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Pas, A.B. de

Citation

Pas, A. B. de. (2009, March 5). Spontaneous breathing and respiratory support of preterm infants at birth. Retrieved from

https://hdl.handle.net/1887/13595

Version: Corrected Publisher’s Version

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden

Downloaded from: https://hdl.handle.net/1887/13595

Note: To cite this publication please use the final published version (if applicable).

(2)

Early respiratory management of respiratory distress syndrome in very preterm infants

and bronchopulmonary dysplasia:

a case-control study

Arjan B. te Pas, Enrico Lopriore, Marissa J. Engbers, Frans J. Walther

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i]ZCZi]ZgaVcYh

PLoS ONE 2007;2:e192

(3)

Abstract

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(4)

Introduction

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Patients and Methods

Patients

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(5)

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(6)

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Data analysis

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 Results

Early respiratory management

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ECF vs. DRI in very preterm neonates with RDS

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(7)

Earlyrespiratory

management



Intubation

<72hours

 RDS



Casecontrol

studypatients



262

included

87

Earlynasal

CPAP

(33%)

121

Intubation (46%)

1

(2%)

28

(32%)

121

(100%) 54

none

(21%)

1 25 83

268

inbornvery

preterminfants 6excluded:

2severefetalhydrops

1VACTERL

1venaGalenimalform.

2severecongenital

heartdisease

25

ECFgroup

(cases)

50

DRIgroup (matched

controls)

Early respiratory management

Intubation

<72 hours

RDS

Case-control study patients

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(8)

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Figure 2#9^hig^Wji^dcd[YZa^kZgngddb^cijWVi^dc9G>!ZVgancVhVaXdci^cjdjhedh^i^kZV^glVnegZhhjgZVcY

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0 20 40 60 80 100 120 140

<28 wk 28-30 wk >30 wk

number of infants

n total

delivery room intubation n(%) early nasal CPAP n(%) early nasal CPAP-failure n(%)

(9)

Table 1#8dbeVg^hdcd[X]VgVXiZg^hi^Xhd[^c[Vcihl^i]G9Hl]d[V^aZYigZVibZcil^i]ZVgancVhVa8E6E:8;"

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Characteristic Group ECF

N = 25

Group DRI N = 50

Unvariate analysis (P)

7L!\ &(.(£(,. &'+&£(.* CH

<6!l` '.#,£&#+ '.#&£&#+ CH

<ZcYZg!bVaZc .(+ ',*) CH

JbW^a^XVaVgiZg^Vae= ,#'-£%#&( ,#''£%#&( CH

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EEGDB!c +') &*(% CH

IdmVZb^V!c +') &+(' CH

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7L2W^gi]lZ^\]i0<62\ZhiVi^dcVaV\Z0EEGDB2egZiZgbegZbVijgZgjeijgZd[i]ZbZbWgVcZh0>J<G2^cigV"jiZg^cZ\gdli]

gZiVgYVi^dc#

Table 2#EjabdcVgnX]VgVXiZg^hi^Xhd[cZdcViZhl^i]G9Hl]d[V^aZYZVgancVhVa8E6EigZVibZci:8;"\gdje

VcYbViX]ZY^c[Vcihl]dlZgZ^cijWViZY^ci]ZYZa^kZgngddb9G>"\gdje#

Pulmonary clinical course parameters ECF N = 25

DRI N = 50

Unvariate analysis (P)

Hjg[VXiVci!cYdhZh &#%£%#* &#+£%#- 1%#%%&

=;DKgZhXjZ!c (&' &*(% CH

IdiVaeZg^dYd[bZX]Vc^XVakZci^aVi^dc!YVnh (#.£*#+ ,#%£. CH

EcZjbdi]dgVm!c &) (+ CH

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i^aVi^dc#

Table 3#Eg^bVgndjiXdbZd[^c[Vcihl]d[V^aZYZVgancVhVa8E6EigZVibZci:8;"\gdjeVcYbViX]ZY^c[Vcih

l]dlZgZ^cijWViZY^ci]ZYZa^kZgngddb9G>"\gdje##

Primary outcome ECF

N = 25

DRI N = 50

Unvariate analysis (P)

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7E9bdYZgViZ & &) %#%&

7E9hZkZgZ % ( CH

7E9bdY"hZk!c &) &,(* %#%%)

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BdgiVa^in!c &) ') CH

(10)

Discussion

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(11)

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(12)

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Acknowledgement

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VYk^XZ#



(13)

Reference List

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(15)

Referenties

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License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden. Downloaded

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden. Downloaded

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License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden. Downloaded

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden. Downloaded

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden. Downloaded

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Peripheral blood cells were stained with HLA-A2.1 tetramers containing the tyrosinase368–376 peptide followed by staining with a panel of lineage antibodies, as described in