Abstract
High Hopes for Very Preterm Infants in Neonatal Intensive Care Units in China
Highlights
The authors use propensity score matching to estimate the outcomes of very preterm infants who were discharge against medical advice (DAMA) from neonatal intensive care units (NICUs) in China had they received complete care
The authors report that in a matched cohort of infants who received completed medical care, 82% survived to hospital discharge, and 59% survived without major morbidity
The authors conclude that decreasing DAMA may have a substantial association with the survival of very preterm infants in China
Summary
The authors use propensity score matching to estimate the outcomes of very preterm infants who were DAMA from NICUs in China had they received complete care. The authors report that in a matched cohort of infants who received completed medical care, 82% survived to hospital discharge, and 59% survived without major morbidity (defined as survival without necrotizing enterocolitis, interventricular hemorrhage, periventricular leukomalacia, and retinopathy of prematurity). The authors report survival rates by gestational age from 26 weeks to 31 weeks in the matched non-DAMA cohort that approach those in developed countries.[4] The authors conclude that decreasing DAMA may have a substantial association with the survival of very preterm infants in China.
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