<br />

26 --- --- 10 83,3 10 76,9 2 16,7 --- --- --- --- 22 40,7<br />

27 --- --- 3 75 6 75 --- --- 1 6,3 --- --- 10 27,8<br />

28 --- --- --- --- 6 75 --- --- 1 12,5 --- --- 7 41,2<br />

29 --- --- --- --- 1 33,3 --- --- --- --- --- --- 1 6,7<br />

30 --- --- 7 87,5 7 63,6 1 12,5 2 8,3 --- --- 17 33,3<br />

31 --- --- --- --- 1 50 --- --- --- --- --- --- 1 20<br />

32 1 100 3 75 3 60 1 12,5 --- --- --- --- 8 30,8<br />

33 --- --- 4 28,6 3 10 --- --- --- --- --- --- 7 6,8<br />

34 1 100 1 50 5 62,5 3 33,3 --- --- --- --- 10 35,7<br />

35 --- --- 3 100 1 14,3 --- --- 1 20 --- --- 5 29,4<br />

36 --- --- 4 80 9 81,8 7 41,2 1 6,3 --- --- 21 42,9<br />

37 --- --- 2 100 2 66,7 2 22,2 --- --- --- --- 6 27,3<br />

38 1 100 3 75 3 42,9 1 11,1 2 20 --- --- 10 32,3<br />

39 --- --- 2 100 9 64,3 1 10 1 5,3 --- --- 13 27,7<br />

40 --- --- 2 100 1 20 2 33,3 --- --- --- --- 5 20,8<br />

EuroNeoNet 2010 105<br />

Note: Excluded babies died in Delivery Room and discharged before day 28. Analyzed population: Admitted babies<br />

discharged after day 28.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

Supplemental Oxygen on day 28 Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

41 --- --- 4 66,7 6 75 4 30,8 --- --- --- --- 14 33,3<br />

42 --- --- 1 100 4 100 8 57,1 1 14,3 --- --- 14 53,8<br />

43 --- --- --- --- 1 20 3 30 1 5 --- --- 5 14,3<br />

44 --- --- 2 33,3 1 14,3 --- --- --- --- --- --- 3 6,5<br />

45 --- --- 2 100 3 60 2 25 1 8,3 --- --- 8 29,6<br />

46 1 100 1 100 --- --- 3 60 --- --- --- --- 5 55,6<br />

47 --- --- 2 100 1 33,3 1 20 --- --- --- --- 4 21,1<br />

48 --- --- 1 100 2 50 1 25 4 22,2 --- --- 8 29,6<br />

49 --- --- 2 100 2 40 3 30 1 25 --- --- 8 38,1<br />

50 --- --- 1 100 7 87,5 4 57,1 1 20 --- --- 13 61,9<br />

51 1 100 8 100 14 73,7 7 22,6 1 4,5 --- --- 31 31,6<br />

52 2 100 16 100 27 71,1 6 18,2 4 10,3 --- --- 55 43<br />

53 --- --- 2 66,7 3 75 3 60 2 18,2 --- --- 10 43,5<br />

54 1 100 1 100 --- --- 1 100 3 75 --- --- 6 85,7<br />

55 --- --- 7 77,8 18 72 16 31,4 2 4,3 --- --- 43 32,6<br />

56 --- --- --- --- 1 33,3 1 16,7 --- --- --- --- 2 13,3<br />

57 --- --- 1 25 3 33,3 3 25 2 8,7 --- --- 9 18,8<br />

58 --- --- 1 50 5 45,5 2 11,1 2 9,1 --- --- 10 18,9<br />

59 --- --- 2 100 1 50 --- --- 1 16,7 --- --- 4 33,3<br />

60 --- --- 4 100 4 57,1 7 53,8 3 20 --- --- 18 46,2<br />

61 --- --- 5 100 8 88,9 3 25 3 23,1 --- --- 19 48,7<br />

62 1 100 1 100 1 25 2 25 --- --- --- --- 5 23,8<br />

63 --- --- 4 100 9 60 7 19,4 3 11,1 --- --- 23 28<br />

64 --- --- 1 100 2 50 4 40 1 6,7 --- --- 8 26,7<br />

65 --- --- 4 100 4 80 2 25 --- --- --- --- 10 35,7<br />

66 --- --- 2 100 21 95,5 10 50 5 29,4 --- --- 38 62,3<br />

67 --- --- 3 30 11 47,8 7 24,1 --- --- --- --- 21 22,6<br />

68 --- --- 4 100 7 63,6 6 33,3 2 14,3 --- --- 19 40,4<br />

69 --- --- 1 100 --- --- --- --- 1 12,5 --- --- 2 13,3<br />

70 --- --- 5 100 11 61,1 6 31,6 4 17,4 1 6,3 27 33,3<br />

71 --- --- 3 42,9 --- --- 1 20 1 20 --- --- 5 22,7<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 --- --- 2 100 2 40 4 30,8 --- --- --- --- 8 36,4<br />

74 1 100 11 84,6 7 41,2 8 53,3 3 20 --- --- 30 42,9<br />

75 1 100 4 80 7 63,6 4 17,4 4 26,7 --- --- 20 29,4<br />

76 1 100 18 94,7 12 70,6 6 28,6 2 12,5 --- --- 39 45,3<br />

77 1 50 7 77,8 5 55,6 2 16,7 1 6,3 1 16,7 17 31,5<br />

78 --- --- 5 100 2 66,7 --- --- --- --- --- --- 7 18,4<br />

79 1 100 8 88,9 2 40 2 14,3 2 16,7 --- --- 15 28,8<br />

80 --- --- 2 66,7 9 90 3 60 2 18,2 --- --- 16 53,3<br />

81 1 100 3 75 9 69,2 --- --- 2 20 1 10 16 34<br />

82 1 100 4 100 7 77,8 6 60 4 28,6 2 18,2 24 49<br />

83 4 100 18 100 14 51,9 11 39,3 4 12,9 --- --- 51 39,5<br />

84 2 100 5 83,3 9 56,3 3 18,8 3 8,8 --- --- 22 29,7<br />

85 1 100 3 75 6 85,7 --- --- 3 25 --- --- 13 41,9<br />

86 --- --- 3 100 13 76,5 3 50 2 13,3 --- --- 21 44,7<br />

EuroNeoNet 2010 106<br />

Note: Excluded babies died in Delivery Room and discharged before day 28. Analyzed population: Admitted babies<br />

discharged after day 28.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

Supplemental Oxygen on day 28 Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

87 --- --- --- --- 4 100 5 45,5 3 15 2 16,7 14 29,8<br />

88 1 100 13 100 11 91,7 9 47,4 4 19,0 2 25 40 54,1<br />

89 --- --- 1 100 2 100 5 41,7 --- --- --- --- 8 21,1<br />

90 --- --- 2 100 4 57,1 4 44,4 1 9,1 --- --- 11 29,7<br />

91 --- --- --- --- 4 80 4 44,4 1 9,1 1 16,7 10 32,3<br />

92 --- --- 18 90 25 83,3 22 73,3 6 22,2 --- --- 71 65,1<br />

93 --- --- 18 85,7 18 60 16 37,2 6 15 --- --- 58 36<br />

94 11 100 19 95 19 70,4 2 15,4 --- --- --- --- 51 56<br />

95 --- --- --- --- 7 77,8 1 33,3 3 27,3 4 80 15 53,6<br />

96 --- --- 2 100,0 9 56,3 5 41,7 1 6,7 1 9,1 18 32,1<br />

TOTAL 43 91,5 443 85,4 618 60,1 362 28,6 163 11,2 25 5,9 1654 34,9<br />

EuroNeoNet 2010 107<br />

Note: Excluded babies died in Delivery Room and discharged before day 28. Analyzed population: Admitted babies<br />

discharged after day 28.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.14.2 O 2 on day 28 Rate by Gestational Age.<br />

Table 6.14.2 shows the Oxygen on day 28 distribution according to gestational<br />

age for each Unit.<br />

Supplemental Oxygen on day 28 Rate against Gestational Age by Participating Unit<br />

Unit<br />

Code<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- 1 100 --- --- --- --- --- --- --- --- 1 100<br />

3 1 100 4 80 1 100 --- --- --- --- --- --- 6 85,7<br />

4 --- --- 3 100 1 100 --- --- --- --- --- --- 4 100<br />

5 3 100 4 100 2 100 --- --- --- --- --- --- 9 100<br />

6 1 100 --- --- 2 100 --- --- --- --- --- --- 3 100<br />

8 --- --- --- --- --- --- 1 50 1 11,1 --- --- 2 15,4<br />

9 --- --- 1 50 3 75 4 57,1 3 50 --- --- 11 50<br />

10 1 100 5 100 3 100 9 75 2 11,1 --- --- 20 44,4<br />

11 --- --- 5 62,5 2 12,5 3 13,6 --- --- --- --- 10 15,4<br />

12 --- --- 13 92,9 46 85,2 35 36,5 11 11 3 8,6 108 36,1<br />

13 --- --- --- --- 1 100 1 14,3 --- --- --- --- 2 11,8<br />

14 --- --- 8 100 21 70 17 22,7 3 3,6 5 16,7 54 23,9<br />

15 --- --- 3 100 10 83,3 6 40 3 12,5 --- --- 22 31<br />

16 --- --- 1 100 2 50 --- --- --- --- --- --- 3 9,4<br />

17 --- --- 3 100 13 92,9 12 60 --- --- 1 11,1 29 42<br />

18 --- --- 4 100 6 75 4 28,6 3 17,6 --- --- 17 34<br />

19 --- --- 4 100 3 75 5 35,7 1 4,5 2 28,6 15 29,4<br />

20 --- --- 5 83,3 8 53,3 3 33,3 --- --- --- --- 16 24,6<br />

21 --- --- 1 100 2 66,7 --- --- --- --- --- --- 3 9,4<br />

22 --- --- 2 50 2 28,6 2 14,3 --- --- --- --- 6 12,5<br />

23 1 100 19 95 29 87,9 19 54,3 6 18,2 3 30 77 58,3<br />

24 --- --- 6 100 27 71,1 11 25 1 3,2 --- --- 45 37,8<br />

25 --- --- --- --- 1 100 5 45,5 --- --- --- --- 6 31,6<br />

26 1 100 4 80 11 78,6 5 41,7 1 6,7 --- --- 22 40,7<br />

27 --- --- 1 100 6 100 3 16,7 --- --- --- --- 10 27,8<br />

28 --- --- --- --- 3 60 1 25 2 33,3 1 50 7 41,2<br />

29 --- --- 1 100 --- --- --- --- --- --- --- --- 1 6,7<br />

30 --- --- 6 85,7 8 72,7 1 11,1 1 7,1 1 10 17 33,3<br />

31 --- --- --- --- 1 100 --- --- --- --- --- --- 1 20<br />

32 1 100 4 100 2 40 1 14,3 --- --- --- --- 8 30,8<br />

33 --- --- 5 38,5 2 8 --- --- --- --- --- --- 7 6,8<br />

34 --- --- 3 75 3 50 2 25 1 20 1 20 10 35,7<br />

35 --- --- 2 100 1 20 1 25 1 20 --- --- 5 29,4<br />

36 --- --- 5 100 5 71,4 7 50 4 30,8 --- --- 21 42,9<br />

37 --- --- 3 100 1 50 1 25 1 9,1 --- --- 6 27,3<br />

38 --- --- 2 66,7 4 100 4 40 --- --- --- --- 10 32,3<br />

39 --- --- --- --- 9 75 3 21,4 --- --- 1 9,1 13 27,7<br />

40 --- --- --- --- 2 100 3 37,5 --- --- --- --- 5 20,8<br />

41 --- --- 3 100,0 3 50 6 40 2 20 --- --- 14 33,3<br />

42 --- --- 1 100 6 85,7 6 75 1 20 --- --- 14 53,8<br />

43 --- --- 1 100 1 50 2 40 1 5,9 --- --- 5 14,3<br />

44 --- --- --- --- 3 42,9 --- --- --- --- --- --- 3 6,5<br />

45 --- --- 1 100 2 100 5 38,5 --- --- --- --- 8 29,6<br />

EuroNeoNet 2010 108<br />

Note: Excluded babies died in Delivery Room and discharged before day 28. Analyzed population: Admitted babies<br />

discharged after day 28.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

Supplemental Oxygen on day 28 Rate against Gestational Age by Participating Unit<br />

Unit<br />

Code<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

46 --- --- --- --- 1 100 3 60 1 33,3 --- --- 5 55,6<br />

47 --- --- 1 100 3 75 --- --- --- --- --- --- 4 21,1<br />

48 --- --- --- --- 4 100 4 40 --- --- --- --- 8 29,6<br />

49 --- --- --- --- 6 75 1 16,7 1 14,3 --- --- 8 38,1<br />

50 --- --- 3 100 4 100 5 71,4 1 20 --- --- 13 61,9<br />

51 1 50 12 92,3 12 75 6 27,3 --- --- --- --- 31 31,6<br />

52 --- --- 23 95,8 20 87 9 31 1 3 2 10,5 55 43<br />

53 --- --- 1 100 6 100 2 40 --- --- 1 33,3 10 43,5<br />

54 --- --- 1 100 1 100 --- --- 2 66,7 2 100 6 85,7<br />

55 --- --- 8 100 23 63,9 10 26,3 2 5,6 --- --- 43 32,6<br />

56 --- --- 1 50 --- --- --- --- 1 33,3 --- --- 2 13,3<br />

57 1 100 1 50 3 37,5 4 30,8 --- --- --- --- 9 18,8<br />

58 --- --- 3 100 3 42,9 3 30 1 5,6 --- --- 10 18,9<br />

59 --- --- 1 100 1 100 1 50 1 25 --- --- 4 33,3<br />

60 --- --- 4 100 5 100 5 62,5 4 26,7 --- --- 18 46,2<br />

61 --- --- 2 100 8 100 6 75 3 21,4 --- --- 19 48,7<br />

62 --- --- --- --- 5 71,4 --- --- --- --- --- --- 5 23,8<br />

63 --- --- 1 100 12 85,7 8 36,4 2 6,7 --- --- 23 28<br />

64 --- --- --- --- 5 71,4 3 42,9 --- --- --- --- 8 26,7<br />

65 --- --- 2 100 6 85,7 1 10 1 33,3 --- --- 10 35,7<br />

66 1 100 8 100 8 100 17 70,8 4 30,8 --- --- 38 62,3<br />

67 --- --- 7 63,6 9 50 4 11,4 1 5 --- --- 21 22,6<br />

68 --- --- 1 100 9 64,3 4 28,6 4 28,6 1 25 19 40,4<br />

69 --- --- --- --- 2 100 --- --- --- --- --- --- 2 13,3<br />

70 --- --- 7 87,5 10 71,4 8 40 2 6,5 --- --- 27 33,3<br />

71 --- --- 2 33,3 2 33,3 --- --- 1 14,3 --- --- 5 22,7<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 --- --- --- --- 2 33,3 5 62,5 1 14,3 --- --- 8 36,4<br />

74 --- --- 8 100 11 55 9 34,6 2 12,5 --- --- 30 42,9<br />

75 --- --- 4 100 8 61,5 6 30 2 8,3 --- --- 20 29,4<br />

76 --- --- 14 100 14 87,5 10 45,5 1 3,4 --- --- 39 45,3<br />

77 --- --- 8 88,9 6 66,7 2 11,1 1 7,1 --- --- 17 31,5<br />

78 --- --- --- --- 5 83,3 2 18,2 --- --- --- --- 7 18,4<br />

79 --- --- 6 85,7 3 42,9 6 40 --- --- --- --- 15 28,8<br />

80 --- --- 1 100 9 90 5 83,3 1 16,7 --- --- 16 53,3<br />

81 --- --- 1 100 9 100 6 33,3 --- --- --- --- 16 34<br />

82 --- --- 4 100 10 90,9 7 50 3 16,7 --- --- 24 49<br />

83 1 100 9 90 24 75 14 38,9 3 7 --- --- 51 39,5<br />

84 2 100 7 100 8 61,5 1 8,3 4 11,8 --- --- 22 29,7<br />

85 1 100 5 83,3 3 75 4 50 --- --- --- --- 13 41,9<br />

86 1 100 4 100 10 90,9 4 44,4 1 5,9 1 20 21 44,7<br />

87 --- --- --- --- 6 100 3 30 5 20 --- --- 14 29,8<br />

88 1 100 6 85,7 19 100 8 47,1 5 25 1 10 40 54,1<br />

89 --- --- 1 100 2 100 4 50 1 4,8 --- --- 8 21,1<br />

90 --- --- 2 100 8 88,9 1 14,3 --- --- --- --- 11 29,7<br />

91 --- --- 2 100 3 100 4 28,6 1 10 --- --- 10 32,3<br />

92 1 100 21 95,5 27 87,1 15 50,0 5 31,3 2 22,2 71 65,1<br />

93 2 100 15 93,8 23 79,3 15 37,5 2 3,6 1 5,3 58 36<br />

94 5 100 26 92,9 14 63,6 5 26,3 1 6,3 --- --- 51 56<br />

95 --- --- --- --- 2 100 7 77,8 6 54,5 --- --- 15 53,6<br />

96 --- --- 2 100 9 75 6 37,5 1 4,8 --- --- 18 32,1<br />

TOTAL 26 96,3 369 88,5 661 72,2 441 33,8 128 8,6 29 5 1654 34,9<br />

EuroNeoNet 2010 109<br />

Note: Excluded babies died in Delivery Room and discharged before day 28. Analyzed population: Admitted babies<br />

discharged after day 28.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.14.3 O 2 on day 28 <strong>Standard</strong>ized Rate by Perinatal Risk Factors.<br />

Graph 6.14.3 corresponds to the 95% CI for the standardised Oxygen on day 28 adjusted rate.<br />

Graph 6.14.3<br />

The results for Units 1, 3, 4, 5, 6, 8, 11, 12, 13, 14, 16, 20, 21, 22, 29, 31, 33, 37, 40, 43, 44, 47, 55, 56, 57, 58, 62, 63, 67, 69, 70,<br />

71, 75, 78, 79, 81, 87, 88, 89, 90, 91 and 93 reached statistical significant relevance, being the Oxygen on day 28 rate for<br />

these Units significantly smaller than the one expected according to the standard’s population Oxygen on day 28<br />

distribution. On the other hand, Unit 66 had a bigger significant Oxygen on day 28 rate than the one expected according to<br />

the standard’s population Oxygen on day 28 distribution.<br />

Unit 2 didn’t register Oxygen on day 28.<br />

Note 1: <strong>Standard</strong>ization items: Birth weight Z-Score by gestational age and gender.<br />

Note 2: Units with 5 or less babies admitted have not been analyzed in this section.<br />

EuroNeoNet 2010 110<br />

Note: Excluded babies died in Delivery Room and discharged before day 28. Analyzed population: Admitted babies discharged after day 28.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.15 O 2 on week 36 Rate.<br />

Definition: if the infant was still in hospital and received any supplemental oxygen on the date<br />

when the infant was 36 weeks post-conceptional age.<br />

Note 1: if the infant was not alive in your hospital on the date at which the infant was 36 weeks<br />

adjusted gestational age or if the infant had a gestational age after rounding off to the nearest<br />

week, of 36 weeks or more at birth, the item is Not Applicable, so not listed in these results.<br />

Note 2: Excluded babies discharged before week 36 adjusted to gestational age.<br />

6.15.1 O 2 on week 36 Rate by Birth weight.<br />

The global Oxygen at week 36 adjusted to Gestational Age rate for 2010 cohort<br />

has been of 16.8%, with a variation of 1.3% and 51.2% within units.<br />

Oxygen at Week 36 Adjusted to Gestational Age Rate against Birth Weight by<br />

Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

8 --- --- --- --- --- --- 1 16,7 1 12,5 --- --- 2 11,8<br />

9 --- --- --- --- 1 50 2 100 2 22,2 --- --- 5 38,5<br />

10 1 100 3 100 1 20 --- --- 1 10 --- --- 6 17,6<br />

11 --- --- 4 50 --- --- --- --- --- --- --- --- 4 10,3<br />

12 1 100 16 50 9 17 8 14,3 5 6,8 --- --- 39 16,4<br />

13 --- --- --- --- 1 33,3 --- --- --- --- --- --- 1 7,1<br />

14 1 100 9 47,4 3 9,7 2 4,8 2 2,8 --- --- 17 10,1<br />

15 --- --- 2 40 1 6,7 --- --- --- --- --- --- 3 5,2<br />

16 --- --- 1 100 1 33,3 --- --- --- --- --- --- 2 6,5<br />

17 --- --- 1 12,5 4 40 1 10 1 4,8 --- --- 7 12,7<br />

18 --- --- --- --- 1 16,7 --- --- 1 6,7 2 40 4 9,1<br />

19 --- --- 4 66,7 --- --- 1 10 1 6,3 --- --- 6 13,3<br />

20 --- --- 2 50 3 21,4 1 7,7 --- --- --- --- 6 10,3<br />

21 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

22 --- --- 1 100 1 11,1 --- --- --- --- --- --- 2 4,5<br />

23 --- --- 17 94,4 15 57,7 8 34,8 2 8,3 3 23,1 45 43,3<br />

24 --- --- 6 40 10 33,3 3 13,6 --- --- --- --- 19 23,8<br />

25 --- --- --- --- 1 33,3 1 14,3 1 16,7 --- --- 3 18,8<br />

26 --- --- 7 58,3 5 41,7 --- --- --- --- --- --- 12 26,7<br />

27 --- --- 3 75 1 16,7 --- --- --- --- --- --- 4 13,3<br />

28 --- --- --- --- 1 20 --- --- --- --- --- --- 1 6,7<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 --- --- 5 62,5 4 40 1 14,3 2 8,7 --- --- 12 25<br />

31 --- --- --- --- 1 100 --- --- --- --- --- --- 1 16,7<br />

32 --- --- 1 33,3 --- --- --- --- --- --- --- --- 1 4,8<br />

33 --- --- 1 7,1 --- --- --- --- --- --- --- --- 1 1,3<br />

34 1 100 --- --- 1 14,3 2 25 --- --- --- --- 4 14,8<br />

35 --- --- --- --- --- --- --- --- 1 20 --- --- 1 6,7<br />

36 --- --- 1 50 4 40 3 21,4 --- --- --- --- 8 18,2<br />

37 --- --- 1 100 2 66,7 1 12,5 --- --- --- --- 4 19<br />

38 --- --- --- --- 1 14,3 1 11,1 --- --- --- --- 2 5,9<br />

39 --- --- 1 100 5 41,7 2 22,2 1 6,3 --- --- 9 23,7<br />

40 --- --- --- --- --- --- 2 33,3 --- --- --- --- 2 8,7<br />

EuroNeoNet 2010 111<br />

Note: Excluded babies died in Delivery Room and discharged before week 36 adjusted for GA. Analyzed population:<br />

Admitted babies discharge after week 36 adjusted for GA.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

Oxygen at Week 36 Adjusted to Gestational Age Rate against Birth Weight by<br />

Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

41 --- --- 2 40 3 37,5 4 40 --- --- --- --- 9 23,7<br />

42 --- --- 1 100 2 66,7 6 46,2 2 33,3 --- --- 11 47,8<br />

43 --- --- --- --- 1 20 2 20 --- --- --- --- 3 7,9<br />

44 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

45 --- --- --- --- 2 66,7 1 14,3 1 11,1 --- --- 4 21,1<br />

46 1 100 1 100 --- --- 1 33,3 --- --- --- --- 3 42,9<br />

47 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

48 --- --- --- --- 1 25 --- --- --- --- --- --- 1 4,8<br />

49 --- --- --- --- --- --- 1 14,3 --- --- --- --- 1 6,3<br />

50 --- --- --- --- 4 50 1 16,7 1 20 --- --- 6 30<br />

51 --- --- 4 50 6 33,3 1 3,8 --- --- --- --- 11 13,1<br />

52 1 100 11 78,6 11 31,4 2 8,7 1 3,3 --- --- 26 25,2<br />

53 --- --- --- --- 2 66,7 3 60 1 14,3 --- --- 6 33,3<br />

54 --- --- 1 100 --- --- --- --- 1 25 --- --- 2 28,6<br />

55 --- --- 3 37,5 7 50 6 17,6 2 6,3 --- --- 18 20,5<br />

56 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

57 --- --- --- --- --- --- --- --- 1 5,3 --- --- 1 2,4<br />

58 --- --- 2 100 2 18,2 1 5,9 1 5,6 --- --- 6 12,5<br />

59 --- --- 2 100 --- --- --- --- --- --- --- --- 2 18,2<br />

60 --- --- 3 75 1 14,3 --- --- 2 15,4 --- --- 6 17,1<br />

61 --- --- 3 60 4 44,4 1 9,1 1 9,1 --- --- 9 25<br />

62 1 100 --- --- --- --- 1 14,3 --- --- --- --- 2 10,5<br />

63 --- --- 3 75 6 46,2 1 4,5 --- --- --- --- 10 14,3<br />

64 --- --- 1 100 --- --- 1 14,3 1 10 --- --- 3 14,3<br />

65 --- --- 1 25 --- --- --- --- --- --- --- --- 1 4,2<br />

66 --- --- 1 50 8 40 4 21,1 1 6,3 --- --- 14 24,6<br />

67 --- --- 1 11,1 6 30 1 3,7 --- --- --- --- 8 10,5<br />

68 --- --- 4 100 6 54,5 2 11,8 1 9,1 --- --- 13 30,2<br />

69 --- --- 1 100 --- --- --- --- --- --- --- --- 1 5,6<br />

70 --- --- 5 100 4 28,6 2 20 2 7,1 --- --- 13 19,7<br />

71 --- --- 1 20 --- --- --- --- 1 10 --- --- 2 9,5<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 --- --- 2 100 2 40 1 9,1 --- --- --- --- 5 25<br />

74 --- --- 6 54,5 4 36,4 2 20 1 12,5 --- --- 13 27,1<br />

75 --- --- 2 66,7 5 45,5 1 4,5 --- --- --- --- 8 11,8<br />

76 --- --- 7 50 2 20 1 9,1 1 7,1 --- --- 11 19<br />

77 --- --- 1 12,5 1 12,5 --- --- --- --- --- --- 2 4,2<br />

78 --- --- 2 50 1 50 --- --- --- --- --- --- 3 9,7<br />

79 1 100 1 20 --- --- 1 7,1 2 14,3 --- --- 5 10,4<br />

80 --- --- 2 100 3 33,3 --- --- 2 14,3 --- --- 7 22,6<br />

EuroNeoNet 2010 112<br />

Note: Excluded babies died in Delivery Room and discharged before week 36 adjusted for GA. Analyzed population:<br />

Admitted babies discharge after week 36 adjusted for GA.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

Oxygen at Week 36 Adjusted to Gestational Age Rate against Birth Weight by<br />

Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

81 --- --- 1 25 1 9,1 --- --- 1 7,1 --- --- 3 7<br />

82 1 100 --- --- 3 42,9 1 11,1 2 14,3 2 22,2 9 20,9<br />

83 3 75 6 33,3 3 15 1 4,3 1 4,5 --- --- 14 14,4<br />

84 --- --- 1 16,7 --- --- --- --- 1 3,4 --- --- 2 3,2<br />

85 1 100 2 66,7 2 33,3 --- --- --- --- --- --- 5 17,9<br />

86 --- --- --- --- 3 17,6 1 16,7 2 13,3 --- --- 6 12,8<br />

87 --- --- --- --- 3 75 4 40 1 5,3 1 14,3 9 22,5<br />

88 --- --- 6 75 5 83,3 8 44,4 2 11,8 2 28,6 23 41,1<br />

89 --- --- 1 100 --- --- 1 11,1 --- --- --- --- 2 6,5<br />

90 --- --- --- --- 2 50 2 40 1 14,3 --- --- 5 26,3<br />

91 --- --- --- --- 1 25 3 42,9 1 10 --- --- 5 19,2<br />

92 --- --- 14 93,3 15 83,3 11 50 2 7,4 --- --- 42 51,2<br />

93 --- --- 8 44,4 4 21,1 1 5 1 9,1 --- --- 14 20<br />

94 2 25 4 66,7 2 12,5 --- --- --- --- --- --- 8 13,3<br />

95 --- --- --- --- 6 85,7 --- --- 2 28,6 2 40 10 45,5<br />

96 --- --- --- --- 1 10 2 16,7 --- --- 1 11,1 4 8,5<br />

TOTAL 15 46,9 203 48,8 222 27,8 123 12,6 64 4,9 13 4,8 640 16,8<br />

EuroNeoNet 2010 113<br />

Note: Excluded babies died in Delivery Room and discharged before week 36 adjusted for GA. Analyzed population:<br />

Admitted babies discharge after week 36 adjusted for GA.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.15.2 O 2 on week 36 Rate by Gestational Age.<br />

Table 6.15.2 shows the Oxygen on week 36 distribution according to<br />

gestational age for each Unit.<br />

Unit<br />

Code<br />

Oxygen at week 36 Adjusted to Gestational Age Rate against Gestational Age by<br />

Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

8 --- --- --- --- --- --- 1 50 1 11,1 --- --- 2 11,8<br />

9 --- --- 1 50 --- --- 2 66,7 2 50 --- --- 5 38,5<br />

10 --- --- 4 100 --- --- 2 22,2 --- --- --- --- 6 17,6<br />

11 --- --- 2 66,7 1 33,3 1 11,1 --- --- --- --- 4 10,3<br />

12 --- --- 5 45,5 17 42,5 11 18,6 3 4,5 3 4,9 39 16,4<br />

13 --- --- --- --- --- --- 1 25 --- --- --- --- 1 7,1<br />

14 --- --- 2 40 6 28,6 4 8,5 1 2,2 4 8 17 10,1<br />

15 --- --- 1 50 1 11,1 1 9,1 --- --- --- --- 3 5,2<br />

16 --- --- 1 100 1 33,3 --- --- --- --- --- --- 2 6,5<br />

17 --- --- --- --- 4 40 2 15,4 --- --- 1 7,7 7 12,7<br />

18 --- --- 1 25 --- --- 1 10 2 14,3 --- --- 4 9,1<br />

19 --- --- 2 50 --- --- 2 18,2 1 5,6 1 11,1 6 13,3<br />

20 --- --- 3 50 3 21,4 --- --- --- --- --- --- 6 10,3<br />

21 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

22 --- --- 1 33,3 1 14,3 --- --- --- --- --- --- 2 4,5<br />

23 1 100 10 90,9 16 59,3 10 43,5 4 12,9 4 36,4 45 43,3<br />

24 --- --- 1 33,3 16 55,2 1 3,8 1 4,5 --- --- 19 23,8<br />

25 --- --- --- --- 1 100 2 22,2 --- --- --- --- 3 18,8<br />

26 1 100 2 40 7 53,8 1 11,1 1 11,1 --- --- 12 26,7<br />

27 --- --- --- --- 3 60 1 7,1 --- --- --- --- 4 13,3<br />

28 --- --- --- --- --- --- --- --- 1 20 --- --- 1 6,7<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 --- --- 4 57,1 5 55,6 --- --- --- --- 3 21,4 12 25<br />

31 --- --- --- --- 1 100 --- --- --- --- --- --- 1 16,7<br />

32 --- --- 1 50 --- --- --- --- --- --- --- --- 1 4,8<br />

33 --- --- 1 8,3 --- --- --- --- --- --- --- --- 1 1,3<br />

34 --- --- 1 33,3 1 16,7 1 16,7 --- --- 1 14,3 4 14,8<br />

35 --- --- --- --- --- --- --- --- 1 20 --- --- 1 6,7<br />

36 --- --- 2 66,7 1 20 1 12,5 4 33,3 --- --- 8 18,2<br />

37 --- --- 1 100 1 50 1 33,3 1 10 --- --- 4 19<br />

38 --- --- --- --- 1 33,3 1 10 --- --- --- --- 2 5,9<br />

39 --- --- --- --- 5 55,6 1 12,5 1 12,5 2 15,4 9 23,7<br />

40 --- --- --- --- --- --- 2 25 --- --- --- --- 2 8,7<br />

41 --- --- --- --- 1 20 6 60 2 22,2 --- --- 9 23,7<br />

42 --- --- --- --- 5 83,3 4 57,1 --- --- 2 33,3 11 47,8<br />

43 --- --- 1 100 1 100 --- --- 1 7,1 --- --- 3 7,9<br />

44 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

45 --- --- --- --- --- --- 4 50 --- --- --- --- 4 21,1<br />

46 --- --- --- --- 1 100 1 50 1 33,3 --- --- 3 42,9<br />

47 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

48 --- --- --- --- 1 25 --- --- --- --- --- --- 1 4,8<br />

49 --- --- --- --- --- --- 1 16,7 --- --- --- --- 1 6,3<br />

50 --- --- 1 33,3 1 25 3 60 1 20 --- --- 6 30<br />

EuroNeoNet 2010 114<br />

Note: Excluded babies died in Delivery Room and discharged before week 36 adjusted for GA. Analyzed population:<br />

Admitted babies discharge after week 36 adjusted for GA.


EuroNeoNet<br />

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Unit<br />

Code<br />

N % N % N % N % N % N % N %<br />

51 1 100 6 50 4 26,7 --- --- --- --- --- --- 11 13,1<br />

52 --- --- 14 70 9 42,9 1 5,6 --- --- 2 8,3 26 25,2<br />

53 --- --- --- --- 4 80 1 25 --- --- 1 20 6 33,3<br />

54 --- --- --- --- 1 100 --- --- --- --- 1 50 2 28,6<br />

55 --- --- 3 60 9 45 5 25 --- --- 1 4,5 18 20,5<br />

56 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

57 --- --- --- --- --- --- --- --- 1 10 --- --- 1 2,4<br />

58 --- --- 2 66,7 2 28,6 --- --- 2 15,4 --- --- 6 12,5<br />

59 --- --- --- --- 1 100 1 50 --- --- --- --- 2 18,2<br />

60 --- --- 3 75 --- --- 1 20 2 14,3 --- --- 6 17,1<br />

61 --- --- 2 100 4 50 3 42,9 --- --- --- --- 9 25<br />

62 --- --- --- --- 2 50 --- --- --- --- --- --- 2 10,5<br />

63 --- --- --- --- 5 38,5 3 25 2 11,1 --- --- 10 14,3<br />

64 --- --- --- --- 1 50 2 66,7 --- --- --- --- 3 14,3<br />

65 --- --- 1 50 --- --- --- --- --- --- --- --- 1 4,2<br />

66 --- --- 5 71,4 1 14,3 8 34,8 --- --- --- --- 14 24,6<br />

67 --- --- 3 33,3 3 18,8 1 4,3 1 6,7 --- --- 8 10,5<br />

68 --- --- 1 100 6 42,9 1 8,3 4 36,4 1 20 13 30,2<br />

69 --- --- --- --- 1 50 --- --- --- --- --- --- 1 5,6<br />

70 --- --- 6 75 5 50 2 22,2 --- --- --- --- 13 19,7<br />

71 --- --- --- --- 1 25 --- --- 1 12,5 --- --- 2 9,5<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 --- --- --- --- 2 40 2 28,6 1 14,3 --- --- 5 25<br />

74 --- --- 4 50 7 58,3 1 7,1 1 7,1 --- --- 13 27,1<br />

75 --- --- 2 66,7 4 36,4 1 5,6 1 4,3 --- --- 8 11,8<br />

76 --- --- 4 50 3 27,3 2 20 --- --- 2 22,2 11 19<br />

77 --- --- --- --- 2 25 --- --- --- --- --- --- 2 4,2<br />

78 --- --- --- --- 2 40 1 10 --- --- --- --- 3 9,7<br />

79 --- --- 1 50 1 16,7 2 13,3 --- --- 1 11,1 5 10,4<br />

80 --- --- 1 100 4 44,4 --- --- 1 16,7 1 10 7 22,6<br />

81 --- --- --- --- 2 28,6 1 8,3 --- --- --- --- 3 7<br />

82 --- --- --- --- 3 37,5 3 23,1 3 21,4 --- --- 9 20,9<br />

83 1 100 5 55,6 4 16,7 3 11,1 1 3,6 --- --- 14 14,4<br />

84 --- --- 1 14,3 --- --- --- --- 1 3,8 --- --- 2 3,2<br />

85 1 100 2 40 1 33,3 1 14,3 --- --- --- --- 5 17,9<br />

86 1 100 1 25 1 9,1 1 11,1 1 5,9 1 20 6 12,8<br />

87 --- --- --- --- 4 80 1 11,1 4 22,2 --- --- 9 22,5<br />

88 --- --- 2 100 11 78,6 4 36,4 5 35,7 1 6,7 23 41,1<br />

89 --- --- 1 100 --- --- --- --- 1 5,6 --- --- 2 6,5<br />

90 --- --- 1 100 3 60 1 50 --- --- --- --- 5 26,3<br />

91 --- --- 1 50 1 33,3 2 22,2 1 12,5 --- --- 5 19,2<br />

92 --- --- 13 100 13 65 10 50 4 33,3 2 11,8 42 51,2<br />

93 1 50 6 50 4 30,8 2 20 --- --- 1 6,3 14 20<br />

94 1 100 3 18,8 3 33,3 1 7,7 --- --- --- --- 8 13,3<br />

95 --- --- --- --- 2 100 5 83,3 3 37,5 --- --- 10 45,5<br />

96 --- --- --- --- --- --- 3 20 1 5,6 --- --- 4 8,5<br />

TOTAL 8 61,5 142 47,8 238 35,3 145 16,6 71 6,4 36 4,3 640 16,8<br />

.<br />

Oxygen at week 36 Adjusted to Gestational Age Rate against Gestational Age by<br />

Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

EuroNeoNet 2010 115<br />

Note: Excluded babies died in Delivery Room and discharged before week 36 adjusted for GA. Analyzed population:<br />

Admitted babies discharge after week 36 adjusted for GA.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.15.3 O 2 on week 36 <strong>Standard</strong>ized Rate by Perinatal Risk Factors.<br />

Graph 5.16.1 corresponds to the 95% CI for the standardised Oxygen on week 36 rate adjusted.<br />

Graph 6.15.3<br />

The results for Units 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 22, 24, 32, 33, 34, 35, 38, 43, 48, 49, 51, 55, 57, 62, 63, 65, 67, 69, 70,<br />

71, 74, 75, 76, 77, 78, 79, 81, 83, 84, 89, 90, 91, 93, 94 and 96 reached statistical significant relevance, being the Oxygen on<br />

week 36 rate for these Units significantly smaller than the one expected according to the standard’s population Oxygen on<br />

week 36 distribution. On the other hand none Unit had a bigger significant Oxygen on week 36 rate than the one expected<br />

according to the standard’s population Oxygen on week 36 distribution.<br />

Units 1, 2, 3, 4, 5, 6, 21, 29, 44, 47 and 56 didn’t register Oxygen on week 36.<br />

Note 1: <strong>Standard</strong>ization items: Birth weight Z-Score by gestational age , 1-min Apgar Score, 5-<br />

min apgar Score, Mode of Delivery and Major Birth Defects.<br />

Note 2: Units with 5 or less babies admitted have not been analyzed in this section.<br />

EuroNeoNet 2010 116<br />

Note: Excluded babies died in Delivery Room and discharged before week 36 adjusted for GA. Analyzed population: Admitted babies discharge after week 36 adjusted for GA.


EuroNeoNet<br />

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6.16 Late Bacterial Sepsis Rate.<br />

Definition: if a bacterial pathogen from the list in Appendix I (ENS Manual) is recovered from a<br />

blood and/or cerebrospinal fluid culture obtained after day 3 of life.<br />

Note 1: The date of birth counts as day 1 regardless of the time of birth.<br />

6.16.1 Late Bacterial Sepsis Rate by Birth Weight.<br />

The global Late Sepsis rate for 2010 cohort has been of 23.3%, with a variation<br />

of 5.7% and 70.4% within units.<br />

Late Bacterial Sepsis Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- 3 37,5 3 20 4 19 2 6,5 2 10,5 14 14,7<br />

2 --- --- 1 100 1 33,3 --- --- 1 14,3 2 22,2 5 20<br />

3 1 100 5 31,3 10 43,5 5 13,5 --- --- 1 2,4 22 14,2<br />

4 1 33,3 4 50 2 25 1 6,3 --- --- --- --- 8 11,4<br />

5 1 33,3 10 47,6 15 50 6 18,8 1 2,6 3 7,1 36 21,6<br />

6 2 22,2 7 43,8 3 8,8 4 14,8 1 2,3 1 2,4 18 10,5<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

9 --- --- --- --- --- --- 2 20 4 26,7 2 28,6 8 22,2<br />

10 1 100 2 28,6 1 14,3 3 18,8 2 14,3 1 6,3 10 16,4<br />

11 --- --- 5 38,5 11 44 10 30,3 6 12,8 2 7,7 34 23,4<br />

12 --- --- 25 44,6 28 34,6 28 28,3 21 13,5 7 8 109 22,7<br />

13 --- --- --- --- --- --- 1 50 1 8,3 --- --- 2 8<br />

14 3 100 16 48,5 21 44,7 17 25,4 25 20,3 7 13,7 89 27,5<br />

15 --- --- 2 33,3 4 18,2 1 14,3 1 2,8 --- --- 8 9,6<br />

16 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

17 --- --- 2 22,2 1 7,1 2 7,7 2 7,1 1 7,7 8 8,9<br />

18 --- --- 2 50 6 85,7 9 39,1 7 31,8 3 23,1 27 39,1<br />

19 1 100 5 62,5 1 16,7 3 20 1 5,3 1 5,6 12 17,9<br />

20 --- --- --- --- 8 44,4 --- --- --- --- 1 6,7 9 11,4<br />

21 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

22 --- --- 1 20 4 36,4 3 25 --- --- 1 6,3 9 14,1<br />

23 1 100 22 71 21 41,2 12 21,1 8 16,7 --- --- 64 30<br />

24 --- --- 13 56,5 25 48,1 10 21,3 1 2,6 --- --- 49 30,4<br />

25 --- --- --- --- 2 66,7 4 40 1 8,3 --- --- 7 28<br />

26 --- --- 8 42,1 5 35,7 2 14,3 1 4,5 --- --- 16 23,2<br />

27 --- --- 4 66,7 5 41,7 2 22,2 3 14,3 --- --- 14 29,2<br />

28 --- --- --- --- 5 62,5 2 100 1 11,1 --- --- 8 42,1<br />

29 1 100 --- --- 2 66,7 1 33,3 --- --- --- --- 4 23,5<br />

30 --- --- 5 50 5 27,8 2 18,2 --- --- --- --- 12 17,1<br />

31 --- --- --- --- 1 33,3 1 50 1 16,7 --- --- 3 27,3<br />

32 1 50 3 50 2 28,6 1 12,5 4 44,4 --- --- 11 34,4<br />

33 1 25 7 41,2 9 29 2 6,1 1 2 --- --- 20 14,7<br />

34 1 100 3 50 7 58,3 6 60 2 15,4 --- --- 19 45,2<br />

35 1 100 2 33,3 1 12,5 --- --- 2 28,6 --- --- 6 24<br />

36 --- --- 4 50 7 58,3 11 61,1 6 19,4 --- --- 28 40,6<br />

37 --- --- 2 66,7 3 100 3 27,3 9 42,9 --- --- 17 43,6<br />

38 1 100 1 20 5 62,5 3 30 6 33,3 --- --- 16 38,1<br />

EuroNeoNet 2010 117<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

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Late Bacterial Sepsis Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

39 --- --- 4 80 12 66,7 7 58,3 5 22,7 1 50 29 49,2<br />

40 --- --- 1 25 --- --- 3 37,5 1 7,7 --- --- 5 16,1<br />

41 --- --- 8 72,7 7 58,3 9 60 14 66,7 1 100 39 65<br />

42 --- --- 1 50 4 66,7 9 50 --- --- --- --- 14 41,2<br />

43 --- --- 1 50 2 22,2 2 18,2 --- --- --- --- 5 9,6<br />

44 --- --- 2 33,3 4 44,4 2 16,7 1 4 --- --- 9 17,3<br />

45 --- --- 2 40 1 14,3 4 33,3 6 37,5 --- --- 13 32,5<br />

46 --- --- 1 50 --- --- --- --- --- --- --- --- 1 9,1<br />

47 --- --- 1 33,3 --- --- 1 16,7 3 20 --- --- 5 17,9<br />

48 --- --- 1 100 3 60 2 50 7 36,8 --- --- 13 44,8<br />

49 --- --- 2 66,7 3 60 3 30 2 50 --- --- 10 45,5<br />

50 --- --- 1 25 7 87,5 6 85,7 5 62,5 --- --- 19 70,4<br />

51 --- --- 5 45,5 14 60,9 1 2,9 3 10,7 3 13,6 26 21,5<br />

52 1 50 14 73,7 19 46,3 6 17,1 5 10,4 --- --- 45 31<br />

53 --- --- 5 83,3 1 16,7 2 40 --- --- --- --- 8 26,7<br />

54 1 100 3 100 --- --- 1 50 4 57,1 --- --- 9 69,2<br />

55 --- --- 12 60 24 66,7 24 40 9 13 --- --- 69 37,3<br />

56 --- --- --- --- 4 100 4 66,7 1 14,3 --- --- 9 52,9<br />

57 --- --- 4 50 5 45,5 4 33,3 4 17,4 --- --- 17 31,5<br />

58 --- --- --- --- 7 53,8 1 5,6 3 11,5 --- --- 11 18<br />

59 --- --- 1 50 2 100 1 33,3 1 14,3 --- --- 5 35,7<br />

60 --- --- 4 100 5 71,4 7 53,8 6 37,5 --- --- 22 55<br />

61 --- --- 6 66,7 5 55,6 6 42,9 2 15,4 --- --- 19 42,2<br />

62 1 100 4 57,1 3 50 2 22,2 --- --- --- --- 10 30,3<br />

63 --- --- 5 62,5 18 75 16 40 11 22,4 --- --- 50 41,3<br />

64 --- --- 1 100 4 80 4 33,3 4 17,4 --- --- 13 31,7<br />

65 --- --- 4 66,7 6 75 2 20 4 28,6 --- --- 16 42,1<br />

66 1 100 2 50 14 60,9 10 50 7 41,2 --- --- 34 52,3<br />

67 --- --- 9 50 14 46,7 11 34,4 9 20,5 --- --- 43 34,4<br />

68 --- --- 2 18,2 4 33,3 3 16,7 5 33,3 --- --- 14 25<br />

69 --- --- 3 100 --- --- 1 16,7 --- --- --- --- 4 18,2<br />

70 --- --- 2 33,3 13 52 1 5 2 5,3 --- --- 18 15,5<br />

71 --- --- 3 37,5 4 66,7 1 16,7 1 8,3 --- --- 9 28,1<br />

72 --- --- --- --- --- --- 1 100 --- --- --- --- 1 50<br />

73 --- --- 2 66,7 2 40 1 7,7 --- --- --- --- 5 20<br />

74 1 50 3 17,6 3 12,5 3 13 2 7,7 2 6,9 14 11,6<br />

75 1 100 4 33,3 4 33,3 4 14,3 --- --- --- --- 13 13<br />

76 --- --- 6 28,6 4 14,3 4 13,3 --- --- --- --- 14 9,6<br />

77 1 33,3 2 22,2 --- --- --- --- --- --- 1 12,5 4 5,9<br />

78 1 100 1 16,7 --- --- --- --- 1 7,7 --- --- 3 6,3<br />

79 1 100 4 36,4 --- --- --- --- --- --- --- --- 5 6,2<br />

80 --- --- --- --- 5 45,5 --- --- 2 12,5 1 33,3 8 20,5<br />

EuroNeoNet 2010 118<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

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Late Bacterial Sepsis Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

81 1 50 5 50 5 23,8 --- --- 2 4,8 1 4,3 14 11,7<br />

82 --- --- 2 40 2 18,2 --- --- 2 10,5 2 13,3 8 12,7<br />

83 1 14,3 12 48 7 24,1 6 18,8 5 11,6 1 2,6 32 18,4<br />

84 --- --- 1 11,1 3 16,7 1 6,3 --- --- --- --- 5 5,7<br />

85 --- --- --- --- 4 50 2 40 1 7,7 --- --- 7 20,6<br />

86 --- --- --- --- 7 38,9 2 33,3 --- --- --- --- 9 18<br />

87 --- --- --- --- 2 50 4 21,1 5 22,7 2 12,5 13 21,3<br />

88 1 100 14 58,3 15 65,2 16 48,5 7 18,9 6 24 59 41,3<br />

89 --- --- 1 50 2 66,7 5 41,7 2 16,7 4 25 14 31,1<br />

90 --- --- 1 33,3 2 22,2 2 18,2 --- --- --- --- 5 7,1<br />

91 --- --- 1 33,3 2 40 4 44,4 2 12,5 3 27,3 12 27,3<br />

92 --- --- 9 25,7 6 14,3 3 5,9 5 8,5 --- --- 23 12,1<br />

93 --- --- 5 13,5 15 42,9 12 25,5 21 35 10 19,6 63 25,8<br />

94 --- --- 5 19,2 4 10,3 1 3,3 4 16 --- --- 14 9,6<br />

95 --- --- 1 10 9 75 3 42,9 10 58,8 6 60 29 50,9<br />

96 --- --- 1 50 8 47,1 1 7,7 1 4,5 1 6,3 12 17,1<br />

TOTAL 29 27,9 358 42,1 544 39,1 392 23,1 318 13,3 80 8,6 1721 23,3<br />

EuroNeoNet 2010 119<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.16.2 Late Bacterial Sepsis Rate by Gestational Age.<br />

Table 6.16.2 shows the Late Bacterial Sepsis distribution according to<br />

gestational age for each Unit.<br />

Unit<br />

Code<br />

Late Sepsis Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- 4 40 5 29,4 3 13,6 2 6,1 --- --- 14 14,7<br />

2 --- --- 1 50 --- --- --- --- 4 28,6 --- --- 5 20<br />

3 3 60 10 71,4 4 21,1 5 15,2 --- --- --- --- 22 14,2<br />

4 1 33,3 5 62,5 1 9,1 1 7,1 --- --- --- --- 8 11,4<br />

5 4 44,4 5 45,5 16 40 5 17,9 6 8,8 --- --- 36 21,6<br />

6 2 25 6 31,6 6 20,7 3 7,7 1 1,6 --- --- 18 10,5<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

9 --- --- --- --- 1 16,7 3 33,3 3 23,1 1 20 8 22,2<br />

10 1 100 2 28,6 1 25 4 28,6 1 3,6 1 14,3 10 16,4<br />

11 --- --- 5 38,5 9 47,4 9 24,3 8 15,4 3 12,5 34 23,4<br />

12 --- --- 11 29,7 34 50,7 33 28,4 22 12,5 9 10,7 109 22,7<br />

13 --- --- --- --- --- --- 1 14,3 1 11,1 --- --- 2 8<br />

14 --- --- 7 43,8 17 48,6 34 42 21 16,7 10 15,4 89 27,5<br />

15 --- --- 1 25 4 26,7 2 11,8 --- --- 1 4,5 8 9,6<br />

16 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

17 --- --- 1 33,3 3 18,8 1 4,3 2 6,5 1 5,9 8 8,9<br />

18 --- --- 4 100 7 63,6 7 43,8 5 19,2 4 33,3 27 39,1<br />

19 --- --- 5 62,5 3 75 2 12,5 1 3,6 1 9,1 12 17,9<br />

20 --- --- 3 37,5 5 29,4 --- --- 1 3,2 --- --- 9 11,4<br />

21 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

22 --- --- 2 28,6 1 11,1 4 26,7 2 8,7 --- --- 9 14,1<br />

23 1 100 16 55,2 24 60 13 21 8 12,5 2 11,8 64 30<br />

24 --- --- 5 50 26 56,5 13 22,8 5 10,6 --- --- 49 30,4<br />

25 --- --- --- --- 1 50 5 41,7 1 25 --- --- 7 28<br />

26 1 50 4 40 7 46,7 2 14,3 1 5,3 1 11,1 16 23,2<br />

27 --- --- 2 100 6 50 4 20 2 25 --- --- 14 29,2<br />

28 --- --- --- --- 4 80 1 25 1 16,7 2 50 8 42,1<br />

29 --- --- --- --- 1 50 2 33,3 1 25 --- --- 4 23,5<br />

30 --- --- 5 45,5 7 43,8 --- --- --- --- --- --- 12 17,1<br />

31 --- --- --- --- 1 100 --- --- 2 66,7 --- --- 3 27,3<br />

32 1 100 4 57,1 1 14,3 1 14,3 --- --- 4 80 11 34,4<br />

33 --- --- 8 50 7 25 2 8,3 3 6,3 --- --- 20 14,7<br />

34 --- --- 3 50 8 66,7 4 50 3 42,9 1 11,1 19 45,2<br />

35 --- --- 2 66,7 1 14,3 1 20 2 33,3 --- --- 6 24<br />

36 --- --- 5 62,5 4 50 6 37,5 10 52,6 3 16,7 28 40,6<br />

37 --- --- 3 100 1 25 3 42,9 8 53,3 2 20 17 43,6<br />

38 --- --- 1 33,3 5 71,4 6 54,5 4 36,4 --- --- 16 38,1<br />

39 1 50 1 50 12 80 7 43,8 2 20 6 42,9 29 49,2<br />

40 --- --- --- --- 1 33,3 2 20 1 10 1 14,3 5 16,1<br />

41 --- --- 5 71,4 6 66,7 12 70,6 7 58,3 9 60 39 65<br />

42 --- --- 1 50 7 77,8 4 50 1 11,1 1 16,7 14 41,2<br />

43 --- --- 2 33,3 --- --- 2 33,3 1 5,9 --- --- 5 9,6<br />

44 --- --- 1 25 3 37,5 4 33,3 --- --- 1 5,3 9 17,3<br />

EuroNeoNet 2010 120<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

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Unit<br />

Code<br />

Late Sepsis Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

45 --- --- 1 33,3 1 33,3 8 47,1 1 14,3 2 20 13 32,5<br />

46 1 100 --- --- --- --- --- --- --- --- --- --- 1 9,1<br />

47 --- --- 1 50 1 20 1 14,3 2 25 --- --- 5 17,9<br />

48 --- --- --- --- 4 80 7 70 2 28,6 --- --- 13 44,8<br />

49 --- --- --- --- 5 62,5 1 16,7 4 57,1 --- --- 10 45,5<br />

50 --- --- 3 75 4 66,7 6 85,7 5 71,4 1 33,3 19 70,4<br />

51 1 25 9 60 8 44,4 2 7,1 4 10,3 2 11,8 26 21,5<br />

52 1 50 21 77,8 11 47,8 6 19,4 3 8,3 3 11,5 45 31<br />

53 --- --- 3 100 3 37,5 1 20 1 11,1 --- --- 8 26,7<br />

54 --- --- 3 100 1 100 --- --- 3 60 2 50 9 69,2<br />

55 1 50 9 64,3 28 54,9 17 38,6 9 21,4 5 15,6 69 37,3<br />

56 --- --- 3 100 2 100 2 40 2 66,7 --- --- 9 52,9<br />

57 2 66,7 4 80 1 11,1 3 23,1 4 40 3 21,4 17 31,5<br />

58 --- --- 2 40 3 37,5 3 27,3 1 5 2 12,5 11 18<br />

59 --- --- 1 100 --- --- 1 33,3 2 50 1 20 5 35,7<br />

60 --- --- 4 100 5 100 6 75 7 46,7 --- --- 22 55<br />

61 --- --- 2 40 5 62,5 6 66,7 5 31,3 1 14,3 19 42,2<br />

62 --- --- 2 40 6 66,7 --- --- 2 25 --- --- 10 30,3<br />

63 --- --- 3 42,9 17 70,8 13 52 12 34,3 5 16,7 50 41,3<br />

64 --- --- 1 100 4 57,1 5 55,6 2 16,7 1 8,3 13 31,7<br />

65 --- --- 3 60 6 66,7 5 41,7 --- --- 2 25 16 42,1<br />

66 1 50 6 66,7 7 70 12 50 6 46,2 2 28,6 34 52,3<br />

67 --- --- 11 61,1 9 39,1 10 25 7 25,9 6 35,3 43 34,4<br />

68 --- --- 1 20 5 29,4 4 28,6 4 28,6 --- --- 14 25<br />

69 1 100 --- --- 2 50 1 33,3 --- --- --- --- 4 18,2<br />

70 --- --- 6 50 9 52,9 1 4,3 1 2,3 1 5 18 15,5<br />

71 --- --- 4 57,1 3 50 1 25 1 12,5 --- --- 9 28,1<br />

72 --- --- --- --- --- --- 1 100 --- --- --- --- 1 50<br />

73 --- --- --- --- 1 16,7 4 50 --- --- --- --- 5 20<br />

74 --- --- 3 23,1 5 20,8 1 2,9 5 10,2 --- --- 14 11,6<br />

75 --- --- 4 33,3 6 46,2 3 13,6 --- --- --- --- 13 13<br />

76 --- --- 3 15,8 7 29,2 1 3,8 3 5,4 --- --- 14 9,6<br />

77 --- --- --- --- 3 33,3 1 5 --- --- --- --- 4 5,9<br />

78 --- --- 1 50 1 16,7 1 6,3 --- --- --- --- 3 6,3<br />

79 --- --- 2 25 3 27,3 --- --- --- --- --- --- 5 6,2<br />

80 --- --- --- --- 3 30 3 42,9 2 22,2 --- --- 8 20,5<br />

81 --- --- 3 37,5 6 33,3 5 16,7 --- --- --- --- 14 11,7<br />

82 --- --- 1 14,3 3 27,3 --- --- 4 15,4 --- --- 8 12,7<br />

83 2 22,2 7 58,3 9 26,5 7 16,7 4 6,1 3 27,3 32 18,4<br />

84 --- --- 3 27,3 1 6,7 --- --- 1 2,9 --- --- 5 5,7<br />

85 --- --- 1 16,7 2 40 1 12,5 3 25 --- --- 7 20,6<br />

86 --- --- 1 14,3 5 45,5 2 22,2 1 5,9 --- --- 9 18<br />

87 --- --- --- --- 3 37,5 5 41,7 5 15,6 --- --- 13 21,3<br />

88 3 100 13 65 18 64,3 11 37,9 11 26,2 3 14,3 59 41,3<br />

89 --- --- 2 100 2 100 3 30 7 30,4 --- --- 14 31,1<br />

90 --- --- --- --- 5 45,5 --- --- --- --- --- --- 5 7,1<br />

91 --- --- 1 33,3 4 80 4 28,6 3 17,6 --- --- 12 27,3<br />

92 3 60 8 24,2 5 11,4 3 6,3 4 10,8 --- --- 23 12,1<br />

93 --- --- 7 26,9 7 22,6 13 27,7 20 23 16 50 63 25,8<br />

94 2 40 3 9,4 5 15,6 3 8,6 1 3,2 --- --- 14 9,6<br />

95 --- --- 2 22,2 2 100 9 69,2 10 55,6 6 54,5 29 50,9<br />

96 --- --- 2 100 4 30,8 4 23,5 2 6,5 --- --- 12 17,1<br />

TOTAL 33 30 310 42,9 510 40,8 418 24,3 319 13,1 131 11,5 1721 23,3<br />

EuroNeoNet 2010 121<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


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6.16.3 Late Bacterial Sepsis <strong>Standard</strong>ized Rate by Perinatal Risk Factors.<br />

Graph 6.16.3 corresponds to the 95% CI for the standardised late bacterial sepsis adjusted rate.<br />

Graph 6.16.3<br />

The results for Units 1, 3, 4, 6, 13, 15, 17, 20, 33, 43,70, 74, 75, 76, 77, 78, 79, 81, 82, 83,84, 90, 92 and 94 reached statistical<br />

significant relevance, being the Late Onset Sepsis (LOS) rate for these Units significantly smaller than the one expected<br />

according to the standard’s population LOS distribution. On the other hand Units 18, 34, 36, 37, 39, 41, 50 ,55, 60, 66, 67, 88<br />

and 95 had a bigger significant LOS rate than the one expected according to the standard’s population LOS distribution.<br />

Units 8, 16 and 21 didn’t register late bacterial sepsis.<br />

Note 1: <strong>Standard</strong>ization items: Birth weight Z-Score by gestational age and 1-min Apgar Score<br />

Note 2: Units with 5 or less babies admitted have not been analyzed in this section.<br />

EuroNeoNet 2010 122<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


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6.17 Steroids for CLD Rate.<br />

Definition: if corticosteroids were used after birth to treat or prevent BPD-CLD.<br />

6.17.1 Steroids for CLD Rate by Birth Weight.<br />

The global Steroids for CLD rate for 2010 cohort has been of 6.2%, with a<br />

variation of 0.8% and 23.3% within units.<br />

Unit<br />

Code<br />

Steroids for CLD Rate against Birth Weight by Participating Unit<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- 3 37,5 4 26,7 3 14,3 1 3,2 1 5,3 12 12,6<br />

2 --- --- 1 100 1 33,3 --- --- --- --- --- --- 2 8<br />

3 --- --- 8 50 5 21,7 2 5,4 1 2,8 1 2,4 17 11<br />

4 1 33,3 7 87,5 4 50 2 12,5 1 4,8 --- --- 15 21,4<br />

5 1 33,3 3 14,3 3 10 1 3,1 --- --- --- --- 8 4,8<br />

6 3 33,3 7 43,8 6 17,6 2 7,4 2 4,5 --- --- 20 11,6<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- 1 16,7 2 22,2 --- --- 3 13,6<br />

9 --- --- --- --- --- --- --- --- 1 6,7 --- --- 1 2,8<br />

10 1 100 3 42,9 2 28,6 --- --- --- --- --- --- 6 9,8<br />

11 1 100 6 46,2 3 12 2 6,1 --- --- --- --- 12 8,3<br />

12 1 33,3 12 21,4 5 6,2 5 5,1 3 1,9 1 1,1 27 5,6<br />

13 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

14 1 33,3 4 12,1 1 2,1 3 4,5 --- --- --- --- 9 2,8<br />

15 --- --- 2 33,3 2 9,1 --- --- --- --- --- --- 4 4,8<br />

16 --- --- 1 50 --- --- --- --- 1 5,3 --- --- 2 5<br />

17 --- --- 4 44,4 3 21,4 --- --- 1 3,6 --- --- 8 8,9<br />

18 --- --- 3 75 4 57,1 3 13 4 18,2 2 15,4 16 23,2<br />

19 --- --- 3 37,5 --- --- 1 6,7 1 5,3 --- --- 5 7,5<br />

20 --- --- 1 20 2 11,1 --- --- --- --- --- --- 3 3,8<br />

21 --- --- 1 33,3 1 20 1 9,1 --- --- --- --- 3 7,3<br />

22 --- --- 1 20 4 36,4 --- --- --- --- 1 6,3 6 9,4<br />

23 --- --- 6 19,4 2 3,9 1 1,8 --- --- --- --- 9 4,2<br />

24 --- --- 3 11,5 5 9,3 --- --- --- --- --- --- 8 4,7<br />

25 --- --- --- --- --- --- 1 10 --- --- --- --- 1 4<br />

26 --- --- 7 36,8 4 28,6 --- --- --- --- --- --- 11 15,9<br />

27 --- --- 3 50 3 27,3 --- --- --- --- --- --- 6 12,8<br />

28 --- --- --- --- 1 12,5 --- --- 1 11,1 --- --- 2 10,5<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

31 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

32 --- --- 1 16,7 --- --- --- --- --- --- --- --- 1 3,1<br />

33 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

34 1 100 --- --- 2 16,7 --- --- --- --- --- --- 3 7,1<br />

35 --- --- 3 50 1 12,5 --- --- --- --- --- --- 4 16<br />

36 --- --- 1 12,5 --- --- --- --- --- --- --- --- 1 1,4<br />

37 --- --- --- --- 1 33,3 --- --- --- --- --- --- 1 2,6<br />

38 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

39 --- --- --- --- 4 22,2 --- --- --- --- --- --- 4 6,8<br />

40 --- --- 2 50 --- --- 4 50 --- --- 1 100 7 23,3<br />

41 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

42 --- --- 1 50 2 33,3 3 16,7 --- --- --- --- 6 17,6<br />

EuroNeoNet 2010 123<br />

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Steroids for CLD Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

43 --- --- --- --- 1 11,1 --- --- --- --- --- --- 1 1,9<br />

44 --- --- 3 50 1 11,1 --- --- 1 4 --- --- 5 9,6<br />

45 --- --- 1 20 1 14,3 --- --- --- --- --- --- 2 5<br />

46 1 100 1 50 --- --- --- --- --- --- --- --- 2 18,2<br />

47 --- --- 1 33,3 1 25 1 16,7 --- --- --- --- 3 10,7<br />

48 --- --- --- --- 1 20 --- --- --- --- --- --- 1 3,4<br />

49 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

50 --- --- --- --- 1 12,5 --- --- --- --- --- --- 1 3,7<br />

51 --- --- 1 9,1 3 13,6 --- --- --- --- --- --- 4 3,3<br />

52 2 66,7 8 42,1 8 19 --- --- --- --- --- --- 18 12<br />

53 --- --- --- --- 1 16,7 --- --- --- --- --- --- 1 3,3<br />

54 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

55 --- --- 2 10 7 19,4 2 3,3 --- --- --- --- 11 5,9<br />

56 --- --- --- --- 1 25 --- --- --- --- --- --- 1 5,9<br />

57 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

58 --- --- 1 25 --- --- --- --- --- --- --- --- 1 1,6<br />

59 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

60 --- --- 3 75 1 14,3 --- --- --- --- --- --- 4 10<br />

61 --- --- 1 11,1 2 22,2 --- --- --- --- --- --- 3 6,7<br />

62 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

63 --- --- 3 37,5 5 20,8 1 2,5 --- --- --- --- 9 7,4<br />

64 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

65 --- --- 2 33,3 2 25 --- --- --- --- --- --- 4 10,5<br />

66 --- --- 1 20 2 8 --- --- --- --- --- --- 3 4,3<br />

67 --- --- --- --- --- --- 1 3,1 --- --- --- --- 1 0,8<br />

68 --- --- 3 27,3 --- --- 2 11,1 --- --- --- --- 5 8,9<br />

69 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

70 --- --- 1 16,7 --- --- --- --- 1 2,6 1 3,7 3 2,6<br />

71 --- --- 2 25 --- --- --- --- --- --- --- --- 2 6,3<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 --- --- 1 33,3 --- --- 2 15,4 --- --- --- --- 3 12<br />

83 1 14,3 5 20 2 6,9 1 3,1 --- --- 1 2,6 10 5,7<br />

84 --- --- 4 44,4 5 27,8 --- --- 1 2,4 --- --- 10 11,4<br />

85 1 100 2 50 3 37,5 --- --- 1 7,7 --- --- 7 20,6<br />

86 --- --- 1 20 4 22,2 1 16,7 1 6,7 --- --- 7 14<br />

87 --- --- --- --- 1 25 --- --- --- --- --- --- 1 1,5<br />

88 1 50 2 7,4 1 3,8 --- --- --- --- --- --- 4 2,6<br />

89 --- --- 1 50 --- --- --- --- --- --- --- --- 1 2,2<br />

90 --- --- 1 25 1 11,1 --- --- --- --- --- --- 2 2,8<br />

91 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

92 --- --- 4 11,4 3 7,1 2 3,9 --- --- --- --- 9 4,7<br />

93 --- --- 5 13,5 3 8,6 3 6,4 --- --- --- --- 11 4,5<br />

94 --- --- 1 3,8 --- --- 1 3,3 --- --- --- --- 2 1,4<br />

95 --- --- --- --- 6 50 --- --- 1 5,9 4 36,4 11 19<br />

96 --- --- 1 50 1 5,9 1 7,7 --- --- 1 6,3 4 5,8<br />

TOTAL 16 17,2 159 20,6 143 11,3 53 3,4 25 1,1 14 1,8 410 6,2<br />

EuroNeoNet 2010 124<br />

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6.17.2 Steroids for CLD Rate by Gestational Age.<br />

Table 6.17.2 shows the Steroids for CLD distribution according to gestational<br />

age for each Unit.<br />

Unit<br />

Code<br />

Steroids for CLD Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- 6 60 5 29,4 --- --- 1 3 --- --- 12 12,6<br />

2 --- --- 2 100 --- --- --- --- --- --- --- --- 2 8<br />

3 2 40 8 57,1 2 10,5 3 9,1 1 1,4 1 7,1 17 11<br />

4 1 33,3 7 87,5 4 36,4 2 14,3 1 3,7 --- --- 15 21,4<br />

5 1 11,1 2 18,2 5 12,5 --- --- --- --- --- --- 8 4,8<br />

6 2 25 8 42,1 7 24,1 3 7,7 --- --- --- --- 20 11,6<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- 1 50 2 15,4 --- --- 3 13,6<br />

9 --- --- --- --- 1 16,7 --- --- --- --- --- --- 1 2,8<br />

10 1 100 4 57,1 1 25 --- --- --- --- --- --- 6 9,8<br />

11 --- --- 6 46,2 2 10,5 3 8,1 1 1,9 --- --- 12 8,3<br />

12 --- --- 4 10,8 9 13,4 9 7,8 4 2,3 1 1,2 27 5,6<br />

13 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

14 --- --- 3 18,8 4 11,4 1 1,2 --- --- 1 1,5 9 2,8<br />

15 --- --- 1 25 3 20 --- --- --- --- --- --- 4 4,8<br />

16 --- --- 1 100 --- --- 1 25 --- --- --- --- 2 5<br />

17 --- --- 2 66,7 5 31,3 1 4,3 --- --- --- --- 8 8,9<br />

18 --- --- 4 100 3 27,3 2 12,5 7 26,9 --- --- 16 23,2<br />

19 --- --- 2 25 --- --- 1 6,3 1 3,6 1 9,1 5 7,5<br />

20 --- --- 1 12,5 2 11,8 --- --- --- --- --- --- 3 3,8<br />

21 --- --- --- --- 2 40 1 16,7 --- --- --- --- 3 7,3<br />

22 --- --- 1 14,3 3 33,3 1 6,7 1 4,3 --- --- 6 9,4<br />

23 --- --- 4 13,8 4 10 1 1,6 --- --- --- --- 9 4,2<br />

24 --- --- 5 35,7 3 6,3 --- --- --- --- --- --- 8 4,7<br />

25 --- --- --- --- --- --- 1 8,3 --- --- --- --- 1 4<br />

26 --- --- 3 30 6 40 1 7,1 1 5,3 --- --- 11 15,9<br />

27 --- --- 1 50 4 36,4 1 5 --- --- --- --- 6 12,8<br />

28 --- --- --- --- 1 20 --- --- 1 16,7 --- --- 2 10,5<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

31 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

32 1 100 --- --- --- --- --- --- --- --- --- --- 1 3,1<br />

33 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

34 --- --- 3 50 --- --- --- --- --- --- --- --- 3 7,1<br />

35 --- --- 2 66,7 2 28,6 --- --- --- --- --- --- 4 16<br />

36 --- --- --- --- --- --- --- --- 1 5,3 --- --- 1 1,4<br />

37 --- --- --- --- --- --- --- --- 1 6,7 --- --- 1 2,6<br />

38 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

39 --- --- --- --- 3 20 1 6,3 --- --- --- --- 4 6,8<br />

40 --- --- --- --- 2 66,7 3 30 1 11,1 1 14,3 7 23,3<br />

41 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

42 --- --- --- --- 4 44,4 1 12,5 1 11,1 --- --- 6 17,6<br />

43 --- --- 1 16,7 --- --- --- --- --- --- --- --- 1 1,9<br />

44 --- --- 3 75 1 12,5 --- --- 1 11,1 --- --- 5 9,6<br />

45 --- --- 1 33,3 --- --- 1 5,9 --- --- --- --- 2 5<br />

46 --- --- --- --- 1 100 --- --- 1 33,3 --- --- 2 18,2<br />

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Unit<br />

Code<br />

Steroids for CLD Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

47 --- --- 1 50 2 40 --- --- --- --- --- --- 3 10,7<br />

48 --- --- --- --- 1 20 --- --- --- --- --- --- 1 3,4<br />

49 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

50 --- --- --- --- 1 16,7 --- --- --- --- --- --- 1 3,7<br />

51 1 25 2 14,3 1 5,6 --- --- --- --- --- --- 4 3,3<br />

52 --- --- 12 44,4 6 25 --- --- --- --- --- --- 18 12<br />

53 --- --- --- --- 1 12,5 --- --- --- --- --- --- 1 3,3<br />

54 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

55 --- --- 3 21,4 8 15,7 --- --- --- --- --- --- 11 5,9<br />

56 --- --- 1 33,3 --- --- --- --- --- --- --- --- 1 5,9<br />

57 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

58 --- --- 1 20 --- --- --- --- --- --- --- --- 1 1,6<br />

59 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

60 --- --- 4 100 --- --- --- --- --- --- --- --- 4 10<br />

61 --- --- 1 20 2 25 --- --- --- --- --- --- 3 6,7<br />

62 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

63 --- --- 1 14,3 5 20,8 3 12 --- --- --- --- 9 7,4<br />

64 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

65 --- --- 2 40 2 22,2 --- --- --- --- --- --- 4 10,5<br />

66 --- --- 2 18,2 1 9,1 --- --- --- --- --- --- 3 4,3<br />

67 --- --- --- --- 1 4,3 --- --- --- --- --- --- 1 0,8<br />

68 --- --- 1 20 4 23,5 --- --- --- --- --- --- 5 8,9<br />

69 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

70 --- --- 1 8,3 --- --- --- --- 1 2,3 1 5 3 2,6<br />

71 --- --- 1 14,3 1 16,7 --- --- --- --- --- --- 2 6,3<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 --- --- --- --- --- --- 2 25 1 14,3 --- --- 3 12<br />

83 1 11,1 3 25 5 14,7 --- --- 1 1,5 --- --- 10 5,7<br />

84 2 100 5 45,5 2 13,3 1 7,7 --- --- --- --- 10 11,4<br />

85 1 100 2 33,3 2 40 2 25 --- --- --- --- 7 20,6<br />

86 1 100 3 42,9 2 18,2 --- --- --- --- 1 20 7 14<br />

87 --- --- --- --- 1 10 --- --- --- --- --- --- 1 1,5<br />

88 --- --- 1 4,3 2 6,7 1 3,2 --- --- --- --- 4 2,6<br />

89 --- --- --- --- --- --- 1 10 --- --- --- --- 1 2,2<br />

90 --- --- --- --- 2 18,2 --- --- --- --- --- --- 2 2,8<br />

91 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

92 --- --- 4 12,1 2 4,5 2 4,2 --- --- 1 4,3 9 4,7<br />

93 1 4,8 5 19,2 3 9,7 2 4,3 --- --- --- --- 11 4,5<br />

94 --- --- 1 3,1 --- --- 1 2,9 --- --- --- --- 2 1,4<br />

95 --- --- --- --- 2 100 5 38,5 4 21,1 --- --- 11 19<br />

96 --- --- 1 50 --- --- 2 12,5 1 3,2 --- --- 4 5,8<br />

TOTAL 15 12,9 143 21,8 148 13,1 61 4 35 1,6 8 0,8 410 6,2<br />

EuroNeoNet 2010 126<br />

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6.17.3 Steroids for CLD <strong>Standard</strong>ized Rate by Perinatal Risk Factors.<br />

Graph 6.17.3, corresponds to the 95% CI for the standardised Steroids for CLD rate adjusted.<br />

Graph 6.17.3<br />

The results for Units 14, 36, 58, 67, 79, 87, 88 and 94 reached statistical significant relevance, being the Steroids for CLD<br />

rate for these Units significantly smaller than the one expected according to the standard’s population Steroids for CLD<br />

distribution. On the other hand Units 4, 6, 18, 52 and 95 had bigger significant Steroids for CLD rate than the one expected<br />

according to the standard’s population LOS distribution.<br />

Units 13, 29, 30, 31, 33, 38, 41, 49, 54, 57, 59, 62, 64, 69 and 91 didn’t register Steroids for CLD.<br />

Units 74, 75, 76, 77, 78, 79, 80, 81 and 82 don’t record Steroids for CLD.<br />

Note 1: <strong>Standard</strong>ization items: Birth weight Z-Score by gestational age and gender.<br />

Note 2: Units with 5 or less babies admitted have not been analyzed in this section.<br />

EuroNeoNet 2010 127<br />

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6.18 Cystic PVL Rate.<br />

Definition: If CYSTIC PVL, NON-CYSTIC PVL OR BOTH were diagnosed, please check the<br />

type as diagnosed by cranial ultrasound or other imaging technique.<br />

Note 1: To be considered cystic PVL there must be multiple small periventricular cysts<br />

identified. Periventricular echogenicity without cysts should not be coded as cystic PVL. A<br />

porencephalic cyst in the area of previously identified intraparenchymal hemorrhage should not<br />

be coded as cystic PVL.<br />

6.18.1 Cystic PVL Rate by Birth Weight.<br />

The global Cystic PVL rate for 2010 cohort has been of 4.4%, with a variation of<br />

0.9% and 100% within units.<br />

PVL Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- 1 12,5 --- --- 2 9,5 1 3,2 1 5,3 5 5,3<br />

2 --- --- 1 100 --- --- --- --- 2 28,6 --- --- 3 12<br />

3 --- --- 1 6,3 5 21,7 2 5,4 5 13,9 4 9,5 17 11<br />

4 --- --- 2 25 1 12,5 2 12,5 3 14,3 1 7,1 9 12,9<br />

5 1 33,3 2 9,5 5 16,7 5 15,6 5 12,8 5 11,9 23 13,8<br />

6 1 11,1 2 12,5 1 2,9 1 3,7 --- --- --- --- 5 2,9<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

9 --- --- --- --- --- --- 1 11,1 1 6,7 --- --- 2 6,1<br />

10 --- --- --- --- 1 14,3 1 6,3 1 7,1 --- --- 3 5<br />

11 --- --- --- --- 1 4 1 3,2 --- --- --- --- 2 1,4<br />

12 --- --- 2 3,7 4 5,3 2 2,1 3 2,2 2 2,5 13 2,9<br />

13 --- --- --- --- 1 25 1 50 1 8,3 1 25 4 17,4<br />

14 --- --- 3 9,4 --- --- 2 3,1 1 0,9 1 2,1 7 2,3<br />

15 --- --- --- --- 1 5 --- --- 1 2,8 --- --- 2 2,5<br />

16 --- --- --- --- --- --- --- --- --- --- 1 9,1 1 2,5<br />

17 --- --- --- --- --- --- 1 3,8 --- --- 1 7,7 2 2,2<br />

18 --- --- --- --- --- --- 4 17,4 1 4,5 1 7,7 6 8,7<br />

19 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

20 --- --- --- --- 2 11,1 --- --- 3 12,5 --- --- 5 6,3<br />

21 --- --- --- --- --- --- 2 18,2 --- --- --- --- 2 5<br />

22 --- --- --- --- --- --- --- --- 1 5,3 --- --- 1 1,6<br />

23 --- --- 3 9,7 2 3,9 4 7,1 1 2,2 --- --- 10 4,9<br />

24 --- --- --- --- 2 3,6 2 4,2 --- --- --- --- 4 2,4<br />

25 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

26 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

27 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

28 --- --- --- --- 1 12,5 --- --- 1 11,1 --- --- 2 10,5<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 --- --- --- --- 1 5 --- --- 1 3 --- --- 4 5,4<br />

31 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

32 --- --- --- --- --- --- 1 12,5 --- --- --- --- 1 3,1<br />

33 --- --- 1 5,6 --- --- 1 2,9 --- --- --- --- 2 1,4<br />

34 --- --- --- --- 1 8,3 --- --- --- --- --- --- 1 2,4<br />

EuroNeoNet 2010 128<br />

Note: Excluded babies died in Delivery Room and babies with no cranial ultrasound or other technique done to diagnose<br />

PVL. Analyzed population: Admitted babies with a cranial ultrasound or other technique done to diagnose PVL done.


EuroNeoNet<br />

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PVL Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

35 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

36 --- --- --- --- 1 8,3 1 5,6 1 3,2 --- --- 3 4,3<br />

37 --- --- --- --- 1 33,3 --- --- --- --- --- --- 1 2,9<br />

38 --- --- --- --- --- --- --- --- 1 5,6 --- --- 1 2,4<br />

39 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

40 --- --- --- --- --- --- 1 12,5 --- --- --- --- 1 3,2<br />

41 --- --- --- --- 1 8,3 --- --- --- --- --- --- 1 1,7<br />

42 --- --- 1 50 1 25 2 11,8 1 12,5 --- --- 5 16,1<br />

43 --- --- --- --- 1 11,1 --- --- --- --- --- --- 1 1,9<br />

44 --- --- --- --- 1 11,1 --- --- --- --- --- --- 1 1,9<br />

45 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

46 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

47 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

48 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

49 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

50 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

51 --- --- --- --- 1 4,5 --- --- 3 10,7 --- --- 4 3,4<br />

52 --- --- 1 5,3 3 7,1 1 2,9 1 2 --- --- 6 4,1<br />

53 --- --- --- --- 1 16,7 --- --- --- --- --- --- 1 3,3<br />

54 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

55 --- --- --- --- --- --- 3 5,1 1 1,5 --- --- 4 2,2<br />

56 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

57 --- --- 1 14,3 1 10 --- --- 1 4,3 --- --- 3 5,8<br />

58 --- --- --- --- 1 7,7 --- --- 1 3,8 --- --- 2 3,3<br />

59 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

60 --- --- 1 25 --- --- --- --- --- --- --- --- 1 2,5<br />

61 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

62 --- --- 1 16,7 --- --- --- --- --- --- --- --- 1 3,2<br />

63 --- --- --- --- 1 4,5 --- --- --- --- --- --- 1 0,9<br />

64 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

65 --- --- --- --- 2 25 --- --- --- --- --- --- 2 5,3<br />

66 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

67 --- --- --- --- 4 13,3 2 6,3 1 2,3 --- --- 7 5,6<br />

68 --- --- --- --- 1 8,3 --- --- --- --- --- --- 1 1,9<br />

69 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

70 --- --- --- --- 1 4,8 --- --- 1 2,7 1 3,7 3 2,8<br />

71 --- --- --- --- 1 16,7 --- --- --- --- --- --- 1 3,1<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

74 --- --- --- --- 2 8,3 1 4,3 4 15,4 3 10,3 10 8,3<br />

75 --- --- --- --- --- --- --- --- 2 7,4 --- --- 2 2<br />

76 --- --- 3 14,3 2 7,1 3 10 --- --- 1 3,3 9 6,2<br />

77 1 33,3 --- --- 1 9,1 --- --- --- --- --- --- 2 2,9<br />

78 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

79 --- --- --- --- 1 12,5 --- --- --- --- --- --- 1 1,2<br />

80 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

EuroNeoNet 2010 129<br />

Note: Excluded babies died in Delivery Room and babies with no cranial ultrasound or other technique done to diagnose<br />

PVL. Analyzed population: Admitted babies with a cranial ultrasound or other technique done to diagnose PVL done.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

PVL Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr. 1251 - 1500 gr. > 1500 gr. TOTAL<br />

N % N % N % N % N % N % N %<br />

81 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

82 --- --- 1 20 --- --- 1 8,3 1 5,3 --- --- 3 4,8<br />

83 --- --- --- --- --- --- 3 9,4 --- --- --- --- 3 1,8<br />

84 --- --- --- --- 2 11,1 3 18,8 2 4,8 --- --- 7 8<br />

85 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

86 --- --- --- --- 1 5,6 1 16,7 --- --- --- --- 2 4,1<br />

87 --- --- --- --- 1 25 --- --- --- --- --- --- 1 1,6<br />

88 --- --- 1 3,8 --- --- 1 3,1 --- --- --- --- 2 1,5<br />

89 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

90 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

91 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

92 --- --- --- --- 3 7,5 1 2,4 3 7,7 --- --- 7 4,6<br />

93 --- --- 9 29 6 17,6 12 26,1 7 12,5 10 20,4 44 20,4<br />

94 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

95 --- --- --- --- 2 33,3 --- --- 1 25 --- --- 3 18,8<br />

96 --- --- --- --- --- --- --- --- 2 9,1 --- --- 2 2,9<br />

TOTAL 3 3,8 39 5,2 73 5,8 71 4,6 66 3,1 33 4,5 285 4,4<br />

EuroNeoNet 2010 130<br />

Note: Excluded babies died in Delivery Room and babies with no cranial ultrasound or other technique done to diagnose<br />

PVL. Analyzed population: Admitted babies with a cranial ultrasound or other technique done to diagnose PVL done.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.18.2 Cystic PVL Rate by Gestational Age.<br />

Table 6.18.2 shows the Cystic PVL distribution according to gestational age for<br />

each Unit.<br />

Unit<br />

Code<br />

PVL Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 --- --- 1 10 --- --- 1 4,5 3 9,1 --- --- 5 5,3<br />

2 --- --- 1 50 --- --- --- --- 1 7,1 1 20 3 12<br />

3 --- --- 2 14,3 2 10,5 3 9,1 8 11,4 2 14,3 17 11<br />

4 --- --- 2 25 1 9,1 4 28,6 1 3,7 1 14,3 9 12,9<br />

5 1 11,1 1 9,1 7 17,5 5 17,9 8 11,8 1 9,1 23 13,8<br />

6 --- --- 1 5,3 4 13,8 --- --- --- --- --- --- 5 2,9<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

9 --- --- --- --- 1 20 1 11,1 --- --- --- --- 2 6,1<br />

10 --- --- 1 16,7 --- --- 1 7,1 1 3,6 --- --- 3 5<br />

11 --- --- 1 7,7 1 5,3 --- --- --- --- --- --- 2 1,4<br />

12 --- --- 1 2,9 4 6,6 4 3,6 4 2,5 --- --- 13 2,9<br />

13 --- --- --- --- --- --- 2 28,6 2 25 --- --- 4 17,4<br />

14 --- --- 1 6,3 2 5,9 1 1,3 2 1,7 1 1,6 7 2,3<br />

15 --- --- --- --- --- --- --- --- 1 4 1 4,5 2 2,5<br />

16 --- --- --- --- --- --- --- --- 1 5,6 --- --- 1 2,5<br />

17 --- --- --- --- --- --- 1 4,3 --- --- 1 5,9 2 2,2<br />

18 --- --- --- --- 2 18,2 3 18,8 1 3,8 --- --- 6 8,7<br />

19 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

20 --- --- 2 25 1 5,9 --- --- 1 3,2 1 7,7 5 6,3<br />

21 --- --- --- --- --- --- --- --- 2 9,5 --- --- 2 5<br />

22 --- --- --- --- --- --- --- --- 1 4,3 --- --- 1 1,6<br />

23 1 100 1 3,4 4 10 2 3,3 --- --- 2 14,3 10 4,9<br />

24 --- --- --- --- 1 2,1 1 1,7 2 4,3 --- --- 4 2,4<br />

25 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

26 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

27 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

28 --- --- --- --- 1 20 --- --- 1 16,7 --- --- 2 10,5<br />

29 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

30 --- --- 1 8,3 2 12,5 1 10 --- --- --- --- 4 5,4<br />

31 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

32 --- --- --- --- --- --- --- --- 1 20 --- --- 1 3,1<br />

33 --- --- --- --- --- --- 2 8,3 --- --- --- --- 2 1,4<br />

34 --- --- --- --- 1 8,3 --- --- --- --- --- --- 1 2,4<br />

35 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

36 --- --- 1 12,5 --- --- --- --- 1 5,3 1 5,6 3 4,3<br />

37 --- --- --- --- 1 33,3 --- --- --- --- --- --- 1 2,9<br />

38 --- --- --- --- --- --- 1 9,1 --- --- --- --- 1 2,4<br />

39 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

40 --- --- --- --- --- --- --- --- 1 10 --- --- 1 3,2<br />

41 --- --- --- --- --- --- 1 5,9 --- --- --- --- 1 1,7<br />

42 --- --- --- --- 3 37,5 1 12,5 --- --- 1 16,7 5 16,1<br />

43 --- --- 1 16,7 --- --- --- --- --- --- --- --- 1 1,9<br />

44 --- --- 1 25 --- --- --- --- --- --- --- --- 1 1,9<br />

45 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

46 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

EuroNeoNet 2010 131<br />

Note: Excluded babies died in Delivery Room and babies with no cranial ultrasound or other technique done to diagnose<br />

PVL. Analyzed population: Admitted babies with a cranial ultrasound or other technique done to diagnose PVL done.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

Unit<br />

Code<br />

PVL Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

47 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

48 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

49 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

50 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

51 --- --- --- --- 1 5,6 1 3,6 1 2,6 1 5,9 4 3,4<br />

52 --- --- 3 11,1 1 4,2 1 3,1 1 2,8 --- --- 6 4,1<br />

53 --- --- --- --- 1 12,5 --- --- --- --- --- --- 1 3,3<br />

54 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

55 --- --- --- --- 1 2 2 4,5 1 2,4 --- --- 4 2,2<br />

56 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

57 --- --- 1 20 --- --- 2 15,4 --- --- --- --- 3 5,8<br />

58 --- --- 1 20 --- --- 1 9,1 --- --- --- --- 2 3,3<br />

59 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

60 --- --- 1 25 --- --- --- --- --- --- --- --- 1 2,5<br />

61 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

62 --- --- --- --- 1 11,1 --- --- --- --- --- --- 1 3,2<br />

63 --- --- --- --- 1 4,5 --- --- --- --- --- --- 1 0,9<br />

64 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

65 --- --- --- --- 2 22,2 --- --- --- --- --- --- 2 5,3<br />

66 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

67 --- --- 2 11,1 3 13 1 2,5 1 3,7 --- --- 7 5,6<br />

68 --- --- --- --- 1 6,3 --- --- --- --- --- --- 1 1,9<br />

69 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

70 --- --- --- --- 1 7,1 1 4,5 1 2,3 --- --- 3 2,8<br />

71 --- --- 1 14,3 --- --- --- --- --- --- --- --- 1 3,1<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

74 --- --- --- --- 1 4,2 4 11,4 5 10,2 --- --- 10 8,3<br />

75 --- --- --- --- --- --- --- --- 1 2,6 1 6,7 2 2<br />

76 --- --- 2 10,5 2 8,3 4 15,4 1 1,8 --- --- 9 6,2<br />

77 --- --- --- --- 2 22,2 --- --- --- --- --- --- 2 2,9<br />

78 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

79 --- --- --- --- 1 9,1 --- --- --- --- --- --- 1 1,2<br />

80 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

81 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

82 --- --- --- --- 1 9,1 1 6,7 1 3,8 --- --- 3 4,8<br />

83 --- --- --- --- --- --- 2 4,8 1 1,6 --- --- 3 1,8<br />

84 --- --- --- --- 4 26,7 3 23,1 --- --- --- --- 7 8<br />

85 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

86 --- --- --- --- 2 18,2 --- --- --- --- --- --- 2 4,1<br />

87 --- --- --- --- 1 11,1 --- --- --- --- --- --- 1 1,6<br />

88 --- --- 1 4,3 --- --- 1 3,4 --- --- --- --- 2 1,5<br />

89 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

90 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

91 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

92 --- --- 1 3,3 3 7,7 2 4,3 1 4,5 --- --- 7 4,6<br />

93 1 16,7 6 26,1 10 33,3 6 13,3 18 21,4 3 10,7 44 20,4<br />

94 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

95 --- --- --- --- 1 100 1 20 1 20 --- --- 3 18,8<br />

96 --- --- --- --- --- --- 1 5,9 1 3,2 --- --- 2 2,9<br />

TOTAL 3 4,7 38 5,9 79 7,1 69 4,4 78 3,7 18 1,8 285 4,4<br />

EuroNeoNet 2010 132<br />

Note: Excluded babies died in Delivery Room and babies with no cranial ultrasound or other technique done to diagnose<br />

PVL. Analyzed population: Admitted babies with a cranial ultrasound or other technique done to diagnose PVL done.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.18.3 Cystic PVL <strong>Standard</strong>ized Rate by Perinatal Risk Factors.<br />

Graph 6.18.3, corresponds to the 95% CI for the standardised Cystic PVL adjusted rate.<br />

3<br />

Graph 6.18.3<br />

Results for Units 11, 12, 14, 22, 24, 33, 41, 55, 63 ,70 ,75, 79, 83, 87 and 88 reached statistical significant relevance, being<br />

the Cystic PVL rate for these Units significantly smaller than the one expected according to the standard’s population. On<br />

the other hand Units 3, 5 and 93 had a bigger significant cystic PVL rate.<br />

Units 8, 19, 25, 26, 27, 29, 31, 35, 39, 45, 46, 47, 48, 49, 50, 54, 56, 59, 61, 64, 66, 69, 73, 78, 80, 81, 85, 89, 90, 91 and 94 didn’t<br />

register cystic PVL.<br />

Note 1: <strong>Standard</strong>ization items: Birth weight Z-Score by gestational age and gender.<br />

Note 2: Units with 5 or less babies admitted have not been analyzed in this section.<br />

EuroNeoNet 2010 133<br />

Note: Excluded babies died in Delivery Room and babies with no cranial ultrasound or other technique done to diagnose PVL. Analyzed population: Admitted babies with a cranial ultrasound or other<br />

technique done to diagnose PVL done.


EuroNeoNet<br />

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6.19 Mortality Rate.<br />

Definition: if the infant died on or before his/her first birthday at your hospital prior to being<br />

discharge home or transferred and if the infant died in the delivery room (if your Unit has one).<br />

6.19.1 Mortality Rate by Birth Weight.<br />

The global Mortality rate for 2010 cohort has been of 10.3%, with a variation of<br />

2.2% and 39.7% within units.<br />

Mortality Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

1 1 100 2 25 1 6,7 --- --- --- --- 1 5,3 5 5,3<br />

2 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

3 1 100 8 50 2 8,7 3 8,1 --- --- --- --- 14 9<br />

4 2 66,7 4 50 --- --- 1 6,3 --- --- --- --- 7 10<br />

5 --- --- 7 33,3 1 3,3 1 3,1 --- --- 1 2,4 10 6<br />

6 6 66,7 5 31,3 4 11,8 1 3,7 1 2,3 1 2,4 18 10,5<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- --- --- --- --- 1 20 1 4,5<br />

9 1 100 --- --- --- --- 1 10 --- --- --- --- 2 5,6<br />

10 --- --- 4 57,1 --- --- --- --- 1 7,1 --- --- 5 8,2<br />

11 --- --- 2 15,4 1 4 1 3 4 8,5 --- --- 8 5,5<br />

12 1 33,3 17 30,4 15 18,5 2 2 7 4,5 1 1,1 43 8,9<br />

13 --- --- --- --- 2 40 --- --- --- --- --- --- 2 8<br />

14 2 66,7 8 24,2 2 4,3 1 1,5 3 2,4 1 2 17 5,2<br />

15 1 100 --- --- 3 13,6 1 14,3 1 2,8 --- --- 6 7,2<br />

16 --- --- 1 50 --- --- --- --- --- --- --- --- 1 2,5<br />

17 --- --- 1 11,1 --- --- 1 3,8 --- --- --- --- 2 2,2<br />

18 --- --- 1 25 --- --- 2 8,7 --- --- --- --- 3 4,3<br />

19 --- --- 2 25 2 33,3 --- --- --- --- --- --- 4 6<br />

20 --- --- 1 20 3 16,7 --- --- 1 4,2 --- --- 5 6,3<br />

21 --- --- 2 66,7 2 40 1 9,1 --- --- --- --- 5 12,2<br />

22 --- --- 4 80 1 9,1 --- --- 1 5,3 --- --- 6 9,4<br />

23 1 100 10 32,3 8 15,7 3 5,3 1 2,1 --- --- 23 10,7<br />

24 --- --- 10 38,5 10 17,5 4 8,2 3 7,3 --- --- 27 15,6<br />

25 --- --- --- --- --- --- 1 10 --- --- --- --- 1 4<br />

26 --- --- 8 42,1 1 7,1 1 7,1 --- --- --- --- 10 14,5<br />

27 --- --- 1 16,7 3 25 1 11,1 --- --- --- --- 5 10,4<br />

28 --- --- --- --- 2 25 1 50 --- --- --- --- 3 15,8<br />

29 1 100 --- --- --- --- --- --- --- --- --- --- 1 5,9<br />

30 --- --- 2 20 6 30 1 9,1 6 18,2 --- --- 15 20,3<br />

31 --- --- --- --- 1 33,3 --- --- --- --- --- --- 1 9,1<br />

32 1 50 3 50 2 28,6 1 12,5 --- --- --- --- 7 21,9<br />

33 2 50 4 22,2 1 3,2 3 8,8 2 3,8 --- --- 12 8,6<br />

34 --- --- 4 66,7 5 41,7 1 10 --- --- --- --- 10 23,8<br />

35 1 100 3 50 1 12,5 --- --- --- --- --- --- 5 20<br />

36 --- --- 5 62,5 1 8,3 2 11,1 2 6,5 --- --- 10 14,5<br />

37 --- --- 1 33,3 --- --- --- --- 2 9,5 --- --- 3 7,7<br />

38 1 100 1 20 1 12,5 2 20 --- --- --- --- 5 11,9<br />

39 --- --- 4 80 4 22,2 3 25 1 4,5 --- --- 12 20,3<br />

40 --- --- 2 50 --- --- 2 25 --- --- --- --- 4 12,9<br />

EuroNeoNet 2010 134<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

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Mortality Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

41 --- --- 5 45,5 4 33,3 --- --- 1 4,8 --- --- 10 16,7<br />

42 --- --- --- --- 2 33,3 1 5,6 --- --- --- --- 3 8,8<br />

43 --- --- 1 50 4 44,4 --- --- 1 3,3 --- --- 6 11,5<br />

44 --- --- --- --- 2 22,2 --- --- --- --- --- --- 2 3,8<br />

45 --- --- 4 80 2 28,6 2 16,7 1 6,3 --- --- 9 22,5<br />

46 --- --- 1 50 --- --- --- --- --- --- --- --- 1 9,1<br />

47 --- --- 1 33,3 1 25 --- --- --- --- --- --- 2 7,1<br />

48 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

49 --- --- 2 66,7 1 20 --- --- --- --- --- --- 3 13,6<br />

50 --- --- 3 75 --- --- --- --- 2 25 --- --- 5 18,5<br />

51 2 100 3 27,3 3 13 2 5,7 2 7,1 --- --- 12 9,9<br />

52 2 66,7 5 26,3 7 16,7 5 13,5 3 6,1 --- --- 22 14,7<br />

53 --- --- 2 33,3 1 16,7 --- --- 1 7,7 --- --- 4 13,3<br />

54 1 100 2 66,7 --- --- --- --- 1 14,3 --- --- 4 30,8<br />

55 --- --- 11 55 12 33,3 6 10 --- --- --- --- 29 15,7<br />

56 --- --- --- --- 1 25 --- --- --- --- --- --- 1 5,9<br />

57 --- --- 5 62,5 3 27,3 --- --- --- --- --- --- 8 14,8<br />

58 --- --- 2 50 2 15,4 --- --- 1 3,8 --- --- 5 8,2<br />

59 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

60 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

61 --- --- 3 33,3 --- --- --- --- --- --- --- --- 3 6,7<br />

62 --- --- 7 100 2 33,3 2 22,2 --- --- --- --- 11 33,3<br />

63 --- --- 4 50 10 41,7 3 7,5 4 8,2 --- --- 21 17,4<br />

64 --- --- --- --- 1 20 1 8,3 --- --- --- --- 2 4,9<br />

65 --- --- 2 33,3 3 37,5 1 10 --- --- --- --- 6 15,8<br />

66 1 100 3 60 3 12 1 4,8 --- --- --- --- 8 11,6<br />

67 --- --- 8 44,4 9 30 2 6,3 --- --- --- --- 19 15,2<br />

68 --- --- 7 63,6 1 8,3 --- --- --- --- --- --- 8 14,3<br />

69 --- --- 2 66,7 1 100 --- --- --- --- --- --- 3 13,6<br />

70 --- --- 1 16,7 10 40 --- --- --- --- 1 3,7 12 10,3<br />

71 --- --- 2 25 3 50 --- --- --- --- --- --- 5 15,6<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 1 100 1 33,3 --- --- --- --- --- --- --- --- 2 8<br />

74 1 50 4 23,5 3 12,5 --- --- --- --- 1 3,4 9 7,4<br />

75 --- --- 7 58,3 2 16,7 1 3,6 --- --- 2 10 12 12<br />

76 2 50 --- --- 1 3,6 1 3,3 1 3 --- --- 5 3,4<br />

77 2 66,7 --- --- 1 9,1 --- --- 1 4,2 --- --- 4 5,9<br />

78 1 100 1 16,7 --- --- 2 14,3 --- --- --- --- 4 8,3<br />

79 1 100 2 18,2 2 25 --- --- 1 3,8 --- --- 6 7,4<br />

80 --- --- --- --- 1 9,1 --- --- --- --- 1 33,3 2 5,1<br />

EuroNeoNet 2010 135<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

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Mortality Rate against Birth Weight by Participating Unit<br />

Unit<br />

Code<br />

< 501 gr. 501 - 750 gr. 751 - 1000 gr. 1001 - 1250 gr.<br />

1251 - 1500 gr. > 1500 gr.<br />

TOTAL<br />

N % N % N % N % N % N % N %<br />

81 1 50 5 50 3 14,3 3 13,6 --- --- --- --- 12 10<br />

82 --- --- 1 20 2 18,2 --- --- --- --- 1 6,7 4 6,3<br />

83 3 42,9 7 28 2 6,9 1 3,1 3 7 --- --- 16 9,2<br />

84 1 33,3 3 33,3 2 11,1 1 6,3 2 4,8 --- --- 9 10,2<br />

85 --- --- 1 25 2 25 --- --- --- --- --- --- 3 8,8<br />

86 --- --- 2 40 1 5,6 --- --- --- --- --- --- 3 6<br />

87 2 100 2 66,7 --- --- 2 10 --- --- --- --- 6 8,8<br />

88 1 50 10 37 8 30,8 3 8,6 1 2,6 2 7,7 25 16,1<br />

89 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

90 --- --- 1 25 --- --- --- --- 1 4 --- --- 2 2,8<br />

91 --- --- 4 80 --- --- --- --- 1 6,3 --- --- 5 10,6<br />

92 1 100 17 48,6 8 19 6 11,8 2 3,4 --- --- 34 17,9<br />

93 9 64,3 12 31,6 3 8,6 2 4,3 2 3,3 4 7,8 32 13,1<br />

94 --- --- 1 3,8 2 5,1 1 3,3 --- --- --- --- 4 2,7<br />

95 1 100 9 90 5 41,7 3 42,9 1 5,9 4 36,4 23 39,7<br />

96 --- --- --- --- 1 5,9 --- --- 1 4,5 --- --- 2 2,9<br />

TOTAL 55 50,9 303 35 222 15,8 94 5,5 70 2,9 22 2,3 766 10,3<br />

EuroNeoNet 2010 136<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

6.19.2 Mortality Rate by Gestational Age.<br />

Unit<br />

Code<br />

Mortality Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

1 2 100 2 20 --- --- --- --- 1 3 --- --- 5 5,3<br />

2 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

3 5 100 4 28,6 4 21,1 --- --- --- --- 1 7,1 14 9<br />

4 2 66,7 4 50 1 9,1 --- --- --- --- --- --- 7 10<br />

5 3 33,3 4 36,4 2 5 1 3,6 --- --- --- --- 10 6<br />

6 6 75 7 36,8 1 3,4 3 7,7 --- --- 1 6,7 18 10,5<br />

7 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

8 --- --- --- --- --- --- --- --- 1 7,7 --- --- 1 4,5<br />

9 1 100 --- --- 1 16,7 --- --- --- --- --- --- 2 5,6<br />

10 1 100 2 28,6 1 25 --- --- 1 3,6 --- --- 5 8,2<br />

11 --- --- 2 15,4 1 5,3 2 5,4 2 3,8 1 4,2 8 5,5<br />

12 1 100 19 51,4 12 17,9 5 4,3 3 1,7 3 3,6 43 8,9<br />

13 --- --- 1 100 1 50 --- --- --- --- --- --- 2 8<br />

14 1 100 7 43,8 3 8,6 1 1,2 3 2,4 2 3,1 17 5,2<br />

15 --- --- 2 50 3 20 1 5,9 --- --- --- --- 6 7,2<br />

16 1 100 --- --- --- --- --- --- --- --- --- --- 1 2,5<br />

17 --- --- --- --- 2 12,5 --- --- --- --- --- --- 2 2,2<br />

18 --- --- --- --- 3 27,3 --- --- --- --- --- --- 3 4,3<br />

19 --- --- 4 50 --- --- --- --- --- --- --- --- 4 6<br />

20 --- --- 2 25 2 11,8 --- --- 1 3,2 --- --- 5 6,3<br />

21 --- --- 2 66,7 2 40 1 16,7 --- --- --- --- 5 12,2<br />

22 --- --- 3 42,9 2 22,2 1 6,7 --- --- --- --- 6 9,4<br />

23 --- --- 9 31 8 20 2 3,2 4 6,1 --- --- 23 10,7<br />

24 1 100 9 60 11 22,4 5 8,3 1 2,1 --- --- 27 15,6<br />

25 --- --- --- --- 1 50 --- --- --- --- --- --- 1 4<br />

26 2 100 5 50 1 6,7 1 7,1 1 5,3 --- --- 10 14,5<br />

27 --- --- 1 50 4 33,3 --- --- --- --- --- --- 5 10,4<br />

28 --- --- --- --- 2 40 --- --- --- --- 1 25 3 15,8<br />

29 --- --- --- --- 1 50 --- --- --- --- --- --- 1 5,9<br />

30 2 100 5 41,7 2 12,5 1 10 2 11,1 3 18,8 15 20,3<br />

31 --- --- --- --- --- --- 1 50 --- --- --- --- 1 9,1<br />

32 --- --- 4 57,1 3 42,9 --- --- --- --- --- --- 7 21,9<br />

33 1 100 4 23,5 3 10,7 --- --- 3 6 1 5 12 8,6<br />

34 --- --- 3 50 6 50 --- --- 1 14,3 --- --- 10 23,8<br />

35 --- --- 3 100 1 14,3 --- --- 1 16,7 --- --- 5 20<br />

36 --- --- 4 50 1 12,5 3 18,8 2 10,5 --- --- 10 14,5<br />

37 --- --- --- --- 1 25 1 14,3 1 6,7 --- --- 3 7,7<br />

38 --- --- --- --- 4 57,1 1 9,1 --- --- --- --- 5 11,9<br />

39 2 100 1 50 4 26,7 2 12,5 2 20 1 7,1 12 20,3<br />

40 1 100 --- --- 1 33,3 2 20 --- --- --- --- 4 12,9<br />

41 --- --- 4 57,1 3 33,3 2 11,8 --- --- 1 6,7 10 16,7<br />

42 --- --- 1 50 2 22,2 --- --- --- --- --- --- 3 8,8<br />

43 --- --- 5 83,3 1 33,3 --- --- --- --- --- --- 6 11,5<br />

44 --- --- 1 25 1 12,5 --- --- --- --- --- --- 2 3,8<br />

45 --- --- 2 66,7 1 33,3 4 23,5 1 14,3 1 10 9 22,5<br />

46 1 100 --- --- --- --- --- --- --- --- --- --- 1 9,1<br />

47 --- --- 1 50 1 20 --- --- --- --- --- --- 2 7,1<br />

48 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

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Unit<br />

Code<br />

Mortality Rate against Gestational Age by Participating Unit<br />

< 24 wk. 24 - 25 wk. 26 - 27 wk. 28 - 29 wk. 30 - 31 wk. > 31 wk. TOTAL<br />

N % N % N % N % N % N % N %<br />

49 --- --- 1 100 1 12,5 --- --- 1 14,3 --- --- 3 13,6<br />

50 --- --- 1 25 2 33,3 --- --- 2 28,6 --- --- 5 18,5<br />

51 2 50 3 20 --- --- 4 14,3 3 7,7 --- --- 12 9,9<br />

52 2 100 9 33,3 1 4,2 5 15,6 2 5,3 3 11,1 22 14,7<br />

53 --- --- 2 66,7 1 12,5 --- --- --- --- 1 20 4 13,3<br />

54 --- --- 3 100 --- --- --- --- --- --- 1 25 4 30,8<br />

55 2 100 7 50 13 25,5 5 11,4 1 2,4 1 3,1 29 15,7<br />

56 --- --- 1 33,3 --- --- --- --- --- --- --- --- 1 5,9<br />

57 3 100 3 60 1 11,1 1 7,7 --- --- --- --- 8 14,8<br />

58 1 100 2 40 1 12,5 --- --- 1 5 --- --- 5 8,2<br />

59 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

60 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

61 --- --- 2 40 --- --- 1 11,1 --- --- --- --- 3 6,7<br />

62 --- --- 5 100 4 44,4 2 50 --- --- --- --- 11 33,3<br />

63 --- --- 6 85,7 10 41,7 4 16 1 2,9 --- --- 21 17,4<br />

64 --- --- 1 100 1 14,3 --- --- --- --- --- --- 2 4,9<br />

65 --- --- 3 60 2 22,2 1 8,3 --- --- --- --- 6 15,8<br />

66 1 50 3 27,3 3 27,3 1 4 --- --- --- --- 8 11,6<br />

67 --- --- 8 44,4 6 26,1 5 12,5 --- --- --- --- 19 15,2<br />

68 1 100 4 80 3 17,6 --- --- --- --- --- --- 8 14,3<br />

69 1 100 --- --- 2 50 --- --- --- --- --- --- 3 13,6<br />

70 --- --- 4 33,3 5 29,4 2 8,7 1 2,3 --- --- 12 10,3<br />

71 --- --- 3 42,9 1 16,7 1 25 --- --- --- --- 5 15,6<br />

72 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

73 --- --- 2 100 --- --- --- --- --- --- --- --- 2 8<br />

74 --- --- 4 30,8 1 4,2 4 11,4 --- --- --- --- 9 7,4<br />

75 --- --- 8 66,7 --- --- 1 4,5 3 7,9 --- --- 12 12<br />

76 --- --- 2 10,5 1 4,2 1 3,8 1 1,8 --- --- 5 3,4<br />

77 --- --- 2 18,2 1 11,1 --- --- 1 5 --- --- 4 5,9<br />

78 --- --- 2 100 --- --- 1 6,3 --- --- 1 20 4 8,3<br />

79 --- --- 2 25 3 27,3 --- --- --- --- 1 8,3 6 7,4<br />

80 --- --- --- --- --- --- 1 14,3 1 11,1 --- --- 2 5,1<br />

81 --- --- 5 62,5 5 27,8 1 3,3 --- --- 1 5,3 12 10<br />

82 --- --- 3 42,9 --- --- --- --- 1 3,8 --- --- 4 6,3<br />

83 8 88,9 2 16,7 2 5,9 4 9,5 --- --- --- --- 16 9,2<br />

84 --- --- 4 36,4 3 20 --- --- 2 5,7 --- --- 9 10,2<br />

85 1 100 --- --- 1 20 1 12,5 --- --- --- --- 3 8,8<br />

86 --- --- 3 42,9 --- --- --- --- --- --- --- --- 3 6<br />

87 3 100 1 100 2 20 --- --- --- --- --- --- 6 8,8<br />

88 3 75 12 52,2 2 6,7 5 16,1 3 6,5 --- --- 25 16,1<br />

89 --- --- --- --- --- --- --- --- --- --- --- --- --- ---<br />

90 --- --- --- --- 1 9,1 --- --- 1 2,7 --- --- 2 2,8<br />

91 1 100 2 50 1 20 --- --- --- --- 1 20 5 10,6<br />

92 5 100 11 33,3 9 20,5 6 12,5 2 5,4 1 4,3 34 17,9<br />

93 12 57,1 8 30,8 2 6,5 2 4,2 6 6,9 2 6,3 32 13,1<br />

94 --- --- 3 9,4 1 3,1 --- --- --- --- --- --- 4 2,7<br />

95 4 100 8 88,9 2 100 3 23,1 5 26,3 1 9,1 23 39,7<br />

96 --- --- --- --- 1 7,7 --- --- --- --- 1 14,3 2 2,9<br />

TOTAL 83 71,6 282 38,2 199 15,8 102 5,9 69 2,8 31 2,7 766 10,3<br />

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6.19.3 Mortality <strong>Standard</strong>ized Rate by Perinatal Risk Factors.<br />

Graph 6.19.1, corresponds to the 95% CI for the standardised Mortality adjusted rate.<br />

Graph 6.19.3<br />

The results for Units 1, 5, 14, 16, 17, 25, 74, 76, 77, 81, 83, 90, 94 and 96 reached statistical significant relevance, being the<br />

mortality rate for these Units significantly smaller than the one expected according to the standard’s population mortality<br />

distribution. On the other hand Units 39, 45, 55, 67 and 95 had a bigger significant mortality rate than the one expected<br />

according to the standard’s population mortality distribution.<br />

Units 2, 48, 59, 60 and 89 didn’t register mortality.<br />

Note 1: <strong>Standard</strong>ization items: Birth weight Z-Score by gestational age, Prenatal Steroids use, 1-min<br />

Apgar Score, 5-min Apgar Score, Multiple Gestation, Mode of Delivery and Major Birth Defects<br />

Note 2: Units with 5 or less babies admitted have not been analyzed in this section.<br />

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6.19.4 Excess/Defect analysis.<br />

As the study of mortality is one of the main objectives of the ENS Project, in this<br />

section we will try to explain in more detail how the different Units behave in<br />

relation with the standard population.<br />

Table 6.19.4 shows the observed number of deaths, the expected number of<br />

deaths according to the sample size in each Unit and the difference between<br />

these two numbers. All these calculations have been done considering the<br />

different groups by birth weight.<br />

The explanation for Table 6.19.4 is the following:<br />

When SMR is under 1, the table will give us the number of deaths that did not<br />

appear and should in relation with general population; whereas when the SMR<br />

is above 1, the table shows the excess number of deaths.<br />

Table 6.19.4<br />

Unit Code<br />

Observed<br />

nº of deaths<br />

Expected<br />

nº of deaths<br />

by BW<br />

SMR<br />

Excess/Defect<br />

nº of deaths<br />

76 5 18,3 0,27 -13,3<br />

14 16 28,6 0,56 -12,6<br />

83 16 28,1 0,57 -12,1<br />

94 4 15,4 0,26 -11,4<br />

93 29 38,8 0,75 -9,8<br />

81 12 21,6 0,55 -9,6<br />

1 5 13,0 0,39 -8,0<br />

5 10 17,7 0,57 -7,7<br />

17 2 8,7 0,23 -6,7<br />

74 9 15,4 0,58 -6,4<br />

96 2 8,3 0,24 -6,3<br />

33 11 16,7 0,66 -5,7<br />

89 0 4,5 0,00 -4,5<br />

77 4 8,0 0,50 -4,0<br />

19 4 7,7 0,52 -3,7<br />

90 2 5,5 0,37 -3,5<br />

48 0 3,4 0,00 -3,4<br />

11 8 11,1 0,72 -3,1<br />

75 11 13,8 0,80 -2,8<br />

25 1 3,7 0,27 -2,7<br />

82 4 6,6 0,61 -2,6<br />

16 1 3,5 0,29 -2,5<br />

79 6 8,3 0,72 -2,3<br />

18 3 5,3 0,57 -2,3<br />

86 3 5,3 0,57 -2,3<br />

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Unit Code<br />

Observed<br />

nº of deaths<br />

Expected<br />

nº of deaths<br />

by BW<br />

SMR<br />

Excess/Defect<br />

nº of deaths<br />

60 0 2,2 0,00 -2,2<br />

91 5 7,1 0,70 -2,1<br />

2 0 1,9 0,00 -1,9<br />

4 5 6,5 0,77 -1,5<br />

3 13 14,4 0,90 -1,4<br />

15 6 7,4 0,81 -1,4<br />

20 5 6,3 0,79 -1,3<br />

44 2 3,3 0,61 -1,3<br />

51 12 13,1 0,91 -1,1<br />

59 0 1,0 0,00 -1,0<br />

80 2 3,0 0,66 -1,0<br />

78 3 4,0 0,75 -1,0<br />

47 2 2,8 0,72 -0,8<br />

9 2 2,8 0,73 -0,8<br />

73 2 2,6 0,76 -0,6<br />

61 3 3,6 0,83 -0,6<br />

8 1 1,5 0,68 -0,5<br />

72 0 0,5 0,00 -0,5<br />

70 12 12,2 0,98 -0,2<br />

7 0 0,2 0,00 -0,2<br />

63 6 6,2 0,97 -0,2<br />

29 1 1,1 0,90 -0,1<br />

58 4 4,1 0,98 -0,1<br />

64 2 2,1 0,96 -0,1<br />

42 3 3,1 0,97 -0,1<br />

31 1 1,0 1,05 0,0<br />

22 6 5,9 1,01 0,1<br />

37 2 1,9 1,05 0,1<br />

56 1 0,9 1,10 0,1<br />

53 4 3,8 1,05 0,2<br />

46 1 0,8 1,24 0,2<br />

13 2 1,7 1,15 0,3<br />

6 17 16,7 1,02 0,3<br />

69 3 2,6 1,16 0,4<br />

87 6 5,5 1,08 0,5<br />

21 5 4,4 1,13 0,6<br />

34 5 4,4 1,15 0,6<br />

85 3 2,3 1,28 0,7<br />

49 3 2,3 1,31 0,7<br />

10 5 4,1 1,21 0,9<br />

40 3 1,9 1,54 1,1<br />

26 10 8,7 1,15 1,3<br />

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Unit Code<br />

Observed<br />

nº of deaths<br />

Expected<br />

nº of deaths<br />

by BW<br />

SMR<br />

Excess/Defect<br />

nº of deaths<br />

23 22 20,3 1,09 1,7<br />

65 6 4,2 1,43 1,8<br />

38 5 3,2 1,58 1,8<br />

71 5 3,1 1,59 1,9<br />

36 9 7,1 1,27 1,9<br />

66 8 6,0 1,33 2,0<br />

28 3 1,0 3,00 2,0<br />

27 5 3,0 1,67 2,0<br />

68 8 5,7 1,40 2,3<br />

43 6 3,7 1,63 2,3<br />

57 7 4,6 1,52 2,4<br />

32 5 2,4 2,07 2,6<br />

12 42 39,4 1,07 2,6<br />

84 9 6,4 1,41 2,6<br />

35 5 2,2 2,27 2,8<br />

54 4 0,9 4,64 3,1<br />

52 21 17,7 1,19 3,3<br />

50 5 1,6 3,10 3,4<br />

24 22 17,4 1,26 4,6<br />

41 9 4,2 2,12 4,8<br />

62 9 3,6 2,51 5,4<br />

88 24 18,2 1,32 5,8<br />

45 9 2,8 3,21 6,2<br />

30 14 7,6 1,85 6,4<br />

39 12 5,0 2,42 7,0<br />

67 19 10,1 1,87 8,9<br />

92 30 21,1 1,42 8,9<br />

95 23 13,4 1,72 9,6<br />

55 29 12,9 2,25 16,1<br />

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7 LENGTH OF STAY ANALYSIS FOR VLGAI DISCHARGED TO<br />

HOME.<br />

7.1 Sample Size<br />

In this section the length of stay of VLGAI is going to be analysed. Firstly the<br />

sample size has to be determined. From the global set of data, infants that died,<br />

were transferred or are still hospitalised are going to be excluded of the analysis<br />

in this section. The only infants to be considered in this analysis are those<br />

dicharged home. The valid sample size is the following:<br />

Sample Size<br />

(General Analysis)<br />

7,437<br />

Excluded<br />

(Units 5<br />

babies admitted)<br />

N=7,432<br />

Died<br />

N=766<br />

Transferred<br />

N=1,747<br />

Home<br />

N=4,899<br />

Still Hospitalized<br />

N=20<br />

Missing Data<br />

N=5<br />

Complete Data<br />

N=4,894<br />

In all this section, sample size will exclude:<br />

1. Deaths in Delivery Room.<br />

2. Units with 5 or less babies admitted to the NICU<br />

3. Babies not discharged home (died, transferred or still hospitalized as of first birthday)<br />

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7.2 Lenght of stay (days) description<br />

The valid sample size finally has been of 4,894 infants because.<br />

Table 7.2.1 shows the parametric and non-parametric statistics for the Length of<br />

Stay. The global mean stay for the 94 Units analysed has been of 55.6 days<br />

with a standard desviation of 30.8 days.<br />

Note: Missing Age at admission has been considered as 0 days.<br />

Table 7.2.1<br />

Length of Stay by Unit Participating in the ENS Project<br />

Unit Code N 95% CI () Q 2 [Q 1 ,Q 3 ]<br />

1 60 45.8 ± 21.2 [40.3;51.3] 40 [33;66,75]<br />

2 17 45.4 ± 19.2 [35.5;55.2] 42 [28;53,5]<br />

3 127 40.3 ± 25.3 [35.8;44.7] 33 [24;49]<br />

4 43 58.7 ± 34.3 [48.2;69.3] 49 [37;74]<br />

5 109 49.5 ± 25.4 [44.7;54.3] 42 [33;56]<br />

6 128 44.6 ± 26.6 [40;49.3] 37 [27;53,25]<br />

8 19 41.4 ± 36.2 [24;58.9] 37 [26;46]<br />

9 20 46.9 ± 21.7 [36.7;57.1] 44,5 [32,75;66]<br />

10 34 47.1 ± 20.5 [39.9;54.2] 43 [33,5;53,25]<br />

11 39 42.3 ± 26.7 [35.2;49.3] 36 [26;48]<br />

12 311 51.2 ± 34.1 [47.4;55] 43 [30;62]<br />

13 15 46.4 ± 22.7 [33.8;59] 38 [29;71]<br />

14 229 49.5 ± 28.1 [45.9;53.2] 42 [31,5;59]<br />

15 52 72.6 ± 51.7 [58.2;87] 60 [48,25;76]<br />

16 31 59.8 ± 26.5 [50.1;69.6] 51 [42;76]<br />

17 45 66 ± 24.5 [58.7;73.4] 62 [47;82,5]<br />

18 37 63 ± 25.1 [54.6;71.4] 61 [45,5;77]<br />

19 41 59.7 ± 31.4 [49.8;69.6] 52 [38;68]<br />

20 56 63.7 ± 24.6 [57.1;70.3] 57,5 [43,25;77]<br />

21 32 50.6 ± 18.7 [43.9;57.4] 45 [38,5;53,75]<br />

22 16 57.7 ± 20.2 [46.9;68.4] 51 [42,75;66]<br />

23 84 70.2 ± 32 [63.2;77.1] 66 [44,25;87,5]<br />

24 67 77.2 ± 25.2 [71.1;83.4] 75 [57;96]<br />

25 24 46.4 ± 21.7 [37.3;55.6] 47 [29,75;58]<br />

26 37 62.8 ± 27.7 [53.6;72] 61 [36;83,5]<br />

27 34 58.5 ± 26.7 [49.1;67.8] 55 [42,75;67,75]<br />

28 16 54.6 ± 20.7 [43.5;65.6] 56,5 [37;70,75]<br />

29 15 48.2 ± 11.1 [42.1;54.3] 45 [39;57]<br />

30 54 65.7 ± 37.5 [55.4;75.9] 56 [36,75;84,25]<br />

31 9 35.1 ± 20.4 [19.5;50.8] 25 [18,5;48,5]<br />

32 25 67.3 ± 32.4 [54;80.7] 64 [41;88]<br />

33 110 53.9 ± 25.7 [49;58.7] 46 [32,75;76,5]<br />

34 28 68.8 ± 29.9 [57.2;80.4] 67 [54;82,25]<br />

35 19 68.7 ± 30.3 [54.1;83.3] 63 [47;91]<br />

36 58 48.9 ± 29.3 [41.2;56.6] 36,5 [27,75;60,5]<br />

37 29 39.1 ± 21.2 [31;47.1] 37 [19;56]<br />

38 33 64.4 ± 70.6 [39.3;89.4] 51 [33,5;69]<br />

39 44 54.9 ± 23.1 [47.9;62] 49,5 [37,25;68,5]<br />

40 26 57.5 ± 23.2 [48.1;66.8] 51,5 [38,75;67,5]<br />

41 49 53.5 ± 27.8 [45.2;61.5] 49 [33;67]<br />

42 27 65.1 ± 37.3 [50.4;79.9] 58 [37;80]<br />

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Table 7.2.1<br />

Length of Stay by Unit Participating in the ENS Project<br />

Unit Code N 95% CI () Q 2 [Q 1 ,Q 3 ]<br />

43 45 43.2 ± 19.4 [37.3;49] 41 [28,5;50]<br />

44 48 56.8 ± 27.4 [48.9;64.8] 49,5 [39;72,25]<br />

45 28 50.3 ± 33.1 [37.4;63.1] 42 [29;59,75]<br />

46 10 62.3 ± 30.9 [40.2;84.4] 51 [46,75;80]<br />

47 25 49.8 ± 26.7 [38.7;60.8] 43 [31;62]<br />

48 28 52.1 ± 19.7 [44.4;59.7] 46 [40,25;57]<br />

49 19 64.3 ± 17.2 [56;72.6] 66 [52;79]<br />

50 22 86.4 ± 85.5 [48.4;124.3] 73 [42,5;90,5]<br />

51 100 64.4 ± 38.7 [56.7;72.1] 50 [37;78]<br />

52 123 66 ± 41.3 [58.6;73.4] 52 [38;89]<br />

53 24 55.2 ± 24.2 [45;65.4] 51 [33,25;77]<br />

54 9 51.6 ± 34 [25.4;77.7] 46 [38;55]<br />

55 129 51.1 ± 27.2 [46.4;55.9] 43 [33;62]<br />

56 16 60.4 ± 22.4 [48.4;72.3] 58,5 [48;67]<br />

57 46 61.5 ± 26.1 [53.8;69.3] 58 [39;76,75]<br />

58 54 51.7 ± 22.7 [45.5;57.9] 48 [32;68]<br />

59 14 51.4 ± 25 [36.9;65.8] 41,5 [34,75;65,75]<br />

60 40 60.7 ± 25.9 [52.4;69] 53,5 [40,5;80,5]<br />

61 37 60.2 ± 22.5 [52.7;67.8] 53 [44;74]<br />

62 22 52.2 ± 27.6 [40;64.5] 43,5 [31,5;67,75]<br />

63 99 46.3 ± 25.4 [41.3;51.4] 38 [31;55]<br />

64 37 40.1 ± 15 [35.1;45.1] 37 [27,5;50]<br />

65 30 53.6 ± 25.7 [44;3.2] 45,5 [39,25;65,5]<br />

66 61 71.8 ± 25.7 [65.2;78.4] 69 [56,5;86]<br />

67 90 63.8 ± 33.7 [56.7;70.9] 55 [39,75;83,5]<br />

68 45 70.8 ± 28.1 [62.4;79.3] 67 [48;87]<br />

69 19 43.1 ± 24.3 [31.4;54.8] 36 [28;49]<br />

70 98 49.6 ± 31.6 [43.3;56] 44 [27;59,5]<br />

71 26 55 ± 32.9 [41.7;68.3] 43,5 [30,75;72,5]<br />

73 21 58.7 ± 18.9 [50.1;67.2] 51 [47;73]<br />

74 37 73.5 ± 39 [60.5;86.5] 62 [45;93]<br />

75 71 57.2 ± 26.5 [50.9;63.5] 52 [37;71]<br />

76 35 65.9 ± 42.3 [51.4;80.4] 58 [39;84]<br />

77 37 66.4 ± 27.7 [57.2;75.7] 62 [44,5;92,5]<br />

78 37 51.8 ± 25.2 [43.4;60.2] 45 [34;57,5]<br />

79 47 59.9 ± 25 [52.5;67.2] 55 [45;78]<br />

80 27 53.4 ± 19.8 [45.6;61.3] 51 [41;65]<br />

81 65 43.7 ± 22.9 [38.1;49.4] 37 [26;60,5]<br />

82 45 70 ± 29.7 [61.1;79] 68 [47,5;91]<br />

83 129 58.2 ± 25.9 [53.6;62.7] 54 [36;77]<br />

84 76 58.5 ± 28.4 [52;65] 53 [38,25;74,25]<br />

85 29 63.9 ± 31.1 [52.1;75.7] 57 [39,5;81]<br />

86 46 69.1 ± 25.6 [61.5;76.7] 58 [48;86]<br />

87 46 49.8 ± 20.5 [43.8;55.9] 44 [32;66]<br />

88 60 50.5 ± 28.6 [43.1;57.8] 45,5 [27,25;69,75]<br />

89 39 40.8 ± 15.9 [35.6;45.9] 37 [31;50]<br />

90 43 40.8 ± 24.9 [33.1;48.4] 33 [25;43]<br />

91 30 50.3 ± 20.2 [42.8;57.8] 48,5 [30,5;65,25]<br />

92 73 59.9 ± 31.1 [52.6;67.2] 54 [35;74,5]<br />

93 166 51 ± 24.9 [47.2;54.9] 44,5 [32;64,25]<br />

94 62 64.3 ± 39.1 [54.4;74.2] 55 [38,75;86,25]<br />

95 30 50 ± 36.5 [36.4;63.7] 35,5 [27,75;70]<br />

96 50 59 ± 20.7 [51.1;64.9] 57,5 [42;73,5]<br />

Total 4894 55.6 ± 30.8 [54.7;56.4] 48 [34;70]<br />

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Graph 7.2.2 corresponds to the 95% CI for the global stay measured in days. The discontinuos line shows the stay mean for the<br />

global set of Units.<br />

Graph 7.2.2<br />

Kruskal- Wallis test for independent samples has been performed. Showing that the length of stay is statistically different between<br />

Units (p


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

8 ANNEX<br />

Number of babies reported by Unit 70 that fulfilled ENN data inclusion criteria<br />

are 120.<br />

A 3.3% (4 babies) died in delivery room. This will be analysed in section 8.1 and<br />

then admitted babies (116) will be described in detail in section 8.2 and 8.3.<br />

Reminder of ENN Data Inclusion Criteria:<br />

Any infant born alive at your hospital, whether or not was admitted to your NICU, should be reported if his/her:<br />

Birth Weight (BW) is less than 1501 g<br />

OR<br />

Gestational Age (GA) is less than 32 wks (31 + 6 days inclusive).<br />

All livebirths must be reported, no matter if his/her gestational age is below 22 weeks or the birth weight is below 401g.<br />

All outborn infants of same BW and GA as above, admitted to any location in your hospital within 28 days of birth should<br />

also be included, only if the baby has never been discharged home.<br />

Outborn babies admitted to the <strong>Neonatal</strong> Unit after the 28th day of life, should not be included in the Database, since by<br />

international definitions those babies are no longer “newborn” but “infants”.<br />

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8.1 Delivery Romm Deaths Description<br />

Number of babies died in delivery room is too small to perform tables and<br />

graphs.<br />

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8.2 Demographic Individual Data<br />

8.2.1 Birth Weight<br />

Mean birth weight for Unit 70 in 2010 cohort babies has been of 1,276.9 g.<br />

Extreme values are those under 725.5 g., and above 1,910.5 g. (Percentile 5<br />

and Percentile 95).<br />

Birth weight (gr.)<br />

Mean (SD) 1,276.9 (349.8)<br />

95% CI (Mean) (1,212.6;1,341.3)<br />

Med [Q 1 ,Q 3 ] 1,300 [990;1,490]<br />

Min-Max 610 - 2,170<br />

P 5 -P 95 725.5 - 1,910.5<br />

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8.2.2 Gestational Age<br />

Median gestational age for Unit 70 in 2010 cohort babies has been of 30 weeks.<br />

Extreme values are those under 25 weeks, and above 34 weeks (Percentile 5<br />

and Percentile 95).<br />

Gestational<br />

Age (wks.)<br />

Mean (SD) 29.5 (2.8)<br />

95% CI (Mean) (29;30.1)<br />

Med [Q 1 ,Q 3 ] 30 [27.3;31]<br />

Min-Max 24 - 36<br />

P 5 -P 95 25 - 34<br />

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8.2.3 Apgar Scores<br />

Admitted babies in Unit 70 for 2010 cohort had an 1-min Apgar Score mean of<br />

of 5.6, and 5-min score mean of 7.9.<br />

1-min Apgar Score<br />

5-min Apgar Score<br />

Mean (SD) 5.6 (2.3) 7.9 (1.8)<br />

95% CI (Mean) (5.2;6) (7.6;8.2)<br />

Med [Q 1 ,Q 3 ] 6 [4;8] 8 [7;9]<br />

Min-Max 0 - 9 0 - 10<br />

P 5 -P 95 1 - 9 4 - 10<br />

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8.2.1 Perinatal Risk Factors<br />

More than half of the population of admitted babies in unit 70 were male<br />

(59.5%). A 51.7% of babies were multiple and a 65.5% of admitted babies were<br />

born by caesarean section. An 81% received at least one cycle of Prenatal<br />

Steroids and a 93.1% Prenatal Care. A 2.6% of admitted babies presented a<br />

major birth defect.<br />

N %<br />

Male 69 59.5<br />

Multiple Gestation 60 51.7<br />

Caesarean Section 76 65.5<br />

Prenatal Steroids (Inc. + Compl.) 94 81<br />

Prenatal Care 108 93.1<br />

Major Birth Defects 3 2.6<br />

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<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

8.2.2 <strong>Standard</strong>ized Percentiles<br />

Manoeuvres and Diagnoses:<br />

Resuscitation in Delivery Room, Surfactant Need, RDS and Early Onset Sepsis<br />

More than ¾ of the population (77.6%) needed some kind of resuscitation in<br />

delivery room in addition to Oxygen. A 23.3% of babies needed surfactant at<br />

any time of its stay, being the rate of surfactant within the fist hour of life a<br />

12.9%.<br />

A 38.8% of babies were diagnosed of Respiratory Distress Syndrome and a<br />

0.9% of admitted babies had an early bacterial sepsis episode.<br />

N %<br />

Resuscitation in Delivery Room 90 77.6<br />

Surfactant at any time 27 23.3<br />

Surfactant within the 1st hour of life 15 12.9<br />

Respiratory Distress Syndrome 45 38.8<br />

Early Onset Sepsis 1 0.9<br />

Next graph plots, the percentile that the previous results represent in the whole<br />

year cohort. Results for Surfactant at any time are below the 10 th Percentile.<br />

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Diagnoses:<br />

Pneumothorax, Necrotizing Enterocholitis, Focal Gastroinestinal Perforation and Steroids for<br />

CLD.<br />

Pneumothorax rate is of 5.2%, Necrotizing Enterocholitis of a 4.3% and a 4.3%<br />

for Focal Gastrointestinal Perforation.Steroids for CLD rate was of a 2.6%.<br />

N %<br />

Pneumothorax 6 5.2<br />

Necrotizing Enterocholitis 5 4.3<br />

Focal Gastrointetsinal Perfoartion 5 4.3<br />

Steroids for CLD 3 2.6<br />

Next graph plots, the percentile that the previous results represent in the whole<br />

year cohort. Any of the results were beyond the standard limits (below 10 th<br />

percentile or above 90 th percentile).<br />

EuroNeoNet 2010 154<br />

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EuroNeoNet<br />

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Morbi-Mortality:<br />

Severe PIVH, Rop (Grades >=3), BPD, Late Onset Sepsis, Cystic Leukomalacia and Mortality<br />

Severe PIVH was diagnosed in a 4.5% of babies admitted in Unit Code 70. A<br />

1.4% of admitted babies were diagnosed of Rop (Gardes >=3) and Cystic PVL<br />

was found in a 2.8% of babies. Oxygen on week 36 rate was of a 19.7%.<br />

A 15.5% of babies had at least one late onset sepsis episode and a 10.3% of<br />

admitted babies died at discharge.<br />

N %<br />

Severe PIVH 5 4.5<br />

Rop (Grades >= 3) 1 1.4<br />

BPD 13 19.7<br />

Late Onset Sepsis 18 15.5<br />

Cystic Leukomalacia 3 2.8<br />

Mortality 12 10.3<br />

Next graph plots, the percentile that the previous results represent in the whole<br />

year cohort. Any of the results were beyond the standard limits (below 10 th<br />

percentile or above 90 th percentile).<br />

.<br />

EuroNeoNet 2010 155<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

8.3 Main Results<br />

8.3.1 Percentile Position for Main Results.<br />

Graphic 8.3.1 shows the percentile position for main results for Unit Code 70<br />

realted to all Units included in the study. Main results are considerd to be<br />

Mortality, Pneumothorax diagnose, Oxygen on week 36, Prenatal Steroids<br />

(Incomplete + Complete), PIVH (Grades III or IV) and Late Bacterial Sepsis.<br />

The percentage shown represents the position that the Unit has inside the total<br />

set of Units studied. Unit Code 70 is in percentile 52 for Mortality, in percentile<br />

66 for Pneumothorax, in percentile 64 for Oxygen on week 36, in percentile 74<br />

for Prenatal Steroids (Incomplete + Complete), in percentile 26 for PIVH<br />

(Grades III or IV) and finally in percentile 32 for Late Bacterial Sepsis. For all<br />

main items a positive result is considered a low percentile.<br />

*This graphic represents the position that the Unit has inside the whole set, NOT its<br />

intensity. Intensity is described in 8.3.2 graphic.<br />

EuroNeoNet 2010 156<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

8.3.2 Typified Scores for Main Results<br />

Graphic 8.3.2 corresponds to the typified score for the standardised rate<br />

adjusted by Birth Weight for items considered as main results.<br />

A score above 0 means a positive result and its intensity is given by the score<br />

itself. As larger the score is, the better is the result (when positive) and when<br />

negative; as larger it is, the worse is the result. If the stick crosses the<br />

discontinuous linem the result will be statistically significant.<br />

Results for PIVH (Grades III or IV) and Late Sepsis can be considered as<br />

positive. Any of the results reached statistical significance.<br />

Graph 8.3.2<br />

EuroNeoNet 2010 157<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.


EuroNeoNet<br />

<strong>Annual</strong> <strong>Report</strong> for VLBWI<br />

General Contact <strong>Information</strong><br />

For The ENN Project<br />

Hospital de Cruces<br />

Unidad <strong>Neonatal</strong> 5-D<br />

Plaza de Cruces s/n<br />

48903 Barakaldo<br />

Bizkaia (Spain)<br />

Phone: +34 94 600 63 94<br />

Fax: +34 94 600 60 76<br />

e-mail: info.euroneonet@euskalnet.net<br />

EuroNeoNet 2010 158<br />

Note: Excluded babies died in Delivery Room. Analyzed population: Admitted babies.

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