Delivery Room Continuous Positive Airway Pressure and Pneumothorax.

Abstract:

BACKGROUND:In 2011, the Neonatal Resuscitation Program (NRP) added consideration of continuous positive airway pressure (CPAP) for spontaneously breathing infants with labored breathing or hypoxia in the delivery room (DR). The objective of this study was to determine if DR-CPAP is associated with symptomatic pneumothorax in infants 35 to 42 weeks' gestational age. METHODS:We included (1) a retrospective birth cohort study of neonates born between 2001 and 2015 and (2) a nested cohort of those born between 2005 and 2015 who had a resuscitation call leading to admission to the NICU and did not receive positive-pressure ventilation. RESULTS:In the birth cohort (n = 200 381), pneumothorax increased after implementation of the 2011 NRP from 0.4% to 0.6% (P < .05). In the nested cohort (n = 6913), DR-CPAP increased linearly over time (r = 0.71; P = .01). Administration of DR-CPAP was associated with pneumothorax (odds ratio [OR]: 5.5; 95% confidence interval [CI]: 4.4-6.8); the OR was higher (P < .001) in infants receiving 21% oxygen (OR: 8.5; 95% CI: 5.9-12.3; P < .001) than in those receiving oxygen supplementation (OR: 3.5; 95% CI: 2.5-5.0; P < .001). Among those with DR-CPAP, pneumothorax increased with gestational age and decreased with oxygen administration. CONCLUSIONS:The use of DR-CPAP is associated with increased odds of pneumothorax in late-preterm and term infants, especially in those who do not receive oxygen in the DR. These findings could be used to clarify NRP guidelines regarding DR-CPAP in late-preterm and term infants.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Smithhart W,Wyckoff MH,Kapadia V,Jaleel M,Kakkilaya V,Brown LS,Nelson DB,Brion LP

doi

10.1542/peds.2019-0756

subject

Has Abstract

pub_date

2019-09-01 00:00:00

issue

3

eissn

0031-4005

issn

1098-4275

pii

peds.2019-0756

journal_volume

144

pub_type

杂志文章
  • Is moderate drinking during pregnancy associated with an increased risk for malformations?

    abstract::The relationship between heavy drinking during pregnancy and congenital malformations is well known; however, whether moderate or light drinking is teratogenic is controversial. This prospective birth defects study collected information from 32,870 women about alcohol consumption during the first trimester of pregnanc...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Mills JL,Graubard BI

    更新日期:1987-09-01 00:00:00

  • American Academy of Pediatrics. The role of the school nurse in providing school health services. Committee on School Health.

    abstract::The school nurse has a crucial role in the provision of school health services. This statement describes the school nurse as a member of the school health services team and its relation to children with special health care needs. Recommendations for the professional preparation and education of school nurses also are ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.108.5.1231

    authors: Committee on School Health.

    更新日期:2001-11-01 00:00:00

  • False-positive tricyclic antidepressant drug screen results leading to the diagnosis of carbamazepine intoxication.

    abstract::Ingestion of toxic substances is a common problem in pediatrics. When presented with the limited history of an unknown ingestion in a patient with altered mental status, a clinician depends on the physical examination and a toxic screen to determine the ingested substance(s). Some toxic screens yield false-positive or...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.105.5.e66

    authors: Matos ME,Burns MM,Shannon MW

    更新日期:2000-05-01 00:00:00

  • Successful treatment of type 1 diabetes and seizures with combined ketogenic diet and insulin.

    abstract::Diabetic ketoacidosis (DKA) is a life-threatening condition and a major cause of morbidity and mortality in children with type 1 diabetes mellitus. The deficiency of insulin leads to metabolic decompensation, causing hyperglycemia and ketosis that resolves with the administration of insulin and fluids. However, an ind...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2011-0741

    authors: Aguirre Castaneda RL,Mack KJ,Lteif A

    更新日期:2012-02-01 00:00:00

  • Attention-Deficit/Hyperactivity Disorder and Psychotropic Polypharmacy Prescribing Trends.

    abstract:BACKGROUND AND OBJECTIVES:Attention-deficit/hyperactivity disorder (ADHD) medication use and psychotherapeutic polypharmacy is increasing. This study was designed to assess annual rates of ADHD medication prescribing and psychotherapeutic polypharmacy among patients 2 to 24 years old in the United States, identify comm...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2019-2832

    authors: Girand HL,Litkowiec S,Sohn M

    更新日期:2020-07-01 00:00:00

  • The population cost-effectiveness of interventions designed to prevent childhood depression.

    abstract:BACKGROUND AND OBJECTIVES:Depression in childhood and adolescence is common and often persists into adulthood. This study assessed the population-level cost-effectiveness of a preventive intervention that screens children and adolescents for symptoms of depression in schools and the subsequent provision of a psychologi...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2011-1823

    authors: Mihalopoulos C,Vos T,Pirkis J,Carter R

    更新日期:2012-03-01 00:00:00

  • Iron deficiency in early childhood in the United States: risk factors and racial/ethnic disparities.

    abstract:BACKGROUND:Iron deficiency affects 2.4 million US children, and childhood iron-deficiency anemia is associated with behavioral and cognitive delays. Given the detrimental long-term effects and high prevalence of iron deficiency, its prevention in early childhood is an important public health issue. OBJECTIVES:The stud...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2007-0572

    authors: Brotanek JM,Gosz J,Weitzman M,Flores G

    更新日期:2007-09-01 00:00:00

  • Birthweight of children with phenylketonuria.

    abstract::The assumption that children with phenylketonuria (PKU) develop normally until birth was brought into question by the recent report that PKU children weigh several hundred grams less at birth than their unaffected siblings. We have examined intrafamily differences in birthweight in 40 sibships with at least one affect...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Rothman KJ,Pueschel SN

    更新日期:1976-12-01 00:00:00

  • Does familiarity breed acceptance? The influence of policy on physicians' attitudes toward newborn screening programs.

    abstract:OBJECTIVE:As newborn screening (NBS) programs expand to include conditions that challenge traditional public health criteria, little is known about what influences physicians' attitudes toward screening. We examined the effect of state policy and perceived state policy on pediatricians' attitudes toward screening. MET...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2005-1990

    authors: Koopmans J,Ross LF

    更新日期:2006-05-01 00:00:00

  • Inhaled nitric oxide in preterm infants: an individual-patient data meta-analysis of randomized trials.

    abstract:BACKGROUND:Inhaled nitric oxide (iNO) is an effective therapy for pulmonary hypertension and hypoxic respiratory failure in term infants. Fourteen randomized controlled trials (n = 3430 infants) have been conducted on preterm infants at risk for chronic lung disease (CLD). The study results seem contradictory. DESIGN/...

    journal_title:Pediatrics

    pub_type: 杂志文章,meta分析

    doi:10.1542/peds.2010-2725

    authors: Askie LM,Ballard RA,Cutter GR,Dani C,Elbourne D,Field D,Hascoet JM,Hibbs AM,Kinsella JP,Mercier JC,Rich W,Schreiber MD,Wongsiridej PS,Subhedar NV,Van Meurs KP,Voysey M,Barrington K,Ehrenkranz RA,Finer NN,Meta-analys

    更新日期:2011-10-01 00:00:00

  • Functional gastrointestinal disorders in children: an Italian prospective survey.

    abstract:OBJECTIVES:To assess the prevalence and natural history of functional gastrointestinal disorders (FGIDs) in children using the Rome Criteria. METHODS:Thirteen primary care pediatricians were randomly selected from the Campania region of the Italian National Health Service. Each pediatrician completed a detailed FGID q...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.114.1.73

    authors: Miele E,Simeone D,Marino A,Greco L,Auricchio R,Novek SJ,Staiano A

    更新日期:2004-07-01 00:00:00

  • Inhibition of meconium-induced cytokine expression and cell apoptosis by pretreatment with captopril.

    abstract:OBJECTIVE:To study whether pretreatment of newborn lungs by captopril inhibits meconium-induced lung injury and inflammatory cytokine expression. DESIGN:Four groups of 2-week-old rabbit pups were used for the study: group 1, saline instilled rabbits; group 2, captopril-pretreated rabbits; group 3, meconium-instilled r...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2005-0274

    authors: Zagariya A,Bhat R,Navale S,Chari G,Vidyasagar D

    更新日期:2006-05-01 00:00:00

  • Effect of maternity-care practices on breastfeeding.

    abstract:OBJECTIVE:Our goal was to assess the impact of "Baby-Friendly" hospital practices and other maternity-care practices experienced by mothers on breastfeeding duration. METHODS:This analysis of the Infant Feeding Practices Study II focused on mothers who initiated breastfeeding and intended prenatally to breastfeed for ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-1315e

    authors: DiGirolamo AM,Grummer-Strawn LM,Fein SB

    更新日期:2008-10-01 00:00:00

  • Conclusion: The Equity Project.

    abstract::As a result of the work completed during the meeting and summarized at the last session, 4 implementation groups have been established as the organizational framework for the American Academy of Pediatrics (AAP)-Royal College of Paediatrics and Child Health (RCPCH) Equity Project. This project will be the mechanism by...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Goldhagen J,Waterston T

    更新日期:2003-09-01 00:00:00

  • Recommendations for effective newborn screening communication: results of focus groups with parents, providers, and experts.

    abstract:OBJECTIVES:The aims of this study were to determine parent and provider knowledge and awareness of newborn screening; to gather opinions from parents, providers, and newborn screening professionals about the content and timing of newborn screening education; and to use consensus data to formulate recommendations and to...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2005-2633M

    authors: Davis TC,Humiston SG,Arnold CL,Bocchini JA Jr,Bass PF 3rd,Kennen EM,Bocchini A,Kyler P,Lloyd-Puryear M

    更新日期:2006-05-01 00:00:00

  • Decline and change in seasonality of US rotavirus activity after the introduction of rotavirus vaccine.

    abstract:BACKGROUND:In 2006, routine immunization of US infants against rotavirus was initiated. We assessed national, regional, and local trends in rotavirus testing and detection before and after vaccine introduction. METHODS:We examined data for July 2000 through June 2008 from a national network of approximately 70 US labo...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-3528

    authors: Tate JE,Panozzo CA,Payne DC,Patel MM,Cortese MM,Fowlkes AL,Parashar UD

    更新日期:2009-08-01 00:00:00

  • Antenatal phenobarbital therapy and neonatal outcome. I: Effect on intracranial hemorrhage.

    abstract:OBJECTIVE:To evaluate the effect of antenatal phenobarbital (PB) therapy on neonatal intracranial hemorrhage (ICH) in preterm infants. DESIGN:Prospective, randomized, controlled trial. SETTING:Single institution study. SUBJECTS AND INTERVENTIONS:Women in preterm labor ( < 35 weeks' gestation) were assigned to contro...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Shankaran S,Cepeda E,Muran G,Mariona F,Johnson S,Kazzi SN,Poland R,Bedard MP

    更新日期:1996-05-01 00:00:00

  • Rhabdomyolysis and myoglobinemia in neonates.

    abstract::Serial myoglobin determinations were made in 20 neonates during the first week of life to determine whether birth asphyxia results in ischemic damage to muscle with the subsequent pathologic release of myoglobin. Serum myoglobin values were significantly elevated in asphyxiated infants compared with control infants. H...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Kasik JW,Leuschen MP,Bolam DL,Nelson RM

    更新日期:1985-08-01 00:00:00

  • Planning adenotonsillectomy in children with obstructive sleep apnea: the role of overnight oximetry.

    abstract:OBJECTIVE:Obstructive sleep apnea (OSA) in children is usually effectively treated by adenotonsillectomy (T&A). However, there may be a waiting list for T&A, and the procedure is associated with an increased risk of postoperative complications in children with OSA. Needed is a simple test that will facilitate logical p...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.113.1.e19

    authors: Nixon GM,Kermack AS,Davis GM,Manoukian JJ,Brown KA,Brouillette RT

    更新日期:2004-01-01 00:00:00

  • Surfactant replacement therapy with a single postventilatory dose of a reconstituted bovine surfactant in preterm neonates with respiratory distress syndrome: final analysis of a multicenter, double-blind, randomized trial and comparison with similar tria

    abstract::The effects of a single dose of surfactant TA were assessed in premature neonates (birth weight 750 to 1749 g) with respiratory distress syndrome (RDS) in a multicenter, double-blind, randomized clinical trial. Only neonates with surfactant deficiency and without ultrasonographic evidence of intracranial hemorrhage gr...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:

    authors: Fujiwara T,Konishi M,Chida S,Okuyama K,Ogawa Y,Takeuchi Y,Nishida H,Kito H,Fujimura M,Nakamura H

    更新日期:1990-11-01 00:00:00

  • Two-year follow-up of an adolescent behavioral weight control intervention.

    abstract:OBJECTIVE:This study examined the 24-month outcomes of a randomized controlled trial of a group-based behavioral weight control (BWC) program combined with either activity-based peer intervention or aerobic exercise. METHODS:At baseline, 118 obese adolescents (68% female; BMI = 31.41 ± 3.33) ages 13 to 16 years (mean ...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2011-3283

    authors: Lloyd-Richardson EE,Jelalian E,Sato AF,Hart CN,Mehlenbeck R,Wing RR

    更新日期:2012-08-01 00:00:00

  • Hypertension screening in schools: results of the Dallas study.

    abstract::The purpose of this study was to determine the prevalence of persistent blood pressure elevations in an eighth-grade population composed of three ethnic groups, and to determine the feasibility of using school health facilities for hypertension screening. Blood pressure was recorded in 10,641 subjects (90% of the tota...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Fixler DE,Laird WP,Fitzgerald V,Stead S,Adams R

    更新日期:1979-01-01 00:00:00

  • Promoting best-care practices in childhood asthma: quality improvement in community health centers.

    abstract:OBJECTIVE:Outpatient asthma management remains suboptimal. We previously reported significant improvements in asthma guideline adherence and outcomes in children by using quality-improvement processes and community health workers. We hypothesized that a larger project could achieve comparable outcome improvements with ...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2010-1962

    authors: Lob SH,Boer JH,Porter PG,Núñez D,Fox P

    更新日期:2011-07-01 00:00:00

  • Determinants of Social Outcomes in Adults With Childhood-onset Epilepsy.

    abstract:BACKGROUND:Adults with childhood-onset epilepsy experience poorer adult social outcomes than their peers. The relative roles of seizures over time versus learning and psychiatric problems are unclear. METHODS:We examined independent influences of psychiatric and learning disorders and of seizure course in 241 young ad...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2015-3944

    authors: Berg AT,Baca CB,Rychlik K,Vickrey BG,Caplan R,Testa FM,Levy SR

    更新日期:2016-04-01 00:00:00

  • Enhancing developmentally oriented primary care: an Illinois initiative to increase developmental screening in medical homes.

    abstract::In 2005, the Enhancing Developmentally Oriented Primary Care (EDOPC) project of the Illinois chapter of the American Academy of Pediatrics and the Illinois Department of Healthcare and Family Services began a project to improve the delivery and financing of preventive health and developmental services for children in ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2010-1466K

    authors: Allen SG,Berry AD,Brewster JA,Chalasani RK,Mack PK

    更新日期:2010-12-01 00:00:00

  • The Family Perspective on Hospital to Home Transitions: A Qualitative Study.

    abstract:BACKGROUND AND OBJECTIVE:Transitions from the hospital to home can be difficult for patients and families. Family-informed characterization of this vulnerable period may facilitate the identification of interventions to improve transitions home. Our objective was to develop a comprehensive understanding of hospital-to-...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2015-2098

    authors: Solan LG,Beck AF,Brunswick SA,Sauers HS,Wade-Murphy S,Simmons JM,Shah SS,Sherman SN,H2O Study Group.

    更新日期:2015-12-01 00:00:00

  • Work of breathing and different levels of volume-targeted ventilation.

    abstract:OBJECTIVES:The objectives of this study were to determine the impact of different volume-targeted levels on the work of breathing and to investigate whether a level that reduced the work of breathing below that experienced during ventilatory support without volume targeting could be determined. METHODS:The transdiaphr...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2008-2635

    authors: Patel DS,Sharma A,Prendergast M,Rafferty GF,Greenough A

    更新日期:2009-04-01 00:00:00

  • Feasibility and preliminary outcomes of a scalable, community-based treatment of childhood obesity.

    abstract:OBJECTIVE:Clinic-based treatments of childhood obesity are effective but typically have limited reach and are costly. In this study, we evaluated the effects of a scalable weight management program for children and teenagers. METHODS:Participants were 155 children and their parent/guardian. Children had a mean ± SD ag...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1542/peds.2012-0344

    authors: Foster GD,Sundal D,McDermott C,Jelalian E,Lent MR,Vojta D

    更新日期:2012-10-01 00:00:00

  • Returning a Genomic Result for an Adult-Onset Condition to the Parents of a Newborn: Insights From the BabySeq Project.

    abstract::The return of information from genomic sequencing in children, especially in early life, brings up complex issues around parental autonomy, the child's future autonomy, the best interest standard, and the best interests of the family. These issues are particularly important in considering the return of genomic results...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2018-1099H

    authors: Holm IA,McGuire A,Pereira S,Rehm H,Green RC,Beggs AH,BabySeq Project Team.

    更新日期:2019-01-01 00:00:00

  • Prescription opioid epidemic and infant outcomes.

    abstract:BACKGROUND AND OBJECTIVES:Although opioid pain relievers are commonly prescribed in pregnancy, their association with neonatal outcomes is poorly described. Our objectives were to identify neonatal complications associated with antenatal opioid pain reliever exposure and to establish predictors of neonatal abstinence s...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2014-3299

    authors: Patrick SW,Dudley J,Martin PR,Harrell FE,Warren MD,Hartmann KE,Ely EW,Grijalva CG,Cooper WO

    更新日期:2015-05-01 00:00:00