{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T10:02:48Z","timestamp":1789984968806,"version":"4.0.1"},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Given the higher need for advanced resuscitation methods at birth in premature neonates, it is crucial to identify the associated consequences. Due to a lack of data in this area, we aimed to investigate the association of advanced neonatal resuscitation at birth with the short\u2010term prognosis of preterm neonates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective cohort study examined premature neonates with gestational age &lt;\u200933 weeks born at Vali\u2010e\u2010Asr Hospital, Tehran, Iran, during the years 2020\u20132021. Advanced resuscitation included endotracheal intubation, chest compression, or epinephrine injection. The primary outcome was neonatal death within 28 days, with secondary outcomes including other adverse events. Statistical analyses included Chi\u2010square, Fisher's exact, and independent\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests, along with multivariate logistic regression. The study methodology and reporting adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 444 neonates studied, 224 received advanced resuscitation (intervention group), and 220 did not (control group). Neonatal death was significantly higher in the intervention group (26.8% vs. 7.7%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The intervention group also had higher incidences of respiratory distress syndrome, pneumothorax, patent ductus arteriosus, and intraventricular hemorrhage (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Multivariate logistic regression showed advanced resuscitation was independently associated with respiratory distress syndrome (odds ratio\u2009=\u20093.179 [95% confidence interval (CI): 1.518\u20136.657]), pneumothorax (odds ratio\u2009=\u20093.805 [95% CI: 1.007\u201314.382]), and patent ductus arteriosus (odds ratio\u2009=\u20092.804 [95% CI: 1.594\u20134.930]), but not other adverse outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While a higher incidence of adverse outcomes was observed in premature neonates who received advanced resuscitation, this finding should be interpreted with caution. It suggests that careful attention to the indications for advanced resuscitation, along with structured follow\u2010up of survivors, may be appropriate given their potentially elevated risk of complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.72656","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T05:35:58Z","timestamp":1781674558000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Investigating the Outcomes of Advanced Neonatal Resuscitation in Preterm Neonates: A Retrospective Cohort Study in Iran"],"prefix":"10.1002","volume":"9","author":[{"given":"Parvaneh","family":"Sadeghimoghaddam","sequence":"first","affiliation":[{"name":"Breastfeeding Research Center, Family Health Research Institute Tehran University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atousa","family":"Nozari","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine Tehran University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamak","family":"Shariat","sequence":"additional","affiliation":[{"name":"Maternal, Fetal &amp; Neonatal Research Center, Family Health Research Institute Tehran University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir","family":"Naddaf","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine Tehran University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7764-0319","authenticated-orcid":false,"given":"Mohammadamin","family":"Parsaei","sequence":"additional","affiliation":[{"name":"Breastfeeding Research Center, Family Health Research Institute Tehran University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13195"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/neo.23-4-e238"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.07720"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semperi.2022.151626"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12098-021-03796-4"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000902"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2020-319948"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semperi.2022.151630"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2015.12.007"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-88561-5"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2019.01.003"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2007.08.012"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.281053"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.3402\/gha.v9.30445"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-011-1431-8"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.5385\/nm.2022.29.1.18"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.12701\/yujm.2018.35.2.187"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedneo.2020.03.016"},{"key":"e_1_2_14_20_1","first-page":"57","article-title":"Clinical Risk Factors for Early\u2010Onset Sepsis in Neonates: An International Delphi Study","volume":"48","author":"Moftian N.","year":"2023","journal-title":"Iranian Journal of Medical Sciences"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2023.1092671"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2022.1079894"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.5152\/TurkArchPediatr.2024.23124"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-066931"},{"key":"e_1_2_14_25_1","first-page":"109","article-title":"The Frequency of Intraventricular Hemorrhage and Its Risk Factors in Premature Neonates in a Hospital's NICU","volume":"15","author":"Basiri B.","year":"2021","journal-title":"Iranian Journal of Child Neurology"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.14238\/pi54.3.2014.132-6"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0264117"},{"key":"e_1_2_14_28_1","first-page":"385","article-title":"Part 5: Neonatal Resuscitation: 2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care","volume":"152","author":"Lee H. 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