Trends in Care Practices, Morbidity, and Mortality of Extremely Preterm Neonates, 1993–2012

Stoll, Barbara J.; Hansen, Nellie I.; Bell, Edward F.; Walsh, Michele C.; Carlo, Waldemar A.; Shankaran, Seetha; Laptook, Abbot R.; Sánchez, Pablo J.; Meurs, Krisa P. Van; Wyckoff, Myra H.; Das, Abhik; Hale, Ellen C.; Ball, Michelle; Newman, Nancy S.; Schibler, Kurt; Poindexter, Brenda B.; Kennedy, Kathleen A.; Cotten, C. Michael; Watterberg, Kristi L.; D’Angio, Carl T.; DeMauro, Sara B.; Truog, William E.; Devaskar, Uday; Higgins, Rosemary D.

doi:10.1097/ogx.0000000000000285

Cited by 161 publications

(248 citation statements)

References 28 publications

(39 reference statements)

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“…We justified the exclusion of studies published by research groups such as National Institute of Child Health and Development2 29–38 based on the restriction to academic units, representing 5% of the population of VLBW born in the USA 2. For some countries with multiple studies, selecting the most recent and nationally representative data was not straightforward.…”

Section: Discussionmentioning

confidence: 99%

Incidence of neonatal necrotising enterocolitis in high-income countries: a systematic review

Battersby

Santhalingam

Costeloe

et al. 2018

Arch Dis Child Fetal Neonatal Ed

209

135

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Section: Discussionmentioning

confidence: 99%

Incidence of neonatal necrotising enterocolitis in high-income countries: a systematic review

Battersby

Santhalingam

Costeloe

et al. 2018

Arch Dis Child Fetal Neonatal Ed

209

135

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“…We excluded multiple gestations and breech presentations (n=332,719), identified using either the birth certificate checkboxes or International Classification of Diseases, 9th revision, clinical modification (ICD-9) codes in the discharge file. Records with previable gestational ages (< 23 weeks gestation [14, 15]) were also excluded (n=6,946). Our resulting analytic sample size was 5,432,533 for examination of time trends in births (by any mode) to women with disabilities.…”

Section: Methodsmentioning

confidence: 99%

Time trends in births and cesarean deliveries among women with disabilities

Horner‐Johnson

Biel

Darney

et al. 2017

Disability and Health Journal

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Background Although it is likely that childbearing among women with disabilities is increasing, no empirical data have been published on changes over time in the numbers of women with disabilities giving birth. Further, while it is known that women with disabilities are at increased risk of cesarean delivery, temporal trends in cesarean deliveries among women with disabilities have not been examined. Objective To assess time trends in births by any mode and in primary cesarean deliveries among women with physical, sensory, or intellectual/developmental disabilities. Methods We conducted a retrospective cohort study using linked vital records and hospital discharge data from all deliveries in California, 2000–2010 (n=4,605,061). We identified women with potential disabilities using ICD-9 codes. We used descriptive statistics and visualizations to examine time patterns. Logistic regression analyses assessed the association between disability and primary cesarean delivery, stratified by year. Results Among all women giving birth, the proportion with a disability increased from 0.27% in 2000 to 0.80% in 2010. Women with disabilities had significantly elevated odds of primary cesarean delivery in each year, but the magnitude of the odds ratio decreased over time from 2.60 (95% CI=2.25=2.99) in 2000 to 1.66 (95% CI=1.51–1.81) in 2010. Conclusions Adequate clinician training is needed to address the perinatal care needs of the increasing numbers of women with disabilities giving birth. Continued efforts to understand cesarean delivery patterns and reasons for cesarean deliveries may help guide further reductions in proportions of cesarean deliveries among women with disabilities relative to women without disabilities.

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“…Preterm infants commonly require intubation and mechanical ventilation (MV) after birth 1. Due to complications associated with MV, early extubation is generally recommended 2 3.…”

Section: Introductionmentioning

confidence: 99%

Predictors of extubation readiness in preterm infants: a systematic review and meta-analysis

Shalish

Latremouille

Papenburg

et al. 2018

Arch Dis Child Fetal Neonatal Ed

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ContextA variety of extubation readiness tests have already been incorporated into clinical practice in preterm infants.ObjectiveTo identify predictor tests of successful extubation and determine their accuracy compared with clinical judgement alone.MethodsMEDLINE, Embase, PubMed, Cochrane Library and Web of Science were searched between 1984 and June 2016. Studies evaluating predictors of extubation success during a period free of mechanical inflations in infants less than 37 weeks’ gestation were included. Risk of bias was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool. After identifying and describing all predictor tests, pooled sensitivity and specificity estimates for the different test categories were generated using a bivariate random-effects model.ResultsThirty-five studies were included, showing wide heterogeneities in population characteristics, methodologies and definitions of extubation success. Assessments ranged from a few seconds to 24 hours, provided 0–6 cmH2O positive end-expiratory pressure and measured several clinical and/or physiological parameters. Thirty-one predictor tests were identified, showing good sensitivities but low and variable specificities. Given the high variation in test definitions across studies, pooling could only be performed on a subset. The commonly performed spontaneous breathing trials had pooled sensitivity of 95% (95% CI 87% to 99%) and specificity of 62% (95% CI 38% to 82%), while composite tests offered the best performance characteristics.ConclusionsThere is a lack of strong evidence to support the use of extubation readiness tests in preterm infants. Although spontaneous breathing trials are attractive assessment tools, higher quality studies are needed for determining the optimal strategies for improving their accuracy.

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Trends in Care Practices, Morbidity, and Mortality of Extremely Preterm Neonates, 1993–2012

Cited by 161 publications

References 28 publications

Incidence of neonatal necrotising enterocolitis in high-income countries: a systematic review

Incidence of neonatal necrotising enterocolitis in high-income countries: a systematic review

Time trends in births and cesarean deliveries among women with disabilities

Predictors of extubation readiness in preterm infants: a systematic review and meta-analysis

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