A5037266520- Neonatal Respiratory Health Research
- Infant Development and Preterm Care
- Congenital Diaphragmatic Hernia Studies
- Infant Nutrition and Health
- Global Maternal and Child Health
- Child and Adolescent Health
- Neuroscience of respiration and sleep
- Birth, Development, and Health
- Maternal and Neonatal Healthcare
- Global Health Workforce Issues
- Respiratory Support and Mechanisms
- COVID-19 Impact on Reproduction
- Global Health and Surgery
- Ultrasound in Clinical Applications
- Neonatal and fetal brain pathology
- Heme Oxygenase-1 and Carbon Monoxide
- Healthcare Policy and Management
- Neonatal and Maternal Infections
- Retinopathy of Prematurity Studies
- Airway Management and Intubation Techniques
- Neonatal Health and Biochemistry
- Methemoglobinemia and Tumor Lysis Syndrome
- Child Nutrition and Water Access
- Trauma and Emergency Care Studies
- Grief, Bereavement, and Mental Health
University of Vermont
2018-2024
Vermont Oxford Network
2018-2024
University of Vermont Medical Center
2020-2024
Cleveland Clinic Lerner College of Medicine
2020-2021
College of the Holy Cross
2001
The
<h3>Importance</h3> Although evidence of antenatal steroids (ANS) efficacy at 22 to 25 weeks’ gestation is limited, increasingly these infants are treated with postnatal life support. <h3>Objectives</h3> To estimate the proportion receiving support who had exposure ANS, and examine if provision ANS was associated a higher rate survival hospital discharge without major morbidities. <h3>Design, Setting, Participants</h3> This multicenter observational cohort study consisted 33 472 eligible...
BACKGROUND Mortality and morbidity for very preterm infants in the United States decreased years. The current study describes recent changes to assess whether pace of improvement has changed. METHODS Vermont Oxford Network members contributed data on born at 24 28 weeks’ gestation from 1997 2021. We modeled mortality, late-onset sepsis, necrotizing enterocolitis, chronic lung disease, severe intraventricular hemorrhage, retinopathy prematurity, death or by year birth using segmented relative...
Human milk confers important health benefits to very low-birth-weight (VLBW) infants (≤1500 g). The extent which the use of human has changed over time and factors associated with nationally in this population are poorly understood.
The optimal patent ductus arteriosus (PDA) closure method in very low birth weight (VLBW) infants is uncertain. In 2019, the first transcatheter occlusion device was approved United States for ≥700 g. We described survival and short-term outcomes among VLBW who underwent or surgical PDA (2018-2022).
OBJECTIVE: To provide contemporary data on infants inborn at 22 to 25 weeks’ gestation and receiving care level 3 4 neonatal intensive units in the United States. METHODS: Vermont Oxford Network members submitted born a hospital with or NICU from 2020 2022. The primary outcome was survival discharge. Secondary outcomes included without severe complications, length of stay, technology dependence. RESULTS: Overall, 953 636 US hospitals were included. Postnatal life support increased 68.0%...
The Textbook of Neonatal Resuscitation, seventh edition, does not suggest routine endotracheal suctioning for non-vigorous infants born through meconium-stained amniotic fluid. We compared 301,150 at ≥35 weeks’ gestational age inborn 311 Vermont Oxford Network member centers in the United States (U.S.) and admitted to neonatal intensive care units (NICU) who were before (2013 2015) after (2017) guideline change. Logistic regression models adjusting clustering within used calculate risk...
BACKGROUND: A complex set of medical, social, and financial factors underlie decisions to discharge very preterm infants. As care practices change, whether postmenstrual age weight at have changed is unknown. METHODS: Between 2005 2018, 824 US Vermont Oxford Network member hospitals reported 314 811 infants 24 29 weeks’ gestational birth without major congenital abnormalities who survived from the hospital. Using quantile regression, adjusting for infant characteristics complexity hospital...
Abstract Objective To evaluate COVID-19 pandemic preparedness, available resources, and guidelines for neonatal care delivery among health providers in low- middle-income countries (LMICs) across all continents. Study design Cross-sectional, web-based survey administered between May June, 2020. Results Of 189 invited participants 69 LMICs, we received 145 (77%) responses from 58 (84%) countries. The provides significant challenges to care, particularly low-income Respondents noted...
Retinopathy of prematurity (ROP) is the leading avoidable and treatable cause childhood blindness in United States. The objective this study was to evaluate trends ROP screening, incidence, treatment US NICUs over last 11 years.Using standardized data submitted by from Vermont Oxford Network member hospitals 2008 2018 on very low birth weight infants hospitalized at recommended age for we assessed proportion eligible who received using logistic regression models.This included 381 065 819...
To examine whether there are: 1) regional differences in three perinatal interventions that reflect active treatment among periviable gestations and 2) racial-ethnic the receipt of these after accounting for hospital region.We conducted a retrospective study on neonates born at 776 U.S. centers participated Vermont Oxford Network (2006-2017) with gestational age 22-25 weeks. The primary outcome was postnatal life support. Secondary outcomes included maternal administration antenatal...
Over two thirds of newborn deaths occur in Africa and South Asia, respiratory failure is a major contributor these deaths. The exact availability continuous positive airway pressure (CPAP) surfactant unknown. aim this study was to describe the care treatments countries Africa.Surveys, English, French Portuguese, were sent neonatal leaders all 48 continental islands with populations over 1 million.Forty-nine (98%) responded. Twenty-one reported less than 50 paediatricians, 12 had no...
BACKGROUND AND OBJECTIVES Despite being preventable, neonatal hypothermia remains common. We hypothesized that the proportion of newborns with on admission would be high in all settings, higher hospitals middle-income countries (MIC) compared high-income (HIC), and associated morbidity mortality. METHODS Using Vermont Oxford Network database birth weights 401 to 1500 g or 22 29 weeks’ gestational age from 2018 2021, we analyzed maternal infant characteristics, delivery room management,...
OBJECTIVE To ascertain how NICU teams are undertaking action to follow through, involving teams, families, and communities as partners address health-related social needs of infants families. METHODS Nineteen potentially better practices (PBPs) for through first published in 2020 were reported analyzed a sum, overall, by safety-net hospital status, ownership, type, among US NICUs that finalized Vermont Oxford Network data collection 2023. RESULTS One hundred percent 758 eligible hospitals...
To evaluate the impact of small for gestational age (SGA) on outcomes very preterm infants at Groote Schuur Hospital (GSH), Cape Town, South Africa.Data were obtained from Vermont Oxford Network (VON) GSH database 2012 to 2018. The study is a secondary analysis prospectively collected observational data. Fenton growth charts used define SGA as birth weight < 10th centile age.Mortality [28.9% vs. 18.5%, adjusted risk ratio (aRR) 2.1, 95% confidence interval (CI) 1.6-2.7], bronchopulmonary...