Zeitschrift für Geburtshilfe und Neonatologie
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Z Geburtshilfe Neonatol · Apr 2006
[Long-term outcome of preterm neonates: the message behind the statistics].
In view of the current progress in neonatal intensive care, the present outcome of former preterm neonates does not necessarily reflect the future outcome of today's preterm neonates. In spite of this statistical uncertainty, long-term follow-up studies performed in the past few years point to the fact that the sequelae of prematurity may appear well beyond infancy and may be revealed in varying manners with increasing age. ⋯ Within this context, a two-fold paradigm shift in neonatology becomes apparent in that, first, the outcome of preterm neonates is not a result of immaturity per se, yet is significantly influenced by the factors leading to preterm birth (inflammation, intrauterine growth restriction), and, second, the sequelae of prematurity do not end with the end of neonatal intensive care, but are greatly modulated by familial conditions in their further course. Even though the statistical data are still subject to changes, these insights form the basis of a structured long-term follow-up of preterm neonates which, after the progressive establishment of acute treatment strategies, will become an increasingly important challenge to neonatology within the framework of paediatrics.
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Z Geburtshilfe Neonatol · Apr 2006
Comparative Study[Data collection for quality assurance in neonatology: how do physicians compare to documentation specialists?].
The quality of data collected for the German nationwide quality assurance program in neonatology is currently unknown. The aim of this study was to compare the quality of data collected by resident physicians with the quality of similar data collected by a dedicated research nurse. ⋯ This study shows that the quality of data obtained by our resident physicians was worse than the quality of data obtained by our dedicated research nurse.