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Clinical profile and outcomes of preterm neonates requiring mechanical ventilation: a 7-year review in a tertiary private hospital / [principal investigator]: Catapang, Jennifer Mari E. [co-author]: Nocheseda, Naomi S.

Contributor(s): Publication details: Fairview, Quezon City: Department of Child Health, FEU-NRMF, 2023Description: (in folder) with flash drive (soft copy)Content type:
  • text
Media type:
  • unmediated
Carrier type:
  • volume
LOC classification:
  • CH 2023 0002
Summary: ABSTRACT: Background: Mechanical ventilation is one of the important advancements in neonatal intensive care that improves survival. Many unwell preterm newborns admitted to the neonatal intensive care unit (NICU) require mechanical ventilation for a variety of clinical problems, but this is fraught with complications, and the outcome is unpredictable. Objective: The research aims to determine the clinical profile and outcomes of preterm neonates who required mechanical ventilation in a Tertiary Private Hospital in Quezon City. Method and Results: A descriptive study was conducted in a Tertiary Private Hospital in Quezon City on preterm neonates who required mechanical ventilation from the year 2016-2022 using chart review. Frequency distribution and proportions, mean and standard deviations were used to describe the profile and outcomes of the preterm neonates. Results: A total of 147 preterm neonates were included in the study. Most pretenn neonates were 30-33 weeks age of gestation (42.2%), male (63.3%), inborn (95.9%), and those delivered via cesarean section (65.3%). There were 27 preterm (18.4%) who were treated with surfactant therapy. The most common indications for mechanical ventilation were Respiratory Distress Syndrome (n=75, 51%) followed by Pneumonia (n=43, 29). The survival rate of neonates who had mechanical ventilation was 81.6%. The mean duration of mechanical ventilation was 14.4 (± 10.12) days, and mean hospital stay was 24.4 (±21.18) days. Ventilator-associated Pneumonia (40%) was identified as the most common complication in preterm neonates on mechanical ventilation. Conclusion: Majority of the preterm neonates who were mechanically ventilated were early preterm, low birth weight, male and delivered via cesarean section. Respiratory Distress Syndrome was the most common indication for mechanical ventilation. The overall survival rate of these preterm neonates mechanically ventilated was 81.6%. Ventilator-associated pneumonia is a common complication of mechanical ventilation among preterm neonates.
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Room Use Far Eastern University - Nicanor Reyes Medical Foundation CH 2023 0002 (Browse shelf(Opens below)) Available R000726

Includes bibliographical references

ABSTRACT:

Background: Mechanical ventilation is one of the important advancements in neonatal intensive care that improves survival. Many unwell preterm newborns admitted to the neonatal intensive care unit (NICU) require mechanical ventilation for a variety of clinical problems, but this is fraught with complications, and the outcome is unpredictable.

Objective: The research aims to determine the clinical profile and outcomes of preterm neonates who required mechanical ventilation in a Tertiary Private Hospital in Quezon City.

Method and Results: A descriptive study was conducted in a Tertiary Private Hospital in Quezon City on preterm neonates who required mechanical ventilation from the year 2016-2022 using chart review. Frequency distribution and proportions, mean and standard deviations were used to describe the profile and outcomes of the preterm neonates.

Results: A total of 147 preterm neonates were included in the study. Most pretenn neonates were 30-33 weeks age of gestation (42.2%), male (63.3%), inborn (95.9%), and those delivered via cesarean section (65.3%). There were 27 preterm (18.4%) who were treated with surfactant therapy. The most common indications for mechanical ventilation were Respiratory Distress
Syndrome (n=75, 51%) followed by Pneumonia (n=43, 29). The survival rate of neonates who had mechanical ventilation was 81.6%. The mean duration of mechanical ventilation was 14.4 (± 10.12) days, and mean hospital stay was 24.4 (±21.18) days. Ventilator-associated Pneumonia (40%) was identified as the most common complication in preterm neonates on mechanical ventilation.

Conclusion: Majority of the preterm neonates who were mechanically ventilated were early preterm, low birth weight, male and delivered via cesarean section. Respiratory Distress Syndrome was the most common indication for mechanical ventilation. The overall survival rate of these preterm neonates mechanically ventilated was 81.6%. Ventilator-associated pneumonia is a common complication of mechanical ventilation among preterm neonates.

Research - Department of Child Health

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