Tag Archives: long term outcomes

Erythropoietin for brain protection in the very preterm? Not worth Penuts.

That isn’t a mis-spelling, just a bad attempt to play with the acronym for a good trial; the PENUT trial, just published in the (FP)NEJM. (Juul SE, et al. A Randomized Trial of Erythropoietin for Neuroprotection in Preterm Infants. N … Continue reading

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Not futile any more; survival and long term outcomes at 22 weeks.

Imagine, if you will, that you work at a breast cancer center with moderately good results, but you have decided, as a group, to not offer therapy to women with stage 4- triple negative lesions. Survival is so low, you … Continue reading

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Growing bigger, or growing better?

Babies with postnatal growth failure in the NICU do worse in the long term. This is a statistical association known for a long time. We also know that increasing nutritional intake, in calories and protein can prevent the relative weight … Continue reading

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Active intervention at 22 weeks gestation, is it futile?

In order to respond to the question posed in the title we need first to agree on what “futile” means. It could mean “it never works” or, “it can work but the ultimate result is so bad that it isn’t … Continue reading

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All that pneumatoses is not NEC

OK, I know pneumatose is not a verb, but I thought it was a cute title. What is NEC, anyway? Necrotizing Enterocolitis, of course, you might reply. But it’s not as simple as that. The very preterm baby who deteriorates … Continue reading

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Important outcomes after extreme prematurity: what do parents think?

There has been remarkably little study of the response to the question posed in the title: what do parents think is important in the outcomes of the very preterm baby? Physicians have focused on developmental progress, often as measured by … Continue reading

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New Published Letter, a response to the ‘number needed to suffer’.

The new issue of Acta Paediatrica (Februray 2018) includes a letter I wrote in response to a commentary written by a paediatric anaesthetist, Dr Lönnqvist. If you receive an email with a description of the contents of each issue, as … Continue reading

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