{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T02:03:20Z","timestamp":1760148200182,"version":"3.40.5"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T00:00:00Z","timestamp":1691971200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Respiratory distress is the leading cause of admission to neonatal units and is a common indication for medical retrieval. Whilst approximately 25% of births in NSW occur in regional centres, there is a paucity of neonatal research in these settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the characteristics and outcomes of term neonates admitted with respiratory distress to two regional special care nurseries (SCNs) and identify variables associated with the need for medical retrieval.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>We describe a cohort of 629 term infants admitted to the SCN in two regional hospitals, 2015\u20132019. We describe the admission characteristics, level of respiratory support, biochemical investigations, diagnosis and outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>During the study period, 629 eligible term infants were admitted, retrieval occurred in 29 (4.6%). Those admitted were more often male (66.5%), with a mean gestational age of 39\u2009+\u20091\u2009weeks (\u00b19\u2009days) and birth weight of 3470\u2009g (\u00b1500\u2009g). Infants requiring medical retrieval had higher PaCO<jats:sub>2<\/jats:sub> on blood gas analysis (59.8\u2009mmHg vs. 53.3\u2009mmHg, OR 1.03, <jats:italic>p<\/jats:italic>\u2009=\u20090.02). There was no association between maternal GBS status, meconium\u2010stained liquor, gestational age, or raised inflammatory markers and medical retrieval. Transient tachypnoea of the newborn was the most common diagnosis of neonates admitted to SCN with respiratory distress.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Among term infants admitted to a SCN for respiratory distress most were male, of a normal birthweight and born in good condition. Within our cohort there was no association between retrieval and maternal GBS colonisation, meconium\u2010stained liquor or raised infectious biomarkers. Medical retrieval was infrequent and was associated with higher PaCO<jats:sub>2<\/jats:sub> on initial blood gas analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We present a large cohort of term newborn infants managed for respiratory distress in a regional setting over a five\u2010year period. Retrieval was infrequent, and outcomes for the cohort were excellent with no deaths during the study period.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.13030","type":"journal-article","created":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T10:34:30Z","timestamp":1692009270000},"page":"1083-1089","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Characteristics and outcomes of respiratory distress among term infants born in a regional setting"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9314-6214","authenticated-orcid":false,"given":"Madeleine","family":"Scullin","sequence":"first","affiliation":[{"name":"Sydney Children's Hospital Network  Randwick New South Wales Australia"},{"name":"University of New South Wales School of Clinical Medicine  Kensington New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn Browning","family":"Carmo","sequence":"additional","affiliation":[{"name":"Sydney Children's Hospital Network  Randwick New South Wales Australia"},{"name":"Newborn &amp; Paediatric Emergency Transport Service New South Wales  New South Wales Bankstown Aerodrome Australia"},{"name":"University of Sydney Faculty of Medicine and Health  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stuart","family":"Haggie","sequence":"additional","affiliation":[{"name":"Sydney Children's Hospital Network  Randwick New South Wales Australia"},{"name":"Newborn &amp; Paediatric Emergency Transport Service New South Wales  New South Wales Bankstown Aerodrome Australia"},{"name":"Shoalhaven District Memorial Hospital  Nowra New South Wales Australia"},{"name":"University of Wollongong Graduate School of Medicine  Wollongong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,8,14]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prrv.2012.02.002"},{"issue":"11","key":"e_1_2_13_3_1","first-page":"994","article-title":"Newborn respiratory distress","volume":"92","author":"Hermansen CL","year":"2015","journal-title":"Am Fam Physician"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-020-03908-w"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja13.10011"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2017.1322060"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000336629"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2014.11.008"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39405.539282.BE"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-0314"},{"volume-title":"Mothers and babies [Internet]","year":"2020","author":"HealthStats NSW, Centre for Epidemiology and Evidence","key":"e_1_2_13_11_1"},{"volume-title":"NSW maternity and neonatal service capability framework","year":"2016","author":"New South Wales Government, Ministry of Health","key":"e_1_2_13_12_1"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2011.191"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2014.992335"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-020-0757-3"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/00313020701813735"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2012.715000"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-1269"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amj.2012.10.014"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogrm.2010.06.005"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-2215"}],"container-title":["Australian Journal of Rural Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajr.13030","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T04:18:59Z","timestamp":1704255539000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajr.13030"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,14]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1111\/ajr.13030"],"URL":"https:\/\/doi.org\/10.1111\/ajr.13030","archive":["Portico"],"relation":{},"ISSN":["1038-5282","1440-1584"],"issn-type":[{"type":"print","value":"1038-5282"},{"type":"electronic","value":"1440-1584"}],"subject":[],"published":{"date-parts":[[2023,8,14]]},"assertion":[{"value":"2023-01-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}