Outcomes of extremely preterm infants after delivery room cardiopulmonary resuscitation in a population-based cohort

J Perinatol. 2015 May;35(5):379-83. doi: 10.1038/jp.2014.222. Epub 2014 Dec 18.

Abstract

Objective: To describe the relationship of delivery room cardiopulmonary resuscitation (DR-CPR) to short-term outcomes of extremely preterm infants.

Study design: This was a cohort study of 22 to 27+6/7 weeks gestational age (GA) infants during 2005 to 2011. DR-CPR was defined as chest compressions and/or epinephrine administration. Multivariable logistic regression was used to estimate odds ratios (ORs) with 95% confidence intervals (CIs) associated with DR-CPR; analysis was stratified by GA.

Result: Of the 13 758 infants, 856 (6.2%) received DR-CPR. Infants 22 to 23+6/7 weeks receiving DR-CPR had similar outcomes to non-recipients. Infants 24 to 25+6/7 weeks receiving DR-CPR had more severe intraventricular hemorrhage (OR 1.36, 95% CI 1.07, 1.72). Infants 26 to 27+6/7 weeks receiving DR-CPR were more likely to die (OR 1.81, 95% CI 1.30, 2.51) and have intraventricular hemorrhage (OR 2.10, 95% CI 1.56, 2.82). Adjusted hospital DR-CPR rates varied widely (median 5.7%).

Conclusion: Premature infants receiving DR-CPR had worse outcomes. Mortality and morbidity varied by GA.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • California
  • Cardiopulmonary Resuscitation / statistics & numerical data*
  • Cohort Studies
  • Delivery Rooms
  • Epinephrine / administration & dosage*
  • Female
  • Gestational Age
  • Heart Massage / methods*
  • Humans
  • Infant, Extremely Low Birth Weight*
  • Infant, Extremely Premature*
  • Infant, Newborn
  • Male
  • Multivariate Analysis
  • Odds Ratio
  • Regression Analysis
  • Treatment Outcome

Substances

  • Epinephrine