Early factors associated with continuous positive airway pressure failure in moderate and late preterm infants.

CPAP failure Fraction of inspired oxygen Late preterm infant Positive end-expiratory pressure Predictive value Respiratory distress syndrome

Journal

European journal of pediatrics
ISSN: 1432-1076
Titre abrégé: Eur J Pediatr
Pays: Germany
ID NLM: 7603873

Informations de publication

Date de publication:
26 Sep 2023
Historique:
received: 05 04 2023
accepted: 27 06 2023
revised: 20 06 2023
medline: 26 9 2023
pubmed: 26 9 2023
entrez: 26 9 2023
Statut: aheadofprint

Résumé

To determine the early factors associated with continuous positive airway pressure (CPAP) failure in moderate-to-late preterm infants (32 + 0/7 to 36 + 6/7 weeks' gestation) from the NEOBS cohort study. The NEOBS study was a multi-center, prospective, observational study in 46 neonatal intensive care units in France, which included preterm and late preterm infants with early neonatal respiratory distress. This analysis included a subset of the NEOBS population who had respiratory distress and required ventilatory support with CPAP within the first 24 h of life. CPAP failure was defined as the need for tracheal intubation within 72 h of CPAP initiation. Maternal and neonatal clinical parameters in the delivery room and clinical data at 3 h of life were analyzed. CPAP failure occurred in 45/375 infants (12%), and compared with infants with CPAP success, they were mostly singletons (82.2% vs. 62.1%; p < 0.01), had a lower Apgar score at 10 min of life (9.1 ± 1.3 vs. 9.6 ± 0.8; p = 0.02), and required a higher fraction of inspired oxygen (FiO

Identifiants

pubmed: 37750912
doi: 10.1007/s00431-023-05090-1
pii: 10.1007/s00431-023-05090-1
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023. The Author(s).

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Auteurs

Pierre Tourneux (P)

Neonatal Intensive Care Unit, University Hospital Center of Amiens, Jules Verne University of Picardy, Amiens, France. tourneux.pierre@chu-amiens.fr.

Thierry Debillon (T)

Neonatology Intensive Care Unit, University Hospital of Grenoble, Grenoble, France.

Cyril Flamant (C)

Neonatal Intensive Care Unit, University Hospital of Nantes, Nantes, France.

Pierre-Henri Jarreau (PH)

Neonatal Intensive Care Unit of Port-Royal, AP-HP,, University of Paris , Paris, France.

Benjamin Serraz (B)

Medical Affairs, Chiesi SAS, Bois Colombes, France.

Isabelle Guellec (I)

Neonatal and Paediatric Intensive Care Unit, University Hospital of L'Archet, Nice, France.

Classifications MeSH