Bronchopulmonary Dysplasia, Premature Birth, Respiration Failure
Conditions
Keywords
Prolonged mechanical, ventilation, Preterm infants, NICU, Predictors, Extubation, Assiut
Brief summary
This prospective cohort study aims to identify the independent predictors of prolonged mechanical ventilation in preterm infants admitted to the Neonatal Intensive Care Unit of Assiut University Children Hospital.
Detailed description
Prolonged mechanical ventilation in preterm infants is associated with increased morbidity including bronchopulmonary dysplasia and neurodevelopmental impairment. This prospective observational study will include preterm infants (born before 37 completed weeks) who require invasive mechanical ventilation. Infants will be classified into two groups according to the duration of invasive mechanical ventilation: prolonged (\>7 days or frequent reintubation) and non-prolonged (≤7 days). clinical, perinatal, and laboratory predictors of prolonged mechanical ventilation will be evaluated.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* \- Preterm infants born before 37 completed weeks of gestation * Admission to the NICU within the neonatal period * Requirement for invasive mechanical ventilation * Written informed consent from parents or legal guardians
Exclusion criteria
* \- Infants born after 37 weeks of gestation * Major congenital anomalies * Chromosomal abnormalities * Congenital neuromuscular disorders * Cyanotic congenital heart disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Occurrence of prolonged mechanical ventilation | Up to 30 days | Proportion of preterm infants who require invasive mechanical ventilation for more than 7 days or frequent reintubation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of invasive mechanical ventilation | Up to 30 days | Total number of days of invasive mechanical ventilation. |
| Successful extubation rate | Up to 30 days | Proportion of infants who are successfully extubated without re-intubation within 48-72 hours. |
| Incidence of bronchopulmonary dysplasia | Up to 30 days | Proportion of infants diagnosed with bronchopulmonary dysplasia. |
| Incidence of neonatal sepsis | Up to 30 days | Proportion of infants diagnosed with neonatal sepsis. |
| Duration of NICU stay | Up to 30 days | Length of stay in the neonatal intensive care unit in days. |
| In-hospital mortality | Up to 30 days | Proportion of infants who die before hospital discharge. |
Contacts
pediatrics Department, Assiut University Hospitals