scholarly journals G291(P) Outcome of preterm infants discharged on home oxygen- retrospective study

Author(s):  
P Loganathan ◽  
S Hummaida ◽  
V Nair
2019 ◽  
Vol 39 (10) ◽  
pp. 1362-1369 ◽  
Author(s):  
Kamini Raghuram ◽  
Silvia Orlandi ◽  
Vibhuti Shah ◽  
Tom Chau ◽  
Maureen Luther ◽  
...  

2020 ◽  
Vol 88 (4) ◽  
pp. 593-600 ◽  
Author(s):  
Nicole R. van Veenendaal ◽  
Sophie R. D. van der Schoor ◽  
Wieke H. Heideman ◽  
Judith J. M. Rijnhart ◽  
Martijn W. Heymans ◽  
...  

2021 ◽  
Vol 9 ◽  
Author(s):  
Ping Luo ◽  
Kun Zhang ◽  
You Chen ◽  
Xiuwen Geng ◽  
Tong Wu ◽  
...  

Background: Antibiotics are widely prescribed by obstetricians, which exposes a large number of infants to antenatal antibiotics (AAB). The effect of AAB on various aspects of neonatal development of preterm infants remains unclear.Methods: In this retrospective study, infants born with gestational age (GA) between 22 +0 and 36 +6 weeks at our unit from 2017 to 2019 were included. Multivariable analysis was adopted to examine the associations between AAB exposure and various outcomes related to enteral feeding process, body growth, and neonatal infection after adjusting for potential confounders. Further subanalysis on the exposure level of AAB and stratified analysis by GA (<34 vs. ≥34 weeks) were also conducted.Results: In this cohort comprising 2,543 preterm infants, AAB was associated with decreased risks of feeding intolerance (odds ratio [OR]: 0.63, 95% confidence interval [CI]: 0.48–0.82) and neonatal infection (OR: 0.63, 95% CI: 0.41–0.94). Higher AAB exposure level was associated with higher Z scores of birth weight (β = 0.37, 95% CI: 0.27–0.47), but lower Δbodyweight Z-scores (β = −0.20, 95% CI: −0.27 to −0.13). AAB was positively associated with the parameters related to body growth in infants with GA <34 weeks but negatively associated in those with GA ≥34 weeks.Conclusions: AAB exposure affects the enteral feeding process and neonatal infection. The effects on body growth vary by the exposure level of AAB and GA of infants. A well-designed prospective and preferably multi-centre study with predefined parameters is required to confirm our findings.


2016 ◽  
Vol 34 (07) ◽  
pp. 676-683 ◽  
Author(s):  
Tinisha Lambeth ◽  
Mario Rojas ◽  
Teisha Lightbourne ◽  
Maria Barahona ◽  
Evelyn Anthony ◽  
...  

2019 ◽  
Vol 232 (01) ◽  
pp. 13-19
Author(s):  
Bettina Lange ◽  
Süha Demirakca ◽  
Georg Kähler ◽  
Christel Weiß ◽  
Lucas Wessel ◽  
...  

Abstract Background There is a lack of experience with fully covered self-expandable metal stents (SEMSs) for the treatment of esophageal leakage particularly in infants and neonates. Methods Eight patients (5M, 3F) with a median age of 17 months (range, 1–135 months) who underwent treatment with SEMSs for an anastomotic leakage or perforation of the esophagus were recruited to this retrospective study. Four children were born premature. In six patients the stents were placed primarily as an emergency procedure. Results Median duration of individual stent placement was 42 days (range, 13–72 days). Six out of eight patients (75%) were treated with one stent only. In three preterm infants who had their stents inserted within the first month relative weight gain was 17% compared with 2% in five patients who were treated later in life (p=0.0986). In four cases (50%) distal migration of the stent was observed. Seven out of eight patients (88%) had their leakage resolved after stent therapy. Conclusions Insertion of fully covered SEMSs is an alternative tool for the treatment of esophageal leakage in children and preterm infants, and successful with only one single application in selected cases. It can be used either following previous therapy or as part of an emergency procedure. Because of the absence of manufactured, age-related devices SEMSs that are originally designed for other organs can be applied.


Eye ◽  
2020 ◽  
Author(s):  
Haribalakrishna Balasubramanian ◽  
Mythily Sindhur ◽  
Ashish Doshi ◽  
Lakshmi Srinivasan ◽  
Nandkishor S. Kabra ◽  
...  

2019 ◽  
Vol 37 (05) ◽  
pp. 483-490 ◽  
Author(s):  
Shabnam Lainwala ◽  
Natalia Kosyakova ◽  
Kimberly Power ◽  
Naveed Hussain ◽  
James E. Moore ◽  
...  

Abstract Objective This study aimed to compare neurodevelopmental outcomes in preterm infants at 18 to 26 months corrected age (CA) who did versus did not achieve full oral feedings at 40 weeks postmenstrual age (PMA). Study Design This retrospective study included infants born between 2010 and 2015 with gestational age <32 weeks and followed between 18 and 26 months CA. Achievement of full oral feedings was defined as oral intake >130 mL/kg/d for >72 hours by 40 weeks PMA. Incidence of cognitive, language, or motor delay, or cerebral palsy at 18 to 26 months CA was compared in multivariable analyses for infants in the two feeding groups. Results Of 372 included infants, those achieving full oral feedings had lower incidence of any adverse neurodevelopmental outcome (p < 0.001) compared with those who did not achieve full oral feedings. In multivariable analyses, achievement of full oral feedings by 40 weeks PMA was associated with decreased odds of cognitive, language, and motor delays, cerebral palsy, and any adverse neurodevelopmental outcome at follow-up. Conclusion Achievement of full oral feedings by 40 weeks PMA was associated with better adjusted neurodevelopmental outcomes at 18 to 26 months CA. Inability to fully feed orally at 40 weeks PMA may be a simple, clinically useful marker for risk of adverse neurodevelopmental outcomes.


Author(s):  
Ricardo Rubio-Sánchez ◽  
David Núñez-Jurado ◽  
Enrique Melguizo-Madrid ◽  
Ana Isabel Álvarez-Ríos ◽  
Carmen Delgado-Pecellín

Objective: To identify extremely premature infants (< 31 weeks of gestation and/or < 1,500 grams) affected by congenital hypothyroidism (CH) with delayed elevation of thyrotropin (TSH) and to evaluate the detection strategy for this pathology in our reference screening population. Study Design: A descriptive and retrospective study was carried out with samples collected from western Andalusia and the autonomous city of Ceuta. Results: This protocol allowed us to detect six neonates with delayed TSH elevation. One of them, due to serious heart problems, died without being able to confirm CH. In two neonates, however, it was possible to detect CH, another two presented a persistent TSH elevation but normal free T4, and another one presented a temporary TSH elevation. Conclusion: It is essential to repeat the CH screening in extremely premature infants; not only at the age of 15 days, but also with a third sample at the moment of hospital discharge to detect cases with delayed TSH elevation.


2018 ◽  
Vol 53 (10) ◽  
pp. 1407-1413 ◽  
Author(s):  
Mehmet Buyuktiryaki ◽  
Hayriye G. Kanmaz ◽  
Nilufer Okur ◽  
Handan Bezirganoglu ◽  
Buse Ozer Bekmez ◽  
...  

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