Factors Associated with Nasal Intermittent Positive Pressure Ventilation Failure in Late Preterm and Term Infants with Respiratory Distress after Birth
Purpose We examined the factors associated with nasal intermittent positive pressure ventilation (NIPPV) failure in late preterm and term infants with respiratory distress after birth. Methods A retrospective cohort study was conducted on late preterm and term infants with respiratory distress after...
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| Format: | Article |
| Language: | English |
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Korean Society of Neonatology
2022-02-01
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| Series: | Neonatal Medicine |
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| Online Access: | http://neo-med.org/upload/pdf/nm-2022-29-1-1.pdf |
| _version_ | 1811276680485928960 |
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| author | Gyu Hong Shim |
| author_facet | Gyu Hong Shim |
| author_sort | Gyu Hong Shim |
| collection | DOAJ |
| description | Purpose We examined the factors associated with nasal intermittent positive pressure ventilation (NIPPV) failure in late preterm and term infants with respiratory distress after birth. Methods A retrospective cohort study was conducted on late preterm and term infants with respiratory distress after birth from January 2015 to December 2020. The medical records of 132 infants, who received NIPPV as primary respiratory therapy before 6 hours of age, were retrospectively examined. We excluded five neonates who were either transferred to another hospital (n=2) or presented with congenital anomalies (n=3). Results The remaining 127 neonates were divided into the NIPPV success group (n=82) and NIPPV failure group (n=45). NIPPV failure was associated with birth in a community hospital, the need for a surfactant, and a high maximum respiratory severity score (RSS ≥2.5) on the first day of life. In the subgroup analysis, NIPPV failure in late preterm infants was associated with a lower gestational age, birth in a community hospital, and an RSS ≥2.5 on the first day of life. In addition, NIPPV failure in term infants was associated with birth in a community hospital, the need for a surfactant, and an RSS ≥2.5 on the first day of life. Conclusion Birth in a community hospital, the need for a surfactant, and an RSS ≥2.5 on the first day of life were significant factors associated with NIPPV failure in late preterm and term infants. |
| first_indexed | 2024-04-13T00:02:07Z |
| format | Article |
| id | doaj.art-1825d266a45849ceaa1c027c4da5987d |
| institution | Directory Open Access Journal |
| issn | 2287-9412 2287-9803 |
| language | English |
| last_indexed | 2024-04-13T00:02:07Z |
| publishDate | 2022-02-01 |
| publisher | Korean Society of Neonatology |
| record_format | Article |
| series | Neonatal Medicine |
| spelling | doaj.art-1825d266a45849ceaa1c027c4da5987d2022-12-22T03:11:19ZengKorean Society of NeonatologyNeonatal Medicine2287-94122287-98032022-02-012911910.5385/nm.2022.29.1.11051Factors Associated with Nasal Intermittent Positive Pressure Ventilation Failure in Late Preterm and Term Infants with Respiratory Distress after BirthGyu Hong Shim0 Department of Pediatrics, Inje University Sanggye Paik Hospital, Seoul, KoreaPurpose We examined the factors associated with nasal intermittent positive pressure ventilation (NIPPV) failure in late preterm and term infants with respiratory distress after birth. Methods A retrospective cohort study was conducted on late preterm and term infants with respiratory distress after birth from January 2015 to December 2020. The medical records of 132 infants, who received NIPPV as primary respiratory therapy before 6 hours of age, were retrospectively examined. We excluded five neonates who were either transferred to another hospital (n=2) or presented with congenital anomalies (n=3). Results The remaining 127 neonates were divided into the NIPPV success group (n=82) and NIPPV failure group (n=45). NIPPV failure was associated with birth in a community hospital, the need for a surfactant, and a high maximum respiratory severity score (RSS ≥2.5) on the first day of life. In the subgroup analysis, NIPPV failure in late preterm infants was associated with a lower gestational age, birth in a community hospital, and an RSS ≥2.5 on the first day of life. In addition, NIPPV failure in term infants was associated with birth in a community hospital, the need for a surfactant, and an RSS ≥2.5 on the first day of life. Conclusion Birth in a community hospital, the need for a surfactant, and an RSS ≥2.5 on the first day of life were significant factors associated with NIPPV failure in late preterm and term infants.http://neo-med.org/upload/pdf/nm-2022-29-1-1.pdfnoninvasive ventilationrespiratory insufficiencytreatment failureinfant, prematureinfant, newborn |
| spellingShingle | Gyu Hong Shim Factors Associated with Nasal Intermittent Positive Pressure Ventilation Failure in Late Preterm and Term Infants with Respiratory Distress after Birth Neonatal Medicine noninvasive ventilation respiratory insufficiency treatment failure infant, premature infant, newborn |
| title | Factors Associated with Nasal Intermittent Positive Pressure Ventilation Failure in Late Preterm and Term Infants with Respiratory Distress after Birth |
| title_full | Factors Associated with Nasal Intermittent Positive Pressure Ventilation Failure in Late Preterm and Term Infants with Respiratory Distress after Birth |
| title_fullStr | Factors Associated with Nasal Intermittent Positive Pressure Ventilation Failure in Late Preterm and Term Infants with Respiratory Distress after Birth |
| title_full_unstemmed | Factors Associated with Nasal Intermittent Positive Pressure Ventilation Failure in Late Preterm and Term Infants with Respiratory Distress after Birth |
| title_short | Factors Associated with Nasal Intermittent Positive Pressure Ventilation Failure in Late Preterm and Term Infants with Respiratory Distress after Birth |
| title_sort | factors associated with nasal intermittent positive pressure ventilation failure in late preterm and term infants with respiratory distress after birth |
| topic | noninvasive ventilation respiratory insufficiency treatment failure infant, premature infant, newborn |
| url | http://neo-med.org/upload/pdf/nm-2022-29-1-1.pdf |
| work_keys_str_mv | AT gyuhongshim factorsassociatedwithnasalintermittentpositivepressureventilationfailureinlatepretermandterminfantswithrespiratorydistressafterbirth |