Incidence of newborn resuscitative interventions at birth and short-term outcomes: a regional population-based study.
BMJ Paediatr Open
; 3(1): e000592, 2019.
Article
em En
| MEDLINE
| ID: mdl-31909225
ABSTRACT
OBJECTIVES:
To determine the incidence and characteristics of resuscitative interventions at different gestational ages and short-term outcomes after resuscitation. DESIGN SETTING AND PATIENTS A prospective observational study in an unselected population at Stavanger University Hospital, Norway, from October 2016 until September 2017.INTERVENTIONS:
Using a data collection form and video recordings, we registered and analysed resuscitative interventions. MAIN OUTCOMEMEASURES:
Incidence of continuous positive airway pressure (CPAP), positive pressure ventilation (PPV), intubation, chest compressions and intravenous fluid or epinephrine boluses. Short-term outcomes of resuscitated newborns.RESULTS:
All 4693 newborns in the study period were included in the study. Two hundred and ninety-one (6.2%) newborns received interventions in the first minutes of life beyond drying and stimulation. PPV was provided in 170 (3.6%) while CPAP (without PPV) was provided in 121 (2.6%) newborns. Duration of PPV was median (IQR) 106 s (54-221). Intubations were performed in 19 (0.4%) newborns, with a mean (SD) intubation time of 47 (21) s. Ten (0.2%) newborns received chest compressions and epinephrine was administrated in three (0.1%) newborns. Sixty-three per cent of the treated newborns from 34 weeks' gestational age were returned to parental care without further follow-up.CONCLUSIONS:
The need for resuscitative interventions after birth was frequent in this unselected population in a high-resource setting, but full cardiopulmonary resuscitation was rare. Short-term outcomes were good, suggesting that most newborns treated with resuscitative interventions were not severely affected.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Idioma:
En
Revista:
BMJ Paediatr Open
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Noruega