The Characteristics and Outcomes of Cardiopulmonary Resuscitation within the Neonatal Intensive Care Unit Based on Gestational Age and Unit Level of Care
| Autor: | Christina N Stine, Jaclyn M LeVan, Cody Henderson, Utpal Bhalala, Katy L Kohlleppel, Kaashif A. Ahmad, Steven G Velasquez |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Neonatal intensive care unit health care facilities manpower and services medicine.medical_treatment education Gestational Age 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine law Intensive Care Units Neonatal Health care Medicine Humans 030212 general & internal medicine Cardiopulmonary resuscitation Retrospective Studies business.industry Incidence (epidemiology) Infant Newborn Obstetrics and Gynecology Gestational age Retrospective cohort study Intensive care unit Texas Cardiopulmonary Resuscitation Heart Arrest Logistic Models Outcome and Process Assessment Health Care Pediatrics Perinatology and Child Health Emergency medicine Gestation Female business |
| Zdroj: | American journal of perinatology. 37(14) |
| ISSN: | 1098-8785 |
| Popis: | Objectives This study aimed to describe the variation of in-neonatal intensive care unit (NICU) cardiopulmonary resuscitation (CPR) characteristics and outcomes across different gestational ages and levels of NICU care. Study Design This is a retrospective cohort study of in-NICU CPR events across 10 NICUs in San Antonio, TX from 2012 through 2017. Results We identified 140 patients experiencing a total of 210 in-NICU CPR events. CPR was performed in 0.23% of Level III and 0.85% of Level IV NICU admissions. Gestational age was inversely related to CPR incidence. The median age at in-NICU CPR was lower for preterm versus term infants (6 vs. 28 days, p = 0.002). With regression modeling, each added minute of chest compression decreased the odds of return to spontaneous circulation by 11%. Conclusion In-NICU CPR incidence rises with decreasing gestational age and increasing level of NICU care. The rate of return of spontaneous circulation decreases significantly with increasing duration of chest compressions. Further study is needed to identify patient factors associated with adverse outcome. |
| Databáze: | OpenAIRE |
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