Duration of continuous positive airway pressure: associations with length of stay and oral feeding patterns in a level IV neonatal intensive care unit.
Caroline Massarelli, Andrea Weintraub, Douglas Bush, Veniamin Ratner, Courtney Juliano
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引用次数: 0
Abstract
Objective: Examine associations between postmenstrual age (PMA) at CPAP discontinuation, length of stay (LOS) and PMA at achievement of oral feeds in preterm infants.
Study design: Retrospective chart review of infants <33 weeks gestational age was performed over a period of practice change (2017-2022) implementing extended CPAP use. Clinical interventions, outcomes and LOS were reviewed.
Results: The study population included 571 infants. Over the study period, PMA at CPAP discontinuation significantly increased as did PMA at full oral feeds but there were no significant differences in LOS. Linear regression modeling identified that older age at CPAP discontinuation was a predictor of longer LOS but effect size was small at 14 h per week of CPAP.
Conclusions: LOS was not prolonged in a clinically meaningful way following extended CPAP use, despite delayed oral feeding, in our study cohort.
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.
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