Resuscitation outcomes for weekend deliveries of very low birthweight infants
| Autor: | Henry C. Lee, Jonathan M. Snowden, Emily Hawkins Carter, Wannasiri Lapcharoensap |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Time Factors Epinephrine medicine.medical_treatment Population Intrauterine growth restriction California Positive-Pressure Respiration 03 medical and health sciences 0302 clinical medicine Risk Factors 030225 pediatrics Intensive care Intensive Care Units Neonatal Intubation Intratracheal Medicine Humans Infant Very Low Birth Weight 030212 general & internal medicine Continuous positive airway pressure Neonatology Hospital Mortality education Retrospective Studies education.field_of_study business.industry Obstetrics Cesarean Section Infant Newborn Obstetrics and Gynecology Gestational age Retrospective cohort study General Medicine medicine.disease Cardiopulmonary Resuscitation Pediatrics Perinatology and Child Health Apgar Score Intensive Care Neonatal Population study business |
| Zdroj: | Archives of disease in childhood. Fetal and neonatal edition. 105(6) |
| ISSN: | 1468-2052 |
| Popis: | ObjectiveTo characterise the association between weekend (Saturday and Sunday) deliveries of very low birthweight (VLBW) infants and delivery room outcomes in the ‘golden hour’ after birth.Design and settingA retrospective cohort study using California Perinatal Quality Care Collaborative data from participating neonatal intensive care units.PatientsThe study population after exclusions was 26 515 VLBW infants born in California from 2010 to 2016.Main outcome measuresDelivery room outcomes assessed included: chest compressions, epinephrine, intubation prior to continuous positive airway pressure ventilation, 5 min Apgar ResultsInfants delivered on weekends were less likely to have been prenatally diagnosed with intrauterine growth restriction but were otherwise not significantly different in gestational age, ethnicity, sex or maternal risk factors than those born during weekdays. Caesarean deliveries were less common on weekends, while vaginal deliveries were consistent across all days. After adjusting for sex and race, weekend delivery was associated with delivery room chest compressions (OR: 1.12, 95% CI 1.02 to 1.24) and lower 5 min Apgar (OR: 1.11, 95% CI 1.01 to 1.21).ConclusionIn this population-based study of VLBW infants, there was an increase in chest compressions for infants born on the weekend. More research is needed on the differences between populations born on weekdays versus weekends, and how these may contribute to observed associations. |
| Databáze: | OpenAIRE |
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