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).
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
Abstract
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iVcigZhXjZXVcWZaZhhZ[[ZXi^kZ#
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\ZhiVi^dcVaV\Z'*"('lZZ`hl^i]gZhe^gVidgnY^higZhhhncYgdbZG9Hl]dhiVgiZYl^i]
ZVgancVhVa8E6EVcY[V^aZY:8;\gdje!l^i]VXdcigda\gdjed[^c[VcihbViX]ZY[dg\ZhiV"
i^dcVaV\Z!l]dlZgZY^gZXian^cijWViZY^ci]ZYZa^kZgngddb9G>\gdje#Eg^bVgndjiXdbZ
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GZhjaih/'*^c[VcihlZgZ^cXajYZY^ci]Z:8;\gdjeVcY*%Xdcigda^c[VcihbViX]ZY[dg\Zh"
iVi^dcVaV\ZlZgZ^cXajYZY^ci]Z9G>\gdje#BZVc\ZhiVi^dcVaV\ZVcYW^gi]lZ^\]i^ci]Z
:8;\gdjelZgZ'.#,lZZ`hVcY&!(.(\VcY^ci]Z9G>\gdje'.#&lZZ`hVcY&!'+&\E2
ch#I]Z^cX^YZcXZd[7E9lVhh^\c^ÄXVcianadlZg^ci]Z:8;\gdjei]Vc^ci]Z9G>\gdje)
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)#I]Z^cX^YZcXZd[cZdcViVabdgW^Y^i^ZhhjX]VhhZkZgZXZgZWgVa^c_jgn!eViZciYjXijh
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Y^[[ZgZciWZilZZci]Zild\gdjeh#
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gdaZ^ci]ZYZkZadebZcid[7E9#
Introduction
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Patients and Methods
Patients
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Data analysis
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Results
Early respiratory management
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Earlyrespiratory
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included
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121
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1
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controls)
Early respiratory management
Intubation
<72 hours
RDS
Case-control study patients
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8dbeVg^hdcd[hZXdcYVgndjiXdbZWZilZZci]Z:8;VcY9G>\gdjehY^Ycdih]dlh^\c^Ä"
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+#&!Xnhi^XeZg^kZcig^XjaVgaZjXdbVaVX^V%$')%kh#'$),)VcYeViZciYjXijhVgiZ"
g^dhjhgZfj^g^c\bZY^XVadghjg\^XVaXadhjgZ*$'*'%kh#&*$*%(%#CZXgdi^o^c\ZciZgd"
Xda^i^hgZfj^g^c\hjg\ZgnVcYhZkZgZgZi^cdeVi]nd[egZbVijg^inlVhVWhZci^cWdi]\gdjeh#
Figure 2#9^hig^Wji^dcd[YZa^kZgngddb^cijWVi^dc9G>!ZVgancVhVaXdci^cjdjhedh^i^kZV^glVnegZhhjgZVcY
ZVgancVhVaXdci^cjdjhedh^i^kZV^glVnegZhhjgZ[V^ajgZeadiiZYV\V^chi\ZhiVi^dcVaV\Z#
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(%)
Table 1#8dbeVg^hdcd[X]VgVXiZg^hi^Xhd[^c[Vcihl^i]G9Hl]d[V^aZYigZVibZcil^i]ZVgancVhVa8E6E:8;"
\gdjeVcYbViX]ZY^c[Vcihl]dlZgZ^cijWViZY^bbZY^ViZanV[iZgW^gi]^ci]ZYZa^kZgngddb9G>"\gdje#
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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6e\Vg!*b^c1,!c &) &%'% CH
H^c\aZidch!c &(*' '%)% CH
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
9ZmVbZi]Vhdc!c &) ,&* CH
8E6E2ZVgancVhVaXdci^cjdjhedh^i^kZegZhhjgZ0G9H2gZhe^gVidgnY^higZhhhncYgdbZ0=;DK2]^\][gZfjZcXndhX^aaVi^dckZc"
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)
7E9b^aY , && CH
7E9bdYZgViZ & &) %#%&
7E9hZkZgZ % ( CH
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Discussion
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lVggVciZYidiZhii]Z]nedi]Zh^hi]ViZVgangZhe^gVidgnbVcV\ZbZcid[egZiZgbcZdcViZh
l^i]G9HeaVnhVc^bedgiVcigdaZ^ci]ZYZkZadebZcid[7E9#GZXZcianejWa^h]ZYdghiVgiZY
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Acknowledgement
LZi]Vc`GLdaiZgWZZ`!B9!9ZeVgibZcid[BZY^XVaHiVi^hi^Xhd[i]ZAJB8![dghiVi^hi^XVa
VYk^XZ#
Reference List
&# I]Z>ciZgcVi^dcVaA^V^hdc8dbb^iiZZdcGZhjhX^iVi^dc>A8DGXdchZchjhdchX^ZcXZl^i]igZVibZcigZX"
dbbZcYVi^dch[dgeZY^Vig^XVcYcZdcViVaeVi^Zcih/cZdcViVagZhjhX^iVi^dc#EZY^Vig^Xh'%%+BVn0&&,*/
Z.,-"Z.--#
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