OUTCOMES FOR PREMATURE INFANTS BY GESTATION


Gestation in Weeks

Estimates for:

23

24

25

26

27

28

29

30+

Chances of Survival (%)

17

44

61

72

72

88

85

>94

% of survivors who are normal

~10

~40

50

60

70

80

90

100

Breathing Problems needing
assisted ventilation

100

100

100

100

89

78

80

30

Number of days ventilated and
needing extra oxygen

125

120

90

80

60

30

11

8

Chronic lung disease, i.e. needing
extra oxygen for >1 month, steroids

100

100

90.5

67

53

40

16.8

8

Probability of significant
abnormal brain scans

27

20

14

6

8

6

8

7

Jaundice needing phototherapy

100

100

100

100

80

50

30

20

Heart condition (PDA) needing
treatment

80

50

32

35

25

27

26

10

Likelihood of infection

100

100

100

100

80

70

40

30

Average number of transfusions

9

7

7

6

5

4

2

1

Feeding problems, i.e. needing
tube feedings for > 8weeks*

100

100

100

70

50

20

15

0

Gut problems - necrotising enterocolitis
needing medical/surgical treatment

100

90

50

40

30

20

10

5

Visual Problems

23

17

10

5

5

3

0

0

Presence of recurrent Apnea/Bradychardia

7wks

6wks

5wks

4wks

3wks

2wks

1wk

0.5wk

Need to express breastmilk on Pump

12wks

10wks

9wks

8wks

7wks

6wks

5wks

4wks

Degree of Stress to Parents
1= mild, 2= moderate, 3=severe

7-10 for
8wks

7-10 for
7wks

7-10 for
6wks

7-10 for
4wks

7-10 for
3wks

7-10 for
2wks

7-10 for
3days

7-10 for
2 days

Risk of Family emotional stress

high

high

high

high

mod

mod

low

min

Likelihood of IQ <85

high

high

high

mod

mod

low

min

min

Likelihood of having Attention Deficit

high

high

high

high

mod

low

low

min

Likelihood of being small in growth

100

100

100

70

50

30

10

0

Likelihood of future need for full/part
time special schooling

100

80

50

50

30

10

5

5

Need for follow-up eye and hearing
at 4mos., 8mos, 18mos, & 3yrs

100

100

80

70

50

30

20

10

Need for Special Therapy with
Physiotherapists, OT, speech

100

100

80

70

50

30

20

10

Financial Cost

high

high

high

high

mod

low

low

min

*most babies will need nasogastric feeding until about 35 weeks gestation

Draft by Dr. Guan Koh 6/14/1997
NOTE: This is a draft and not entirely complete.
Survival Statistics may be slightly higher in the U.S.

It is my (Olga) opinion that the zero values should not
taken as an absolute, but rather assume a <1% value;
Same thing with the 100%; assume 99%.
"There's no such thing as a sure thing"


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