6533b86dfe1ef96bd12c9bb6
RESEARCH PRODUCT
Survey of neonatal respiratory care and surfactant administration in very preterm infants in the Italian neonatal network
Bellù RGagliardi LTagliabue PCorchia CVendettuoli VMosca FZanini RCondò MTuroli DWeissmann GVanzati MDe Nisi GVilla EMoro GGuerrini PContiero REllero SFurlan RAbbiati LBorroni CPrandi GFabris CVielmi FAgosti MTandoi FGuidaliDe Curtis MTozzi CLucchini RBattaglioli MLista GlIntrovini PFerrari FGallo CCervello PBellante EBottura CPasquali FBoccacci SLatini GGiannuzzi RMartinelli SBrunelli AMotta GDi Nunzio MlVendemiati AZorzi CCarli GAlfieroRomeo NMammoliti PMastretta EBarberis LFarina DGancia GDalmazzo CNapolitano MMessina FRinaldi GMagaldi RRinaldi MLitta RLago PZanardo VChiandetti LVisentin SPresta GCella DPoggiani CFerrari DParati SLombardo FGrigorio RBarera GFranco MPoloniato AColombo ABurgio GSala EBarberi ITiralongo VArco ACareggi FDani CPratesi SMignatti VAncora GFaldella GGrandi SStronati MPerotti GChirico GMigliori CDe Marini SForleo VMansi GBona GStucchi ISavastioFerrero FParola APadovani EmViviani EPecoraro LTiberina FiAgostino RGizzi CMassenzi LMessner HStaffier ASalvia GEsposito LForziati VLatorre GSandri FAlati SDemaria FLombardi OCostabile CdScarpelli GCavalli CVolante EProietti DGanguzza OSpinella BPietro RsHaass CScapillati EConsigli CGatta AQuitadamo PBoldrini AVuerich MSigali EGhirri PFiorini PPetrucci LMoroni MBraghetti PCasucci PMinelli LMezzetti DOrfeo LDe Luca MgLaforgia NGrassi AGesu RbDotta ASavignoni FBagnoli FDe Felice CBadii SBiasini ABelluzzi AStella MRomagnoli CZecca EBarone GColleselli PVecchiato LNicolussi DMonaldi NGiliberti PChello GRojo SGiovanettoni CColnaghi CaVerucci EPlacidi GBelloni CCarrera GZambetti CBiban PSerra ACarnielli VPedini AVetrano GFurcolo GPasquariello BFalco LAusanio GBernardo IMarchesano GNosari NSarnelli PMaccabruni MMerazzi DGazzolo DSabatini FtColivicchi MDel Vecchio ATarantino MGargano GPedori SBellettato MPesavento RCesaro ANicolò AMondello IPugliese AIervolino CCorsello GGiuffré MBetta MRomeo MgSaporito AD'incecco CPerrone BRodonò MgSerra GFranceschi ARisso FmCarpentieri MCigliano MpCasilino RPaolillo PPicone SMarra ARossetti DTesta TDel Cuore F.Roberto PaludettoLetizia CapassoFrancesco Raimondisubject
Preterm infants; Ventilation; Ventilatory support; Medicine (all)Drug Utilization; Humans; Infant Mortality; Infant Newborn; Infant Very Low Birth Weight; Intubation Intratracheal; Italy; Oxygen Inhalation Therapy; Pulmonary Surfactants; Respiration Artificial; Infant PrematureSettore MED/38 - Pediatria Generale E SpecialisticaInfant MortalityIntubation IntratrachealHumansInfant Very Low Birth WeightPrematureVery Low Birth WeightRespirationMedicine (all)Infant NewbornOxygen Inhalation TherapyInfantPreterm infantsPulmonary SurfactantsNewbornRespiration ArtificialDrug UtilizationVentilationnational survayIntratrachealVery preterm infant national survay neonatal respiratory careVentilatory supportItalyVery preterm infantArtificialPreterm infantneonatal respiratory careIntubationInfant Prematuredescription
INTRODUCTION: Variation of respiratory care is described between centers around the world. The Italian Neonatal Network (INN), as a national group of the Vermont-Oxford Network (VON) allows to perform a wide analysis of respiratory care in very low birth weight infants. METHODS: We analyzed the dataset of infants enrolled in the INN in 2009 and 2010 and, for surfactant administration only, from 2006 to 2010 from 83 participating centers. All definitions are those of the (VON). A questionnaire analysis was also performed with a questionnaire on centers practices. RESULTS: We report data for 8297 infants. Data on ventilator practices and outcomes are outlined. Variation for both practices and outcome is found. Trend in surfactant administration is also analyzed. CONCLUSIONS. The great variation across hospitals in all the surveyed techniques points to the possibility of implementing potentially better practices with the aim of reducing unwanted variation. These data also show the power of large neonatal networks in identifying areas for potential improvement.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2013-09-21 |