Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2004
Evaluation of "point of care" devices in the measurement of low blood glucose in neonatal practice.
Low blood glucose in newborns is difficult to detect clinically. Hence a reliable "point of care" device (glucometer) for early detection and treatment of low glucose is needed. ⋯ Point of care devices should have good precision in the low glucose concentration range, sensitivity, and accuracy for early detection of neonatal hypoglycaemia. None of the five glucometers was satisfactory as the sole measuring device. The Glucotrend and Precision glucometers have the greatest sensitivity and negative predictive value. However, confirmation with laboratory measurements of plasma glucose and clinical assessment are still of the utmost importance.
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2004
Review Comparative StudySystematic review of transpyloric versus gastric tube feeding for preterm infants.
To determine if enteral tube feeding by the transpyloric versus the gastric route improves feeding tolerance, and growth and development, without increasing adverse events, in preterm infants. ⋯ No evidence of benefit was found, but evidence of harm was found. Feeding by the transpyloric route cannot be recommended for preterm infants.
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2004
Randomized Controlled Trial Clinical TrialCost effectiveness analysis of neonatal extracorporeal membrane oxygenation based on four year results from the UK Collaborative ECMO Trial.
To assess the cost effectiveness of extracorporeal membrane oxygenation (ECMO) for mature newborn infants with severe respiratory failure over a four year time span. ⋯ The study provides rigorous evidence of the cost effectiveness of ECMO at four years for mature infants with severe respiratory failure.
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2004
Ophthalmic impairment at 7 years of age in children born very preterm.
To determine the prevalence of ophthalmic impairments in very preterm compared with term infants, the relation between impairments and cerebral ultrasound appearances and retinopathy, and the correlation with visual perception and motor and cognitive measures. ⋯ Children born very preterm and without major neurodevelopmental sequelae have an increased prevalence of ophthalmic impairments at primary school age which are associated with visual perceptional, motor, and cognitive defects. The cause may be a generalised abnormality of cortical development rather than perinatally acquired focal lesions of the brain.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2004
Survival of very preterm infants: Epipage, a population based cohort study.
To evaluate the outcome for all infants born before 33 weeks gestation until discharge from hospital. ⋯ Among very preterm babies, chances of survival varies greatly according to the length of gestation. At all gestational ages, a large proportion of deaths are associated with a decision to limit intensive care.