دورية أكاديمية
Preterm birth and risk of hospitalisation for complex chronic conditions during childhood and adolescence.
العنوان: | Preterm birth and risk of hospitalisation for complex chronic conditions during childhood and adolescence. |
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المؤلفون: | Côté-Corriveau G; Institut national de santé publique du Québec, Montreal, Quebec, Canada.; Department of Pediatrics, Sainte-Justine Hospital Research Centre, University of Montreal, Montreal, Quebec, Canada.; University of Montreal Hospital Research Centre, Montreal, Quebec, Canada., St-Georges J; Faculty of Medicine, University of Montreal, Montreal, Quebec, Canada., Luu TM; Department of Pediatrics, Sainte-Justine Hospital Research Centre, University of Montreal, Montreal, Quebec, Canada., Ayoub A; Institut national de santé publique du Québec, Montreal, Quebec, Canada.; University of Montreal Hospital Research Centre, Montreal, Quebec, Canada., Auger N; Institut national de santé publique du Québec, Montreal, Quebec, Canada.; University of Montreal Hospital Research Centre, Montreal, Quebec, Canada.; Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec, Canada.; School of Public Health, University of Montreal, Montreal, Quebec, Canada. |
المصدر: | Acta paediatrica (Oslo, Norway : 1992) [Acta Paediatr] 2024 Aug 07. Date of Electronic Publication: 2024 Aug 07. |
Publication Model: | Ahead of Print |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Wiley-Blackwell Country of Publication: Norway NLM ID: 9205968 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1651-2227 (Electronic) Linking ISSN: 08035253 NLM ISO Abbreviation: Acta Paediatr Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2007- : Oslo : Wiley-Blackwell Original Publication: Oslo : Scandinavian University Press, c1992- |
مستخلص: | Aim: To examine the relationship between preterm birth and hospitalisation for paediatric complex chronic conditions. Methods: We conducted a cohort study of 1 269 745 children born between 2006 and 2022 in Quebec, Canada. We classified preterm birth as extreme (<28 weeks), very (28-31 weeks), and moderate (32-36 weeks). The outcome was hospitalisation for complex chronic conditions, including neurologic, neuromuscular, cardiovascular, respiratory, renal, gastrointestinal, haematologic, immunologic, endocrine, and neoplastic disorders up to 16 years of age. We computed adjusted hazard ratios (HR) and 95% confidence intervals (CI) for the association between preterm birth and complex chronic conditions during 9 948 734 person-years of follow-up. Results: Hospitalisation rates for complex chronic conditions were higher for children born preterm than at term (6.88 vs. 2.24 per 1000 person-years). Preterm birth was associated with all complex chronic conditions, especially respiratory (HR 4.64, 95% CI 4.01-5.37), cardiovascular (HR 3.68, 95% CI 3.47-3.90), and neurologic disorders (HR 3.48, 95% CI 3.21-3.77). Associations were present at all ages and for all degrees of prematurity, but were strongest with extreme prematurity. Conclusion: Preterm birth increases the risk of hospitalisation for complex chronic conditions up to age 16 years. Preterm children may benefit from enhanced care throughout childhood and adolescence. (© 2024 The Author(s). Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.) |
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معلومات مُعتمدة: | 296785 Fonds de Recherche du Québec - Santé; PJT-162300 Canada CAPMC CIHR |
فهرسة مساهمة: | Keywords: child health; chronic disease; longitudinal studies; morbidity; premature birth |
تواريخ الأحداث: | Date Created: 20240808 Latest Revision: 20240808 |
رمز التحديث: | 20240808 |
DOI: | 10.1111/apa.17383 |
PMID: | 39113477 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1651-2227 |
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DOI: | 10.1111/apa.17383 |