Titre : | Respiratory distress management in moderate and late preterm infants : The NEOBS Study (2021) |
Auteurs : | Thierry Debillon, Auteur ; P. Tourneux, Auteur ; I. Guellec, Auteur ; et al., Auteur |
Type de document : | Article |
Dans : | Archives de pédiatrie (VOL.28 N°5, Juillet 2021) |
Article en page(s) : | 392-397 |
Langues: | Anglais |
Catégories : | |
Résumé : |
Objective :
To investigate the characteristics and management of respiratory failure (RF) in moderate-to-late preterm infants. Methods : NEOBS was a prospective, multicenter, observational study conducted in 46 neonatal intensive care units caring for preterm infants (30 + 0/7 to 36 + 6/7 weeks of gestation [WG]) in France in 2018. The cohort was stratified into two groups: 30–33 WG (group 1) and 34–36 WG (group 2). Infants with early neonatal RF were included and the outcomes assessed were maternal, pregnancy, and delivery characteristics and how RF was managed. Results : Of the 560 infants analyzed, 279 were in group 1 and 281 were in group 2. Most pregnancies were singleton (64.1%), and 67.4% of women received prenatal corticosteroids (mostly two doses). Infants were delivered by cesarean section in 59.6% of cases; 91.7% of the infants had an Apgar score ≥ 7 at 5 min. More than 90% of infants were hospitalized post-birth (median duration, 36 and 15 days for groups 1 and 2, respectively). Medical intervention was required for 95.7% and 90.4% of the infants in group 1 and group 2, respectively, and included noninvasive ventilation (continuous positive airway pressure [CPAP]: 88.5% and 82.9%; high-flow nasal cannula: 55.0% and 44.7%, or other) and invasive ventilation (19.7% and 13.2%). The two main diagnoses of RF were respiratory distress syndrome (39.8%) and transient tachypnea of the newborn (57.3%). Surfactant was administered to 22.5% of the infants, using the less invasive surfactant administration (LISA) method for 34.4% of the patients. In the overall population, 8.6% of the infants had respiratory and/or hemodynamic complications. Conclusions : The NEOBS study demonstrated that CPAP was widely used in the delivery room and the LISA method was chosen for 34.4% of the surfactant administrations for the management of RF in moderate-to-late preterm infants. The incidence of RF-related complications was low. (Source éditeur) |
Exemplaires (1)
Code-barres | Cote | Support | Localisation | Section | Disponibilité | lien web |
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ESF00269 | PER | Périodique | Bibliothèque ESF | Périodique | Disponible |