Database - (CIANE)

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Currently 3111 records
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https://ciane.net/id=737

Created on : 29 Apr 2004
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Survival of the Very-Low-Birth-Weight Infants after Cardiopulmonary Resuscitation in Neonatal Intensive Care Unit. Journal of Perinatology 2004;24(5):279-283.

Author(s) :

Kostelanetz AS, Dhanireddy R.

Year of publication :

2004

URL(s) :

http://www.nature.com/cgi-taf/DynaPage.taf?file=/j…

Résumé (français)  :

Abstract (English)  :

OBJECTIVE: To assess whether advances in neonatal care in the last decade have altered the outcome of very-low-birth-weight (VLBW) infants after cardiopulmonary resuscitation (CPR) in the neonatal intensive care unit (NICU).

STUDY DESIGN: Medical records of all VLBW infants (n=283, body weight (BW)=1066±281 g, gestational age (GA)=28.3±2.9 weeks) admitted to the NICU between 1999 and 2002 were reviewed.

RESULTS: In all, 29 (10.25%) infants received CPR in the NICU. Only one of these infants survived. After adjusting for GA, the clinical variables significantly associated with the need for CPR in the NICU were (adjusted odds ratio; 95% CI): pulmonary hemorrhage (7.89; 3.06 to 20.28), pulmonary air leak syndrome (23.90; 7.58 to 75.4), and delivery by Cesarian section (0.26; 0.1 to 0.66). The results were similar when the data were reanalyzed matching the 28 infants in the CPR group with 28 infants of identical GA in the non-CPR group.

CONCLUSIONS: Survival rate for the infants who require CPR in the NICU remains extremely poor. This poor outcome needs to be discussed with parents and the option of the "do not resuscitate" (DNR) order may be appropriate for these infants, especially for those infants with multiple organ failure unresponsive to therapy.

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Keywords :

➡ premature baby ; newborn care ; low birth weight ; perinatal death rates

Author of this record :

Cécile Loup — 29 Apr 2004