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Change in neonatal resuscitation guidelines and trends in incidence of meconium aspiration syndrome in California.
Kalra, Vaneet K; Lee, Henry C; Sie, Lillian; Ratnasiri, Anura W; Underwood, Mark A; Lakshminrusimha, Satyan.
Afiliación
  • Kalra VK; Department of Pediatrics, UC Davis Health System, Sacramento, CA, USA. vkkalra@ucdavis.edu.
  • Lee HC; Department of Pediatrics, Stanford University, Stanford, CA, USA.
  • Sie L; Department of Pediatrics, Stanford University, Stanford, CA, USA.
  • Ratnasiri AW; Department of Cardiovascular medicine, UC Davis Health System, Sacramento, CA, USA.
  • Underwood MA; Department of Pediatrics, UC Davis Health System, Sacramento, CA, USA.
  • Lakshminrusimha S; Department of Pediatrics, UC Davis Health System, Sacramento, CA, USA.
J Perinatol ; 40(1): 46-55, 2020 01.
Article en En | MEDLINE | ID: mdl-31611615
OBJECTIVE: To describe trends in the incidence and severity of meconium aspiration syndrome (MAS) around the release of revised Neonatal Resuscitation Program (NRP) guidelines in 2016. STUDY DESIGN: The California Perinatal Quality Care Collaborative database was queried for years 2013-2017 to describe the incidence and outcomes of infants with MAS. Results were analyzed based on both individual years and pre- vs. post-guideline epochs (2013-15 vs. 2017). RESULT: Incidence of MAS decreased significantly from 2013-15 to 2017 (1.02 to 0.78/1000 births, p < 0.001). Among infants with MAS, delivery room intubations decreased from 2013-15 to 2017 (44.3 vs. 35.1%; p = 0.005), but similar proportion of infants required invasive respiratory support (80.1 vs. 80.8%), inhaled nitric oxide (28.8 vs. 28.4%) or extracorporeal membrane oxygenation (0.81 vs. 0.35%). CONCLUSION: While the study design precludes confirmation of implementation of the recent NRP recommendation, there was no increase in the incidence or severity of MAS following its release.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Resucitación / Síndrome de Aspiración de Meconio / Guías de Práctica Clínica como Asunto Tipo de estudio: Guideline / Incidence_studies / Prognostic_studies / Risk_factors_studies Límite: Humans / Newborn País/Región como asunto: America do norte Idioma: En Revista: J Perinatol Asunto de la revista: PERINATOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Resucitación / Síndrome de Aspiración de Meconio / Guías de Práctica Clínica como Asunto Tipo de estudio: Guideline / Incidence_studies / Prognostic_studies / Risk_factors_studies Límite: Humans / Newborn País/Región como asunto: America do norte Idioma: En Revista: J Perinatol Asunto de la revista: PERINATOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos