Hypoxemia in infants with trisomy 21 in the neonatal intensive care unit.

Autor: Krahn KN; Department of Medicine, Division of Cardiology, University of Virginia, Charlottesville, VA, USA., Nagraj VP; Department of Pediatrics, Division of Neonatology, University of Virginia, Charlottesville, VA, USA., McCulloch MA; Department of Pediatrics, Division of Cardiology, University of Virginia, Charlottesville, VA, USA., Zimmet AM; Department of Medicine, Division of Cardiology, University of Virginia, Charlottesville, VA, USA., Fairchild KD; Department of Pediatrics, Division of Neonatology, University of Virginia, Charlottesville, VA, USA. kdf2n@virginia.edu.
Jazyk: angličtina
Zdroj: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2021 Jun; Vol. 41 (6), pp. 1448-1453. Date of Electronic Publication: 2021 May 25.
DOI: 10.1038/s41372-021-01105-7
Abstrakt: Objective: Newborns with trisomy 21 (T21) often require NICU hospitalization. Oxygen desaturations are frequently observed in these infants, even in the absence of congenital heart defects (CHD). We hypothesized that NICU patients with T21 have more hypoxemia than those without T21.
Design: All infants with T21 without significant CHD discharged home from the NICU between 2009 and 2018 were included (n = 23). Controls were matched 20:1 for gestational age and length of stay. We compared daily severe hypoxemia events (SpO 2  < 80% for ≥10 s) for the whole NICU stay and the pre-discharge week.
Results: Infants with T21 showed significantly more daily hypoxemia events during their entire NICU stay (median 10 versus 7, p = 0.0064), and more so in their final week (13 versus 7, p = 0.0008).
Conclusion: NICU patients with T21 without CHD experience more severe hypoxemia events than controls, particularly in the week before discharge. Whether this hypoxemia predicts or contributes to adverse outcomes is unknown.
Databáze: MEDLINE
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