Background
Methods
Results
26–28 + 6 weeks (N = 378) | 29–32 + 6 weeks (N = 835) | 33–34 + 6 weeks (N = 880) | Overall (N = 2093) | |
---|---|---|---|---|
Gestational age, mean (SD) | 27.4 (0.84) | 31.0 (1.18) | 33.9 (0.56) | 31.6 (2.50) |
Male, n (%) | 203 (54%) | 449 (54%) | 499 (57%) | 1151 (55%) |
Cesarean delivery, n (%) | 258 (68%) | 574 (69%) | 534 (61%) | 1366 (65%) |
SGA, n (%) | 43 (11%) | 96 (11%) | 102 (12%) | 241 (12%) |
Antenatal Steroids, n (%) | 339 (90%) | 746 (89%) | 614 (70%) | 1699 (81%) |
Maternal morbidity, n (%) | ||||
Chorioamnionitis | 42 (11%) | 37 (4%) | 24 (3%) | 103 (5%) |
Preeclampsia/PIH | 105 (28%) | 273 (33%) | 300 (34%) | 678 (32%) |
PROM | 70 (19%) | 151 (18%) | 107 (12%) | 328 (16%) |
26–28 + 6 weeks (N = 378) | 29–32 + 6 weeks (N = 835) | 33–34 + 6 weeks (N = 880) | Overall (N = 2093) | |
---|---|---|---|---|
Diagnosed with RDS, n (%) | 207 (55%) | 330 (40%) | 195 (22%) | 732 (35%) |
Started on CPAPa, n (%) | 150 (40%) | 441 (53%) | 308 (35%) | 899 (43%) |
CPAP Failurea, n/N (%) | 75/150 (50%) | 114/441 (26%) | 62/308 (20%) | 251/899 (28%) |
Endotracheal Intubation, n (%) | 286 (76%) | 278 (33%) | 142 (16%) | 706 (34%) |
Intubated < 15 min of Birth | Not intubated < 15 min of Birth | |||||||
---|---|---|---|---|---|---|---|---|
26–28 + 6 weeks | 29–32 + 6 weeks | 33–34 + 6 weeks | Overall (N = 310) | 26–28 + 6 weeks | 29–32 + 6 weeks | 33–34 + 6 weeks | Overall (N = 1783) | |
(N = 157) | (N = 111) | (N = 42) | (N = 221) | (N = 724) | (N = 838) | |||
Diagnosed with RDS, n (%) | 107 (68%) | 62 (56%) | 18 (43%) | 187 (60%) | 100 (45%) | 268 (37%) | 177 (21%) | 545 (31%) |
Surfactant, n (%) | 142 (90%) | 90 (81%) | 21 (50%) | 253 (82%) | 118 (53%) | 170 (23%) | 83 (10%) | 371 (21%) |
Standard approach | 135 (95%) | 82 (91%) | 20 (95%) | 237 (94%) | 87 (74%) | 105 (62%) | 57 (69%) | 249 (67%) |
INSURE | 5 (3%) | 2 (2%) | 0 | 7 (3%) | 22 (19%) | 53 (31%) | 19 (23%) | 94 (25%) |
LISA | 0 | 0 | 0 | 0 | 6 (5%) | 8 (5%) | 1 (1%) | 15 (4%) |
Not available, n (%) | 2 (1%) | 6 (7%) | 1 (5%) | 9 (4%) | 3 (3%) | 4 (2%) | 6 (7%) | 13 (4%) |
Methylxanthines, n (%) | 153 (98%) | 99 (89%) | 9 (21%) | 261 (84%) | 216 (98%) | 509 (70%) | 133 (16%) | 858 (48%) |
Caffeine, n (%) | 147 (96%) | 94 (95%) | 8 (89%) | 249 (95%) | 174 (81%) | 439 (86%) | 123 (92%) | 736 (86%) |
Aminophylline, n (%) | 5 (4%) | 5 (5%) | 1 (11%) | 11 (5%) | 42 (19%) | 68 (13%) | 9 (7%) | 119 (14%) |
Not Available, n (%) | 1 (< 1%) | 0 | 0 | 1 (< 1%) | 0 | 2 (< 1%) | 1 (1%) | 3 (< 1%) |
Started on CPAP, n (%) | 8 (5%) | 5 (5%) | 1 (2%) | 14 (5%) | 139 (63%) | 429 (59%) | 307 (37%) | 875 (49%) |
CPAP Failure, n (%) | 8 (100%) | 5 (100%) | 1 (100%) | 14 (100%) | 67 (48%) | 109 (25%) | 61 (20%) | 237 (27%) |
Endotracheal Intubation, n (%) | 157 (100%) | 111 (100%) | 42 (100%) | 310 (100%) | 138 (62%) | 165 (23%) | 95 (11%) | 398 (22%) |
Intubated < 15 min of Birth | Not intubated < 15 min of Birth | |||||||
---|---|---|---|---|---|---|---|---|
26–28 + 6 wks | 29–32 + 6 wks | 33–34 + 6 wks | Overall | 26–28 + 6 wks | 29–32 + 6 wks | 33–34 + 6 wks | Overall | |
(N = 157) | (N = 111) | (N = 42) | (N = 310) | (N = 221) | (N = 724) | (N = 838) | (N = 1783) | |
Airway Stabilization | 25 (16%) | 21 (19%) | 3 (7%) | 49 (16%) | 13 (6%) | 11 (2%) | 9 (1%) | 33 (2%) |
Apneic Episode | 36 (23%) | 34 (31%) | 7 (17%) | 77 (25%) | 25 (11%) | 14 (2%) | 10 (1%) | 49 (3%) |
Desaturation | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Hypercapnia | 2 (1%) | 1 (1%) | 0 | 3 (1%) | 13 (6%) | 21 (3%) | 6 (1%) | 40 (2%) |
MV Administration | 94 (60%) | 61 (55%) | 23 (55%) | 178 (57%) | 45 (20%) | 37 (5%) | 25 (3%) | 107 (6%) |
Increased WOB | 31 (20%) | 26 (23%) | 2 (5%) | 59 (19%) | 42 (19%) | 59 (8%) | 33 (4%) | 134 (8%) |
Resuscitative Measures | 103 (66%) | 67 (60%) | 29 (69%) | 199 (64%) | 23 (10%) | 15 (2%) | 9 (1%) | 47 (3%) |
FiO2 > Unit Threshold | 20 (13%) | 19 (17%) | 2 (5%) | 41 (13%) | 53 (24%) | 68 (9%) | 29 (3%) | 150 (8%) |
Other | 65 (41%) | 43 (39%) | 19 (45%) | 117 (38%) | 62 (28%) | 107 (15%) | 60 (7%) | 229 (13%) |
26–28 + 6 weeks | 29–32 + 6 weeks | 33–34 + 6 weeks | Overall | |
---|---|---|---|---|
(N = 378) | (N = 835) | (N = 880) | (N = 2093) | |
Death | 7 (2%) | 4 (< 1%) | 4 (< 1%) | 15 (1%) |
Air leaks | 21 (6%) | 24 (3%) | 20 (2%) | 65 (3%) |
Acquired sepsis | 27 (7%) | 41 (5%) | 25 (3%) | 93 (4%) |
PDA | 42 (11%) | 23 (3%) | 7 (1%) | 72 (3%) |
IVH (all grades) | 57 (15%) | 56 (7%) | 12 (1%) | 125 (6%) |
NEC (all grades) | 11 (3%) | 5 (1%) | 4 (< 1%) | 20 (1%) |