Temporal trends in respiratory care and bronchopulmonary dysplasia in very preterm infants over a 10-year period in Spain
| Autor: | Alejandro, Avila-Alvarez, Carlos, Zozaya, Sonia, Pértega-Diaz, Manuel, Sanchez-Luna, Martin, Iriondo-Sanz, Maria Dolores, Elorza, Fermín, García-Muñoz Rodrigo, Elena García, Victori |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Pediatrics Neonatal intensive care unit Population Infant Premature Diseases Intermittent Positive-Pressure Ventilation Positive-Pressure Respiration Respiratory medicine 03 medical and health sciences 0302 clinical medicine Neonatal 030225 pediatrics Humans Medicine 030212 general & internal medicine Neonatology education Bronchopulmonary Dysplasia Retrospective Studies Respiratory Distress Syndrome Newborn education.field_of_study Intensive care units business.industry Infant Newborn Obstetrics and Gynecology Gestational age Retrospective cohort study General Medicine medicine.disease Survival Analysis Bronchopulmonary dysplasia Spain Pediatrics Perinatology and Child Health Breathing business Respiratory care |
| Zdroj: | Archives of Disease in Childhood - Fetal and Neonatal Edition. 107:143-149 |
| ISSN: | 1468-2052 1359-2998 |
| Popis: | ObjectiveTo evaluate trends in respiratory care practices and bronchopulmonary dysplasia (BPD) among very preterm infants born in Spain between 2010 and 2019.Study designThis was a retrospective cohort study of data obtained from a national population-based database (SEN1500 network). Changes in respiratory care and BPD-free survival of infants with gestational age (GA) of 230–316 weeks and ResultsA total of 17 952 infants were included. In the second period, infants were less frequently intubated in the delivery room and during neonatal intensive care unit stay. This corresponded with an increase in use of non-invasive ventilation techniques. There were no significant differences between the periods in BPD-free survival or survival without moderate-to-severe BPD. After adjusting for covariates, the RR for the change per year was significant for the following variables: never intubated (RR 1.03, 95% CI 1.02 to 1.04); intubation in the delivery room (RR 0.98, 95% CI 0.97 to 0.99); use of nasal intermittent positive pressure ventilation (RR 1.08, 95% CI 1.05 to 1.11); and BPD-free survival (only in the group with the lowest GA; RR 0.98, 95% CI 0.97 to 0.99).ConclusionOur findings reveal significant changes in respiratory care practices between 2009 and 2019. Despite an increase in use of non-invasive respiratory strategies, BPD-free survival did not improve and even worsened in the group with the lowest GA (230–256). |
| Databáze: | OpenAIRE |
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