Term Infant, Work of Breathing
Conditions
Brief summary
This is a prospective observational cohort study conducted in the mother-baby unit at ChristianaCare. The study is designed to assess work of breathing indices and oxygen saturation stability at discharge in full-term infants. Data obtained will be used to perform a comparative analysis on work of breathing data for premature infants obtained from our previous study. We hypothesize full term (≥37 weeks gestation) infants have decreased work of breathing indices (i.e., phase angle) compared to premature infants (born 26-37 weeks gestation) at discharge.
Interventions
OTHERWork of breathing observation
We will place soft elastic bands around the infant's chest and abdomen to assess their work of breathing.
Sponsors
Christiana Care Health Services
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
1 Days to 1 Weeks
Inclusion criteria
* Infants born ≥37 weeks gestation * Admitted to the Mother-Baby Unit * Within 24 hours of expected discharge
Exclusion criteria
* Infants born between \< 37week gestation admitted to the Mother-Baby Unit at CCHS * Infants with skeletal, neuromuscular, or abdominal surgical disorders that affect the accuracy of work of breathing measurements will also be excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Work of breathing indices | 25 minutes | A phase angel of 0 represents perfect synchrony between the chest and abdominal compartments. Higher phase angles represent greater degrees of asynchronous breathing. A phase angle of ≥ 40 represents asynchrony and increased work of breathing. A phase angle of 180 represents complete asynchrony. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Oxygen saturations | 25 minutes | Oxygen saturations will be measured by the high-resolution pulse oximeter. |
Countries
United States
Outcome results
None listed