American journal of perinatology
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Comparative Study
Type and timing of ventilation in the first postnatal week is associated with bronchopulmonary dysplasia/death.
The type and timing of respiratory support in the first week affecting bronchopulmonary dysplasia (BPD)/death have not been evaluated. We compared outcomes of premature infants on nasal intermittent positive pressure ventilation (NIPPV) or nasal continuous positive airway pressure (NCPAP) to those on endotracheal tube (ETT). We retrospectively reviewed data (1/2004 to 6/2009) of infants ≤ 30 weeks' gestational age (GA) who received NIPPV in the first postnatal week. ⋯ Infants on ETT (N = 97) during 1 to 3 days were more likely to have BPD/death compared with those on NIPPV (N = 38): 67% versus 47% (P = 0.035). Infants on ETT (N = 30) during 4 to 7 days were more likely to have BPD/death compared with those extubated to NIPPV (N = 36): 87 versus 53% (P = 0.003). Extubation to NIPPV or NCPAP in the first postnatal week is associated with decreased probability of BPD/death.
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Comparative Study
Computerized physician order entry reduces medication turnaround time of labor induction agents.
We sought to determine whether computerized physician order entry (CPOE) improves the induction agent turnaround time on the labor and delivery unit (L&D) compared with paper-based order entry (PBOE). We conducted a retrospective study of singleton, term pregnancies admitted to L&D for induction of labor. Outcomes of women who delivered 3 months before or 3 months after universal CPOE implementation were compared including induction agent turnaround time. ⋯ There were no differences in cesarean section rate or length of hospital stay. After controlling for time of day of induction, induction agent, and type of order entry, CPOE continued to significantly decrease the induction agent turnaround time by 25 minutes ( P = 0.042). CPOE improved the process of induction of labor and efficiency of care of pregnant women.