{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T01:44:15Z","timestamp":1721871855336},"reference-count":41,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2012,1,1]],"date-time":"2012-01-01T00:00:00Z","timestamp":1325376000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Critical Care Research and Practice"],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p>Survival and outcomes for preterm infants with respiratory distress syndrome (RDS) have improved over the past 30 years. We conducted a study to assess the changes in perinatal care and delivery room management and their impact on respiratory outcome of very low birth weight newborns, over the last 15 years. A comparison between two epochs was performed, the periods before and after 2005, when early nasal continuous positive airway pressure (NCPAP) and Intubation-SURfactant-Extubation (INSURE) were introduced in our center. Three hundred ninety-five clinical records were assessed, 198 (50.1%) females, gestational age 29.1 weeks (22\u201336), and birth weight 1130\u2009g (360\u20131498). RDS was diagnosed in 247 (62.5%) newborns and exogenous surfactant was administered to 217 (54.9%). Thirty-three (8.4%) developed bronchopulmonary dysplasia (BPD), and 92 (23%) were deceased. With the introduction of early NCPAP and INSURE, there was a decrease on the endotracheal intubation need and invasive ventilation (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>P<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn>0.0001<\/mml:mn><\/mml:math>), oxygen therapy (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mtext>0<\/mml:mtext><mml:mtext>.002<\/mml:mtext><\/mml:math>), and mortality (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mi>P<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn>0.0001<\/mml:mn><\/mml:math>). The multivariate model revealed a nonsignificant reduction in BPD between the two epochs (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\"><mml:mtext>OR<\/mml:mtext><mml:mo>=<\/mml:mo><mml:mn>0.86<\/mml:mn><\/mml:math>; 95% CI 0.074\u20139.95;<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\"><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mtext>0<\/mml:mtext><mml:mtext>.9<\/mml:mtext><\/mml:math>). The changes in perinatal care over the last 15 years were associated to an improvement of respiratory outcome and survival, despite a nonsignificant decrease in BPD rate.<\/jats:p>","DOI":"10.1155\/2012\/643246","type":"journal-article","created":{"date-parts":[[2012,12,20]],"date-time":"2012-12-20T21:04:22Z","timestamp":1356037462000},"page":"1-7","source":"Crossref","is-referenced-by-count":5,"title":["Impact of Changes in Perinatal Care on Neonatal Respiratory Outcome and Survival of Preterm Newborns: An Overview of 15 Years"],"prefix":"10.1155","volume":"2012","author":[{"given":"Filipa","family":"Flor-de-Lima","sequence":"first","affiliation":[{"name":"Neonatal Intensive Care Unit, Pediatric Integrated Hospital, S\u00e3o Jo\u00e3o Hospital, Alameda Professor Hern\u00e2ni Monteiro, 4200-319 Porto, Portugal"}]},{"given":"Gustavo","family":"Rocha","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Pediatric Integrated Hospital, S\u00e3o Jo\u00e3o Hospital, Alameda Professor Hern\u00e2ni Monteiro, 4200-319 Porto, Portugal"}]},{"given":"Herc\u00edlia","family":"Guimar\u00e3es","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Pediatric Integrated Hospital, S\u00e3o Jo\u00e3o Hospital, Alameda Professor Hern\u00e2ni Monteiro, 4200-319 Porto, Portugal"},{"name":"Faculty of Medicine, Porto University, Alameda Professor Hern\u00e2ni Monteiro, 4200-319 Porto, Portugal"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-3265"},{"issue":"6","key":"2","doi-asserted-by":"crossref","first-page":"e1402","DOI":"10.1542\/peds.2009-2131","volume":"125","year":"2010","journal-title":"Pediatrics"},{"issue":"2","key":"3","year":"2000","journal-title":"Cochrane Database of Systematic Reviews"},{"issue":"7","key":"4","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1056\/NEJM196702162760701","volume":"276","year":"1967","journal-title":"The New England Journal of Medicine"},{"issue":"21","key":"5","first-page":"1970","volume":"27","year":"2010","journal-title":"The New England Journal of Medicine"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1007\/s004310050620"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.2001.00624.x"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2003-0572-L"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2005.04.062"},{"key":"10","doi-asserted-by":"crossref","first-page":"1024","DOI":"10.1542\/peds.110.5.1024","volume":"110","year":"2002","journal-title":"Pediatrics"},{"issue":"3","key":"11","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1016\/S0022-3476(05)82056-6","volume":"119","year":"1991","journal-title":"Journal of Pediatrics"},{"issue":"3","key":"12","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1542\/peds.37.3.403","volume":"37","year":"1966","journal-title":"Pediatrics"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-3-13"},{"key":"14","doi-asserted-by":"crossref","first-page":"1723","DOI":"10.1164\/ajrccm.163.7.2011060","volume":"163","year":"2001","journal-title":"American Journal of Respiratory and Critical Care Medicine"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199410203311603"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2010.05.043"},{"key":"17","series-title":"International Academy of Pathology monograph Perinatal Disease","volume-title":"Pathology of the placenta, membranes, and umbilical cord in bacterial, fungal, and viral infections in man","year":"1981"},{"key":"18","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/S0031-3955(16)34975-6","volume":"33","year":"1986","journal-title":"Pediatric Clinics of North America"},{"issue":"7","key":"19","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1001\/archopht.123.7.991","volume":"123","year":"2005","journal-title":"Archives of Ophthalmology"},{"key":"20","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1542\/peds.74.1.127","volume":"74","year":"1984","journal-title":"Pediatrics"},{"issue":"4","key":"21","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/S0022-3476(78)80282-0","volume":"92","year":"1978","journal-title":"Journal of Pediatrics"},{"key":"22","series-title":"Textbok of Neonatology","year":"1999"},{"issue":"5","key":"23","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1590\/S1807-59322011000500019","volume":"66","year":"2011","journal-title":"Clinics"},{"key":"24","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1097\/00008480-200104000-00006","volume":"13","year":"2001","journal-title":"Current Opinion in Pediatrics"},{"issue":"6","key":"25","doi-asserted-by":"crossref","first-page":"1194","DOI":"10.1542\/peds.105.6.1194","volume":"105","year":"2000","journal-title":"Pediatrics"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-0123"},{"key":"27","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1001\/jama.1995.03520290065031","volume":"273","year":"1995","journal-title":"Journal of the American Medical Association"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-1749"},{"issue":"4","key":"29","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1038\/jp.2009.11","volume":"29","year":"2009","journal-title":"Journal of Perinatology"},{"issue":"4","key":"30","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1111\/j.1365-3016.2007.00814.x","volume":"21","year":"2007","journal-title":"Paediatric and Perinatal Epidemiology"},{"key":"31","volume":"2, supplement a","year":"2007","journal-title":"Paediatr Child Health"},{"issue":"2","key":"32","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1097\/MOP.0b013e3282f63953","volume":"20","year":"2008","journal-title":"Current Opinion in Pediatrics"},{"issue":"5","key":"33","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1053\/siny.2002.0132","volume":"7","year":"2002","journal-title":"Seminars in Neonatology"},{"key":"34","doi-asserted-by":"publisher","DOI":"10.1159\/000078953"},{"key":"35","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2003.037010"},{"issue":"7","key":"36","doi-asserted-by":"crossref","first-page":"700","DOI":"10.1056\/NEJMoa072788","volume":"358","year":"2008","journal-title":"The New England Journal of Medicine"},{"key":"37","doi-asserted-by":"crossref","first-page":"e239","DOI":"10.1542\/neo.3-12-e239","volume":"3","year":"2002","journal-title":"NeoReviews"},{"key":"38","doi-asserted-by":"crossref","first-page":"e95","DOI":"10.1542\/neo.7-2-e95","volume":"7","year":"2006","journal-title":"NeoReviews"},{"key":"39","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007836"},{"issue":"1","key":"40","year":"2009","journal-title":"Cochrane Database of Systematic Reviews"},{"issue":"1","key":"41","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1159\/000322004","volume":"100","year":"2011","journal-title":"Neonatology"}],"container-title":["Critical Care Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/ccrp\/2012\/643246.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ccrp\/2012\/643246.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ccrp\/2012\/643246.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,4]],"date-time":"2022-02-04T03:01:07Z","timestamp":1643943667000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/ccrp\/2012\/643246\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012]]},"references-count":41,"alternative-id":["643246","643246"],"URL":"https:\/\/doi.org\/10.1155\/2012\/643246","relation":{},"ISSN":["2090-1305","2090-1313"],"issn-type":[{"value":"2090-1305","type":"print"},{"value":"2090-1313","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012]]}}}