dc.contributor |
Landspitali - The National University Hospital of Iceland |
dc.contributor.author |
Baldursdottir, Sonja |
dc.contributor.author |
Dónaldsson, Snorri Freyr |
dc.contributor.author |
Palleri, Elena |
dc.contributor.author |
Drevhammar, Thomas |
dc.contributor.author |
Jonsson, Baldvin |
dc.date.accessioned |
2023-03-08T01:04:45Z |
dc.date.available |
2023-03-08T01:04:45Z |
dc.date.issued |
2023-04 |
dc.identifier.citation |
Baldursdottir , S , Dónaldsson , S F , Palleri , E , Drevhammar , T & Jonsson , B 2023 , ' Respiratory outcomes after delivery room stabilisation with a new respiratory support system using nasal prongs ' , Acta Paediatrica, International Journal of Paediatrics , vol. 112 , no. 4 , pp. 719-725 . https://doi.org/10.1111/apa.16665 |
dc.identifier.issn |
0803-5253 |
dc.identifier.other |
100537119 |
dc.identifier.other |
0adbcf0d-d02b-483a-bb07-94cc4802c638 |
dc.identifier.other |
85146975239 |
dc.identifier.other |
36627506 |
dc.identifier.uri |
https://hdl.handle.net/20.500.11815/4050 |
dc.description |
Funding Information: The study was funded by H.K.H. Kronprinsessan Lovisas Förening för Barnasjukvård, Sällskapet Barnavård Research Fund, Region Stockholm and the Swedish Heart-Lung Fund. Funding Information: The study was funded by H.K.H. Kronprinsessan Lovisas Förening för Barnasjukvård, Sällskapet Barnavård Research Fund, Region Stockholm and the Swedish Heart‐Lung Fund. Publisher Copyright: © 2023 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica. |
dc.description.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. |
dc.format.extent |
7 |
dc.format.extent |
560908 |
dc.format.extent |
719-725 |
dc.language.iso |
en |
dc.relation.ispartofseries |
Acta Paediatrica, International Journal of Paediatrics; 112(4) |
dc.rights |
info:eu-repo/semantics/openAccess |
dc.subject |
Barnalæknisfræði |
dc.subject |
bronchopulmonary dysplasia |
dc.subject |
delivery room |
dc.subject |
nasal prongs |
dc.subject |
pre-term |
dc.subject |
stabilisation |
dc.subject |
Follow-Up Studies |
dc.subject |
Humans |
dc.subject |
Infant |
dc.subject |
Bronchopulmonary Dysplasia |
dc.subject |
Respiration, Artificial |
dc.subject |
Pregnancy |
dc.subject |
Delivery Rooms |
dc.subject |
Infant, Premature |
dc.subject |
Adolescent |
dc.subject |
Respiratory Distress Syndrome, Newborn/diagnosis |
dc.subject |
Female |
dc.subject |
Infant, Newborn |
dc.subject |
Pediatrics, Perinatology and Child Health |
dc.title |
Respiratory outcomes after delivery room stabilisation with a new respiratory support system using nasal prongs |
dc.type |
/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article |
dc.description.version |
Peer reviewed |
dc.identifier.doi |
10.1111/apa.16665 |
dc.relation.url |
http://www.scopus.com/inward/record.url?scp=85146975239&partnerID=8YFLogxK |