Neonatal outcomes following extensive cardiopulmonary resuscitation in the delivery room for infants born at less than 33 weeks gestational age
Abstract Aim To examine the neonatal mortality and morbidity of infants born at
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| Veröffentlicht in: | Resuscitation 2014-02, Vol.85 (2), p.238-243 |
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| creator | Soraisham, Amuchou Singh Lodha, Abhay Kumar Singhal, Nalini Aziz, Khalid Yang, Junmin Lee, Shoo K Shah, Prakesh S |
| description | Abstract Aim To examine the neonatal mortality and morbidity of infants born at |
| doi_str_mv | 10.1016/j.resuscitation.2013.10.016 |
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| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1506412955</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0300957213008198</els_id><sourcerecordid>1506412955</sourcerecordid><originalsourceid>FETCH-LOGICAL-c438t-496e13603564ade2b23e8aabd051972b57ce1bafb4f3e02602aae5b3f7b720553</originalsourceid><addsrcrecordid>eNqNkstu1DAUhi0EokPhFZAlNmwy-BLnIiQkVLWAVMECWFuOczJ46tiD7bT0KXhlTpiCVFaszuL_zn-uhLzgbMsZb17ttwnykq0rprgYtoJxicoWtQdkw7tWVly17CHZMMlY1atWnJAnOe8ZY1L17WNyImrFJRdqQ35-hBhMMZ7Gpdg4Q6ZT9D7euLCj8KNAyO4aqDVpdPGw-BnpdEvvdUBdoOUb0BE8sqsa44w2CYXJhJLpEFOgplAPOSNqApWS3gBcZbqDfHTBFswOnpJHk_EZnt3FU_L14vzL2fvq8tO7D2dvLytby65Udd8Alw3O09RmBDEICZ0xw8gU71sxqNYCH8w01JMEJhomjAE1yKkdWsGUkqfk5dH3kOL3BXvQs8sWvDcB4pI1V6ypueh_o6-PqE0x5wSTPiQ34xY0Z3q9iN7re_vQ60VWETXMfn5XaBlmGP_m_jkBAudHAHDcawdJoxEEC6NLYIseo_vPQm_-8bHeBWeNv4JbyPu4JNwxTqaz0Ex_Xp9j_Q2OseN9J38BMia9hg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1506412955</pqid></control><display><type>article</type><title>Neonatal outcomes following extensive cardiopulmonary resuscitation in the delivery room for infants born at less than 33 weeks gestational age</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Soraisham, Amuchou Singh ; Lodha, Abhay Kumar ; Singhal, Nalini ; Aziz, Khalid ; Yang, Junmin ; Lee, Shoo K ; Shah, Prakesh S</creator><creatorcontrib>Soraisham, Amuchou Singh ; Lodha, Abhay Kumar ; Singhal, Nalini ; Aziz, Khalid ; Yang, Junmin ; Lee, Shoo K ; Shah, Prakesh S ; on behalf of the Canadian Neonatal Network ; Canadian Neonatal Network</creatorcontrib><description>Abstract Aim To examine the neonatal mortality and morbidity of infants born at <33 weeks gestational age (GA) who received extensive delivery room cardiopulmonary resuscitation (DR-CPR) immediately after birth. Design/methods In this retrospective cohort study, we performed secondary analyses of data from infants born at <33 weeks GA and admitted to participating NICUs in the Canadian Neonatal Network between January 2010 and December 2011. Infants were divided into two groups based on birth weight (<1000 g and ≥1000 g) and neonatal morbidity and mortality compared using bivariate and multivariate analyses. Results Of the 8033 eligible infants, 419 (5.2%) received DR-CPR. For infants weighing <1000 g at birth, 10.9% (outborn: 21.6%, inborn: 7.6%) received DR-CPR, whereas 3.4% (outborn: 9.6%, inborn: 2.2%) of those weighing ≥1000 g received DR-CPR. If infants received DR-CPR there was increased risk of mortality, bronchopulmonary dysplasia (BPD) and severe brain injury. Logistic regression analysis showed DR-CPR was associated with increased mortality (adjusted odds ratio [aOR]: 2.09, 95% CI [1.39, 3.14]) in infants born weighing <1000 g. Among infants born weighing ≥1000 g, DR-CPR was associated with increased mortality (aOR: 7.16, 95% CI [3.88, 13.2]), severe brain injury (aOR: 3.08, 95% CI [1.82, 5.22]), BPD (aOR: 2.14, 95% CI [1.25, 3.65]), pneumothorax (aOR: 3.11, 95% CI [1.53, 6.31]) and intestinal perforation (aOR: 3.47, 95% CI [1.46, 8.24]). Conclusions DR-CPR is associated with increased risk of mortality and morbidity especially in preterm infants born weighing ≥1000 g. Long-term neurodevelopmental follow up is warranted for these infants.</description><identifier>ISSN: 0300-9572</identifier><identifier>EISSN: 1873-1570</identifier><identifier>DOI: 10.1016/j.resuscitation.2013.10.016</identifier><identifier>PMID: 24513125</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Adrenaline ; Birth Weight ; Canada - epidemiology ; Cardiopulmonary resuscitation ; Cardiopulmonary Resuscitation - adverse effects ; Delivery Rooms ; Emergency ; Epinephrine ; Female ; Gestational Age ; Humans ; Infant Mortality ; Infant, Newborn ; Infant, Premature ; Male ; Neonatal outcome ; Premature ; Retrospective Studies ; Risk Factors ; Sex Factors ; Treatment Outcome</subject><ispartof>Resuscitation, 2014-02, Vol.85 (2), p.238-243</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2013 Elsevier Ireland Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-496e13603564ade2b23e8aabd051972b57ce1bafb4f3e02602aae5b3f7b720553</citedby><cites>FETCH-LOGICAL-c438t-496e13603564ade2b23e8aabd051972b57ce1bafb4f3e02602aae5b3f7b720553</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0300957213008198$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24513125$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Soraisham, Amuchou Singh</creatorcontrib><creatorcontrib>Lodha, Abhay Kumar</creatorcontrib><creatorcontrib>Singhal, Nalini</creatorcontrib><creatorcontrib>Aziz, Khalid</creatorcontrib><creatorcontrib>Yang, Junmin</creatorcontrib><creatorcontrib>Lee, Shoo K</creatorcontrib><creatorcontrib>Shah, Prakesh S</creatorcontrib><creatorcontrib>on behalf of the Canadian Neonatal Network</creatorcontrib><creatorcontrib>Canadian Neonatal Network</creatorcontrib><title>Neonatal outcomes following extensive cardiopulmonary resuscitation in the delivery room for infants born at less than 33 weeks gestational age</title><title>Resuscitation</title><addtitle>Resuscitation</addtitle><description>Abstract Aim To examine the neonatal mortality and morbidity of infants born at <33 weeks gestational age (GA) who received extensive delivery room cardiopulmonary resuscitation (DR-CPR) immediately after birth. Design/methods In this retrospective cohort study, we performed secondary analyses of data from infants born at <33 weeks GA and admitted to participating NICUs in the Canadian Neonatal Network between January 2010 and December 2011. Infants were divided into two groups based on birth weight (<1000 g and ≥1000 g) and neonatal morbidity and mortality compared using bivariate and multivariate analyses. Results Of the 8033 eligible infants, 419 (5.2%) received DR-CPR. For infants weighing <1000 g at birth, 10.9% (outborn: 21.6%, inborn: 7.6%) received DR-CPR, whereas 3.4% (outborn: 9.6%, inborn: 2.2%) of those weighing ≥1000 g received DR-CPR. If infants received DR-CPR there was increased risk of mortality, bronchopulmonary dysplasia (BPD) and severe brain injury. Logistic regression analysis showed DR-CPR was associated with increased mortality (adjusted odds ratio [aOR]: 2.09, 95% CI [1.39, 3.14]) in infants born weighing <1000 g. Among infants born weighing ≥1000 g, DR-CPR was associated with increased mortality (aOR: 7.16, 95% CI [3.88, 13.2]), severe brain injury (aOR: 3.08, 95% CI [1.82, 5.22]), BPD (aOR: 2.14, 95% CI [1.25, 3.65]), pneumothorax (aOR: 3.11, 95% CI [1.53, 6.31]) and intestinal perforation (aOR: 3.47, 95% CI [1.46, 8.24]). Conclusions DR-CPR is associated with increased risk of mortality and morbidity especially in preterm infants born weighing ≥1000 g. Long-term neurodevelopmental follow up is warranted for these infants.</description><subject>Adrenaline</subject><subject>Birth Weight</subject><subject>Canada - epidemiology</subject><subject>Cardiopulmonary resuscitation</subject><subject>Cardiopulmonary Resuscitation - adverse effects</subject><subject>Delivery Rooms</subject><subject>Emergency</subject><subject>Epinephrine</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Infant Mortality</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Male</subject><subject>Neonatal outcome</subject><subject>Premature</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Treatment Outcome</subject><issn>0300-9572</issn><issn>1873-1570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkstu1DAUhi0EokPhFZAlNmwy-BLnIiQkVLWAVMECWFuOczJ46tiD7bT0KXhlTpiCVFaszuL_zn-uhLzgbMsZb17ttwnykq0rprgYtoJxicoWtQdkw7tWVly17CHZMMlY1atWnJAnOe8ZY1L17WNyImrFJRdqQ35-hBhMMZ7Gpdg4Q6ZT9D7euLCj8KNAyO4aqDVpdPGw-BnpdEvvdUBdoOUb0BE8sqsa44w2CYXJhJLpEFOgplAPOSNqApWS3gBcZbqDfHTBFswOnpJHk_EZnt3FU_L14vzL2fvq8tO7D2dvLytby65Udd8Alw3O09RmBDEICZ0xw8gU71sxqNYCH8w01JMEJhomjAE1yKkdWsGUkqfk5dH3kOL3BXvQs8sWvDcB4pI1V6ypueh_o6-PqE0x5wSTPiQ34xY0Z3q9iN7re_vQ60VWETXMfn5XaBlmGP_m_jkBAudHAHDcawdJoxEEC6NLYIseo_vPQm_-8bHeBWeNv4JbyPu4JNwxTqaz0Ex_Xp9j_Q2OseN9J38BMia9hg</recordid><startdate>20140201</startdate><enddate>20140201</enddate><creator>Soraisham, Amuchou Singh</creator><creator>Lodha, Abhay Kumar</creator><creator>Singhal, Nalini</creator><creator>Aziz, Khalid</creator><creator>Yang, Junmin</creator><creator>Lee, Shoo K</creator><creator>Shah, Prakesh S</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140201</creationdate><title>Neonatal outcomes following extensive cardiopulmonary resuscitation in the delivery room for infants born at less than 33 weeks gestational age</title><author>Soraisham, Amuchou Singh ; Lodha, Abhay Kumar ; Singhal, Nalini ; Aziz, Khalid ; Yang, Junmin ; Lee, Shoo K ; Shah, Prakesh S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-496e13603564ade2b23e8aabd051972b57ce1bafb4f3e02602aae5b3f7b720553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adrenaline</topic><topic>Birth Weight</topic><topic>Canada - epidemiology</topic><topic>Cardiopulmonary resuscitation</topic><topic>Cardiopulmonary Resuscitation - adverse effects</topic><topic>Delivery Rooms</topic><topic>Emergency</topic><topic>Epinephrine</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Infant Mortality</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Male</topic><topic>Neonatal outcome</topic><topic>Premature</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Soraisham, Amuchou Singh</creatorcontrib><creatorcontrib>Lodha, Abhay Kumar</creatorcontrib><creatorcontrib>Singhal, Nalini</creatorcontrib><creatorcontrib>Aziz, Khalid</creatorcontrib><creatorcontrib>Yang, Junmin</creatorcontrib><creatorcontrib>Lee, Shoo K</creatorcontrib><creatorcontrib>Shah, Prakesh S</creatorcontrib><creatorcontrib>on behalf of the Canadian Neonatal Network</creatorcontrib><creatorcontrib>Canadian Neonatal Network</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Resuscitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soraisham, Amuchou Singh</au><au>Lodha, Abhay Kumar</au><au>Singhal, Nalini</au><au>Aziz, Khalid</au><au>Yang, Junmin</au><au>Lee, Shoo K</au><au>Shah, Prakesh S</au><aucorp>on behalf of the Canadian Neonatal Network</aucorp><aucorp>Canadian Neonatal Network</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neonatal outcomes following extensive cardiopulmonary resuscitation in the delivery room for infants born at less than 33 weeks gestational age</atitle><jtitle>Resuscitation</jtitle><addtitle>Resuscitation</addtitle><date>2014-02-01</date><risdate>2014</risdate><volume>85</volume><issue>2</issue><spage>238</spage><epage>243</epage><pages>238-243</pages><issn>0300-9572</issn><eissn>1873-1570</eissn><abstract>Abstract Aim To examine the neonatal mortality and morbidity of infants born at <33 weeks gestational age (GA) who received extensive delivery room cardiopulmonary resuscitation (DR-CPR) immediately after birth. Design/methods In this retrospective cohort study, we performed secondary analyses of data from infants born at <33 weeks GA and admitted to participating NICUs in the Canadian Neonatal Network between January 2010 and December 2011. Infants were divided into two groups based on birth weight (<1000 g and ≥1000 g) and neonatal morbidity and mortality compared using bivariate and multivariate analyses. Results Of the 8033 eligible infants, 419 (5.2%) received DR-CPR. For infants weighing <1000 g at birth, 10.9% (outborn: 21.6%, inborn: 7.6%) received DR-CPR, whereas 3.4% (outborn: 9.6%, inborn: 2.2%) of those weighing ≥1000 g received DR-CPR. If infants received DR-CPR there was increased risk of mortality, bronchopulmonary dysplasia (BPD) and severe brain injury. Logistic regression analysis showed DR-CPR was associated with increased mortality (adjusted odds ratio [aOR]: 2.09, 95% CI [1.39, 3.14]) in infants born weighing <1000 g. Among infants born weighing ≥1000 g, DR-CPR was associated with increased mortality (aOR: 7.16, 95% CI [3.88, 13.2]), severe brain injury (aOR: 3.08, 95% CI [1.82, 5.22]), BPD (aOR: 2.14, 95% CI [1.25, 3.65]), pneumothorax (aOR: 3.11, 95% CI [1.53, 6.31]) and intestinal perforation (aOR: 3.47, 95% CI [1.46, 8.24]). Conclusions DR-CPR is associated with increased risk of mortality and morbidity especially in preterm infants born weighing ≥1000 g. Long-term neurodevelopmental follow up is warranted for these infants.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>24513125</pmid><doi>10.1016/j.resuscitation.2013.10.016</doi><tpages>6</tpages></addata></record> |
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| subjects | Adrenaline Birth Weight Canada - epidemiology Cardiopulmonary resuscitation Cardiopulmonary Resuscitation - adverse effects Delivery Rooms Emergency Epinephrine Female Gestational Age Humans Infant Mortality Infant, Newborn Infant, Premature Male Neonatal outcome Premature Retrospective Studies Risk Factors Sex Factors Treatment Outcome |
| title | Neonatal outcomes following extensive cardiopulmonary resuscitation in the delivery room for infants born at less than 33 weeks gestational age |
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