Journal of perinatology : official journal of the California Perinatal Association · 2017
Neonatal outcomes based on mode and intensity of delivery room resuscitation.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
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Bashir A, Bird B, Wu L, Welles S, Taylor H, Anday E, Bhandari V
Аннотация
OBJECTIVE: To examine outcomes of neonates based on the mode and intensity of resuscitation received in the delivery room (DR).
STUDY DESIGN: A retrospective study of 439 infants with birth weight ⩽1500 g receiving DR resuscitation at two hospital centers in Philadelphia, Pennsylvania.
RESULTS: Of 439 infants, 22 (5%) received routine care, 188 (43%) received noninvasive positive pressure ventilation (PPV) and 229 (52%) received endotracheal tube (ETT) intubation in the DR. Adjusted odds for respiratory distress syndrome was associated with lower rates in infants requiring lower intensity of DR resuscitation (P<0.001). Noninvasive PPV vs ETT was associated with decreased odds of developing intraventricular hemorrhage and retinopathy of prematurity (P<0.05). Routine vs noninvasive PPV or ETT had decreased odds of developing bronchopulmonary dysplasia (P<0.05).
CONCLUSION: Decreased intensity of DR resuscitation was associated with a decreased risk of specific morbidities.
STUDY DESIGN: A retrospective study of 439 infants with birth weight ⩽1500 g receiving DR resuscitation at two hospital centers in Philadelphia, Pennsylvania.
RESULTS: Of 439 infants, 22 (5%) received routine care, 188 (43%) received noninvasive positive pressure ventilation (PPV) and 229 (52%) received endotracheal tube (ETT) intubation in the DR. Adjusted odds for respiratory distress syndrome was associated with lower rates in infants requiring lower intensity of DR resuscitation (P<0.001). Noninvasive PPV vs ETT was associated with decreased odds of developing intraventricular hemorrhage and retinopathy of prematurity (P<0.05). Routine vs noninvasive PPV or ETT had decreased odds of developing bronchopulmonary dysplasia (P<0.05).
CONCLUSION: Decreased intensity of DR resuscitation was associated with a decreased risk of specific morbidities.
Предметные рубрики MeSH
AdultCase-Control StudiesCesarean SectionContinuous Positive Airway PressureDelivery RoomsFemaleHumansInfant, NewbornInfant, Very Low Birth WeightIntensive Care UnitsIntubation, IntratrachealMaleNoninvasive VentilationRespiratory Distress Syndrome, NewbornResuscitationRetrospective StudiesYoung Adult