Reese H Clark1. 1. Pediatrix Medical Group, Inc., Sunrise, FL 33323, USA.
Abstract
OBJECTIVE: To prospectively evaluate the primary causes for the use of mechanical ventilation in near-term neonates and to determine the rates of death, chronic lung disease, and neurological complications in these infants. STUDY DESIGN: We collected data on 1011 neonates who were > or =34 weeks' estimated gestational age; intubated within 72 hours of birth; and expected to require ventilation for more than 6 hours. RESULTS: The study population had a mean estimated gestational age of 37+/-2 weeks; had a mean birth weight of 2.9+/-0.6 kg; and were predominantly male (62%), white (69%), and delivered by cesarean section (55%). Respiratory distress syndrome (n=437) was the most common pulmonary illness. Chronic lung disease was diagnosed in 109 (11%); neurological complications were reported in 86 (9%); and 51 (5%) patients died. CONCLUSIONS: Neonates > or =34 weeks who require mechanical ventilation represent a high-risk population who have significant morbidity and mortality.
OBJECTIVE: To prospectively evaluate the primary causes for the use of mechanical ventilation in near-term neonates and to determine the rates of death, chronic lung disease, and neurological complications in these infants. STUDY DESIGN: We collected data on 1011 neonates who were > or =34 weeks' estimated gestational age; intubated within 72 hours of birth; and expected to require ventilation for more than 6 hours. RESULTS: The study population had a mean estimated gestational age of 37+/-2 weeks; had a mean birth weight of 2.9+/-0.6 kg; and were predominantly male (62%), white (69%), and delivered by cesarean section (55%). Respiratory distress syndrome (n=437) was the most common pulmonary illness. Chronic lung disease was diagnosed in 109 (11%); neurological complications were reported in 86 (9%); and 51 (5%) patients died. CONCLUSIONS: Neonates > or =34 weeks who require mechanical ventilation represent a high-risk population who have significant morbidity and mortality.
Authors: Erika Fernandez; Kristi L Watterberg; Roger G Faix; Bradley A Yoder; Michele C Walsh; Conra Backstrom Lacy; Karen A Osborne; Abhik Das; Douglas E Kendrick; Barbara J Stoll; Brenda B Poindexter; Abbot R Laptook; Kathleen A Kennedy; Kurt Schibler; Edward F Bell; Krisa P Van Meurs; Ivan D Frantz; Ronald N Goldberg; Seetha Shankaran; Waldemar A Carlo; Richard A Ehrenkranz; Pablo J Sánchez; Rosemary D Higgins Journal: Am J Perinatol Date: 2015-03-31 Impact factor: 1.862
Authors: Tinnakorn Chaiworapongsa; Roberto Romero; Steven J Korzeniewski; Josef M Cortez; Athina Pappas; Adi L Tarca; Piya Chaemsaithong; Zhong Dong; Lami Yeo; Sonia S Hassan Journal: J Matern Fetal Neonatal Med Date: 2013-08-08
Authors: Aaron Hamvas; Hillary B Heins; Susan H Guttentag; Daniel J Wegner; Michelle A Trusgnich; Kate W Bennet; Ping Yang; Christopher S Carlson; Ping An; F Sessions Cole Journal: Neonatology Date: 2008-09-06 Impact factor: 4.035