Hackensack Meridian Health
Respiratory morbidity presents a significant clinical challenge in the neonatal period, and an individual patient's clinical course is often difficult to predict. This is especially true for late-preterm infants, who share some of the same risks of premature babies in terms or respiratory morbidity, but whose births may not always be attended by a neonatologist, or who may be born at hospitals with lower level Neonatal Intensive Care Units (NICUs) and require transfer if they decompensate. With this study, the aim is to 1) determine the efficacy of early point of care lung ultrasound (LUS) to predict respiratory decompensation in the first 48 hours of life in late preterm infants and 2) to compare the performance of three lung ultrasound scoring systems, 3 type-of-lung, high risk pattern and total LUS scoring systems.
Respiratory morbidity presents a significant clinical challenge in the neonatal period, and an individual patient's clinical course is often difficult to predict. This is especially true for late-preterm infants, who share some of the same risks of premature babies in terms or respiratory morbidity, but whose births may not always be attended by a neonatologist, or who may be born at hospitals with lower level Neonatal Intensive Care Units (NICUs) and require transfer if they decompensate. Point of care (POC) lung ultrasound (LUS) is a relatively new and potentially underused method of assess…
Inclusion Criteria: * Inborn infants born between 34w0d and 36w6d gestational age * In RA or 1 Litre per minute 1LPM NC (room air (RA) or nasal cannula (NC)) * Admitted to NICU or Well Baby Nursery (WBN) Exclusion Criteria: * Patients born \<34 weeks or \>36w6d * Major genetic anomaly or syndromic condition * Cardiac or pulmonary structural defects * Cord pH \<7.0 or 5 minute APGAR 5 or less * Suspected fetal hemorrhage or other source of significant anemia at birth
Point-of-care lung ultrasound (POC LUS) in their first 4 hours of life and be scored based on three established scoring systems
Arctuva estimate
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