Short-term outcome of very low-birth-weight infants in a tertiary care hospital in Saudi Arabia over a decade

Al Hazzani, F.*, Al-Alaiyan, S., Kattan, A., Binmanee, A., Jabr, M.B., Al Midani, E., Khadawardi, E., Riaz, F., Elsaidawi, W. | JNPM 2021;


BACKGROUND: Knowledge on short-term outcomes of preterm infants is important for quality control. Our objective was to analyze the outcomes of very low birth weight infants admitted to our neonatal intensive care unit over a ten years’ period and to compare the results with internationally published data.

METHODS: We analyzed the outcome measures for all live born infants with birth weight (BW) of 400–1500 grams and gestational age (GA) of 23–32 weeks born at King Faisal Specialist Hospital & Research Centre between 2006 and 2015. Results were compared to data from three international neonatal networks.

RESULTS: During the study period, we admitted 528 infants born at a gestational age of≥23 and≤32 weeks with a very low birth weight (VLBW) of 400–1500 grams. Mean (SD) GA was 28 (2.4) weeks and mean (SD) BW was 1007 (290) grams. A hundred and twenty-nine (24.4%) infants were small for gestational age and major congenital anomalies were present in 56 (10.6 %) infants. The rate of bronchopulmonary dysplasia (BPD) was 24.4 %, necrotizing enterocolitis (NEC) 9.1%, patent ductus arteriosus (PDA) 29.9%, severe intraventricular hemorrhage (IVH)10.8 %, periventricular leukomalacia (PVL) 5.7%, severe retinopathy of prematurity (ROP) 8%, and late-onset sepsis was 18.8%. The incidences of major neonatal outcomes such as CLD, NEC, severe IVH and severe ROP were comparable to the international cohorts.

CONCLUSION:I n our population of preterm infants, survival rates and complications of prematurity were comparable to international data.

*Corresponding Author: 

Dr. Fahad Al Hazzani. Department of Pediatrics (MBC-58), King Faisal Specialist Hospital and Research Centre, PO Box 3354, Riyadh 11211, Saudi Arabia. Tel.: +966 11 442 7761, Fax: +966 11 442 7784; E-mail: fhazzani@kfshrc,