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11 records – page 1 of 2.

5-year morbidity among very preterm infants in relation to level of hospital care.

https://arctichealth.org/en/permalink/ahliterature119186
Source
JAMA Pediatr. 2013 Jan;167(1):40-6
Publication Type
Article
Date
Jan-2013
Author
Liisi Rautava
Janne Eskelinen
Unto Häkkinen
Liisa Lehtonen
Author Affiliation
Department of Pediatrics, Turku University Hospital, 20520 Turku, Finland. liisi.rautava@utu.fi
Source
JAMA Pediatr. 2013 Jan;167(1):40-6
Date
Jan-2013
Language
English
Publication Type
Article
Keywords
Child, Preschool
Cohort Studies
Female
Finland - epidemiology
Humans
Incidence
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases - epidemiology - etiology - therapy
Intensive Care, Neonatal
Logistic Models
Male
Odds Ratio
Outcome and Process Assessment (Health Care)
Patient transfer
Registries
Secondary Care
Tertiary Care Centers
Tertiary Healthcare
Abstract
To determine whether birth and care in the highest-level hospitals (level III) compared with birth in or postnatal transfer to lower-level hospitals (level II) are associated with 5-year morbidity in very preterm children.
A cohort study.
Finland.
All surviving 5-year-old children born very preterm (gestational age
PubMed ID
23128961 View in PubMed
Less detail

Development and behaviour of 5-year-old very low birthweight infants.

https://arctichealth.org/en/permalink/ahliterature144720
Source
Eur Child Adolesc Psychiatry. 2010 Aug;19(8):669-77
Publication Type
Article
Date
Aug-2010
Author
Liisi Rautava
Sture Andersson
Mika Gissler
Mikko Hallman
Unto Häkkinen
Emmi Korvenranta
Heikki Korvenranta
Jaana Leipälä
Outi Tammela
Liisa Lehtonen
Author Affiliation
Department of Pediatrics, Turku University Hospital, Kiinamyllynkatu 4-8, Turku, Finland. liisi.rautava@utu.fi
Source
Eur Child Adolesc Psychiatry. 2010 Aug;19(8):669-77
Date
Aug-2010
Language
English
Publication Type
Article
Keywords
Birth weight
Child Behavior Disorders - diagnosis - psychology
Child, Preschool
Developmental Disabilities - diagnosis - psychology
Female
Finland
Gestational Age
Health Services Accessibility
Hospitals, University
Humans
Infant
Infant, Newborn
Infant, Premature, Diseases - diagnosis - psychology
Infant, Small for Gestational Age - psychology
Infant, Very Low Birth Weight - psychology
Male
Mass Screening
Patient care team
Risk factors
Abstract
The place and time of birth influence the mortality of premature infants. We studied the effect of prematurity, time of birth, birth hospital level and district on the development and behaviour in a national cohort of 5-year-old Finnish very low birthweight infants (VLBWI). All surviving VLBWI (gestational age
PubMed ID
20309594 View in PubMed
Less detail

Differences in the length of initial hospital stay in very preterm infants.

https://arctichealth.org/en/permalink/ahliterature161425
Source
Acta Paediatr. 2007 Oct;96(10):1416-20
Publication Type
Article
Date
Oct-2007
Author
Emmi Korvenranta
Miika Linna
Unto Häkkinen
Mikko Peltola
Sture Andersson
Mika Gissler
Mikko Hallman
Heikki Korvenranta
Jaana Leipälä
Liisi Rautava
Outi Tammela
Liisa Lehtonen
Author Affiliation
Department of Pediatrics, Turku University Hospital, Turku, Finland. emmi.korvenranta@utu.fi
Source
Acta Paediatr. 2007 Oct;96(10):1416-20
Date
Oct-2007
Language
English
Publication Type
Article
Keywords
Female
Finland
Gestational Age
Hospitalization
Humans
Infant Mortality - trends
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Length of Stay
Male
Patient Discharge
Registries
Risk factors
Time Factors
Abstract
To investigate the effect of maternal, infant and birth hospital district related factors on the length of initial hospital stay in very preterm infants. In addition, rehospitalization rate within the first year from the initial discharge was studied.
A register study covering all very preterm infants (gestational age
PubMed ID
17850396 View in PubMed
Less detail

The effect of birth in secondary- or tertiary-level hospitals in Finland on mortality in very preterm infants: a birth-register study.

https://arctichealth.org/en/permalink/ahliterature165844
Source
Pediatrics. 2007 Jan;119(1):e257-63
Publication Type
Article
Date
Jan-2007
Author
Liisi Rautava
Liisa Lehtonen
Mikko Peltola
Emmi Korvenranta
Heikki Korvenranta
Miika Linna
Mikko Hallman
Sture Andersson
Mika Gissler
Jaana Leipälä
Outi Tammela
Unto Häkkinen
Author Affiliation
Department of Pediatrics, Turku University Hospital, Kiinamyllynkatu 4-8, 20520 Turku, Finland. liisi.rautava@utu.fi
Source
Pediatrics. 2007 Jan;119(1):e257-63
Date
Jan-2007
Language
English
Publication Type
Article
Keywords
Delivery, obstetric - statistics & numerical data
Finland - epidemiology
Gestational Age
Hospitals - statistics & numerical data
Hospitals, University - statistics & numerical data
Humans
Infant mortality
Infant, Newborn
Infant, Premature
Infant, Small for Gestational Age
Infant, Very Low Birth Weight
Abstract
Our goal was to test the hypothesis that the level of the delivery hospital affects 1-year mortality of very preterm infants in Finland.
This retrospective national medical birth-register study included 2291 very preterm infants (gestational age of
PubMed ID
17200251 View in PubMed
Less detail

Health-related quality of life in very low birth weight children at nearly eight years of age.

https://arctichealth.org/en/permalink/ahliterature276801
Source
Acta Paediatr. 2016 Jan;105(1):53-9
Publication Type
Article
Date
Jan-2016
Author
Mira Huhtala
Riikka Korja
Liisi Rautava
Liisa Lehtonen
Leena Haataja
Helena Lapinleimu
Päivi Rautava
Source
Acta Paediatr. 2016 Jan;105(1):53-9
Date
Jan-2016
Language
English
Publication Type
Article
Keywords
Case-Control Studies
Child
Child Development
Female
Finland
Follow-Up Studies
Health Status Indicators
Humans
Infant, Newborn
Infant, Premature
Infant, Very Low Birth Weight
Male
Prospective Studies
Quality of Life
Self Report
Abstract
This study examined the impact of prematurity-related morbidity on the health-related quality of life (HRQoL) of premature children at eight years of age, compared to term born controls of same age.
We focused on 155 premature, very low birth weight (VLBW) infants weighing up to 1500 g who were born from 2001 to 2006 in Turku University Hospital, Finland, and compared them with 129 full-term controls. Cognitive development and length was assessed at five years of age and the children self-reported 17 dimensions of HRQoL at eight years of age. The VLBW group was subdivided into healthy children and those with prematurity-related morbidities.
Our findings showed that 64.5% of the VLBW children did not have prematurity-related morbidities. The HRQoL of the healthy preterm VLBW children was very good and did not differ significantly from the controls. However, the VLBW children with one or more morbidities had significantly lower scores in nine of the 17 HRQoL dimensions than the children in the control group.
The majority of the VLBW children survived without prematurity-related morbidities, and their HRQoL was very good and similar to the control children. The main goal of neonatal care for preterm infants should be to prevent long-term morbidities.
PubMed ID
26461964 View in PubMed
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Hospital costs and quality of life during 4 years after very preterm birth.

https://arctichealth.org/en/permalink/ahliterature142401
Source
Arch Pediatr Adolesc Med. 2010 Jul;164(7):657-63
Publication Type
Article
Date
Jul-2010
Author
Emmi Korvenranta
Miika Linna
Liisi Rautava
Sture Andersson
Mika Gissler
Mikko Hallman
Unto Häkkinen
Jaana Leipälä
Mikko Peltola
Outi Tammela
Liisa Lehtonen
Author Affiliation
Department of Pediatrics, Turku University Hospital, Kiinamyllynkatu 4-8, 20520 Turku, Finland. emmi.korvenranta@utu.fi
Source
Arch Pediatr Adolesc Med. 2010 Jul;164(7):657-63
Date
Jul-2010
Language
English
Publication Type
Article
Keywords
Child, Preschool
Finland
Hospitalization - economics
Humans
Infant
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases - economics
Quality of Life
Questionnaires
Abstract
To evaluate the effect of gestational age and prematurity-related morbidities on hospital costs and cost per quality-adjusted life-year (QALY) during the first 4 years of life.
Population-based study using national register data and parental questionnaires.
Finland.
All 2064 very preterm children (gestational age
PubMed ID
20603467 View in PubMed
Less detail

Morbidities and hospital resource use during the first 3 years of life among very preterm infants.

https://arctichealth.org/en/permalink/ahliterature150001
Source
Pediatrics. 2009 Jul;124(1):128-34
Publication Type
Article
Date
Jul-2009

Occurrence and Treatment of Pediatric Appendicitis in Finland 2004-2014.

https://arctichealth.org/en/permalink/ahliterature299605
Source
J Surg Res. 2018 12; 232:33-38
Publication Type
Journal Article
Date
12-2018
Author
Liisi Rautava
Päivi Rautava
Jussi Sipilä
Ville Kytö
Author Affiliation
Department of Pediatric Surgery, Turku University Hospital, Turku, Finland. Electronic address: liisi.rautava@utu.fi.
Source
J Surg Res. 2018 12; 232:33-38
Date
12-2018
Language
English
Publication Type
Journal Article
Keywords
Adolescent
Appendectomy
Appendicitis - epidemiology - surgery
Child
Female
Finland - epidemiology
Humans
Incidence
Length of Stay
Male
Retrospective Studies
Seasons
Time Factors
Abstract
We aimed to investigate the trends in occurrence and the treatment approaches of appendicitis in Finnish children.
All patients aged
PubMed ID
30463737 View in PubMed
Less detail
Source
Ann Med. 2011 Jun;43 Suppl 1:S47-53
Publication Type
Article
Date
Jun-2011
Author
Liisa Lehtonen
Liisi Rautava
Emmi Korvenranta
Heikki Korvenranta
Mikko Peltola
Unto Häkkinen
Author Affiliation
Department of Paediatrics, Turku University Hospital, Turku, Finland. liisa.lehtonen@utu.fi
Source
Ann Med. 2011 Jun;43 Suppl 1:S47-53
Date
Jun-2011
Language
English
Publication Type
Article
Keywords
Cost-Benefit Analysis - statistics & numerical data
Female
Finland - epidemiology
Humans
Infant, Newborn
Infant, Very Low Birth Weight
Male
Morbidity
Outcome and Process Assessment (Health Care) - statistics & numerical data
Premature Birth - economics - epidemiology
Quality-Adjusted Life Years
Abstract
This article summarizes the main findings of the preterm infant sub-study of the Performance, Effectiveness and Costs of Treatment episodes (PERFECT) study. We studied effects of birth hospital level and time of birth on mortality and morbidity and cost-effectiveness of care of very low gestational age (VLGA)/very low birth weight (VLBW) infants.
The study included all infants born below 32 weeks or 1501 g in Finland in 2000-2007. Different cohorts were used depending on the time point.
The one-year mortality of live-born VLBW/VLGA infants was higher if born in level II versus level III hospitals, or if born during out-of-office hours in level II versus office hours in level III hospitals. Two out of three VLGA/VLBW subjects did not have any of the prematurity-related morbidities studied. The average cost of quality-adjusted life years was €19,245 by four years of age; the cost was higher in VLGA/VLBW infants with long-term morbidities.
Birth in a level III hospital improved survival of VLGA/VLBW infants. Results suggest inadequate overnight competence in small hospitals. Despite high initial costs, care of VLGA/VLBW infants was already cost-effective by four years of age. Cost-effectiveness can be improved by reducing long-term morbidities.
PubMed ID
21639718 View in PubMed
Less detail

11 records – page 1 of 2.