Tag Archives: long term outcomes

What we don’t know about neonatal endocrinology #3, the thyroid.

Posted on 20 May 2013 by Keith Barrington

To finalize this litany of the unknown… We also need to know whether low thyroxine levels are common in the preterm (they are) what the consequences are (associated with worse long term outcomes) whether they are causative (don’t know) and … Continue reading →

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Predicting outcomes in preterm infants: is it time to throw away the ultrasound machine?

Posted on 16 May 2013 by Keith Barrington

It is common practice, nearly universal, I would guess, to perform head ultrasounds in the 1st week of life as a way to predict which very preterm babies will have very poor outcomes, and then to consider redirection of care … Continue reading →

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SUPPORT: even better than originally thought

Posted on 14 May 2013 by Keith Barrington

Public Citizen are at it again, repeating and expanding their idiotic criticisms of the SUPPORT trial. And stating that the trial was ‘even worse than originally thought’. They are now focusing on the ‘problem’ that the NICUs used ‘intentionally inaccurate’ … Continue reading →

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Does NIDCAP work?

Posted on 13 May 2013 by Keith Barrington

I guess that depends on what you mean ‘work’.  Does developmentally sensitive care lead to more responsive, humane, and less disturbing care, improving the environment for our preterm infants, I think the answer is clearly yes. If you mean does … Continue reading →

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Extremely Preterm Infants, long term outcomes

Posted on 20 March 2013 by Keith Barrington

A new publication examines in great detail the cognitive outcomes of preterm babies less than 29 weeks gestation. The group from Melbourne, the Victorian Infant Collaborative, has published another study. (Hutchinson EA, De Luca CR, Doyle LW, et al: School-age … Continue reading →

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A life of quality

Posted on 28 February 2013 by Keith Barrington

Saroj Saigal has just published a very important review of long term quality of life of former preterm infants. As you can imagine, as she originated this area of study for the preterm, it is clearly written and thoughtful. (Saigal … Continue reading →

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Iron therapy for anemia of the preterm; now I’m confused!

Posted on 29 January 2013 by Keith Barrington

I thought I knew, sort of, what to do about iron supplementation in the preterm. Preterm babies outgrew their iron supply, there isn’t very much in breast milk, and you need to supplement to minimize the appearance of anemia of … Continue reading →

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Supporting oxygen limits

Posted on 19 January 2013 by Keith Barrington

The initial results of the SUPPORT trial examining the effects of different oxygen limits stopped a lot of us in our tracks. We started these trials because most of us thought that aiming for lower oxygen saturation targets would reduce … Continue reading →

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Is the glass 81% full or 19% empty?

Posted on 17 December 2012 by Keith Barrington

The new Epicure 2 data show encouraging trends in outcomes in the UK and Ireland for extremely preterm babies. Survival rates have improved significantly over the whole of the British Isles, Here for example is one of the figures from … Continue reading →

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I am Epicurious…

Posted on 14 December 2012 by Keith Barrington

Two publications have just appeared from the EPICURE 2 study. The first (Costeloe KL, Hennessy EM, Haider S, Stacey F, Marlow N, Draper ES: Short term outcomes after extreme preterm birth in England: comparison of two birth cohorts in 1995 … Continue reading →

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