{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T08:46:50Z","timestamp":1697446010253},"reference-count":14,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,1,29]],"date-time":"2013-01-29T00:00:00Z","timestamp":1359417600000},"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":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>To identify the proportion of preterm infants needing neonatal intensive care (<jats:styled-content style=\"fixed-case\">NIC<\/jats:styled-content>) between 29 and 34 weeks gestation. To identify any associated risk factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This population\u2010based study identified all babies, born without congenital abnormalities, between 29 and 34 weeks gestation inclusive. A 21\u2010month period ending <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>eptember 2009 was used. The need for <jats:styled-content style=\"fixed-case\">NIC<\/jats:styled-content> was defined using specific cardiorespiratory and nutritional criteria. The use of continuous positive airway pressure alone was not included as a need for <jats:styled-content style=\"fixed-case\">NIC<\/jats:styled-content>. Data were extracted from a neonatal clinical database and individual medical records.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Complete data were available from 707 out of 709 eligible infants born in the study period. The percentage of infants requiring cardiorespiratory support varied from 39 to 2.7% at 29 and 34 weeks, respectively. If nutritional criteria were included, this increased to 77% at 29 weeks and 7.2% at 34 weeks. Multivariate analysis determined that gestational age and delivery by <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>aesarean section increased the need for intensive care (<jats:italic>P<\/jats:italic>\u2010value &lt;0.01). Antenatal steroids, gender, underlying maternal medical conditions, being small for gestational age or twin pregnancy had no statistically significant impact.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study supports the <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>ational <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ealth and <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>edical <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>esearch <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ouncil <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>uidelines of in\u2010utero transfer at &lt;33 weeks gestation. Gestational age and delivery by <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>aesarean section remain major indicators for the need for <jats:styled-content style=\"fixed-case\">NIC<\/jats:styled-content>. In special care nurseries that have the capability and expertise to use nasal continuous positive airway pressure, the main indication for <jats:styled-content style=\"fixed-case\">NIC<\/jats:styled-content> is for nutritional support.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.12093","type":"journal-article","created":{"date-parts":[[2013,1,30]],"date-time":"2013-01-30T03:45:41Z","timestamp":1359517541000},"page":"125-130","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Need for intensive care for neonates born between 29 and 34 weeks inclusive gestation"],"prefix":"10.1111","volume":"49","author":[{"given":"Tracey","family":"Lutz","sequence":"first","affiliation":[{"name":"Department of Newborn Care Royal Prince Alfred Hospital  Sydney"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Buckmaster","sequence":"additional","affiliation":[{"name":"Paediatric Department Gosford Hospital  Gosford"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Bowen","sequence":"additional","affiliation":[{"name":"Department of Neonatology Royal North Shore Hospital  Sydney"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Kluckow","sequence":"additional","affiliation":[{"name":"Department of Neonatology Royal North Shore Hospital  Sydney"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Wright","sequence":"additional","affiliation":[{"name":"John Hunter Children's Hospital Hunter Medical Research Institute Mother and Babies Research Centre  Newcastle New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,1,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-0775"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1998.tb03070.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.297.6656.1098"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.0004-8666.2003.00092.x"},{"key":"e_1_2_9_6_1","volume-title":"Care around Preterm Birth","author":"NHRMC","year":"2000"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.2003.00126.x"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.1998.00154.x"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-1528"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2007.01083.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1053\/siny.2001.0065"},{"key":"e_1_2_9_12_1","doi-asserted-by":"crossref","unstructured":"NSW Public Heath Bulletin Supplement.NSW Mothers and Babies 2006. March2009; Volume 20 No S1.","DOI":"10.1071\/NB09S01"},{"key":"e_1_2_9_13_1","unstructured":"SherlockR LinegarS YangQ.Patterns of respiratory support in 28 to 32 week infants. A need for future trials?Poster presentation: Children and Womens Health Care Centre of British Columbia Vancouver (2010)."},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ANC.0000267913.58726.f3"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-2149"}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjpc.12093","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjpc.12093","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.12093","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T04:56:03Z","timestamp":1697345763000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.12093"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1,29]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013,2]]}},"alternative-id":["10.1111\/jpc.12093"],"URL":"https:\/\/doi.org\/10.1111\/jpc.12093","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"value":"1034-4810","type":"print"},{"value":"1440-1754","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,1,29]]},"assertion":[{"value":"2012-03-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-01-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}