TAILIEUCHUNG - Trends in use of neonatal CPAP: A population-based study

Continuous positive airway pressure (CPAP) is used widely to provide respiratory support for neonates, and is often the first treatment choice in tertiary centres. | Roberts et al. BMC Pediatrics 2011 11 89 http 1471-2431 11 89 BMC Pediatrics RESEARCH ARTICLE Open Access Trends in use of neonatal CPAP a population-based study 1 1 3 1 Christine L Roberts Tim Badgery-Parker Charles S Algert Jennifer R Bowen and Natasha Nassar Abstract Background Continuous positive airway pressure CPAP is used widely to provide respiratory support for neonates and is often the first treatment choice in tertiary centres. Recent trials have demonstrated that CPAP reduces need for intubation and ventilation for infants born at 25-28 weeks gestation and at 32weeks in nontertiary hospitals CPAP reduces need for transfer to NICU. The aim of this study was to examine recent population trends in the use of neonatal continuous positive airway pressure. Methods We undertook a population-based cohort study of all 696 816 liveborn neonates 24 weeks gestation in New South Wales NSW Australia 2001-2008. Data were obtained from linked birth and hospitalizations records including neonatal transfers. The primary outcome was CPAP without mechanical ventilation via endotracheal intubation between birth and discharge from the hospital system. Analyses were stratified by age 32 and 32 weeks gestation. Results Neonates receiving any ventilatory support increased from 1 480 1000 in 2001 to 2 486 1000 in 2008 including 461 1000 to 1 465 1000 neonates who received CPAP alone. There was a concurrent decrease in mechanical ventilation use from to 1000. The increase in CPAP use was greater among neonates 32 weeks from to 1000 compared with neonates 32 weeks from to 1000 . The proportion of CPAP 32 weeks initiated in non-tertiary hospitals increased from 6 to 30 . Conclusions The use of neonatal CPAP is increasing especially 32 weeks gestation and among non-tertiary hospitals. Recommendations are required regarding which infants should be considered for CPAP resources necessary for a unit to offer CPAP

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• BMC Pediatrics
• Continuous positive airway pressure
• Randomized controlled trials
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• Including neonatal transfers
• Acute otitis media
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• National Institutes of Health
• Pediatric integrative medicine
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• Lumbar puncture
• Early onset neonatal sepsis
• American Academy of Pediatrics
• Group B Streptococcus
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• Tasmanian Law Reform Institute
• Non therapeutic circumcision
• Long QT syndrome
• Standing test
• Pediatric emergency department
• Ventricular arrhythmias
• Acute respiratory infection
• Under five years
• Death especially
• Binary logistic regression analysis
• Pediatrics mortality
• Emergency department
• Tikur Anbessa Specialized Tertiary Hosptal
• Neonatal intensive care unit
• RV infection
• Pediatrics guidelines criteria
• Gynecology hospitals
• Demographic data collection
• Electronic health record
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• Psychological wellbeing
• Moderate to vigorous intensity physical activity
• Child abuse pediatrics
• Social risk indicators
• Non social cues
• CAP risk perception
• Not included in the title
• Quality of health care
• Patient satisfaction
• Emergency medical services
• Isolated unilateral temporalis muscle hypertrophy
• IUTMH in pediatrics
• Masticatory muscle hypertrophies
• Visual disturbances
• Pediatrics antiretroviral market
• Pediatric antiretroviral prices
• Global Price Reporting Mechanism
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• Brachyspira pilosicoli
• Inflammatory bowel disease