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Meta
Tag Archives: mortality
Survival of extremely preterm babies in a national cohort, and a comparison of nations.
As a follow up to my last post, a new article from Norway details the survival to one year of age, and the neonatal morbidities of babies born at 22 to 26 weeks gestation in the whole country in 2013-2014. … Continue reading
Improved survival and improved Bayley scores among infants born in the periviable period.
If you were to report survival and other outcomes among infants with a very high risk of dying or having long-term impairments, why would you include babies for whom a decision was made to let them die? Let me put … Continue reading
Fluid restriction to prevent BPD?
In response to my previous post, one of the comments was a question about fluid volumes in the first few days of life, and whether fluid and/or sodium intake was important for the development of BPD during the early neonatal … Continue reading
Posted in Neonatal Research
Tagged BPD, Fluids, mortality, Randomized Controlled Trials, Systematic Reviews
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What outcomes matter to parents? A new publication
This new publication of ours has been an interesting process, Annie Janvier and I wrote it in collaboration with other parent representatives, Barb Farlow, who we have collaborated with previously, a mother of a little girl who had trisomy 13, … Continue reading
Long term survival in trisomy 13 and 18
After my previous post on this topic, John Lantos wrote a comment pointing out this recent publication, Nelson KE, et al. Survival and Surgical Interventions for Children With Trisomy 13 and 18. JAMA. 2016;316(4):420-8. It is a large regional cohort, identified from … Continue reading
Posted in Advocating for impaired children, Neonatal Research
Tagged Ethics, mortality, trisomy
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Early neonatal outcomes in trisomy 13 and 18
One of the things that has changed greatly over the years, in my practice and in medical practice in general, is the approach to some congenital anomalies, particularly to serious chromosomal anomalies. Trisomy 13 and 18 specifically have seen an … Continue reading
Two New Publications
After a few weeks break (for a number of reasons), I’m ready to start blogging again! I’m sure you have all missed the succinct and perceptive critiques of the recent neonatal literature, but today I will start with 2 publications … Continue reading
Posted in Neonatal Research
Tagged Ethics, Health Care Organization, mortality, Research Design
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Neonatal nurses save lives, if you have enough of them.
In the UK an “intensive care” day for a newborn is defined as a day where the baby is intubated and ventilated, or is on non-invasive respiratory support (CPAP of non-invasive ventilation) AND parenteral nutrition, or on the day of … Continue reading
Which Surfactant is best?
Singh N, et al. Comparison of animal-derived surfactants for the prevention and treatment of respiratory distress syndrome in preterm infants. Cochrane database of systematic reviews (Online). 2015;12:CD010249. This is the sort of systematic review that I find really helpful. Some … Continue reading
Posted in Neonatal Research
Tagged BPD, mortality, Randomized Controlled Trials, surfactant treatment, Systematic Reviews
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Follow up of the PREMILOC post
Further to my post about the PREMILOC trial of routine hydrocortisone supplementation in extremely preterm infants, I received an email response from Olivier Baud, who was generally in agreement with my comments, but doubts the validity of adding the data … Continue reading
Neonatal Research 