Correspondência/Correspondence to: Ana Saianda, Departamento de Pediatria. Hospital de Santa Maria, Av. Professor. Egas Moniz, 1649-035 Lisboa
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The role of quality of life indicators" ] ] "contieneResumen" => array:2 [ "pt" => true "en" => true ] "contienePdf" => array:1 [ "pt" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Rui Carneiro, Cristiana Sousa, Alexandre Pinto, Fernanda Almeida, Júlio R. Oliveira, Nelson Rocha" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Rui" "apellidos" => "Carneiro" ] 1 => array:2 [ "nombre" => "Cristiana" "apellidos" => "Sousa" ] 2 => array:2 [ "nombre" => "Alexandre" "apellidos" => "Pinto" ] 3 => array:2 [ "nombre" => "Fernanda" "apellidos" => "Almeida" ] 4 => array:2 [ "nombre" => "Júlio R." "apellidos" => "Oliveira" ] 5 => array:2 [ "nombre" => "Nelson" "apellidos" => "Rocha" ] ] ] ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915300702?idApp=UINPBA00004E" "url" => "/08732159/0000001600000005/v1_201509151505/S0873215915300702/v1_201509151505/pt/main.assets" ] "pt" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original/Original Article</span>" "titulo" => "Uso do método INSURE <span class="elsevierStyleItalic">versus</span> CPAP nasal isolado em recém-nascidos de muito baixo peso com 30 ou menos semanas de gestação" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "779" "paginaFinal" => "795" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ana Saianda, Ricardo M. Fernandes, Joana Saldanha" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Ana" "apellidos" => "Saianda" "email" => array:1 [ 0 => "asaianda@gmail.pt" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cr0005" ] ] ] 1 => array:3 [ "nombre" => "Ricardo M." "apellidos" => "Fernandes" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] ] ] 2 => array:3 [ "nombre" => "Joana" "apellidos" => "Saldanha" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Interno do Complementar. Departamento da Criança e da Família. Hospital de Santa Maria – Lisboa/Resident. Child and Family Health Service. Hospital de Santa Maria – Lisboa" "etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Assistente graduada. Departamento da Criança e da Família. Unidade de Neonatologia. Hospital de Santa Maria – Lisboa/Consultant. Child and Family Health Service. Neonatal Unit. Hospital de Santa Maria – Lisboa" "etiqueta" => "2" "identificador" => "af0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cr0005" "etiqueta" => "*" "correspondencia" => "<span class="elsevierStyleBold">Correspondência/<span class="elsevierStyleItalic">Correspondence to:</span></span> Ana Saianda, Departamento de Pediatria. Hospital de Santa Maria, Av. Professor. Egas Moniz, 1649-035 Lisboa" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Early nasal continuous positive airway pressure versus INSURE in VLBW neonates" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-10-19" "fechaAceptado" => "2010-07-05" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570264" "palabras" => array:6 [ 0 => "Recém-nascido muito baixo peso" 1 => "nCPAP" 2 => "INSURE" 3 => "sindroma de dificuldade respiratória neonatal" 4 => "doença pulmonar crónica da prematuridade" 5 => "mortalidade" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570265" "palabras" => array:6 [ 0 => "Very low birth weight" 1 => "nCPAP ventilation" 2 => "INSURE" 3 => "respiratory distress syndrome (newborn)" 4 => "chronic lung disease of prematurity" 5 => "mortality" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdução:</span> Pretende-se determinar se a utilização do método INSURE em recém-nascidos de muito baixo peso, com idade gestacional (IG)<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>30 semanas se associa a menor morbilidade e mortalidade quando comparado com uso de nCPAP isolado. <span class="elsevierStyleBold">Métodos:</span> Estudo de coorte retrospectiva dos RNMBP nascidos num hospital de apoio perinatal diferenciado entre Janeiro/2002-Agosto/2008. Incluíram-se as crianças registadas na Vermont-Oxford Network com IG ≤<span class="elsevierStyleHsp" style=""></span>30semanas e com uso de nCPAP logo após o nascimento (N<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>96).</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Estabeleceu-se Grupo nCPAP – uso de nCPAP isolado (N<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>40) e Grupo INSURE (N<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>56). Consideraram-se <span class="elsevierStyleItalic">outcomes</span> precoces: síndroma de dificuldade respiratória (SDR), necessidade de administrar surfactante com intuito terapêutico ou recurso a ventilação invasiva. Compararam-se igualmente <span class="elsevierStyleItalic">outcomes</span> tardios: doença pulmonar crónica da prematuridade (DPC), mortalidade e o <span class="elsevierStyleItalic">outcome</span> composto DPC-mortalidade. <span class="elsevierStyleBold">Resultados:</span> No grupo INSURE verificou-se menor IG, não se registando diferenças relativamente ao peso ao nascer e indução da maturação pulmonar. Verificou-se SDR em 21/40 (53%) casos do grupo nCPAP e em 17/56 (30%) casos do grupo INSURE (OR ajustado [IC 95%] – 0,2 [0,1-0,6]). No grupo nCPAP todos estes casos realizaram surfactante com intuito terapêutico, não tendo sido efectuada nenhuma dose adicional de surfactante no grupo INSURE. Verificou-se maior número de casos com necessidade de VI no grupo nCPAP do que no grupo INSURE (11/40, 28% <span class="elsevierStyleItalic">vs</span> 9/56, 12%). Não foram encontradas diferenças estatisticamente significativas relativamente aos <span class="elsevierStyleItalic">outcomes</span> tardios. <span class="elsevierStyleBold">Conclusão:</span> Em RNMBP com IG ≤<span class="elsevierStyleHsp" style=""></span>30sem, o uso isolado de nCPAP poderá traduzir-se numa ligeira desvantagem em <span class="elsevierStyleItalic">outcomes</span> precoces, sem evidentes repercussões em termos de DPC ou mortalidade.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (5): 779-795</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Background:</span> Evidence suggests the INSURE strategy (INtubate-SURfactant administration and Extubate to nasal continuous positive airway pressure [nCPAP]) is superior to mechanical ventilation (MV) with rescue surfactant for the management of respiratory distress syndrome (RDS) in very low birth weight (VLBW) neonates. There is limited data, however, to assess whether INSURE is superior to nCPAP alone. We aimed to compare these two strategies regarding early and late outcomes. <span class="elsevierStyleBold">Methods:</span> Retrospective cohort study from Jan/2002 to Aug/2008. We included VLBW neonateswith gestational age (GA)<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>30 weeks registered in the Vermont Oxford Network that used either nCPAP alone (nCPAP group, N<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>40), or with INSURE (INSURE group, N<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>56).</p><p id="sp0120" class="elsevierStyleSimplePara elsevierViewall">We assessed early (RDS, need for rescue surfactant, and CPAP failure with MV) and late outcomes (chronic lung disease of prematurity (CLD), mortality, and composite outcome of mortality and/or CLD). <span class="elsevierStyleBold">Results:</span> Neonates in the INSURE group had lower mean GA, while other baseline variables were comparable. The proportion of RDS was significantly superior in the nCPAP group (53% vs. 30%; adjusted OR [95% CI] – 0.2 [0.1-0.6]). Therapeutic surfactant was administered to all cases with RDS in the nCPAP group, but to none from the INSURE group. MV was more frequently required in the nCPAP group (11/ 40, 28% <span class="elsevierStyleItalic">vs</span>. 9/ 56, 12%; p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.04). No statistically significant differences were found in either of the late outcomes. <span class="elsevierStyleBold">Conclusion:</span> The use of nCPAP alone in VLBW neonates with GA<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>30 weeks may be associated with slightly poorer early outcomes than the INSURE strategy, but there were no significant differences in CLD or mortality.</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (5): 779-795</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia/Bibliography</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:16 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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Original language: Portuguese
Year/Month | Html | Total | |
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2024 November | 10 | 4 | 14 |
2024 October | 87 | 37 | 124 |
2024 September | 75 | 35 | 110 |
2024 August | 91 | 51 | 142 |
2024 July | 63 | 32 | 95 |
2024 June | 67 | 27 | 94 |
2024 May | 78 | 28 | 106 |
2024 April | 80 | 43 | 123 |
2024 March | 65 | 29 | 94 |
2024 February | 53 | 24 | 77 |
2024 January | 76 | 28 | 104 |
2023 December | 68 | 29 | 97 |
2023 November | 42 | 31 | 73 |
2023 October | 38 | 31 | 69 |
2023 September | 38 | 30 | 68 |
2023 August | 53 | 23 | 76 |
2023 July | 69 | 16 | 85 |
2023 June | 53 | 22 | 75 |
2023 May | 66 | 19 | 85 |
2023 April | 50 | 19 | 69 |
2023 March | 46 | 29 | 75 |
2023 February | 43 | 23 | 66 |
2023 January | 56 | 28 | 84 |
2022 December | 36 | 29 | 65 |
2022 November | 64 | 56 | 120 |
2022 October | 67 | 32 | 99 |
2022 September | 50 | 34 | 84 |
2022 August | 65 | 42 | 107 |
2022 July | 38 | 38 | 76 |
2022 June | 45 | 40 | 85 |
2022 May | 65 | 48 | 113 |
2022 April | 39 | 35 | 74 |
2022 March | 32 | 37 | 69 |
2022 February | 33 | 34 | 67 |
2022 January | 56 | 40 | 96 |
2021 December | 44 | 39 | 83 |
2021 November | 43 | 42 | 85 |
2021 October | 31 | 44 | 75 |
2021 September | 39 | 38 | 77 |
2021 August | 37 | 27 | 64 |
2021 July | 47 | 25 | 72 |
2021 June | 31 | 38 | 69 |
2021 May | 39 | 37 | 76 |
2021 April | 95 | 46 | 141 |
2021 March | 55 | 23 | 78 |
2021 February | 47 | 12 | 59 |
2021 January | 51 | 13 | 64 |
2020 December | 27 | 9 | 36 |
2020 November | 47 | 12 | 59 |
2020 October | 31 | 24 | 55 |
2020 September | 47 | 18 | 65 |
2020 August | 75 | 27 | 102 |
2020 July | 54 | 18 | 72 |
2020 June | 50 | 21 | 71 |
2020 May | 81 | 24 | 105 |
2020 April | 54 | 17 | 71 |
2020 March | 62 | 10 | 72 |
2020 February | 39 | 23 | 62 |
2020 January | 43 | 17 | 60 |
2019 December | 50 | 18 | 68 |
2019 November | 51 | 15 | 66 |
2019 October | 70 | 17 | 87 |
2019 September | 61 | 25 | 86 |
2019 August | 65 | 22 | 87 |
2019 July | 65 | 19 | 84 |
2019 June | 51 | 16 | 67 |
2019 May | 54 | 37 | 91 |
2019 April | 57 | 13 | 70 |
2019 March | 92 | 15 | 107 |
2019 February | 84 | 10 | 94 |
2019 January | 55 | 25 | 80 |
2018 December | 37 | 6 | 43 |
2018 November | 10 | 0 | 10 |
2018 October | 18 | 9 | 27 |
2018 September | 10 | 8 | 18 |
2018 August | 66 | 38 | 104 |
2018 July | 49 | 25 | 74 |
2018 June | 63 | 16 | 79 |
2018 May | 88 | 30 | 118 |
2018 April | 72 | 31 | 103 |
2018 March | 53 | 35 | 88 |
2018 February | 30 | 13 | 43 |
2018 January | 35 | 10 | 45 |
2017 December | 33 | 15 | 48 |
2017 November | 37 | 27 | 64 |
2017 October | 24 | 23 | 47 |
2017 September | 25 | 12 | 37 |
2017 August | 23 | 19 | 42 |
2017 July | 21 | 12 | 33 |
2017 June | 22 | 15 | 37 |
2017 May | 39 | 18 | 57 |
2017 April | 18 | 1 | 19 |
2017 March | 14 | 40 | 54 |
2017 February | 17 | 1 | 18 |
2017 January | 18 | 4 | 22 |
2016 December | 19 | 7 | 26 |
2016 November | 13 | 2 | 15 |
2016 October | 11 | 4 | 15 |
2016 September | 6 | 3 | 9 |
2016 August | 6 | 5 | 11 |
2016 July | 5 | 1 | 6 |
2016 June | 5 | 1 | 6 |
2016 April | 2 | 11 | 13 |
2016 March | 5 | 4 | 9 |
2016 February | 16 | 8 | 24 |
2016 January | 6 | 6 | 12 |
2015 December | 6 | 5 | 11 |
2015 November | 5 | 1 | 6 |
2015 October | 2 | 2 | 4 |