Global, Regional and National Trends in the Burden of Neonatal Respiratory Failure and essentials of its diagnosis and management from 1992 to 2022: a scoping review

Tochie, Joel Noutakdie; Sibetcheu, Aurelie T.; Arrey-Ebot, Pascal Ebot; Choukem, Simeon-Pierre

doi:10.1007/s00431-023-05238-z

Cited by 7 publications

(1 citation statement)

References 173 publications

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“…Infant respiratory distress is a leading cause of under-5 mortality worldwide [1]. As highlighted in a scoping review by Tochie et al, low-and middle-income countries in Africa and Asia bear the greatest burden of disease, warranting prompt diagnosis and treatment to improve neonatal survival [2]. One of the more widely available treatments is bubble nasal continuous positive airway pressure (NCPAP).…”

Section: Introductionmentioning

confidence: 99%

Safety of bubble nasal intermittent positive pressure ventilation (NIPPV) versus bubble nasal continuous positive airway pressure (NCPAP) in preterm infants with respiratory distress

John,

Garg,

Muttineni

et al. 2024

J Perinatol

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Section: Introductionmentioning

confidence: 99%

Safety of bubble nasal intermittent positive pressure ventilation (NIPPV) versus bubble nasal continuous positive airway pressure (NCPAP) in preterm infants with respiratory distress

John,

Garg,

Muttineni

et al. 2024

J Perinatol

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Using a simplified Downes score to predict the receipt of surfactant in a highly resourced setting

Chotas,

Edwards,

Horn

et al. 2024

J Perinatol

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OBJECTIVE:The Downes score is a neonatal examination scoring tool frequently used to guide initiation of CPAP, but its ability to predict the need for surfactant has not been assessed. We assessed the extent to which the Downes score predicts the receipt of surfactant. STUDY DESIGN: We calculated a simplified Downes score from nursing admission data for infants (≤ 2000 grams, and ≥ 25 weeks' gestation) admitted on CPAP to a highly resourced level III NICU, to assess the predictive value for the receipt of surfactant. RESULTS: Fifty-three (31.5%) out of 168 infants admitted on CPAP received surfactant. A simplified Downes score of ≥ 4 predicted the receipt of surfactant with 90.6% sensitivity, 52.2% specificity, 46.6% positive predictive value, 92.3% negative predictive value, and 64.3% accuracy. CONCLUSION: The high sensitivity and negative predictive value suggest utility for using the Downes score to help guide clinical decision making regarding surfactant therapy.

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Gestational diabetes mellitus and risk of neonatal respiratory distress syndrome: a systematic review and meta-analysis

Yang,

Liu,

Ding

2024

Diabetol Metab Syndr

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Aim Gestational Diabetes Mellitus (GDM), a common pregnancy complication characterized by glucose intolerance, is increasingly recognized as a risk factor for Neonatal Respiratory Distress Syndrome (NRDS). This study aimed to systematically review and quantify the association between GDM and NRDS. Methods A comprehensive search was conducted in PubMed, Scopus, Embase, and Web of Science from their inception through July 30, 2024, to identify relevant studies. A total of 44 studies, including 50 datasets and over 6.2 million participants, were included in the analysis. Meta-analyses were performed using random-effects models to estimate pooled odds ratios (ORs) and assess heterogeneity among studies. Subgroup analyses were conducted based on study design, gestational age, diagnostic methods, and geographical regions. Results Our meta-analysis demonstrated a statistically significant association between GDM and an increased risk of NRDS in newborns (OR 1.9; 95%CI 1.5–2.3). A sub-group analysis based on studies participants showed significant association in both GDM-based (OR, 2.0; 95%CI, 1.5–2.7) and NRSD-based studies (OR, 1.7; 95%CI, 1.3–2.3). This association was consistent across other various subgroups, including both term and preterm pregnancies and across different continents. Sensitivity analysis confirmed the robustness of these findings, and cumulative meta-analysis showed a steady increase in the strength of the association over time. Conclusion Our findings highlight GDM as a significant risk factor for NRDS, underscoring the need for early detection and effective management of GDM to reduce adverse neonatal outcomes. However, limitations such as residual confounding, high heterogeneity among studies, and evidence of publication bias should be considered when interpreting these results. Future research should address these issues by including diverse populations and accounting for key confounders to better understand the GDM-NRDS relationship and explore targeted interventions to mitigate the risk in infants born to mothers with GDM. Supplementary Information The online version contains supplementary material available at 10.1186/s13098-024-01539-x.

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Global, Regional and National Trends in the Burden of Neonatal Respiratory Failure and essentials of its diagnosis and management from 1992 to 2022: a scoping review

Cited by 7 publications

References 173 publications

Safety of bubble nasal intermittent positive pressure ventilation (NIPPV) versus bubble nasal continuous positive airway pressure (NCPAP) in preterm infants with respiratory distress

Safety of bubble nasal intermittent positive pressure ventilation (NIPPV) versus bubble nasal continuous positive airway pressure (NCPAP) in preterm infants with respiratory distress

Using a simplified Downes score to predict the receipt of surfactant in a highly resourced setting

Gestational diabetes mellitus and risk of neonatal respiratory distress syndrome: a systematic review and meta-analysis

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