{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T17:41:21Z","timestamp":1787938881598,"version":"build-2784847793"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Survival outcomes and use of neonatal intensive care (NICU) were evaluated among extremely preterm (EPT) infants cared for in Australia and New Zealand NICUs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective analysis of prospectively collected data from the Australian and New Zealand Neonatal Network was conducted for infants born at 22\u201327\u2009weeks of gestation and admitted and cared for in 29 NICUs between 1 January 2018 and 31 December 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 5414 EPT infants, 83.1% survived and 63.7% without any major morbidities. Antenatal steroid use was low at 22\u201323\u2009weeks of gestation, although there was an increase in survival from 40.2% in 2018 to 51.9% in 2022. Survival with major morbidities increased from 33.9% in 2018 to 39.1% in 2022 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013), driven by significant increases in bronchopulmonary dysplasia (BPD) (17.4% to 21.2%) and retinopathy of prematurity (ROP) (14.5% to 17.7%). Survivors with major morbidities had significantly higher use of mechanical ventilation (median hours and IQR 347, 122\u2013671 vs. 67, 19\u2013198) and parenteral nutrition (488, 285\u2013804 vs. 275, 196\u2013420\u2009h) than those without.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Survival with major morbidities increased from 2018 to 2022, driven by increases in BPD and ROP. Infants with major morbidities required more intensive care across all gestation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.70355","type":"journal-article","created":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T04:53:57Z","timestamp":1760763237000},"page":"450-459","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Neonatal Intensive Care Unit Outcomes and Resource Use Among Extremely Preterm Survivors"],"prefix":"10.1111","volume":"115","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5645-0006","authenticated-orcid":false,"given":"Temesgen","family":"Getaneh","sequence":"first","affiliation":[{"name":"Discipline of Paediatrics and Child Health, School of Clinical Medicine UNSW, Randwick  Sydney Australia"},{"name":"College of Health Science, Midwifery Department Debre Markos University  Debre Markos Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nusrat","family":"Homaira","sequence":"additional","affiliation":[{"name":"Discipline of Paediatrics and Child Health, School of Clinical Medicine UNSW, Randwick  Sydney Australia"},{"name":"Respiratory Department, Sydney Children's Hospital UNSW, Randwick  Sydney Australia"},{"name":"James P. Grant School of Public Health BRAC University  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prudence","family":"Creighton","sequence":"additional","affiliation":[{"name":"Australian and New Zealand Neonatal Network UNSW  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giannina Tinoco","family":"Mendoza","sequence":"additional","affiliation":[{"name":"Discipline of Paediatrics and Child Health, School of Clinical Medicine UNSW, Randwick  Sydney Australia"},{"name":"Department of Newborn Care, the Royal Hospital for Women UNSW  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abrar Ahmad","family":"Chughtai","sequence":"additional","affiliation":[{"name":"School of Population Health UNSW, Kensington Campus  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgina","family":"Chambers","sequence":"additional","affiliation":[{"name":"Centre for Big Data Research in Health and School of Clinical Medicine UNSW  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kei","family":"Lui","sequence":"additional","affiliation":[{"name":"Discipline of Paediatrics and Child Health, School of Clinical Medicine UNSW, Randwick  Sydney Australia"},{"name":"Australian and New Zealand Neonatal Network UNSW  Sydney Australia"},{"name":"Department of Newborn Care, the Royal Hospital for Women UNSW  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Australian and New Zealand Neonatal Network","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,17]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2022.11.024"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.10244"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.14767"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2023-002462"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2016-312100"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-025-05933-w"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.23580"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14103551"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2021.717090"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.115280"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.0124"},{"key":"e_1_2_11_13_1","unstructured":"\u201cAustralian and New Zealand Neonatal Network Data Dictionary 2022 \u201d(ANZNN 2023 Data Dictionary 2022) https:\/\/anznn.net\/Portals\/0\/DataDictionaries\/ANZNN_2023_Data_Dictionary.pdf."},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197801000-00001"},{"key":"e_1_2_11_15_1","first-page":"218","article-title":"An International Classification of Retinopathy of Prematurity: Clinical Experience","volume":"82","author":"Flynn J. 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