T-piece versus self-inflating bag ventilation in preterm neonates at birth

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorGUINSBURG, Ruth
dc.contributor.authorALMEIDA, Maria Fernanda Branco de
dc.contributor.authorCASTRO, Junia Sampel de
dc.contributor.authorGONCALVES-FERRI, Walusa Assad
dc.contributor.authorMARQUES, Patricia Franco
dc.contributor.authorCALDAS, Jamil Pedro Siqueira
dc.contributor.authorKREBS, Vera Lucia Jornada
dc.contributor.authorRUGOLO, Ligia Maria Suppo de Souza
dc.contributor.authorALMEIDA, Joao Henrique Carvalho Leme de
dc.contributor.authorLUZ, Jorge Hecker
dc.contributor.authorPROCIANOY, Renato S.
dc.contributor.authorDUARTE, Jose Luiz Muniz Bandeira
dc.contributor.authorPENIDO, Marcia Gomes
dc.contributor.authorFERREIRA, Daniela Marques de Lima Mota
dc.contributor.authorFILHO, Navantino Alves
dc.contributor.authorDINIZ, Edna Maria de Albuquerque
dc.contributor.authorSANTOS, Juliana Paula
dc.contributor.authorACQUESTA, Ana Lucia
dc.contributor.authorSANTOS, Cristina Nunes dos
dc.contributor.authorGONZALEZ, Maria Rafaela Conde
dc.contributor.authorSILVA, Regina P. G. Vieira Cavalcanti da
dc.contributor.authorMENESES, Jucile
dc.contributor.authorLOPES, Jose Maria de Andrade
dc.contributor.authorMARTINEZ, Francisco Eulogio
dc.date.accessioned2018-05-08T14:35:30Z
dc.date.available2018-05-08T14:35:30Z
dc.date.issued2018
dc.description.abstractObjective To verify whether the use of the T-piece resuscitator compared with the self-inflating bag in preterm infants ventilated at birth modifies survival to hospital discharge without major morbidities. Design Pragmatic prospective cohort study. Setting 20 Brazilian university hospitals of Brazilian Network on Neonatal Research. Patients were 1962 inborn infants in 2014-2015 ventilated at birth with 23-33' weeks gestation and birth weight 400-1499 g without malformations. Patients transferred until the 27th day after birth were excluded. Interventions Positive pressure ventilation at birth with T-piece resuscitator or self-inflating bag without positive end expiratory pressure valve. Intervention with ventilation followed the Brazilian Society of Pediatrics guidelines. The choice of the equipment was at the neonatologist's discretion in each delivery. The main outcome measures were survival to hospital discharge without bronchopulmonary dysplasia, severe peri-intraventricular haemorrhage and periventricular leucomalada. Logistic regression adjusted for confounding variables was applied for main outcome. Results 1456 (74%) were only ventilated with T-piece resuscitator and 506 (26%) with the self-inflating bag. The characteristics of those ventilated with T-Piece resuscitator versus self-inflating bag were birth weight 969 +/- 277 vs 941 +/- 279 g, gestational age 28.2 +/- 2.5 vs 27.8 +/- 2.7 weeks and survival to hospital discharge without major morbidities 47% vs 35%, Logistic regression adjusted for maternal characteristics, obstetric and neonatal morbidities showed that the T-piece resuscitator increased the chance of survival to hospital discharge without major morbidities (OR=1.38; 95% Cl 1.06 to 1.80; Hosmer-Lemeshow goodness of fit: 0.695). Conclusion This study is the first that highlights the effectiveness of T-piece resuscitator ventilation in improving relevant outcomes in preterm neonates.
dc.description.indexMEDLINE
dc.identifier.citationARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, v.103, n.1, p.F49-F54, 2018
dc.identifier.doi10.1136/archdischild-2016-312360
dc.identifier.eissn1468-2052
dc.identifier.issn1359-2998
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/26389
dc.language.isoeng
dc.publisherBMJ PUBLISHING GROUP
dc.relation.ispartofArchives of Disease in Childhood-Fetal and Neonatal Edition
dc.rightsrestrictedAccess
dc.rights.holderCopyright BMJ PUBLISHING GROUP
dc.subject.otherdelivery room
dc.subject.otherresearch network
dc.subject.otherweight infants
dc.subject.otherresuscitation
dc.subject.othermorbidity
dc.subject.othernewborn
dc.subject.othermortality
dc.subject.othersurvival
dc.subject.otherdevices
dc.subject.wosPediatrics
dc.titleT-piece versus self-inflating bag ventilation in preterm neonates at birth
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalGUINSBURG, Ruth:Univ Fed Sao Paulo, Div Neonatal Med, Sao Paulo, Brazil
hcfmusp.author.externalALMEIDA, Maria Fernanda Branco de:Univ Fed Sao Paulo, Div Neonatal Med, Sao Paulo, Brazil
hcfmusp.author.externalCASTRO, Junia Sampel de:Univ Fed Sao Paulo, Div Neonatal Med, Sao Paulo, Brazil
hcfmusp.author.externalGONCALVES-FERRI, Walusa Assad:Univ Sao Paulo, Dept Pediat, Fac Med Ribeirao Preto, Ribeirao Preto, Brazil
hcfmusp.author.externalMARQUES, Patricia Franco:Univ Fed Maranhao, Dept Pediat, Sao Luis, Brazil
hcfmusp.author.externalCALDAS, Jamil Pedro Siqueira:Univ Estadual Campinas, Dept Pediat, Fac Ciencias Med, Campinas, SP, Brazil
hcfmusp.author.externalRUGOLO, Ligia Maria Suppo de Souza:Univ Estadual Paulista, Div Neonatol, Fac Med Botucatu, Botucatu, SP, Brazil
hcfmusp.author.externalALMEIDA, Joao Henrique Carvalho Leme de:Fundacao Oswaldo Cruz, Div Neonatol, Rio De Janeiro, Brazil
hcfmusp.author.externalLUZ, Jorge Hecker:Pontificia Univ Catolica Rio Grande do Sul, Dept Pediat, Hosp Sao Lucas, Fac Med, Porto Alegre, RS, Brazil
hcfmusp.author.externalPROCIANOY, Renato S.:Univ Fed Rio Grande do Sul, Div Neonatol, Hosp Clin Porto Alegre, Porto Alegre, RS, Brazil
hcfmusp.author.externalDUARTE, Jose Luiz Muniz Bandeira:Univ Estado Rio de Janeiro, Dept Pediat, Hosp Univ Pedro Ernesto, Rio De Janeiro, Brazil
hcfmusp.author.externalPENIDO, Marcia Gomes:Univ Fed Minas Gerais, Div Neonatol, Belo Horizonte, MG, Brazil
hcfmusp.author.externalFERREIRA, Daniela Marques de Lima Mota:Univ Fed Uberlandia, Pediat, Uberlandia, MG, Brazil
hcfmusp.author.externalFILHO, Navantino Alves:Maternidade Hilda Brandao, Dept Pediat, Fac Ciencias Med Minas Gerais, Belo Horizonte, MG, Brazil
hcfmusp.author.externalSANTOS, Juliana Paula:Hosp Estadual Sumare, Neonatal Div, Sumare, Brazil
hcfmusp.author.externalACQUESTA, Ana Lucia:Hosp Geral Pirajussara, Neonatal Unit, Taboao Da Serra, Brazil
hcfmusp.author.externalSANTOS, Cristina Nunes dos:Hosp Estadual Diadema, Neonatal Unit, Diadema, Brazil
hcfmusp.author.externalGONZALEZ, Maria Rafaela Conde:Univ Estadual Londrina, Dept Pediat, Hosp Univ, Curitiba, Parana, Brazil
hcfmusp.author.externalSILVA, Regina P. G. Vieira Cavalcanti da:Univ Fed Parana, Dept Pediat, Hosp Clin, Curitiba, Parana, Brazil
hcfmusp.author.externalMENESES, Jucile:Inst Med Integral Prof Fernando Figueira, Dept Pediat, Recife, PE, Brazil
hcfmusp.author.externalLOPES, Jose Maria de Andrade:Inst Fernandes Figueira FIOCRUZ, Dept Pediat, Rio De Janeiro, Brazil
hcfmusp.author.externalMARTINEZ, Francisco Eulogio:Univ Sao Paulo, Dept Pediat, Fac Med Ribeirao Preto, Ribeirao Preto, Brazil
hcfmusp.citation.scopus44
hcfmusp.contributor.author-fmusphcVERA LUCIA JORNADA KREBS
hcfmusp.contributor.author-fmusphcEDNA MARIA DE ALBUQUERQUE DINIZ
hcfmusp.description.beginpageF49
hcfmusp.description.endpageF54
hcfmusp.description.issue1
hcfmusp.description.volume103
hcfmusp.origemWOS
hcfmusp.origem.pubmed28663283
hcfmusp.origem.scopus2-s2.0-85025126677
hcfmusp.origem.wosWOS:000419372700009
hcfmusp.publisher.cityLONDON
hcfmusp.publisher.countryENGLAND
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