Stephanie Redpath1, Prakesh S Shah2, Gregory P Moore1, Junmin Yang3, Jennifer Toye4, Thérèse Perreault5, Kyong-Soon Lee6. 1. Department of Paediatrics, Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, ON, Canada. 2. Department of Paediatrics, Mount Sinai Hospital and University of Toronto, Toronto, ON, Canada. 3. MiCare, Toronto, ON, Canada. 4. Stollery Children's Hospital, Edmonton, AB, Canada. 5. Montreal Children's Hospital-McGill University Health Centre, Montréal, QC, Canada. 6. Department of Paediatrics, Hospital for Sick Children and University of Toronto, Toronto, ON, Canada. Kyong-soon.lee@sickkids.ca.
Abstract
OBJECTIVE: We evaluated transport factors and postnatal practices to identify modifiable risk factors for SBI. STUDY DESIGN: Retrospective review of Canadian Neonatal Transport Network data linked to Canadian Neonatal Network data for outborns <33 weeks gestational age (GA), during January 2014 to December 2015. SBI was defined as grade 3 or 4 intraventricular hemorrhage or parenchymal echogenicity, including hemorrhagic and/or ischemic lesions. RESULT: Among 781 infants, 115 (14.7%) had SBI with range 5.6-40% among transport teams. In multivariable analysis, SBI was associated with GA [0.77 (0.71, 0.85)] per week, receipt of chest compressions and/or epinephrine at delivery [1.81 (1.08, 3.05)] and receipt of fluid boluses [1.61 (1.00, 2.58)]. CONCLUSIONS: Risk factors for SBI were related to the condition at birth and immediate postnatal management and not related to transport factors. These results highlight the importance of maternal transfer to perinatal centers to allow optimization of perinatal management.
OBJECTIVE: We evaluated transport factors and postnatal practices to identify modifiable risk factors for SBI. STUDY DESIGN: Retrospective review of Canadian Neonatal Transport Network data linked to Canadian Neonatal Network data for outborns <33 weeks gestational age (GA), during January 2014 to December 2015. SBI was defined as grade 3 or 4 intraventricular hemorrhage or parenchymal echogenicity, including hemorrhagic and/or ischemic lesions. RESULT: Among 781 infants, 115 (14.7%) had SBI with range 5.6-40% among transport teams. In multivariable analysis, SBI was associated with GA [0.77 (0.71, 0.85)] per week, receipt of chest compressions and/or epinephrine at delivery [1.81 (1.08, 3.05)] and receipt of fluid boluses [1.61 (1.00, 2.58)]. CONCLUSIONS: Risk factors for SBI were related to the condition at birth and immediate postnatal management and not related to transport factors. These results highlight the importance of maternal transfer to perinatal centers to allow optimization of perinatal management.
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