Neonatal outcomes based on mode and intensity of delivery room resuscitation

A. Bashir; B. Bird; L. Wu; S. Welles; H. Taylor; E. Anday; V. Bhandari

doi:10.1038/jp.2017.102

Neonatal outcomes based on mode and intensity of delivery room resuscitation

A. Bashir
, B. Bird
, L. Wu
, S. Welles
, H. Taylor
, E. Anday
, V. Bhandari

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Objective:To examine outcomes of neonates based on the mode and intensity of resuscitation received in the delivery room (DR).Study Design:A retrospective study of 439 infants with birth weight a 1/21500 g receiving DR resuscitation at two hospital centers in Philadelphia, Pennsylvania.Results:Of 439 infants, 22 (5%) received routine care, 188 (43%) received noninvasive positive pressure ventilation (PPV) and 229 (52%) received endotracheal tube (ETT) intubation in the DR. Adjusted odds for respiratory distress syndrome was associated with lower rates in infants requiring lower intensity of DR resuscitation (P<0.001). Noninvasive PPV vs ETT was associated with decreased odds of developing intraventricular hemorrhage and retinopathy of prematurity (P<0.05). Routine vs noninvasive PPV or ETT had decreased odds of developing bronchopulmonary dysplasia (P<0.05).Conclusion:Decreased intensity of DR resuscitation was associated with a decreased risk of specific morbidities.

Original language	English (US)
Pages (from-to)	1103-1107
Number of pages	5
Journal	Journal of Perinatology
Volume	37
Issue number	10
DOIs	https://doi.org/10.1038/jp.2017.102
State	Published - Oct 1 2017
Externally published	Yes

All Science Journal Classification (ASJC) codes

Pediatrics, Perinatology, and Child Health
Obstetrics and Gynecology

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10.1038/jp.2017.102

Cite this

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title = "Neonatal outcomes based on mode and intensity of delivery room resuscitation",

abstract = "Objective:To examine outcomes of neonates based on the mode and intensity of resuscitation received in the delivery room (DR).Study Design:A retrospective study of 439 infants with birth weight a 1/21500 g receiving DR resuscitation at two hospital centers in Philadelphia, Pennsylvania.Results:Of 439 infants, 22 (5\%) received routine care, 188 (43\%) received noninvasive positive pressure ventilation (PPV) and 229 (52\%) received endotracheal tube (ETT) intubation in the DR. Adjusted odds for respiratory distress syndrome was associated with lower rates in infants requiring lower intensity of DR resuscitation (P<0.001). Noninvasive PPV vs ETT was associated with decreased odds of developing intraventricular hemorrhage and retinopathy of prematurity (P<0.05). Routine vs noninvasive PPV or ETT had decreased odds of developing bronchopulmonary dysplasia (P<0.05).Conclusion:Decreased intensity of DR resuscitation was associated with a decreased risk of specific morbidities.",

author = "A. Bashir and B. Bird and L. Wu and S. Welles and H. Taylor and E. Anday and V. Bhandari",

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doi = "10.1038/jp.2017.102",

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T1 - Neonatal outcomes based on mode and intensity of delivery room resuscitation

AU - Bashir, A.

AU - Bird, B.

AU - Wu, L.

AU - Welles, S.

AU - Taylor, H.

AU - Anday, E.

AU - Bhandari, V.

PY - 2017/10/1

Y1 - 2017/10/1

N2 - Objective:To examine outcomes of neonates based on the mode and intensity of resuscitation received in the delivery room (DR).Study Design:A retrospective study of 439 infants with birth weight a 1/21500 g receiving DR resuscitation at two hospital centers in Philadelphia, Pennsylvania.Results:Of 439 infants, 22 (5%) received routine care, 188 (43%) received noninvasive positive pressure ventilation (PPV) and 229 (52%) received endotracheal tube (ETT) intubation in the DR. Adjusted odds for respiratory distress syndrome was associated with lower rates in infants requiring lower intensity of DR resuscitation (P<0.001). Noninvasive PPV vs ETT was associated with decreased odds of developing intraventricular hemorrhage and retinopathy of prematurity (P<0.05). Routine vs noninvasive PPV or ETT had decreased odds of developing bronchopulmonary dysplasia (P<0.05).Conclusion:Decreased intensity of DR resuscitation was associated with a decreased risk of specific morbidities.

AB - Objective:To examine outcomes of neonates based on the mode and intensity of resuscitation received in the delivery room (DR).Study Design:A retrospective study of 439 infants with birth weight a 1/21500 g receiving DR resuscitation at two hospital centers in Philadelphia, Pennsylvania.Results:Of 439 infants, 22 (5%) received routine care, 188 (43%) received noninvasive positive pressure ventilation (PPV) and 229 (52%) received endotracheal tube (ETT) intubation in the DR. Adjusted odds for respiratory distress syndrome was associated with lower rates in infants requiring lower intensity of DR resuscitation (P<0.001). Noninvasive PPV vs ETT was associated with decreased odds of developing intraventricular hemorrhage and retinopathy of prematurity (P<0.05). Routine vs noninvasive PPV or ETT had decreased odds of developing bronchopulmonary dysplasia (P<0.05).Conclusion:Decreased intensity of DR resuscitation was associated with a decreased risk of specific morbidities.

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Neonatal outcomes based on mode and intensity of delivery room resuscitation

Abstract

All Science Journal Classification (ASJC) codes

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