Portable Bedside Nasal Continuous Positive Airway Pressure in the Delivery Room Reduces Length of Stay.

IF 2.4 4区医学 Q1 PEDIATRICS

Acta Paediatrica Pub Date : 2025-03-18 DOI:10.1111/apa.70062

Stephanie Balslev Andersen, Janne Eriksen, Anne-Cathrine Finnemann Viuff, Lia Mendes Pedersen, Ninna Brix

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引用次数: 0

Abstract

Aim: Portable bedside nasal continuous positive airway pressure in the delivery room (bedside nCPAP) allows the newborn infant to remain with the mother in the delivery room while receiving nCPAP. This study aimed to evaluate the duration of nCPAP treatment and length of stay (LOS) in newborn infants with respiratory distress receiving bedside nCPAP compared to nCPAP in the neonatal intensive care unit (NICU).

Methods: This retrospective cohort study comprised newborn infants born at ≥ 35 weeks of gestation requiring nCPAP treatment within the first 2 h of life due to respiratory distress. Data were collected from October 2011 to October 2020 at Aalborg University Hospital, Denmark.

Results: Bedside nCPAP was administered to 225 newborn infants, while 185 newborn infants received nCPAP at the NICU. Newborn infants receiving bedside nCPAP had a shorter duration of CPAP treatment (4.4 vs. 7.3 h, p < 0.001) and LOS (7.2 vs. 20.2 h, p < 0.001). Transfer to the NICU was avoided in 72% of newborn infants receiving bedside nCPAP.

Conclusion: Bedside nCPAP reduces the duration of CPAP treatment and LOS compared to nCPAP in the NICU. About 72% of newborn infants receiving bedside nCPAP avoided transfer to the NICU and avoided separation from their mothers.

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便携式床边鼻持续气道正压在产房减少住院时间。

目的：产房便携式床边鼻持续气道正压通气（床边nCPAP）可使新生儿在接受nCPAP时留在产房与母亲在一起。本研究旨在评估在新生儿重症监护病房（NICU）接受床边nCPAP治疗的新生儿呼吸窘迫的持续时间和住院时间（LOS）。方法：本回顾性队列研究纳入≥35孕周出生的新生儿，在出生后2小时内因呼吸窘迫需要nCPAP治疗。数据于2011年10月至2020年10月在丹麦奥尔堡大学医院收集。结果：225例新生儿接受床边nCPAP， 185例新生儿在NICU接受nCPAP。接受床边nCPAP治疗的新生儿CPAP治疗持续时间较短（4.4 h vs. 7.3 h）， p结论：与NICU的nCPAP相比，床边nCPAP减少了CPAP治疗的持续时间和LOS。约72%接受床边nCPAP的新生儿避免转到NICU，避免与母亲分离。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Paediatrica 医学-小儿科

CiteScore

6.50

自引率

5.30%

发文量

384

审稿时长

2-4 weeks

期刊介绍： Acta Paediatrica is a peer-reviewed monthly journal at the forefront of international pediatric research. It covers both clinical and experimental research in all areas of pediatrics including: neonatal medicine developmental medicine adolescent medicine child health and environment psychosomatic pediatrics child health in developing countries