Duration of Resuscitation at Birth, Mortality, and Neurodevelopment: A Systematic Review

Foglia, Elizabeth E.; Weiner, Gary M.; Almeida, Maria Fernanda Branco de; Wyllie, Jonathan; Wyckoff, Myra H.; Rabi, Yacov; Guinsburg, Ruth

doi:10.1542/peds.2020-1449

Cited by 34 publications

(26 citation statements)

References 37 publications

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“…This SysRev identified 15 outcome studies of only 470 newborns. 91 The task force agreed that the limited number of infants in the studies and the heterogeneity of the studies provided very low-certainty evidence on which to base new 2020 treatment recommendations.…”

Section: Impact Of Duration Of Intensive Resuscitationmentioning

confidence: 99%

Executive Summary: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Nolan¹,

Maconochie²,

Soar³

et al. 2020

Circulation

Self Cite

106

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requiring first aid, related education and implementation strategies, and systems of care. After the publication of the 2015 International Consensus on CPR and ECC Science With Treatment Recommendations, ILCOR also committed to sponsoring a continuous evidenceevaluation process, with topics prioritized for review by the task forces and with CoSTR updates published annually. For this 2020 CoSTR, the 6 ILCOR task forces performed structured reviews of 184 topics, completing the most ambitious evidence review that ILCOR has attempted to date.The ILCOR systematic review process continues to be based on the methodological principles published by the National Academy of Health and Medicine (formerly the Institute of Medicine) 2 ; Cochrane 3,4 ; Grading of Recommendations Assessment, Development, and Evaluation (GRADE) 5 ; and the reporting guidelines based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations. 6,7 Three types of evidence evaluation provided the basis for this 2020 CoSTR: the systematic review, the scoping review, and the evidence update. Based on recommendations from the ILCOR Scientific Affairs Committee and agreement of the task forces, only systematic reviews could result in new or modified treatment recommendations.

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Section: Impact Of Duration Of Intensive Resuscitationmentioning

confidence: 99%

Executive Summary: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Nolan¹,

Maconochie²,

Soar³

et al. 2020

Circulation

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106

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“…The prevalence of mortality, neurodevelopmental impairment, respiratory support at 28 days, days to full oral feeds and length of stay are very high among the neonates who have received in-birth CPR (8,25). Even the national institute of child health and developmental neonatal research reported that CPR in delivery room is a prognostic factor for morbidity and later complications up to 18 months of age (26).…”

Section: Discussionmentioning

confidence: 99%

“…chest compression with or without injecting epinephrine (7). Many studies have been performed on CPR consequences, and it has been found that mortality, neurological morbidity, neurodevelopmental impairment, lower motor scores and ROP are more prevalent among the preterm infants who have received CPR (6,8,9). Thus, timely identi cation and rapid CPR of neonates in the delivery room can reduce the neonatal mortality and morbidity (7).…”

Section: Introductionmentioning

confidence: 99%

“…Currently, in-birth CPR is suggested for neonates with asystole, profound bradycardia (HR < than 60 per minutes), and pulseless electrical activity despite effective ventilation. Absence of heart rate or other vital signs, which is recorded as zero APGAR, can also be used as a guideline for decisionmaking on beginning CPR (8). Different studies have shown that the severity scoring systems have many limitations, and the systems based on machine learning have a better performance in prediction (10,11).…”

Section: Introductionmentioning

confidence: 99%

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In-birth CPR in neonates; Predictable or Unpredictable?

Zarkesh¹,

Moradi²,

Orooji³

2021

Preprint

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Background: Anticipating on in-birth Cardiopulmonary Resuscitation(CPR) in neonates is very important and complex. Timely identification and rapid CPR in neonates in the delivery room significantly affect reducing the mortality and other neurological disabilities. The aim of this study is to create a prediction system for identifying the need to in-birth CPR in neonates based on Machine Learning(ML) algorithms.Methods: In this study, 3882 neonatal medical records were retrospectively reviewed. Records were extracted from the maternal, fetal, and neonatal registry of Valiasr hospital in Tehran. A total of 60 risk factors were extracted, and five ML algorithms including J48, Naïve Bayesian, Multilayer Perceptron (MLP)، Support Vector Machine (SVM) and Random Forest were compared to predict the need to in-birth CPR in neonates. Also, using 10 feature selection algorithms, the features were ranked based on the importance, and using the ML algorithms, the important risk factors were identified. Results: In order to predict the need to in-birth CPR in neonates, SVM using all risk factors reached the accuracy of 88.43% and F-measure of 88.4%, while MLP using the 15 first important features reached the accuracy of 90.86% and the F-measure of 90.8%. The most important risk factors included gestational age, delivery type, presentation, steroid administration, macrosomia, prenatal care, infant number and rank, mother addiction, maternal chronic disease history, fetal hydrops, amniotic fluid, gestational hypertension, infertility and placental abruption. Conclusions: The proposed system can be useful in predicting the need to CPR in neonates in the delivery room.

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“…Bei extremen Frühgeborenen sind längere Reanimationen mit geringeren Überlebensraten und einer höheren Morbidität verbunden. Die Entscheidung zum Abbruch einer Reanimation soll hier individuell getroffen werden [ 371 , 372 ].…”

Section: Wissenschaftliche Grundlagen Auf Deren Basis Die Empfehlungen Für Die Praxis Zur Versorgung Und Reanimation Des Neugeborenen Berunclassified

Versorgung und Reanimation des Neugeborenen nach der Geburt

Madar

Roehr

Ainsworth³

et al. 2021

Notfall Rettungsmed

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Die vorliegenden Leitlinien des European Resuscitation Council zur Versorgung und Reanimation des Neugeborenen nach der Geburt beruhen auf dem International Liaison Committee on Resuscitation (ILCOR) 2020 Consensus on Science and Treatment Recommendations (CoSTR) for Neonatal Life Support (NLS). Sie beinhalten Empfehlungen zur Versorgung und Reanimation des reifen Neugeborenen und zur Stabilisierung des Frühgeborenen. Sie umfassen den aktualisierten Algorithmus zur Reanimation des Neugeborenen, die Vorbereitungen vor der Versorgung eines Neugeborenen, die Themen Training und Ausbildung, Wärmemanagement, Empfehlungen zum Abnabeln, die initiale Beurteilung und Einschätzung des Neugeborenen, das Atemwegsmanagement, inklusive einer Notfallbeatmung, und die Kreislaufunterstützung im Falle einer vollen Reanimation. Darüber hinaus finden sich Empfehlungen zur Kommunikation mit den Eltern und ethische Überlegungen, in welchen Situationen erwogen werden soll, auf Reanimationsmaßnahmen zu verzichten bzw. Reanimationsmaßnahmen nicht fortzuführen. Zusatzmaterial online Zusätzliche Informationen sind in der Online-Version dieses Artikels (10.1007/s10049-021-00894-w) enthalten.

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Duration of Resuscitation at Birth, Mortality, and Neurodevelopment: A Systematic Review

Cited by 34 publications

References 37 publications

Executive Summary: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Executive Summary: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

In-birth CPR in neonates; Predictable or Unpredictable?

Versorgung und Reanimation des Neugeborenen nach der Geburt

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