keyword
https://read.qxmd.com/read/38432888/clinical-characteristics-of-bronchopulmonary-dysplasia-in-very-preterm-infants
#21
JOURNAL ARTICLE
Yonghui Yang, Xiaori He, Xuefei Zhang, Pingyang Chen
OBJECTIVES: With the development of perinatal and neonatal intensive care medicine, the survival rate of very premature infants increases year by year. However, the incidence of bronchopulmonary dysplasia (BPD) increases year by year, which seriously affects the survival prognosis of very premature infants. How to prevent and treat BPD effectively has become the focus of neonatologists. This study aims to provide ideas for the prevention and treatment of BPD in very preterm infants via analyzing the clinical characteristics of BPD...
October 28, 2023: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
https://read.qxmd.com/read/38401790/screening-for-delayed-thyroid-stimulation-hormone-rise-and-atypical-congenital-hypothyroidism-in-infants-born-very-preterm-and-very-low-birth-weight-infants
#22
JOURNAL ARTICLE
Nolan Bret, Uy Cherry, Stablein Lisa, Bany-Mohammed Fayez
OBJECTIVE: To determine among infants born very preterm (VPT) or with very low birth weight (VLBW) the incidence of alterations in thyroid function and associated co-morbidities; the incidence of atypical congenital hypothyroidism (CH) requiring thyroxine therapy; and 3) reference ranges for re-screening at one month of age. STUDY DESIGN: A retrospective review of infants born VPT or with VLBW and admitted to UCI Medical Center between 1/1/2012 and 12/31/2020. Repeat thyroid screening was obtained at 1 month of life (+ 10 days)...
February 22, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38399481/neonatal-birthweight-spectrum-maternal-risk-factors-and-pregnancy-outcomes-in-saudi-arabia
#23
JOURNAL ARTICLE
Hayfaa Wahabi, Hala Elmorshedy, Yasser S Amer, Elshazaly Saeed, Abdul Razak, Ibrahim Abdelaziz Hamama, Adnan Hadid, Samia Ahmed, Sarah A Aleban, Reema Abdullah Aldawish, Lara Sabri Alyahiwi, Haya Abdullah Alnafisah, Raghad E AlSubki, Norah Khalid Albahli, Aljohara Ayed Almutairi, Layan Fahad Alsanad, Amel Fayed
Background and Objectives: Low-birth-weight (LBW) neonates are at increased risk of morbidity and mortality which are inversely proportional to birth weight, while macrosomic babies are at risk of birth injuries and other related complications. Many maternal risk factors were associated with the extremes of birthweight. The objectives of this study are to investigate maternal risk factors for low and high birthweight and to report on the neonatal complications associated with abnormal birth weights. Materials and Methods: We conducted a retrospective analysis of medical records of deliveries ≥ 23 weeks...
January 23, 2024: Medicina
https://read.qxmd.com/read/38368194/predictors-of-mortality-in-very-low-birth-weight-neonates-with-congenital-diaphragmatic-hernia
#24
JOURNAL ARTICLE
Emily Nes, Priyanka V Chugh, Gregory Keefe, Katherine Culbreath, Kate A Morrow, Danielle E Y Ehret, Roger F Soll, Jeffrey D Horbar, Matthew T Harting, Kevin P Lally, Biren P Modi, Tom Jaksic, Erika M Edwards
BACKGROUND: Limited data exists regarding the mortality of very low birth weight (VLBW) neonates with congenital diaphragmatic hernia (CDH). This study aims to quantify and determine predictors of mortality in VLBW neonates with CDH. METHODS: This analysis of 829 U.S. NICUs included VLBW [birth weight ≤1500g] neonates, born 2011-2021 with and without CDH. The primary outcome was in-hospital mortality. A generalized estimating equation regression model determined the adjusted risk ratio (ARR) of mortality...
February 1, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38354033/improving-prediction-of-survival-for-extremely-premature-infants-born-at-23-to-29-weeks-gestational-age-in-the-neonatal-intensive-care-unit-development-and-evaluation-of-machine-learning-models
#25
JOURNAL ARTICLE
Angie Li, Sarah Mullin, Peter L Elkin
BACKGROUND: Infants born at extremely preterm gestational ages are typically admitted to the neonatal intensive care unit (NICU) after initial resuscitation. The subsequent hospital course can be highly variable, and despite counseling aided by available risk calculators, there are significant challenges with shared decision-making regarding life support and transition to end-of-life care. Improving predictive models can help providers and families navigate these unique challenges. OBJECTIVE: Machine learning methods have previously demonstrated added predictive value for determining intensive care unit outcomes, and their use allows consideration of a greater number of factors that potentially influence newborn outcomes, such as maternal characteristics...
February 14, 2024: JMIR Medical Informatics
https://read.qxmd.com/read/38350642/respiratory-severity-score-and-neurodevelopmental-outcomes-at-age-3-years-in-extremely-preterm-infants
#26
JOURNAL ARTICLE
Kei Tamai, A Takeuchi, Makoto Nakamura, Naomi Matsumoto, Takashi Yorifuji, Misao Kageyama
OBJECTIVE: We aimed to examine the association between respiratory severity score (RSS, mean airway pressure × fraction of inspired oxygen) and neurodevelopmental outcomes in extremely preterm infants. STUDY DESIGN: This was a single-center, retrospective cohort study. We analyzed data from extremely preterm infants who were admitted to the neonatal intensive care unit at Okayama Medical Center between 2010 and 2019. Infants without invasive respiratory management during the first day of life were excluded...
February 13, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38338284/infant-directed-speech-to-preterm-infants-during-the-first-year-postpartum-the-influence-of-preterm-birth-weight-and-maternal-parenting-stress
#27
JOURNAL ARTICLE
Alessandra Provera, Erica Neri, Francesca Agostini
Premature birth can increase the level of parenting stress (PS), especially in the case of parents of high-risk infants (extremely low birth weight (ELBW) and very low birth weight (VLBW)). Though published research has explored how maternal PS influences early dyadic interactions, limited research has focused on infant-directed speech (IDS), and no studies have investigated the link between prematurity severity based on birth weight and maternal IDS. This study, involving 100 mother-infant dyads, categorized into 30 ELBW premature infants, 30 VLBW premature infants, and 40 full-term (FT) ones, examined the impact of preterm birth weight and maternal parenting stress on IDS features during early interactions at 3 and 9 months postpartum...
February 4, 2024: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/38337041/postnatal-growth-and-neurodevelopment-at-2-years-corrected-age-in-extremely-low-birthweight-infants
#28
JOURNAL ARTICLE
David A Nyakotey, Angelica M Clarke, Barbara E Cormack, Frank H Bloomfield, Jane E Harding
BACKGROUND: Faltering postnatal growth in preterm babies is associated with adverse neurodevelopment. However, which growth reference is most helpful for predicting neurodevelopment is unknown. We examined associations between faltering growth and developmental delay in extremely low birthweight (ELBW) infants. METHODS: We categorized faltering growth (z-score decrease ≥0.8 for weight/length, >1 for head circumference) between birth, 4 weeks, 36 weeks' postmenstrual age and 2 years' corrected age using fetal (Fenton, UK-WHO and Olsen) and healthy preterm (INTERGROWTH-21st) references...
February 9, 2024: Pediatric Research
https://read.qxmd.com/read/38318454/case-report-neurally-adjusted-ventilatory-assist-as-an-effective-rescue-treatment-for-pulmonary-interstitial-emphysema-in-extremely-low-birth-weight-infants
#29
Chien-Ming Chen, Mei-Yung Chung, Hong-Ya Kang, Mei-Chen Ou-Yang, Teh-Ming Wang, Chung-Ting Hsu
Pulmonary interstitial emphysema (PIE) is a complication observed in extremely low birth weight (ELBW) infants on mechanical ventilation. Despite various proposed therapeutic interventions, the success rates have shown inconsistency. Neurally adjusted ventilatory assist (NAVA) stands out as a novel respiratory support mode, offering lower pressure and tidal volume in comparison to conventional ventilation methods. In this case report, we present five ELBW infants with refractory PIE who were transitioned to NAVA ventilation...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38308541/adverse-pregnancy-fetal-and-neonatal-outcomes-in-women-with-sickle-cell-disease-in-a-middle-eastern-country
#30
JOURNAL ARTICLE
Salwa Saif Said Al Harthi, Judie Arulappan, Basma Al Yazeedi, Asma Hassan Salmeen Al Zaabi
BACKGROUND: Sickle cell disease in pregnancy is associated with high maternal and fetal mortality. However, studies reporting pregnancy, fetal, and neonatal outcomes in women with sickle cell disease are extremely limited. OBJECTIVES: The objectives of the study are to determine whether women with sickle cell disease have a greater risk of adverse pregnancy, fetal, and neonatal outcomes than women without sickle cell disease and identify the predictors of adverse pregnancy, fetal, and neonatal outcomes in women with sickle cell disease...
2024: Women's Health
https://read.qxmd.com/read/38302960/quality-improvement-in-the-golden-hour-for-premature-infants-a-scoping-review
#31
JOURNAL ARTICLE
Lijuan Sheng, Guichao Zhong, Ruirui Xing, Xudong Yan, Huanjin Cui, Zhangbin Yu
BACKGROUND AND OBJECTIVE: Evidence-based research has shown that golden hour quality improvement (QI) measures can improve the quality of care and reduce serious complications of premature infants. Herein, we sought to review golden hour QI studies to evaluate the impact on the outcome of preterm infants. METHODS: A comprehensive literature search was conducted in PubMed, Embase, Cochrane Library, and SinoMed databases from inception to April 03, 2023. Only studies describing QI interventions in the golden hour of preterm infants were included...
February 1, 2024: BMC Pediatrics
https://read.qxmd.com/read/38272077/maternal-exposure-to-ambient-air-temperature-and-adverse-birth-outcomes-an-umbrella-review-of-systematic-reviews-and-meta-analyses
#32
REVIEW
Sylvester Dodzi Nyadanu, Jennifer Dunne, Gizachew A Tessema, Ben Mullins, Bernard Kumi-Boateng, Michelle L Bell, Bereket Duko, Gavin Pereira
BACKGROUND: Multiple systematic reviews on prenatal ambient temperature and adverse birth outcomes exist, but the overall epidemiological evidence and the appropriate metric for thermal stress remain unclear. An umbrella review was performed to summarise and appraise the evidence with recommendations. METHODS: Systematic reviews and meta-analyses on the associations between ambient temperature and adverse birth outcomes (preterm birth, stillbirth, birth weight, low birth weight, and small for gestational age) up to December 20, 2023, were synthesised according to a published protocol...
January 23, 2024: Science of the Total Environment
https://read.qxmd.com/read/38267092/thermoregulation-of-the-extremely-low-birth-weight-neonate
#33
EDITORIAL
Brittney Smith
The birth of an extremely low birth weight (ELBW) neonate is complex because of their immaturity. Respiratory and hemodynamic stabilization often takes precedence in the immediate delivery period. While establishing effective breathing and circulation is vital to the survival of the neonate, it is crucial to understand that other adverse outcomes can occur during the resuscitation and transport of the ELBW neonate. Impaired thermoregulation is one of the most detrimental adverse outcomes during the golden hour period and later in the neonatal intensive care unit...
January 1, 2024: Neonatal Network: NN
https://read.qxmd.com/read/38251316/umbilical-vein-calcification-associated-with-double-lumen-catheter-malpositioning-in-an-extremely-low-birth-weight-infant
#34
Takuya Yamamoto, Shigeo Iijima
Umbilical venous (UV) catheters (UVCs) are commonly used in severely ill neonates. Complications associated with UVC often result from an inappropriate UVC position. Calcification of the UV, a rare complication, was observed in an extremely low-birth-weight infant born at 23 weeks of gestation. After birth, the infant experienced respiratory and circulatory dysfunction, followed by disseminated intravascular coagulation (DIC). A UVC was inserted, and circulatory agonists and blood transfusions were administered, as well as a calcium gluconate infusion for hypocalcemia and hyperkalemia...
January 12, 2024: Pediatric Reports
https://read.qxmd.com/read/38242229/determinants-of-compliance-with-outpatient-examinations-for-infants-at-risk-for-retinopathy-of-prematurity
#35
JOURNAL ARTICLE
Kaitlyn Santineau, Temiloluwa M Abikoye, Cynthia M Guerin
PURPOSE: To assess the level and the determinants of compliance with outpatient retinopathy of prematurity (ROP) examination appointments at a tertiary academic center. METHODS: The medical records of babies scheduled for outpatient ROP examination between January 1, 2022, and December 31, 2022, were reviewed retrospectively. Data collected included appointments scheduled and attended, birth weight, gestational age, ROP staging at discharge, maternal ethnicity (self-identified), household type, proximity to hospital and median family income (US Census based on home zip codes)...
January 17, 2024: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://read.qxmd.com/read/38217617/rapid-cycle-deliberate-practice-improves-resident-performance-during-elbw-resuscitation
#36
JOURNAL ARTICLE
B R Hadfield, T Sawyer, A G Moreira, R Farner, M M Vasquez
BACKGROUND: Neonatal Resuscitation is a required competency for pediatric and family medicine residency programs. Simulation-based training can be used to supplement clinical experience. Rapid Cycle Deliberate Practice (RCDP) has been validated as an effective education model and is gaining favor over traditional simulation models. The aim of this study was to evaluate the effectiveness of a simulation-based rapid cycle deliberate practice (RCDP) intervention on extremely low birth weight (ELBW) infant resuscitation...
January 12, 2024: Journal of Neonatal-perinatal Medicine
https://read.qxmd.com/read/38216310/heated-and-humidified-high-flow-therapy-hhhft-in-extreme-and-very-preterm-neonates-with-respiratory-distress-syndrome-rds-a-retrospective-cohort-from-a-tertiary-care-setting-in-pakistan
#37
JOURNAL ARTICLE
Vikram Kumar Kessani, Fatima Hemani, Iqrar Ali, Sana Memon, Albar Soomro, Rija Zaheer, Jai K Das, Khalid N Haque, Syed Rehan Ali
OBJECTIVE: To determine the role of heated humidified high flow therapy (HHHFT) as primary respiratory support in spontaneously breathing moderate-late, very and extreme preterm neonates with respiratory distress syndrome (RDS) at a tertiary care hospital from a developing country. DESIGN: Retrospective cohort study. SETTING: Neonatal intensive care unit of Indus Hospital and Health Network, Karachi, Pakistan. PATIENTS: All preterm neonates with RDS and who received HHHFT as primary respiratory support were included retrospectively, while neonates with orofacial anomalies, congenital heart and lung diseases other than RDS, abdominal wall defects, encephalopathy, congenital pneumonia and received continuous positive airway pressure or invasive ventilation were excluded...
January 12, 2024: BMJ Paediatrics Open
https://read.qxmd.com/read/38196381/reduced-morbidity-with-early-surgical-ligation-of-patent-ductus-arteriosus-in-extremely-low-birth-weight-infants-a-retrospective-single-centre-study
#38
JOURNAL ARTICLE
Katherine A Loeffler, Shashank P Behere, Patricia K Williams, Yuki Nakamura, Harold M Burkhart, Matthew D Campbell
INTRODUCTION: Failure of the patent ductus arteriosus to close is common among extremely low birth weight neonates and has been associated with increased morbidities. The objective of this study was to compare outcomes between early and late surgical ligation in extremely low birth weight patients. METHODS: This was a single-centre retrospective cohort study of infants who required surgical closure of patent ductus arteriosus between January 2017 and August 2022...
January 10, 2024: Cardiology in the Young
https://read.qxmd.com/read/38158208/psychomotor-and-cognitive-outcome-in-very-preterm-infants-in-vorarlberg-austria-2007-2019
#39
Fabio Jenni, Karin Konzett, Stefanie Gang, Verena Maria Sparr, Burkhard Simma
AIM: To analyze neurodevelopmental outcome of very and extremely preterm infants in Vorarlberg, Austria, accessed with neurodevelopmental testing, at the corrected age of 24 months. Also, to compare these results with (inter)national data and to analyze the impact of perinatal parameters. METHODS: Population-based, retrospective multi-centre study with data on very and extremely preterm infants born in Vorarlberg from 2007 - 2019, assessed with Bayley Scales of Infant Development (BSID-II/Bayley-III)...
December 29, 2023: Neuropediatrics
https://read.qxmd.com/read/38154973/-outcomes-and-care-practices-of-extremely-preterm-infants-at-22-25-weeks-gestation-age-from-the-chinese-neonatal-network
#40
JOURNAL ARTICLE
S Y Jiang, C Z Yang, X Y Tian, D M Chen, Z M Yang, J Y Shi, F L Xu, Y Mo, X Y Gu, K Lee, W H Zhou, Y Cao
Objective: To describe the current status and trends in the outcomes and care practices of extremely preterm infants at 22-25 weeks' gestation age from the Chinese Neonatal Network (CHNN) from 2019 to 2021. Methods: This cross-sectional study used data from the CHNN cohort of very preterm infants. All 963 extremely preterm infants with gestational age between 22-25 weeks who were admitted to neonatal intensive care units (NICU) of the CHNN from 2019 to 2021 were included. Infants admitted after 24 hours of life or transferred to non-CHNN hospitals were excluded...
January 2, 2024: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
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