Effects of bradycardia, hypoxemia and early intubation on bronchopulmonary dysplasia in very preterm infants: An observational study
學年 112
學期 2
出版(發表)日期 2024-03-11
作品名稱 Effects of bradycardia, hypoxemia and early intubation on bronchopulmonary dysplasia in very preterm infants: An observational study
作品名稱(其他語言)
著者 Chang, Yue-cune
單位
出版者
著錄名稱、卷期、頁數 Heart & Lung 65, p.109-115
摘要 Background Bronchopulmonary dysplasia (BPD) is the most common pulmonary complication in preterm infants. Objectives The study aimed to explore the effects of bradycardia, hypoxemia, and early intubation on BPD in very preterm infants. Methods This is a prospective observational cohort study. Preterm infants with a mean gestational age of 28.67 weeks were recruited from two level III neonatal intensive care units (NICUs) in Taiwan. Continuous electrocardiography was used to monitor heart rates and oxygen saturation (SpO2). Infants were monitored for heart rates of <100 beats per minute and SpO2 levels of <90 % lasting for 30 s. Generalized estimating equations were used to analyze the effects of bradycardia, hypoxemia, and early intubation on BPD in very preterm infants. Model fit was visually assessed using receiver operating characteristic curve analysis. Results Bradycardia, hypoxemia, and early intubation significantly increased the odds of BPD among the preterm infants (N = 39) during NICU stay; the odds ratios for bradycardia, hypoxemia, and early intubation for BPD versus non-BPD were 1.058, 1.013, and 29.631, respectively (all p < 0.05). A model combining bradycardia, hypoxemia, and early intubation accurately predicted BPD development (area under the curve = 0.919). Conclusions Bradycardia, hypoxemia, and early intubation significantly increased the odds of BPD among very preterm infants during NICU stay. The model combining bradycardia, hypoxemia, and early intubation accurately predicted BPD development.
關鍵字 Hypoxemia;Early intubation;Intensive care;Bronchopulmonary dysplasia;Preterm infants
語言 en_US
ISSN 1527-3288
期刊性質 國外
收錄於 SCI Scopus
產學合作
通訊作者 Jen-Jiuan Liaw
審稿制度
國別 USA
公開徵稿
出版型式 ,電子版
相關連結

機構典藏連結 ( http://tkuir.lib.tku.edu.tw:8080/dspace/handle/987654321/125709 )