Respiratory outcomes after delivery room stabilisation with a new respiratory support system using nasal prongs
Aim To study if stabilisation using a new respiratory support system with nasal prongs compared to T‐piece with a face mask is associated with less need for mechanical ventilation and bronchopulmonary dysplasia. Methods A single‐centre follow‐up study of neonates born
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| Veröffentlicht in: | Acta Paediatrica 2023-04, Vol.112 (4), p.719-725 |
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| container_title | Acta Paediatrica |
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| creator | Baldursdottir, Sonja Donaldsson, Snorri Palleri, Elena Drevhammar, Thomas Jonsson, Baldvin |
| description | Aim
To study if stabilisation using a new respiratory support system with nasal prongs compared to T‐piece with a face mask is associated with less need for mechanical ventilation and bronchopulmonary dysplasia.
Methods
A single‐centre follow‐up study of neonates born |
| doi_str_mv | 10.1111/apa.16665 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_swepu</sourceid><recordid>TN_cdi_swepub_primary_oai_swepub_ki_se_448494</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2785184481</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5265-88adc02ec17335c7a4fb6f55aa54ba6dd564a2345257ee2563dfebe62910a6033</originalsourceid><addsrcrecordid>eNqdkk1v1DAQhi0EokvhwB9AlrjAIa2_kz2uKr6kSiAEZ2uSTIpLEgdP0tX-e8zutlRIveCLrdHzvp53NIy9lOJM5nMOE5xJ55x9xFbSWVkopcrHbCUqoQurrD5hz4iuhVB6bdxTdqKdU6UVbsXiV6QpJJhj2vG4zE0ckDh0MybeYh9uMNdTjAOnGerQB4I5xJFvw_yDAx9xy9M9B1qmKaaZ045mHPhCYbziIxD0fEpxvKLn7EkHPeGL433Kvr9_9-3iY3H5-cOni81l0VjlbFFV0DZCYSNLrW1Tgulq11kLYE0Nrm2tM6C0yeFKRGWdbjus0am1FOCE1qesOPjSFqel9lMKA6SdjxD8sfQzv9AbU5m1yfz6QT533v4V3QrV7RD_QyutLKUo9_--OWgz-GtBmv0QqMG-hxHjQl6Vzhgj7D7S63_Q67ikMU8xU5WVVY4iM_X2QDUpEiXs7tqRwv_ZFp-3xe-3JbOvjo5LPWB7R95Ldn4AtqHH3cNOfvNlc7D8DXlfzS8</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2785184481</pqid></control><display><type>article</type><title>Respiratory outcomes after delivery room stabilisation with a new respiratory support system using nasal prongs</title><source>MEDLINE</source><source>SWEPUB Freely available online</source><source>Access via Wiley Online Library</source><source>Wiley-Blackwell Open Access Titles</source><source>Alma/SFX Local Collection</source><creator>Baldursdottir, Sonja ; Donaldsson, Snorri ; Palleri, Elena ; Drevhammar, Thomas ; Jonsson, Baldvin</creator><creatorcontrib>Baldursdottir, Sonja ; Donaldsson, Snorri ; Palleri, Elena ; Drevhammar, Thomas ; Jonsson, Baldvin</creatorcontrib><description>Aim
To study if stabilisation using a new respiratory support system with nasal prongs compared to T‐piece with a face mask is associated with less need for mechanical ventilation and bronchopulmonary dysplasia.
Methods
A single‐centre follow‐up study of neonates born <28 weeks gestation at Karolinska University Hospital, Stockholm included in the multicentre Comparison of Respiratory Support after Delivery (CORSAD) trial and randomised to initial respiratory support with the new system versus T‐piece. Data on respiratory support, neonatal morbidities and mortality were collected up to 36 weeks post‐menstrual age.
Results
Ninety‐four infants, 51 female, with a median (range) gestational age of 25 + 2 (23 + 0, 27 + 6) weeks and days, were included. Significantly fewer infants in the new system group received mechanical ventilation during the first 72 h, 24 (52.2%) compared with 35 (72.9%) (p = 0.034) and during the first 7 days, 29 (63.0%) compared with 39 (81.3%) (p = 0.045) in the T‐piece group. At 36 weeks post‐menstrual age, 13 (28.3%) in the new system and 13 (27.1%) in the T‐piece group were diagnosed with bronchopulmonary dysplasia.
Conclusion
Stabilisation with the new system was associated with less need for mechanical ventilation during the first week of life. No significant difference was seen in the outcome of bronchopulmonary dysplasia.</description><identifier>ISSN: 0803-5253</identifier><identifier>ISSN: 1651-2227</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/apa.16665</identifier><identifier>PMID: 36627506</identifier><language>eng</language><publisher>Norway: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; Age ; Bronchopulmonary Dysplasia ; delivery room ; Delivery Rooms ; Dysplasia ; Female ; Follow-Up Studies ; Gestational age ; Humans ; Infant ; Infant, Newborn ; Infant, Premature ; Infants ; Lung diseases ; Mechanical ventilation ; Medicin och hälsovetenskap ; Menstruation ; nasal prongs ; Neonates ; Pregnancy ; pre‐term ; Respiration, Artificial ; Respiratory Distress Syndrome, Newborn - diagnosis ; stabilisation ; Ventilators</subject><ispartof>Acta Paediatrica, 2023-04, Vol.112 (4), p.719-725</ispartof><rights>2023 The Authors. published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.</rights><rights>2023 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5265-88adc02ec17335c7a4fb6f55aa54ba6dd564a2345257ee2563dfebe62910a6033</citedby><cites>FETCH-LOGICAL-c5265-88adc02ec17335c7a4fb6f55aa54ba6dd564a2345257ee2563dfebe62910a6033</cites><orcidid>0000-0002-2282-003X ; 0000-0002-4038-2221 ; 0000-0003-2264-7449</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fapa.16665$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fapa.16665$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,552,780,784,885,1417,11562,27924,27925,45574,45575,46052,46476</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36627506$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:151710794$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:236627506$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Baldursdottir, Sonja</creatorcontrib><creatorcontrib>Donaldsson, Snorri</creatorcontrib><creatorcontrib>Palleri, Elena</creatorcontrib><creatorcontrib>Drevhammar, Thomas</creatorcontrib><creatorcontrib>Jonsson, Baldvin</creatorcontrib><title>Respiratory outcomes after delivery room stabilisation with a new respiratory support system using nasal prongs</title><title>Acta Paediatrica</title><addtitle>Acta Paediatr</addtitle><description>Aim
To study if stabilisation using a new respiratory support system with nasal prongs compared to T‐piece with a face mask is associated with less need for mechanical ventilation and bronchopulmonary dysplasia.
Methods
A single‐centre follow‐up study of neonates born <28 weeks gestation at Karolinska University Hospital, Stockholm included in the multicentre Comparison of Respiratory Support after Delivery (CORSAD) trial and randomised to initial respiratory support with the new system versus T‐piece. Data on respiratory support, neonatal morbidities and mortality were collected up to 36 weeks post‐menstrual age.
Results
Ninety‐four infants, 51 female, with a median (range) gestational age of 25 + 2 (23 + 0, 27 + 6) weeks and days, were included. Significantly fewer infants in the new system group received mechanical ventilation during the first 72 h, 24 (52.2%) compared with 35 (72.9%) (p = 0.034) and during the first 7 days, 29 (63.0%) compared with 39 (81.3%) (p = 0.045) in the T‐piece group. At 36 weeks post‐menstrual age, 13 (28.3%) in the new system and 13 (27.1%) in the T‐piece group were diagnosed with bronchopulmonary dysplasia.
Conclusion
Stabilisation with the new system was associated with less need for mechanical ventilation during the first week of life. No significant difference was seen in the outcome of bronchopulmonary dysplasia.</description><subject>Adolescent</subject><subject>Age</subject><subject>Bronchopulmonary Dysplasia</subject><subject>delivery room</subject><subject>Delivery Rooms</subject><subject>Dysplasia</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gestational age</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infants</subject><subject>Lung diseases</subject><subject>Mechanical ventilation</subject><subject>Medicin och hälsovetenskap</subject><subject>Menstruation</subject><subject>nasal prongs</subject><subject>Neonates</subject><subject>Pregnancy</subject><subject>pre‐term</subject><subject>Respiration, Artificial</subject><subject>Respiratory Distress Syndrome, Newborn - diagnosis</subject><subject>stabilisation</subject><subject>Ventilators</subject><issn>0803-5253</issn><issn>1651-2227</issn><issn>1651-2227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><sourceid>D8T</sourceid><recordid>eNqdkk1v1DAQhi0EokvhwB9AlrjAIa2_kz2uKr6kSiAEZ2uSTIpLEgdP0tX-e8zutlRIveCLrdHzvp53NIy9lOJM5nMOE5xJ55x9xFbSWVkopcrHbCUqoQurrD5hz4iuhVB6bdxTdqKdU6UVbsXiV6QpJJhj2vG4zE0ckDh0MybeYh9uMNdTjAOnGerQB4I5xJFvw_yDAx9xy9M9B1qmKaaZ045mHPhCYbziIxD0fEpxvKLn7EkHPeGL433Kvr9_9-3iY3H5-cOni81l0VjlbFFV0DZCYSNLrW1Tgulq11kLYE0Nrm2tM6C0yeFKRGWdbjus0am1FOCE1qesOPjSFqel9lMKA6SdjxD8sfQzv9AbU5m1yfz6QT533v4V3QrV7RD_QyutLKUo9_--OWgz-GtBmv0QqMG-hxHjQl6Vzhgj7D7S63_Q67ikMU8xU5WVVY4iM_X2QDUpEiXs7tqRwv_ZFp-3xe-3JbOvjo5LPWB7R95Ldn4AtqHH3cNOfvNlc7D8DXlfzS8</recordid><startdate>202304</startdate><enddate>202304</enddate><creator>Baldursdottir, Sonja</creator><creator>Donaldsson, Snorri</creator><creator>Palleri, Elena</creator><creator>Drevhammar, Thomas</creator><creator>Jonsson, Baldvin</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><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>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope><orcidid>https://orcid.org/0000-0002-2282-003X</orcidid><orcidid>https://orcid.org/0000-0002-4038-2221</orcidid><orcidid>https://orcid.org/0000-0003-2264-7449</orcidid></search><sort><creationdate>202304</creationdate><title>Respiratory outcomes after delivery room stabilisation with a new respiratory support system using nasal prongs</title><author>Baldursdottir, Sonja ; Donaldsson, Snorri ; Palleri, Elena ; Drevhammar, Thomas ; Jonsson, Baldvin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5265-88adc02ec17335c7a4fb6f55aa54ba6dd564a2345257ee2563dfebe62910a6033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adolescent</topic><topic>Age</topic><topic>Bronchopulmonary Dysplasia</topic><topic>delivery room</topic><topic>Delivery Rooms</topic><topic>Dysplasia</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gestational age</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Infants</topic><topic>Lung diseases</topic><topic>Mechanical ventilation</topic><topic>Medicin och hälsovetenskap</topic><topic>Menstruation</topic><topic>nasal prongs</topic><topic>Neonates</topic><topic>Pregnancy</topic><topic>pre‐term</topic><topic>Respiration, Artificial</topic><topic>Respiratory Distress Syndrome, Newborn - diagnosis</topic><topic>stabilisation</topic><topic>Ventilators</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baldursdottir, Sonja</creatorcontrib><creatorcontrib>Donaldsson, Snorri</creatorcontrib><creatorcontrib>Palleri, Elena</creatorcontrib><creatorcontrib>Drevhammar, Thomas</creatorcontrib><creatorcontrib>Jonsson, Baldvin</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>Acta Paediatrica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baldursdottir, Sonja</au><au>Donaldsson, Snorri</au><au>Palleri, Elena</au><au>Drevhammar, Thomas</au><au>Jonsson, Baldvin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Respiratory outcomes after delivery room stabilisation with a new respiratory support system using nasal prongs</atitle><jtitle>Acta Paediatrica</jtitle><addtitle>Acta Paediatr</addtitle><date>2023-04</date><risdate>2023</risdate><volume>112</volume><issue>4</issue><spage>719</spage><epage>725</epage><pages>719-725</pages><issn>0803-5253</issn><issn>1651-2227</issn><eissn>1651-2227</eissn><abstract>Aim
To study if stabilisation using a new respiratory support system with nasal prongs compared to T‐piece with a face mask is associated with less need for mechanical ventilation and bronchopulmonary dysplasia.
Methods
A single‐centre follow‐up study of neonates born <28 weeks gestation at Karolinska University Hospital, Stockholm included in the multicentre Comparison of Respiratory Support after Delivery (CORSAD) trial and randomised to initial respiratory support with the new system versus T‐piece. Data on respiratory support, neonatal morbidities and mortality were collected up to 36 weeks post‐menstrual age.
Results
Ninety‐four infants, 51 female, with a median (range) gestational age of 25 + 2 (23 + 0, 27 + 6) weeks and days, were included. Significantly fewer infants in the new system group received mechanical ventilation during the first 72 h, 24 (52.2%) compared with 35 (72.9%) (p = 0.034) and during the first 7 days, 29 (63.0%) compared with 39 (81.3%) (p = 0.045) in the T‐piece group. At 36 weeks post‐menstrual age, 13 (28.3%) in the new system and 13 (27.1%) in the T‐piece group were diagnosed with bronchopulmonary dysplasia.
Conclusion
Stabilisation with the new system was associated with less need for mechanical ventilation during the first week of life. No significant difference was seen in the outcome of bronchopulmonary dysplasia.</abstract><cop>Norway</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36627506</pmid><doi>10.1111/apa.16665</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-2282-003X</orcidid><orcidid>https://orcid.org/0000-0002-4038-2221</orcidid><orcidid>https://orcid.org/0000-0003-2264-7449</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Acta Paediatrica, 2023-04, Vol.112 (4), p.719-725 |
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| source | MEDLINE; SWEPUB Freely available online; Access via Wiley Online Library; Wiley-Blackwell Open Access Titles; Alma/SFX Local Collection |
| subjects | Adolescent Age Bronchopulmonary Dysplasia delivery room Delivery Rooms Dysplasia Female Follow-Up Studies Gestational age Humans Infant Infant, Newborn Infant, Premature Infants Lung diseases Mechanical ventilation Medicin och hälsovetenskap Menstruation nasal prongs Neonates Pregnancy pre‐term Respiration, Artificial Respiratory Distress Syndrome, Newborn - diagnosis stabilisation Ventilators |
| title | Respiratory outcomes after delivery room stabilisation with a new respiratory support system using nasal prongs |
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