Contemporary fluid management, humidity, and patent ductus arteriosus management strategy for premature infants among 336 hospitals in Asia
ObjectivesThe management of patent ductus arteriosus (PDA) is a critical concern in premature infants, and different hospitals may have varying treatment policies, fluid management strategies, and incubator humidity. The Asian Neonatal Network Collaboration (AsianNeo) collected data on prematurity c...
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| Language: | English |
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Frontiers Media S.A.
2024-02-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2024.1336299/full |
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| author | Yao-Chi Hsieh Mei-Jy Jeng Mei-Jy Jeng Mei-Jy Jeng Ming-Chih Lin Ming-Chih Lin Ming-Chih Lin Ming-Chih Lin Ming-Chih Lin Yuh-Jyh Lin Rinawati Rohsiswatmo Rizalya Dewi Seok Chiong Chee Siew Hong Neoh Belen Amparo E. Velasco Ma. Lourdes S. Imperial Pracha Nuntnarumit Sopapan Ngerncham Yun Sil Chang Sae Yun Kim Bin Huey Quek Zubair Amin Satoshi Kusuda Satoshi Kusuda Fuyu Miyake Tetsuya Isayama |
| author_facet | Yao-Chi Hsieh Mei-Jy Jeng Mei-Jy Jeng Mei-Jy Jeng Ming-Chih Lin Ming-Chih Lin Ming-Chih Lin Ming-Chih Lin Ming-Chih Lin Yuh-Jyh Lin Rinawati Rohsiswatmo Rizalya Dewi Seok Chiong Chee Siew Hong Neoh Belen Amparo E. Velasco Ma. Lourdes S. Imperial Pracha Nuntnarumit Sopapan Ngerncham Yun Sil Chang Sae Yun Kim Bin Huey Quek Zubair Amin Satoshi Kusuda Satoshi Kusuda Fuyu Miyake Tetsuya Isayama |
| author_sort | Yao-Chi Hsieh |
| collection | DOAJ |
| description | ObjectivesThe management of patent ductus arteriosus (PDA) is a critical concern in premature infants, and different hospitals may have varying treatment policies, fluid management strategies, and incubator humidity. The Asian Neonatal Network Collaboration (AsianNeo) collected data on prematurity care details from hospitals across Asian countries. The aim of this study was to provide a survey of the current practices in the management of PDA in premature infants in Asian countries.MethodsAsianNeo performed a cross-sectional international questionnaire survey in 2022 to assess the human and physical resources of hospitals and clinical management of very preterm infants. The survey covered various aspects of hospitals resources and clinical management, and data were collected from 337 hospitals across Asia. The data collected were used to compare hospitals resources and clinical management of preterm infants between areas and economic status.ResultsThe policy of PDA management for preterm infants varied across Asian countries in AsianNeo. Hospitals in Northeast Asia were more likely to perform PDA ligation (p < 0.001) than hospitals in Southeast Asia. Hospitals in Northeast Asia had stricter fluid restrictions in the first 24 h after birth for infants born at <29 weeks gestation (p < 0.001) and on day 14 after birth for infants born at <29 weeks gestation (p < 0.001) compared to hospitals in Southeast Asia. Hospitals in Northeast Asia also had a more humidified environment for infants born between 24 weeks gestation and 25 weeks gestation in the first 72 h after birth (p < 0.001). A logistic regression model predicted that hospitals were more likely to perform PDA ligation for PDA when the hospitals had a stricter fluid planning on day 14 after birth [Odds ratio (OR) of 1.70, p = 0.048], more incubator humidity settings (<80% vs. 80%–89%, OR of 3.35, p = 0.012 and <80% vs. 90%–100%, OR of 5.31, p < 0.001).ConclusionsIn advanced economies and Northeast Asia, neonatologists tend to adopt a more conservative approach towards fluid management, maintain higher incubator humidity settings and inclined to perform surgical ligation for PDA. |
| first_indexed | 2024-03-07T19:43:23Z |
| format | Article |
| id | doaj.art-573af1bd303943079a96b86be9295b2a |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-03-07T19:43:23Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-573af1bd303943079a96b86be9295b2a2024-02-29T05:13:24ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602024-02-011210.3389/fped.2024.13362991336299Contemporary fluid management, humidity, and patent ductus arteriosus management strategy for premature infants among 336 hospitals in AsiaYao-Chi Hsieh0Mei-Jy Jeng1Mei-Jy Jeng2Mei-Jy Jeng3Ming-Chih Lin4Ming-Chih Lin5Ming-Chih Lin6Ming-Chih Lin7Ming-Chih Lin8Yuh-Jyh Lin9Rinawati Rohsiswatmo10Rizalya Dewi11Seok Chiong Chee12Siew Hong Neoh13Belen Amparo E. Velasco14Ma. Lourdes S. Imperial15Pracha Nuntnarumit16Sopapan Ngerncham17Yun Sil Chang18Sae Yun Kim19Bin Huey Quek20Zubair Amin21Satoshi Kusuda22Satoshi Kusuda23Fuyu Miyake24Tetsuya Isayama25Children’s Medical Center, Taichung Veterans General Hospital, Taichung, TaiwanInstitute of Emergency and Critical Care Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanDepartment of Pediatrics, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Pediatrics, School of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanChildren’s Medical Center, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Pediatrics, School of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanDepartment of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, TaiwanDepartment of Food and Nutrition, Providence University, Taichung, TaiwanSchool of Medicine, Chung Shan Medical University, Taichung, TaiwanDepartment of Pediatrics, National Cheng-Kung University Hospital, Tainan, TaiwanDepartment of Child Health, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia0Budhi Mulia Women and Children Hospital, Pekanbaru, Indonesia1School of Medicine, Faculty of Health and Medical Sciences, Taylor’s University, Subang Jaya, Malaysia1School of Medicine, Faculty of Health and Medical Sciences, Taylor’s University, Subang Jaya, Malaysia2Philippine Children’s Medical Center, Manila, Philippines3Dr. Jose Fabella Memorial Hospital, Manila, Philippines4Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand5Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand6Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea7Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea8Department of Neonatology, KK Women’s and Children’s Hospital, Singapore, Singapore9Department of Neonatology, Khoo Teck Puat-National University Children's Medical Institute, National University Hospital, Singapore, Singapore0Neonatal Research Network of Japan, Tokyo, Japan1Department of Pediatrics, Kyorin University, Mitaka, Tokyo, Japan2Division of Neonatology, National Center for Child Health and Development, Tokyo, Japan2Division of Neonatology, National Center for Child Health and Development, Tokyo, JapanObjectivesThe management of patent ductus arteriosus (PDA) is a critical concern in premature infants, and different hospitals may have varying treatment policies, fluid management strategies, and incubator humidity. The Asian Neonatal Network Collaboration (AsianNeo) collected data on prematurity care details from hospitals across Asian countries. The aim of this study was to provide a survey of the current practices in the management of PDA in premature infants in Asian countries.MethodsAsianNeo performed a cross-sectional international questionnaire survey in 2022 to assess the human and physical resources of hospitals and clinical management of very preterm infants. The survey covered various aspects of hospitals resources and clinical management, and data were collected from 337 hospitals across Asia. The data collected were used to compare hospitals resources and clinical management of preterm infants between areas and economic status.ResultsThe policy of PDA management for preterm infants varied across Asian countries in AsianNeo. Hospitals in Northeast Asia were more likely to perform PDA ligation (p < 0.001) than hospitals in Southeast Asia. Hospitals in Northeast Asia had stricter fluid restrictions in the first 24 h after birth for infants born at <29 weeks gestation (p < 0.001) and on day 14 after birth for infants born at <29 weeks gestation (p < 0.001) compared to hospitals in Southeast Asia. Hospitals in Northeast Asia also had a more humidified environment for infants born between 24 weeks gestation and 25 weeks gestation in the first 72 h after birth (p < 0.001). A logistic regression model predicted that hospitals were more likely to perform PDA ligation for PDA when the hospitals had a stricter fluid planning on day 14 after birth [Odds ratio (OR) of 1.70, p = 0.048], more incubator humidity settings (<80% vs. 80%–89%, OR of 3.35, p = 0.012 and <80% vs. 90%–100%, OR of 5.31, p < 0.001).ConclusionsIn advanced economies and Northeast Asia, neonatologists tend to adopt a more conservative approach towards fluid management, maintain higher incubator humidity settings and inclined to perform surgical ligation for PDA.https://www.frontiersin.org/articles/10.3389/fped.2024.1336299/fullprematuritypatent ductus arteriosusfluid managementhumidityAsianNeo |
| spellingShingle | Yao-Chi Hsieh Mei-Jy Jeng Mei-Jy Jeng Mei-Jy Jeng Ming-Chih Lin Ming-Chih Lin Ming-Chih Lin Ming-Chih Lin Ming-Chih Lin Yuh-Jyh Lin Rinawati Rohsiswatmo Rizalya Dewi Seok Chiong Chee Siew Hong Neoh Belen Amparo E. Velasco Ma. Lourdes S. Imperial Pracha Nuntnarumit Sopapan Ngerncham Yun Sil Chang Sae Yun Kim Bin Huey Quek Zubair Amin Satoshi Kusuda Satoshi Kusuda Fuyu Miyake Tetsuya Isayama Contemporary fluid management, humidity, and patent ductus arteriosus management strategy for premature infants among 336 hospitals in Asia Frontiers in Pediatrics prematurity patent ductus arteriosus fluid management humidity AsianNeo |
| title | Contemporary fluid management, humidity, and patent ductus arteriosus management strategy for premature infants among 336 hospitals in Asia |
| title_full | Contemporary fluid management, humidity, and patent ductus arteriosus management strategy for premature infants among 336 hospitals in Asia |
| title_fullStr | Contemporary fluid management, humidity, and patent ductus arteriosus management strategy for premature infants among 336 hospitals in Asia |
| title_full_unstemmed | Contemporary fluid management, humidity, and patent ductus arteriosus management strategy for premature infants among 336 hospitals in Asia |
| title_short | Contemporary fluid management, humidity, and patent ductus arteriosus management strategy for premature infants among 336 hospitals in Asia |
| title_sort | contemporary fluid management humidity and patent ductus arteriosus management strategy for premature infants among 336 hospitals in asia |
| topic | prematurity patent ductus arteriosus fluid management humidity AsianNeo |
| url | https://www.frontiersin.org/articles/10.3389/fped.2024.1336299/full |
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