Literature DB >> 26084746

Predicting the Need for Home Oxygen Therapy in Preterm Infants Born Before 28 Weeks' Gestation.

Melissa C Liebowitz1, Ronald I Clyman1.   

Abstract

OBJECTIVE: To discover a predictor, that could be used at least 3 to 4 weeks' before discharge, to identify infants who would need home oxygen therapy. We hypothesized that infants requiring a high level of respiratory support at 34 weeks' postmenstrual age (PMA) would require home oxygen. STUDY
DESIGN: Single center retrospective study of 143 infants less than 28 weeks' gestation. We determined when infants weaned from each level of respiratory support (mechanical ventilation, nasal continuous airway pressure [nCPAP] or biphasic positive pressure, nasal cannula flow ≥ 2 L/min, nasal cannula flow < 2 L/min or no respiratory support). Our primary outcome was need for home oxygen. RESULT: Infants who required nCPAP at 34 weeks' PMA had a 100% positive predictive value for home oxygen therapy.
CONCLUSION: Higher levels of respiratory support at 34 weeks' PMA can predict the need for home oxygen and is useful in preparing patients and families for discharge. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

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Year:  2015        PMID: 26084746      PMCID: PMC5648327          DOI: 10.1055/s-0035-1555122

Source DB:  PubMed          Journal:  Am J Perinatol        ISSN: 0735-1631            Impact factor:   1.862


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