한국 신생아 네트워크(Korean Neonatal Network, KNN)의 설립
The Establishment of the Korean Neonatal Network (KNN)
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우리나라는 이미 저 출산 고령화 사회로 진입하여 미숙아 등의 고 위험 신생아 출산은 급격히 증가하고 있으나 현재 선진국 대비 낮은 치료 생존율을 보이고 생존환자들의 뇌성마비와 발달장애 등의 합병증의 발생빈도 또한 높아서 사회경제적으로도 큰 부담이 되고 있다. 이에, 국내 고 위험 신생아의 생존율을 향상시키고 주요합병증을 감소시키기 위하여,질병관리본부의 후원과 대한신생아학회 주관으로 전국 단위의 한국 신생아 네트워크를 구축하였고, 지난 2013년 4월15일에 출범식을 거행하고 본격적인 가동을 시작하였다. 본 한국 신생아 네트워크는 전국 단위의 고 위험 신생아인 극소저출생체중아 등록 사업을 시작으로, 신생아 집중 치료실 질 향상 사업 및 한국형 신생아 진료 및 치료 지침 개발을위한 활발한 다 기관 연구의 인프라 구조의 역할을 하게 될 것이다. 이 글을 통하여 한국 신생아 네트워크의 배경과 목적, 구조, 기대 성과 및 나아갈 방향에 대하여 알아보고자 한다.
Abstract
Although, recently in Korea, it has been apparent that declining total birth rate in face of rapidly aging population and rapid increasing birth rate for high-risk infants such as preterm infants, mortality rate of premature infants is still higher than that of other developed countries and the significant morbidities including cerebral palsy or development delay is high among survived patients. Thus, the substantial socio-economic burden caused by high risk infants became a substantial problem to us. To improve the survival rate and to decrease major morbidities of high risk infants, Korean Neonatal Network (KNN) was established by Korean Society of Neonatology with the support from Korea Centers for Disease Control and Prevention and begins an official operation with a declaration for launching on April 15th, 2013. With base project of national prospective registry of very low birth weight infants, KNN would be an infrastructure for active and productive multi-center research for quality improvement of neonatal intensive care units (NICU) and development of Korean-style guideline or strategy for NICU management. In this review, we describe the background, purpose, progress, expected outcomes and future plans of the KNN.
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