Neonatal outcomes based on mode and intensity of delivery room resuscitation

作者：Bashir A; Bird B; Wu L; Welles S; Taylor H; Anday E; Bhandari V^*

来源：Journal of Perinatology, 2017, 37(10): 1103-1107.

DOI：10.1038/jp.2017.102

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 <= 1500 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.

• 出版日期2017-10