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Statements

Subject Item
n2:RIV%2F00216208%3A11120%2F14%3A43908000%21RIV15-MSM-11120___
rdf:type
n9:Vysledek skos:Concept
dcterms:description
Hypotension is a commonly diagnosed and treated complication of extremely low gestational age newborns (ELGAN), but enormous variation in diagnosis, management and clinical practice has been documented. We sought to evaluate practice regarding the management of hypotension in ELGANs and developed a web-based questionnaire addressing diagnosis, intervention thresholds and modes of treatment of hypotension in ELGANs. We received 216 completed questionnaires from respondents in 38 countries. Most responses (83 %) were from specialist units where, together, over 26,000 very low birth weight (VLBW) infants are cared for annually. The majority (73 %) defined hypotension as a mean blood pressure (BP) in mmHg less than the gestational age in weeks. Sixty percent assessed the circulation with additional methods; echocardiography was the most commonly used (74 %), with left ventricular output and fractional shortening the two most common measurements made. The majority (85 %) used volume administration as the initial intervention. Dopamine was the inotrope most commonly used initially (80 %). If the initial inotrope therapy failed, dobutamine was the most popular second-line treatment (28 %). Delayed cord clamping was used at 51 % of the centres. Conclusion: The definition of hypotension in ELGANs continues to follow traditional standards. Functional echocardiography is now used to assess the circulation at many centres. Volume expansion and dopamine remain the most frequently used therapies Hypotension is a commonly diagnosed and treated complication of extremely low gestational age newborns (ELGAN), but enormous variation in diagnosis, management and clinical practice has been documented. We sought to evaluate practice regarding the management of hypotension in ELGANs and developed a web-based questionnaire addressing diagnosis, intervention thresholds and modes of treatment of hypotension in ELGANs. We received 216 completed questionnaires from respondents in 38 countries. Most responses (83 %) were from specialist units where, together, over 26,000 very low birth weight (VLBW) infants are cared for annually. The majority (73 %) defined hypotension as a mean blood pressure (BP) in mmHg less than the gestational age in weeks. Sixty percent assessed the circulation with additional methods; echocardiography was the most commonly used (74 %), with left ventricular output and fractional shortening the two most common measurements made. The majority (85 %) used volume administration as the initial intervention. Dopamine was the inotrope most commonly used initially (80 %). If the initial inotrope therapy failed, dobutamine was the most popular second-line treatment (28 %). Delayed cord clamping was used at 51 % of the centres. Conclusion: The definition of hypotension in ELGANs continues to follow traditional standards. Functional echocardiography is now used to assess the circulation at many centres. Volume expansion and dopamine remain the most frequently used therapies
dcterms:title
International survey on diagnosis and management of hypotension in extremely preterm babies International survey on diagnosis and management of hypotension in extremely preterm babies
skos:prefLabel
International survey on diagnosis and management of hypotension in extremely preterm babies International survey on diagnosis and management of hypotension in extremely preterm babies
skos:notation
RIV/00216208:11120/14:43908000!RIV15-MSM-11120___
n3:aktivita
n18:R
n3:aktivity
R
n3:cisloPeriodika
6
n3:dodaniDat
n5:2015
n3:domaciTvurceVysledku
n16:8387753 n16:7336225
n3:druhVysledku
n8:J
n3:duvernostUdaju
n15:S
n3:entitaPredkladatele
n7:predkladatel
n3:idSjednocenehoVysledku
22476
n3:idVysledku
RIV/00216208:11120/14:43908000
n3:jazykVysledku
n10:eng
n3:klicovaSlova
treatment; survey; hypotension; extremely low gestational age; diagnosis
n3:klicoveSlovo
n4:treatment n4:hypotension n4:survey n4:diagnosis n4:extremely%20low%20gestational%20age
n3:kodStatuVydavatele
DE - Spolková republika Německo
n3:kontrolniKodProRIV
[B4EB52FD3621]
n3:nazevZdroje
European Journal of Pediatrics
n3:obor
n12:FG
n3:pocetDomacichTvurcuVysledku
2
n3:pocetTvurcuVysledku
7
n3:rokUplatneniVysledku
n5:2014
n3:svazekPeriodika
173
n3:tvurceVysledku
Straňák, Zbyněk Šemberová, Jana
n3:wos
000336397500014
s:issn
0340-6199
s:numberOfPages
6
n17:doi
10.1007/s00431-013-2251-9
n11:organizacniJednotka
11120