A clinical scoring system to predict the need for extensive resuscitation at birth in very low birth weight infants

Lee, Juyoung; Lee, Jung Hyun

doi:10.1186/s12887-019-1573-9

Cited by 7 publications

(3 citation statements)

References 19 publications

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“…This means that insulation did not perform effectively during the resuscitation process, which we will enhance in future quality improvements. ANS can accelerate fetal lung development and reduce morbidity and mortality in preterm infants between 22 and 34 weeks of GA [ 17 , 25 ], as well as reduce extensive resuscitation [ 26 ]. In this research, the use of ANS was 83.2% in preterm infants without resuscitation compared with 64.9% who needed CPR, indicating that ANS reduced the intensity of resuscitation.…”

Section: Discussionmentioning

confidence: 99%

Delivery room resuscitation intensity and associated neonatal outcomes of 24+0–31+6 weeks’ preterm infants in China: a retrospective cross-sectional study

Wang

Chen

et al. 2023

World J Pediatr

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Background The aim of this study was to review current delivery room (DR) resuscitation intensity in Chinese tertiary neonatal intensive care units and to investigate the association between DR resuscitation intensity and short-term outcomes in preterm infants born at 24+0–31+6 weeks’ gestation age (GA). Methods This was a retrospective cross-sectional study. The source population was infants born at 24+0–31+6 weeks’ GA who were enrolled in the Chinese Neonatal Network 2019 cohort. Eligible infants were categorized into five groups: (1) regular care; (2) oxygen supplementation and/or continuous positive airway pressure (O2/CPAP); (3) mask ventilation; (4) endotracheal intubation; and (5) cardiopulmonary resuscitation (CPR). The association between DR resuscitation and short-term outcomes was evaluated by inverse propensity score-weighted logistic regression. Results Of 7939 infants included in this cohort, 2419 (30.5%) received regular care, 1994 (25.1%) received O2/CPAP, 1436 (18.1%) received mask ventilation, 1769 (22.3%) received endotracheal intubation, and 321 (4.0%) received CPR in the DR. Advanced maternal age and maternal hypertension correlated with a higher need for resuscitation, and antenatal steroid use tended to be associated with a lower need for resuscitation (P < 0.001). Severe brain impairment increased significantly with increasing amounts of resuscitation in DR after adjusting for perinatal factors. Resuscitation strategies vary widely between centers, with over 50% of preterm infants in eight centers requiring higher intensity resuscitation. Conclusions Increased intensity of DR interventions was associated with increased mortality and morbidities in very preterm infants in China. There is wide variation in resuscitative approaches across delivery centers, and ongoing quality improvement to standardize resuscitation practices is needed.

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Section: Discussionmentioning

confidence: 99%

Delivery room resuscitation intensity and associated neonatal outcomes of 24+0–31+6 weeks’ preterm infants in China: a retrospective cross-sectional study

Wang

Chen

et al. 2023

World J Pediatr

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“…25 Polyhydramnios and oligohydramnios are associated with low Apgar scores at 1 and 5 minutes and the need for extensive resuscitation. 23,26,27 The perinatal mortality rate in polyhydramnios is reported to be 30% to 41% even in cases of idiopathic polyhydramnios without congenital malformation and up to 76% in cases with oligohydramnios. 20,23,27,28 In our current study, both polyhydramnios and oligohydramnios revealed significant associations with inhospital mortality.…”

Section: Multivariable Logistic Regression Analysis and The Knn Prediction Formulamentioning

confidence: 99%

Prediction of In-Hospital Mortality After 24 Hours in Very Low Birth Weight Infants

Park

Kim

2021

Pediatrics

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BACKGROUND AND OBJECTIVES: The existing prediction formulas for in-hospital mortality of very low birth weight (VLBW) infants were mostly developed in the 1990s or 2000s and thus may not reflect the recently improved levels of neonatal care. We conducted this study to build a model for predicting the in-hospital mortality using perinatal factors available soon after birth. METHODS: We gathered data on VLBW infants from the Korean Neonatal Network, a nationwide, prospective, Web-based registry that enrolled patients from 2013 to 2017. Perinatal variables that were significantly associated with mortality in univariate logistic regression or those with apparent clinical importance were included in the multivariable logistic regression model. The final formula was constructed by considering the collinearity, parsimony, goodness of fit, and clinical interpretation. RESULTS: A total of 9248 VLBW infants were analyzed, including 1105 (11.9%) who died during hospitalization. The mean gestational age was 29.0 ± 2.9 weeks and the mean birth weight was 1096 ± 280 g. Significant variables used in the final equation included polyhydramnios, oligohydramnios, gestational age, Apgar score at 1 minute, intubation at birth, birth weight, and base excess. In internal validation, the area under the curve (AUC) for the prediction of in-hospital mortality was 0.870 and the optimism-corrected AUC was 0.867. The prediction equation revealed good discrimination and calibration in the external validation as well (AUC: 0.876). CONCLUSIONS: The newly developed Korean Neonatal Network prediction formula for in-hospital mortality could be a useful tool in counseling by providing a reliable prediction for the in-hospital mortality of VLBW infants.

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“…Факторы риска необходимости проведения сердечно-легочной реанимации в родильном зале [10] Risk factors for resuscitation in the delivery room [10] Признак / Variable Оценка, баллы / Score assigned…”

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Cardiopulmonary resuscitation of neonate at delivery room

et al. 2019

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Improving the cardiopulmonary resuscitation quality in the delivery room is one of the most pressing issues in modern neonatology. Despite the fact that in recent years the number of surviving infants with low and extremely low birth weight has been steadily increasing, the nursing outcome is not enough favourable with unsatisfying quality of life. The cardiopulmonary resuscitation protocols have been regularly updated and upgraded (every five years in the last twenty years). This helps to improve resuscitation outcome. In 2015 the American Heart Association and the European Resuscitation Council issued the new edition of the guidelines on basic and advanced cardiopulmonary resuscitation in children, including infants. The guidelines are believed to improve the quality of resuscitation care in the delivery room and to contribute to a better neurological outcome.

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A clinical scoring system to predict the need for extensive resuscitation at birth in very low birth weight infants

Cited by 7 publications

References 19 publications

Delivery room resuscitation intensity and associated neonatal outcomes of 24+0–31+6 weeks’ preterm infants in China: a retrospective cross-sectional study

Delivery room resuscitation intensity and associated neonatal outcomes of 24+0–31+6 weeks’ preterm infants in China: a retrospective cross-sectional study

Prediction of In-Hospital Mortality After 24 Hours in Very Low Birth Weight Infants

Cardiopulmonary resuscitation of neonate at delivery room

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