Differential classification of infants in United States neonatal intensive care units for weight, length, and head circumference by United States and international growth curves

2020 ◽  
Vol 47 (6) ◽  
pp. 564-571
Author(s):  
A. Nicole Ferguson ◽  
Irene E. Olsen ◽  
Reese H. Clark ◽  
Bryan D. Yockey ◽  
Jonathan Boardman ◽  
...  
2017 ◽  
Vol 171 (3) ◽  
pp. e164396 ◽  
Author(s):  
Jeffrey D. Horbar ◽  
Erika M. Edwards ◽  
Lucy T. Greenberg ◽  
Kate A. Morrow ◽  
Roger F. Soll ◽  
...  

2015 ◽  
Vol 38 (5) ◽  
pp. 333-341 ◽  
Author(s):  
Jeannette A. Rogowski ◽  
Douglas O. Staiger ◽  
Thelma E. Patrick ◽  
Jeffrey D. Horbar ◽  
Michael J. Kenny ◽  
...  

PEDIATRICS ◽  
1995 ◽  
Vol 95 (5) ◽  
pp. 755-757
Author(s):  
John T. Flynn ◽  
Augusto Sola ◽  
William V. Good ◽  
Roderic H. Phibbs

In the United States there are about 4 million births annually,1 of which about 10% are premature. The percentage of premature births has increased over the last decade2 and every year there are >20 000 infants whose birth weight is 1250 g or under who survive beyond 28 days of life.3 An additional 32 000 surviving infants weigh between 1251 and 1500 g at birth. Both birth weight strata contain, by all that we know about the disease, infants at the highest risk for the development of retinopathy of prematurity (ROP). If infants of these birth weights are to be examined by ophthalmologists competent to perform indirect ophthalmoscopy on these tiny prematures, an average of 6 times during the period of highest susceptibility for the development of threshold ROP4 disease—32 to 40 weeks postconceptional age5,6—then we are talking about ±300 000 such examinations per year in the neonatal intensive care units across this country.


2018 ◽  
Vol 36 (05) ◽  
pp. 484-489 ◽  
Author(s):  
Ashish Gupta ◽  
Martin Keszler

Objective To provide current data on ventilation practices and use of volume-targeted ventilation (VTV) in neonatal intensive care units of the United States and Canada, to identify the perceived barriers to the implementation of VTV, and to assess the knowledge base of appropriate initial tidal volume (VT ) settings for different hypothetical clinical scenarios. Study Design This was a cross-sectional online survey of individual neonatologists practicing in the United States and Canada. Results We received 387 responses (estimated response rate: ∼20%). Use of VTV was much higher in Canada (81%) compared with 39% in the United States. In the United States, VTV use is highest in the Northwest at 77% and lowest in the Northeast at 32.5%. The chief barrier to use of VTV was lack of knowledge about VTV and lack of appropriate equipment. The five clinical scenarios revealed that the majority of responders failed to select appropriate evidence-based VT for the specific scenario. Conclusion Pressure-controlled ventilation remains the predominant approach to neonatal ventilation in the United States, while VTV is the preferred mode in Canada. Despite available data and important pathophysiological differences between patients, there is insufficient understanding of how to choose an appropriate VT in a variety of common clinical scenarios among users of VTV.


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