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Variations in Oxyge...
Variations in Oxygen Saturation Targeting, and Retinopathy of Prematurity Screening and Treatment Criteria in Neonatal Intensive Care Units : An International Survey
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- Darlow, Brian A (författare)
- Univ Otago, Dept Paediat, Australian & New Zealand Neonatal Network, Christchurch, New Zealand
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- Vento, Máximo (författare)
- Hlth Res Inst La Fe, Spanish Neonatal Network, Ave Fernando Abril Martorell, Valencia, Spain
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- Beltempo, Marc (författare)
- McGill Univ, Montreal Childrens Hosp, Dept Pediat, Montreal, PQ, Canada
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- Lehtonen, Liisa (författare)
- Turku Univ Hosp, Dept Pediat, Finnish Med Birth Register, Turku, Finland;Turku Univ Hosp, Dept Pediat, Register Congenital Malformat, Turku, Finland
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- Håkansson, Stellan (författare)
- Swedish Neonatal Quality Register, Department of Pediatrics/Neonatal Services, Umeå University Hospital, Umeå, Sweden,Umea Univ Hosp, Dept Pediat Neonatal Serv, Swedish Neonatal Qual Register, Umea, Sweden
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- Reichman, Brian (författare)
- Sheba Med Ctr, Gertner Inst Epidemiol & Hlth Policy Res, Israel Neonatal Network, Tel Hashomer, Israel
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- Helenius, Kjell (författare)
- Turku Univ Hosp, Dept Pediat, Finnish Med Birth Register, Turku, Finland;Turku Univ Hosp, Dept Pediat, Register Congenital Malformat, Turku, Finland
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- Sjörs, Gunnar (författare)
- Uppsala universitet,Perinatal, neonatal och barnkardiologisk forskning,Swedish Neonatal Qual Register, Uppsala, Sweden
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- Sigali, Emilio (författare)
- Univ Hosp Pisa, Dept Pediat, Div Neonatol, TIN Toscane Online, Pisa, Italy;Univ Hosp Pisa, Dept Pediat, Neonatal Intens Care Unit, Pisa, Italy
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- Lee, Shoo (författare)
- Mt Sinai Hosp, Canadian Neonatal Network, Dept Paediat, Toronto, ON, Canada;Univ Toronto, Toronto, ON, Canada
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- Noguchi, Akihiko (författare)
- Illinois Neonatal Network, St Louis, IL USA
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- Morisaki, Naho (författare)
- Natl Ctr Child Hlth & Dev, Dept Social Med, Neonatal Res Network Japan, Tokyo, Japan
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- Kusuda, Satoshi (författare)
- Tokyo Womens Med Univ, Maternal & Perinatal Ctr, Neonatal Res Network Japan, Tokyo, Japan
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- Bassler, Dirk (författare)
- Univ Zurich, Univ Hosp Zurich, Dept Neonatol, Swiss Neonatal Network, Zurich, Switzerland
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- San Feliciano, Laura (författare)
- Univ Salamanca, Dept Pediat, Spanish Neonatal Network, Salamanca, Spain
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- Adams, Mark (författare)
- Univ Zurich, Univ Hosp Zurich, Dept Neonatol, Swiss Neonatal Network, Zurich, Switzerland
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- Isayama, Tetsuya (författare)
- McMaster Univ, Clin Epidemiol & Biostat, Toronto, ON, Canada
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- Shah, Prakesh S (författare)
- Mt Sinai Hosp, Dept Pediat, Toronto, ON, Canada;Univ Toronto, Dept Pediat, Toronto, ON, Canada;Mt Sinai Hosp, Maternal Infant Care Res Ctr, Toronto, ON, Canada
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- Lui, Kei (författare)
- Univ New South Wales, Royal Hosp Women, Natl Perinatal Epidemiol & Statist Unit, Australian & New Zealand Neonatal Network, Randwick City, NSW, Australia
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(creator_code:org_t)
- 2018-08-08
- 2018
- Engelska.
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Ingår i: Neonatology. - : S. Karger AG. - 1661-7800 .- 1661-7819. ; 114:4, s. 323-331
- Relaterad länk:
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https://www.zora.uzh...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- BACKGROUND: Rates of retinopathy of prematurity (ROP) and ROP treatment vary between neonatal intensive care units (NICUs). Neonatal care practices, including oxygen saturation (SpO2) targets and criteria for the screening and treatment of ROP, are potential contributing factors to the variations.OBJECTIVES: To survey variations in SpO2 targets in 2015 (and whether there had been recent changes) and criteria for ROP screening and treatment across the networks of the International Network for Evaluating Outcomes in Neonates (iNeo).METHODS: Online prepiloted questionnaires on treatment practices for preterm infants were sent to the directors of 390 NICUs in 10 collaborating iNeo networks. Nine questions were asked and the results were summarized and compared.RESULTS: Overall, 329/390 (84%) NICUs responded, and a majority (60%) recently made changes in upper and lower SpO2 target limits, with the median set higher than previously by 2-3% in 8 of 10 networks. After the changes, fewer NICUs (15 vs. 28%) set an upper SpO2 target limit > 95% and fewer (3 vs. 5%) a lower limit < 85%. There were variations in ROP screening criteria, and only in the Swedish network did all NICUs follow a single guideline. The initial retinal examination was carried out by an ophthalmologist in all but 6 NICUs, and retinal photography was used in 20% but most commonly as an adjunct to indirect ophthalmoscopy.CONCLUSIONS: There is considerable variation in SpO2 targets and ROP screening and treatment criteria, both within networks and between countries.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Nyckelord
- Comparative analysis
- Erythropoietin
- Neonatal intensive care
- Neonatal networks
- Oxygen saturation targeting
- Retinopathy of prematurity
- Very preterm infants
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- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Darlow, Brian A
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Vento, Máximo
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Beltempo, Marc
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Lehtonen, Liisa
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Håkansson, Stell ...
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Reichman, Brian
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visa fler...
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Helenius, Kjell
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Sjörs, Gunnar
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Sigali, Emilio
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Lee, Shoo
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Noguchi, Akihiko
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Morisaki, Naho
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Kusuda, Satoshi
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Bassler, Dirk
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San Feliciano, L ...
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Adams, Mark
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Isayama, Tetsuya
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Shah, Prakesh S
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Lui, Kei
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