Underdosing of Surfactant for Preterm Babies with Respiratory Distress Syndrome in Clinical Practice

Objective: To evaluate the initial doses of surfactant administered to preterm infants with respiratory distress syndrome. Study Design: This is a retrospective cohort study of 206 preterm infants admitted in four level III neonatal intensive care units of acute tertiary care hospitals in Spain betw...

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Detalles Bibliográficos
Autores: Boix, Hector|||0000-0002-8613-1401, Rite, Segundo, Arruza, Luis, Fernández, Cristina, Serrano, Itziar, Baquedano, Irene, Sanchez, Ana, Ferreira, Erika, Fernandez, Patricia, Gonzalez, Rosa, Elorza, M. Dolores
Tipo de recurso: informe técnico
Fecha de publicación:2019
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:223584
Acceso en línea:https://ddd.uab.cat/record/223584
https://dx.doi.org/urn:doi:10.1055/s-0038-1675645
Access Level:acceso abierto
Palabra clave:Dosage
Preterm babies
Respiratory distress syndrome
Surfactant
Descripción
Sumario:Objective: To evaluate the initial doses of surfactant administered to preterm infants with respiratory distress syndrome. Study Design: This is a retrospective cohort study of 206 preterm infants admitted in four level III neonatal intensive care units of acute tertiary care hospitals in Spain between 2013 and 2015. Results: The mean initial dose of surfactant was 173.9 (37.3) mg/kg, and 47.5% of infants received a dose of 200 mg/kg ± 10% (180-220 mg/kg), 47% less than 180 mg/kg (-10%), and 5.4% more than 220 mg/kg (+10%). Very preterm infants (<28 weeks) received higher initial doses than more mature infants, but in all cases, the mean doses were below the recommended 200 mg/kg (by 9.2% in gestational age 23-28 weeks, by 15.9% in 29-32 weeks, and by 24.3% in.