{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T04:45:30Z","timestamp":1789447530972,"version":"build-2803163510"},"reference-count":25,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2016,5,19]],"date-time":"2016-05-19T00:00:00Z","timestamp":1463616000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neonatal-Perinatal Medicine"],"published-print":{"date-parts":[[2016,6,22]]},"abstract":"<jats:p>OBJECTIVE: We previously demonstrated a significant reduction in our incidence of chronic lung disease in our NICU using potentially better practices of avoiding delivery room endotracheal intubation and using early nasal CPAP. We sought to demonstrate whether these improvements were sustained and or improved over time.<\/jats:p>\n                  <jats:p>STUDY DESIGN: We conducted a retrospective, cross-sectional analysis of infants 501\u20131500 grams born at our hospital between 2005 and 2013. Infants born during the 2005\u20132007, 2008\u20132010 and 2011\u20132013 epochs were grouped together, respectively. Descriptive analysis was conducted to determine the number and percent of maternal and neonatal characteristics by year grouping. Chi-squared tests were used to determine whether there were any statistically significant changes in characteristics across year groupings.. Two outcome variables were assessed: a diagnosis of chronic lung disease based on the Vermont Oxford Network definition and being discharged home on supplemental oxygen.<\/jats:p>\n                  <jats:p>RESULTS: There was a statistically significant improvement in the incidence of chronic lung disease in infants below 27 weeks\u2019 gestation in the three year period in the 2011\u20132013 cohort compared with those in the 2005\u20132007 cohort. We also found a statistically significant improvement in the number of infants discharged on home oxygen with birth weights 751\u20131000 grams and infants with gestational age less than 27 weeks in the 2011\u20132013 cohort compared to the 2005\u20132007 cohort.<\/jats:p>\n                  <jats:p>CONCLUSIONS: We demonstrated sustained improvement in our incidence of CLD between 2005 and 2013. We speculate that a multifaceted strategy of avoiding intubation and excessive oxygen in the delivery room, the early use of CPAP, as well as the use of volume targeted ventilation, when needed, may help significantly reduce the incidence of CLD.<\/jats:p>","DOI":"10.3233\/npm-16915098","type":"journal-article","created":{"date-parts":[[2016,6,23]],"date-time":"2016-06-23T03:11:07Z","timestamp":1466651467000},"page":"187-194","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Chronic lung disease in very low birth weight infants: Persistence and improvement of a quality improvement process in a tertiary level neonatal intensive care unit"],"prefix":"10.1177","volume":"9","author":[{"given":"H.J.","family":"Birenbaum","sequence":"first","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Greater Baltimore Medical Center, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.R.","family":"Pfoh","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Helou","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Greater Baltimore Medical Center, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.A.","family":"Pane","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Greater Baltimore Medical Center, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.A.","family":"Marinkovich","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Greater Baltimore Medical Center, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Dentry","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Greater Baltimore Medical Center, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsin-Chieh","family":"Yeh","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Updegraff","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Greater Baltimore Medical Center, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Arnold","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Greater Baltimore Medical Center, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Liverman","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Greater Baltimore Medical Center, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Cawman","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Greater Baltimore Medical Center, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,5,19]]},"reference":[{"key":"ref001","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7211723"},{"key":"ref002","doi-asserted-by":"publisher","DOI":"10.1542\/peds.105.6.1194"},{"key":"ref003","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-2872"},{"key":"ref004","doi-asserted-by":"publisher","DOI":"10.1542\/peds.79.1.26"},{"key":"ref005","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa072788"},{"key":"ref006","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0911781"},{"key":"ref007","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-2131"},{"key":"ref008","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-3848"},{"key":"ref009","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f5980"},{"key":"ref010","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2003-0572-L"},{"key":"ref011","unstructured":"Vermont Oxford Network, Burlington. Available at: Available at: http:\/\/www.vtoxford.org. Accessed 1\/31\/2015."},{"key":"ref012","unstructured":"NRP Neonatal Resuscitation Textbook 6th Edition 2011. 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