Reporting nasal pressure injuries in neonates receiving non-invasive ventilation: a scoping review

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2024-09-17 DOI:10.1038/s41372-024-02006-1

Alexander E. Graf, Simon Bellido, Chellapriya Vythinathan, Jigar Govind, Lawrence Fordjour, Sydney C. Butts, Ann Woodhouse Plum

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Abstract

Although neonates receiving Non-Invasive Ventilation (NIV) for respiratory support are at risk for nasal pressure injuries, efforts to standardize reporting are limited. A scoping review was conducted to identify the reporting systems used for describing these injuries. PubMed, Embase, and Web of Science were queried for papers reporting nasal injury with NIV usage in neonates. The primary outcome was reporting system usage. 705 titles and abstracts were screened. 40 papers met inclusion criteria. Most studies were Randomized Clinical Trials (37.5%) or cohort studies (37.5%). Most commonly, nasal injuries were reported using a unique, descriptive scale developed by the authors (10 studies, 25%). The Fischer et al 2010 scale, a three-stage reporting system, was used in 8 studies (20%). While 15 studies (38.0%) reported on specific anatomic subsite injury, only 2 studies (5.0%) employed endoscopy for assessment. Wide heterogeneity in pressure injury reporting secondary to NIV exists across specialties, institutions, and literature.

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接受无创通气的新生儿鼻压损伤报告：范围界定审查

背景/目的虽然接受无创通气（NIV）呼吸支持的新生儿有鼻腔压力损伤的风险，但标准化报告的工作却很有限。为了确定用于描述这些损伤的报告系统，我们进行了一次范围界定审查。研究对象/方法我们查询了PubMed、Embase和Web of Science，以查找报告新生儿使用NIV时鼻腔损伤的论文。结果筛选了 705 篇标题和摘要。40 篇论文符合纳入标准。大多数研究为随机临床试验（37.5%）或队列研究（37.5%）。最常见的是使用作者开发的独特描述性量表报告鼻部损伤（10 项研究，25%）。8 项研究（20%）使用了 Fischer 等人 2010 年的量表，这是一种三阶段报告系统。15 项研究（38.0%）报告了特定解剖部位的损伤，只有 2 项研究（5.0%）采用内窥镜进行评估。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.