Recent Changes in the Incidence of Bronchopulmonary Dysplasia among Very-Low-Birth-Weight Infants in Korea

Jo, Heui Seung; Cho, Kee Hyun; Cho, Sung-Il; Song, Eun Song; Kim, Beyong Il

doi:10.3346/jkms.2015.30.s1.s81

Cited by 26 publications

(23 citation statements)

References 26 publications

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“…The conflict in results regarding to the effect of CLD and respiratory treatments on development of IH could be attributed to higher ratios of those variables in that studies when compared with our study population; which is also higher than the recent literature. 15 A noteworthy finding in our study is that RDS and reaching to full enteral feeding after 10 days were found to have a predictive value in IH development. Previously, early respiratory problems were linked to IH in two studies.…”

Section: Discussionsupporting

confidence: 62%

Inguinal Hernia Development in Very Low-Birth-Weight Infants: A Case–Control Study

et al. 2016

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The incidence and risk factors for inguinal hernia (IH) is not a thoroughly evaluated issue of preterms. Prematurity is the single most important risk factor. There exists no study in our country which reported the incidence of IH in preterms. The purpose of this study is to investigate the incidence and time of diagnosis of IH in very low-birth-weight (VLBW) infants. This retrospective case-control study was conducted in Etlik Zubeyde Hanim Women's Health Training and Research Hospital and included discharged VLBW infants with gestational age less than 32 weeks. Control group included gender, birth weight, and gestational age matched VLBW infants without IH. The incidence of IH was 10.1% in VLBW infants (70/693) and 16.1% in extremely low-birth-weight infants (19/174). Male/female ratio was found as 3.4:1. Most IH appeared as bilateral (40.0%). Time of diagnosis was 39 (37-42) weeks of postmenstrual age while 68.6% of infants were diagnosed after discharge. IH development increased by 2.3-folds by having respiratory distress syndrome and by 4.5 folds by achieving full enteral feeds on or after the 10th day. Preterms with respiratory distress syndrome and those reach full enteral feeding on or after the 10th day should be monitored carefully for IH development. Bearing in mind that a significant amount of IH cases exhibit symptoms after discharge, neonatologists should inform the parents of premature infants of the issue and close attention should be paid in postdischarge follow-up examinations.

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Section: Discussionsupporting

confidence: 62%

Inguinal Hernia Development in Very Low-Birth-Weight Infants: A Case–Control Study

et al. 2016

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“…The time on endotracheal ventilation in this present study was relatively shorter compared to those reported in previous studies 6,12) . According to the latest nationwide survey 35) , the combined rates of BPD or death were 68.7% at 25 weeks GA and 58.9% at 26 weeks GA. In the present study, the combined rate of clinical BPD or death was about 40%.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Outcomes of Early Extubation in Extremely Premature Infants (Gestational Age: 25–26 Weeks) with Synchronized Nasal Intermittent Positive-Pressure Ventilation

et al. 2016

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Purpose: To investigate the pulmonary outcomes of early extubation (within the first 24 hours of life) with synchronized nasal intermittent positive pressure ventilation (NIPPV) in extremely premature infants born at 25-26 weeks' gestation. Methods: Medical records of extremely premature infants (gestational age: 25-26 weeks) born and admitted to the Keimyung University Dongsan Medical Center between January 2015 and December 2015 (n=42) were reviewed retrospectively. The early extubation group included infants who were extubated within the first 24 hours of life and was compared with a control group that included infants who remained ventilated beyond the first 24 hours of life. Extubation failure was defined as the need for reintubation within 72 hours after extubation. Results: Of the 35 enrolled infants, 22 (62.9%) were extubated within the first 24 hours of life. No significant differences in perinatal factors were observed between the early extubation and control groups. Between the two groups, the incidence rates of extubation failure (18.2% [4/22] vs. 7.7% [1/13], P=0.39), reintubation (50.0% [11/ 22] vs. 46.2% [6/13], P=0.84), mortality (18.2% [4/22] vs. 15.4% [2/13], P=0.83), and the combined rates of clinical bronchopulmonary dysplasia (BPD) or death (40.9% [9/22] vs. 38.5% [5/13], P=0.89) did not significantly differ. Conclusion: Early extubation (within the first 24 hours of life) with synchronized NIPPV is safe and effective in the extremely premature infants born at 25-26 weeks' gestation, and does not indicate increased risks of extubation failure and other morbidities.

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“…15,29 Furthermore, other conditions contribute to the establishment of a poor prognosis such as bronchodysplasia, including newborns weighting less than 1,000 g, Apgar test performed at the 5 th minute of their life and acute pulmonary diseases. 30 Newborns showing signs of respiratory discomfort tends to require immediate resuscitation as well as respiratory support, 11 in which the lower the GA the greater the possibility of using positive pressure ventilation. 13 In addition, the death rates among newborns increase in the presence of endotracheal intubation and the time required for them to undergo mechanical ventilation.…”

Section: Interventions That Influence the Prognosis Of Newbornsmentioning

confidence: 99%

Prognosis of Newborns in Neonatal Intensive Care Units: An Integrative Review / Prognóstico de Recém-Nascidos Internados em Unidades de Terapia Intensiva Neonatal: Revisão Integrativa

Fernandes

Santos

Santiago

2020

R. pesq. cuid. fundam. online

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Objetivo: Identificar na literatura evidências científicas acerca do prognóstico de recém-nascidos internados em Unidades de Terapia Intensiva Neonatal (UTIN). Métodos: Trata-se de uma revisão integrativa que explorou 11 artigos nas bases de dados: PubMed/MEDLINE, CINAHL, Web of Science, LILACS, Science Direct, SCOPUS. Resultados: Identificaram-se estudos que abordaram os fatores associados ao prognóstico de recém-nascidos internados em UTIN e as intervenções que influenciam o prognóstico do recém-nascido. Os principais fatores clínicos associados ao prognóstico foram o baixo peso, a prematuridade e a asfixia, esses mesmos fatores influenciaram a mortalidade, principal prognóstico avaliado pela maior parte dos estudos. Conclusão: Identificaram-se baixo peso e a prematuridade foram os principais fatores que levam à internação em UTIN. A melhoria do prognóstico é vislumbrada com o ganho de peso. Quando a prematuridade e o baixo peso estão associados a outras patologias há piora no prognóstico, tendo a morte neonatal como desfecho.

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Recent Changes in the Incidence of Bronchopulmonary Dysplasia among Very-Low-Birth-Weight Infants in Korea

Cited by 26 publications

References 26 publications

Inguinal Hernia Development in Very Low-Birth-Weight Infants: A Case–Control Study

Inguinal Hernia Development in Very Low-Birth-Weight Infants: A Case–Control Study

Pulmonary Outcomes of Early Extubation in Extremely Premature Infants (Gestational Age: 25–26 Weeks) with Synchronized Nasal Intermittent Positive-Pressure Ventilation

Prognosis of Newborns in Neonatal Intensive Care Units: An Integrative Review / Prognóstico de Recém-Nascidos Internados em Unidades de Terapia Intensiva Neonatal: Revisão Integrativa

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