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https://hdl.handle.net/10216/111686
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DC Field | Value | Language |
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dc.creator | Azevedo, A | - |
dc.creator | Flor-de-Lima, F | - |
dc.creator | Rocha, G | - |
dc.creator | Gustavo, R | - |
dc.creator | Rodrigues, C | - |
dc.creator | Guimarães, H | - |
dc.date.accessioned | 2018-04-23T09:43:30Z | - |
dc.date.available | 2018-04-23T09:43:30Z | - |
dc.date.issued | 2017 | - |
dc.identifier.issn | 2281-0692 | - |
dc.identifier.uri | http://hdl.handle.net/10216/111686 | - |
dc.description.abstract | Objective: To compare the clinical approach and outcomes of bronchopulmonary dysplasia (BPD) patients in the last two decades (1996-2005 vs 2006-2015) in a neonatal intensive care unit. Methods: Out of 1,196 admissions of very low birth weight and/or less than 32 weeks of gestational age infants, 96 had BPD and were dichotomized into two groups according to the year of birth (1996-2005 and 2006-2015). Their clinical data were studied and conclusions were drawn about their morbidity and mortality. Results: There was a decrease in mortality (23.3% vs. 14.4%, p < 0.001) and in BPD prevalence (9.7% vs 6.1%, p = 0.023); in the delivery room, early nasal continuous positive airways pressure (nCPAP) was used in 41.2% vs 1.6%, p < 0.001 and tracheal intubation in 70.6% vs 96.8%, p < 0.001. We observed an increase on the duration of non-invasive ventilation (nCPAP, 22.5 vs 45.5 days, p < 0.001) and a decrease of invasive ventilation (39.5 vs 20 days, p = 0.013) from the first to the second period. Conclusions: Improvement in perinatal and neonatal intensive care practices, namely the use of non-invasive methods of mechanical ventilation implemented in the last years, probably contributed to the better evolution of preterm infants with BPD. | pt_PT |
dc.description.sponsorship | This study was funded by: FEDER through the Operational Programme “Competitiveness and Internationalization” and national funding from the Foundation for Science and Technology – FCT (Portuguese Ministry of Science, Technology and Higher Education), under the Unidade de Investigação em Epidemiologia – Instituto de Saúde Públicada Universidade do Porto (EPIUnit) (POCI-01-0145-FEDER-006862; Ref. UID/DTP/04750/2013); the PhD Grant SFRH/BD/111794/2015 (Carina Rodrigues), co-funded by the FCT and the POPH/FSE Program. | pt_PT |
dc.language.iso | eng | pt_PT |
dc.relation | info:eu-repo/grantAgreement/FCT/5876/147349/PT | pt_PT |
dc.relation.ispartof | http://hdl.handle.net/10216/104340 | - |
dc.relation.ispartofseries | J Pediatr Neonat Individual Med, vol. 6(2), p. e060208 | pt_PT |
dc.rights | openAccess | pt_PT |
dc.subject | Bronchopulmonary dysplasia | pt_PT |
dc.subject | Neonatal intensive care | pt_PT |
dc.title | Impact of changes in perinatal care on bronchopulmonary dysplasia: an overview of the last two decades | pt_PT |
dc.type | Artigo em Revista Científica Internacional | pt_PT |
dc.contributor.uporto | Instituto de Saúde Pública | pt_PT |
dc.identifier.doi | 10.7363/060208 | - |
dc.relation.publisherversion | http://www.jpnim.com/index.php/jpnim/article/view/060208 | - |
Appears in Collections: | ISPUP - Artigo em Revista Científica Internacional |
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File | Description | Size | Format | |
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Azevedo62.pdf | 785.55 kB | Adobe PDF | View/Open |
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