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7. Risk factors and bronchopulmonary dysplasia severity: data from the Spanish Bronchopulmonary Dysplasia Research Network

Author

Ramos-Navarro, Cristina, Maderuelo-Rodriguez, Elena, Concheiro-Guisan, Ana, Perez-Tarazona, Santiago, Rueda-Esteban, Santiago, Sanchez-Torres, Ana, Sanchez-Solis, Manuel, Sanz-Lopez, Ester, Sanchez-Luna, Manuel, and GEIDIS Res Network

Subjects
mental disorders, Bronchopulmonary dysplasia, GEIDIS network, Intrauterine growth restriction, Mechanical ventilation, Oligohydramnios, Preterm infants
Abstract

GEIDIS is a national-based research-net registry of patients with bronchopulmonary dysplasia (BPD) from public and private Spanish hospitals. It was created to provide data on the clinical characterization and follow-up of infants with BPD until adulthood. The purpose of this observational study was to analyze the characteristics and the impact of perinatal risk factors on BPD severity. The study included 1755 preterm patients diagnosed with BPD. Of the total sample, 90.6% (n = 1591) were less than 30 weeks of gestation. The median gestational age was 27.1 weeks (25.8-28.5) and median birth weight 885 g (740-1,070 g). A total of 52.5% (n = 922) were classified as mild (type 1), 25.3% (n = 444) were moderate (type 2), and 22.2% (n = 389) were severe BPD (type 3). In patients born at under 30 weeks' gestation, most pre-and postnatal risk factors for type 2/3 BPD were associated with the length of exposure to mechanical ventilation (MV). Independent prenatal risk factors were male gender, oligohydramnios, and intrauterine growth restriction. Postnatal risk factors included the need for FiO 2 of > 0.30 in the delivery room, nosocomial pneumonia, and the length of exposure to MV. Conclusion: In this national-based research-net registry of BPD patients, the length of MV is the most important risk factor associated with type 2/3 BPD. Among type 3 BPD patients, those who required an FiO 2 > .30 at 36 weeks' postmenstrual age had a higher morbidity, during hospitalization and at discharge, compared to those with nasal positive pressure but FiO 2 .30% at 36 weeks of postmenstrual age is associated with greater morbidity during hospitalization and at discharge.

Published
2022

16. Parent Perception of Child Safety following Admission to a Neonatal Unit.

Author

Arriaga-Redondo, María, Sanz-Lopez, Ester, Rodríguez-Sánchez de la Blanca, Ana, Marsinyach-Ros, Itziar, Lambea-Rueda, Leticia, Díaz-Redondo, Alicia, and Sanchez-Luna, Manuel

Subjects
*PARENT attitudes, *NEONATAL intensive care, *SCIENTIFIC observation, *CONFIDENCE intervals, *NEONATAL intensive care units, *FISHER exact test, *MANN Whitney U Test, *CHILDREN'S accident prevention, *T-test (Statistics), *DESCRIPTIVE statistics, *CHI-squared test, *DATA analysis software, *ODDS ratio, *DATA analysis, *HOSPITAL care of children, *LONGITUDINAL method
Abstract

Objective Parent partnership is a key aspect of neonatal hospital care. However, there is a lack of information regarding parents' perception of neonatal safety. This study explores parents' opinions on safety during their child's hospitalization to identify points for improvement. Study Design We used a questionnaire, validated by the Spanish National Healthcare Authorities, on perception of safety with respect to hospital health care. Results Thirty-seven parents of 20 newborns treated in the neonatal intensive care unit (NICU) and 139 parents of newborns in intermediate care (IC) participated in this study. With regard to overall perception of safety, more than 96% of parents felt "very safe" or "fairly safe." In the NICU, an area for improvement detected was to ask parents more often their opinion about the care or treatment provided to their child. In IC, three points for improvement were identified from the group of parents whose child was admitted directly to IC: the consistency of the information received, the request for consent for procedures, and the request for an opinion on their child's care and treatment. Only four parents reported that their child suffered an incident. Regarding incident management, parents were not completely satisfied with the information they received. Conclusion To the best of our knowledge, this is the first study of parent perception of patient safety in a neonatal unit using a validated questionnaire. Our findings suggest that parents can provide valuable information on neonatal safety, which can then be used to identify areas for improvement. Key Points There is a lack of information regarding parents' perception of neonatal safety. This study explores parent's opinion about safety of their child during the hospitalization. Our findings suggest that parents can provide valuable information to identify improvement areas. [ABSTRACT FROM AUTHOR]

Published
2023
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17. Risk factors and bronchopulmonary dysplasia severity: data from the Spanish Bronchopulmonary Dysplasia Research Network

Author

Manuel Sanchez Luna, Cristina Ramos-Navarro, Segundo Rite Gracia, Sanz Lopez Ester, Borja Osona, Javier Estañ Capell, José Fernández-Cantalejo Padial, Antonio Moreno-Galdó, Elisabeth Gómez Santos, Santiago Perez Tarazona, Ana María Sánchez Torres, and ANA CONCHEIRO-GUISAN

Subjects
Adult, Male, Pediatrics, medicine.medical_specialty, Birth weight, Intrauterine growth restriction, Oligohydramnios, Gestational Age, Pregnancy, Risk Factors, mental disorders, medicine, Humans, Risk factor, Bronchopulmonary Dysplasia, business.industry, Postmenstrual Age, Infant, Newborn, Gestational age, Infant, medicine.disease, Bronchopulmonary dysplasia, Pediatrics, Perinatology and Child Health, Gestation, Premature Birth, Female, business, Infant, Premature
Abstract

GEIDIS is a national-based research-net registry of patients with bronchopulmonary dysplasia (BPD) from public and private Spanish hospitals. It was created to provide data on the clinical characterization and follow-up of infants with BPD until adulthood. The purpose of this observational study was to analyze the characteristics and the impact of perinatal risk factors on BPD severity. The study included 1755 preterm patients diagnosed with BPD. Of the total sample, 90.6% (n = 1591) were less than 30 weeks of gestation. The median gestational age was 27.1 weeks (25.8–28.5) and median birth weight 885 g (740–1,070 g). A total of 52.5% (n = 922) were classified as mild (type 1), 25.3% (n = 444) were moderate (type 2), and 22.2% (n = 389) were severe BPD (type 3). In patients born at under 30 weeks’ gestation, most pre-and postnatal risk factors for type 2/3 BPD were associated with the length of exposure to mechanical ventilation (MV). Independent prenatal risk factors were male gender, oligohydramnios, and intrauterine growth restriction. Postnatal risk factors included the need for FiO2 of > 0.30 in the delivery room, nosocomial pneumonia, and the length of exposure to MV. Conclusion: In this national-based research-net registry of BPD patients, the length of MV is the most important risk factor associated with type 2/3 BPD. Among type 3 BPD patients, those who required an FiO2 > .30 at 36 weeks’ postmenstrual age had a higher morbidity, during hospitalization and at discharge, compared to those with nasal positive pressure but FiO2

Published
2021

19. Recommendations for clear identification of the newborn

Author

Sanz Lopez, Ester, Sanchez Luna, Manuel, Rite Gracia, Segundo, Benavente Fernandez, Isabel, Leante Castellanos, Jose Luis, Perez Munuzuri, Alejandro, Ruiz Campillo, Cesar W., Sanchez Redondo, Maria Dolores, Stand Soc Espanola Neonatologia, [Sanz Lopez, Ester] Hosp Univ Gregorio Maranon, Madrid, Spain, [Sanchez Luna, Manuel] Hosp Univ Gregorio Maranon, Madrid, Spain, [Rite Gracia, Segundo] Hosp Univ Miguel Servet, Zaragoza, Spain, [Benavente Fernandez, Isabel] Hosp Univ Puerta Mar, Cadiz, Spain, [Leante Castellanos, Jose Luis] Hosp Univ Santa Lucia, Cartagena, Spain, [Perez Munuzuri, Alejandro] Hosp Clin Univ Santiago de Compostela, Santiago De Compostela, Spain, [Ruiz Campillo, Cesar W.] Hosp Univ Vall Hebron, Barcelona, Spain, and [Sanchez Redondo, Maria Dolores] Complejo Hosp, Toledo, Spain

Published
2017

20. Hospital discharge criteria for very low birth weight newborns

Author

Benavente Fernandez, Isabel, Sanchez Redondo, Maria Dolores, Leante Castellanos, Jose Luis, Perez Munuzuri, Alejandro, Rite Gracia, Segundo, Ruiz Campillo, Cesar W., Sanz Lopez, Ester, Sanchez Luna, Manuel, Soc Espanola Neonatologia, [Benavente Fernandez, Isabel] Hosp Univ Puerta Mar, Cadiz, Spain, [Sanchez Redondo, Maria Dolores] Complejo Hosp Toledo, Toledo, Spain, [Leante Castellanos, Jose Luis] Hosp Univ Santa Lucia, Cartagena, Spain, [Perez Munuzuri, Alejandro] Hosp Clin Univ, La Coruna, Spain, [Rite Gracia, Segundo] Hosp Univ Miguel Servet, Zaragoza, Spain, [Ruiz Campillo, Cesar W.] Hosp Univ Vall dHebron, Barcelona, Spain, [Sanz Lopez, Ester] Hosp Univ Gregorio Maranon, Madrid, Spain, and [Sanchez Luna, Manuel] Hosp Univ Gregorio Maranon, Madrid, Spain

Published
2017

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