المؤلفون: McGuire, William, Soll, Roger

المصدر: Neonatology (16617800); Apr2019, Vol. 115 Issue 3, p278-282, 4p

مصطلحات موضوعية: HOSPITAL birthing centers, CHILDBIRTH, RESUSCITATION, PREMATURE infants, NEWBORN infants, PREMATURE labor

مستخلص: A review of the article "Lower versus Higher Oxygen Concentrations Titrated to Target Oxygen Saturations during Resuscitation of Preterm Infants at Birth" by K. Lui and colleagues, which appeared in a previous issue of the periodical "Neonatology" is presented.

المؤلفون: Balaguer, Albert^1,2 abalaguer@csc.uic.es, Alvarez-Serra, Javier¹, Iriondo, Marti¹, Gómez-Roig, María Dolores³, Krauel, Xavier¹

المصدر: Neonatology (16617800). 2011, Vol. 99 Issue 4, p295-301. 7p. 1 Diagram, 4 Charts.

مصطلحات موضوعية: *PREMATURE labor, *CHILDBIRTH, *ETIOLOGY of diseases, *NEWBORN infants, *CLINICAL medicine

مستخلص: Background: There is a need for a better etiologic classification of preterm births and for tools to help to determine the possible etiologies of these births. Objective: Having previously developed the Barcelona Etiology of Prematurity (BEP) algorithm, based on a new classification for preterm births, we sought to validate this algorithm in clinical studies whereby doctors retrospectively assigned the etiology of preterm birth according to principal cause and associated causes. Method: In phase 1 of the study, 91 preterm neonates consecutively admitted to a tertiary hospital were etiologically classified by doctors using the BEP algorithm. In phase 2, another 29 cases, representing the full spectrum of standard clinical scenarios, were classified by 20 doctors randomly divided into two groups of 10: one group used the algorithm and the other did not. Results: In phase 1, the doctors were able to assign the etiology of all 91 clinical cases using the BEP algorithm, showing a 95.6% level of agreement with the etiologies set by the authors. In phase 2, for the 572 total evaluations, the group that used the BEP algorithm had significantly fewer errors in assigning the principal cause of prematurity than the group that did not use the algorithm (4.51 vs. 16.20%, respectively; p < 0.0001), and also demonstrated a higher level of correlation in assigning the associated causes. Conclusions: The proposed classification may be used to retrospectively categorize the etiology of preterm births, and the BEP algorithm facilitates this task enabling greater accuracy and precision in clinical data. Copyright © 2010 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]