Sunday, March 20, 2011

NeOProM

NeOProM: Neonatal Oxygenation Prospective Meta-analysis Collaboration study protocol

http://www.biomedcentral.com/1471-2431/11/6
I am just presenting the summary of evidence as of now. Very interesting though!
In the Benefits of Oxygen Saturation Targeting (BOOST) trial , 358 infants born at less than 30 weeks' gestation were randomly assigned, from 3 weeks or more after birth until they breathed air, to target a SpO2 range of either 91-94% or 95-98%. This trial found no evidence that higher SpO2 targeting improved growth or development, but it did increase days of oxygen therapy and use of health care resources.
In a more recent cohort study, Tin et al that lower SpO2 correlated with improved short term respiratory and growth outcomes in infants born at less than 28 weeks' gestation.
Babies in the neonatal intensive care units (NICU) targeting SpO2 70-90% had ROP surgery less often than those in the NICUs targeting SpO2 88-98% (6.2% v 27.2%, 80% relative risk reduction (RRR), p < style="color: rgb(153, 102, 51); font-style: italic;">ventilated less often (13.9 v 31.4 days), fewer needed oxygen at 36 weeks' postmenstrual age (18% v 46%, 61% RRR), and fewer were below the 3rd centile for weight at discharge (17% v 45%, 62% RRR) (all p <>v 53%) and cerebral palsy (15% v 17%) at one year were similar.

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