Review: moderately early postnatal corticosteroids reduce chronic lung disease and mortality in preterm infants, but increase complications.

نویسنده

  • Anne Major
چکیده

Main results 7 trials (8 treatment arms) were included in the analysis. The trials involved very low birthweight infants who were receiving mechanical ventilation; the corticosteroid was dexamethasone, with a starting dose of 0.5 mg/kg/day and a duration of 2–42 days. Meta-analysis showed that moderately early PC treatment reduced mortality at 28 days (but not mortality before discharge [6 studies, n=288]), CLD at 28 days and 36 weeks postmenstrual age, combined death or CLD at 28 days and 36 weeks, and need for late steroid treatment (table); but increased risk of hyperglycaemia, hypertension, hypertrophic cardiomyopathy, gastrointestinal bleeding, and infection, (table). It did not affect long term outcomes of abnormal neurological examination (1 study, n=36) or combined death or abnormal neurological examination (1 study, n=36).

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عنوان ژورنال:
  • Evidence-based nursing

دوره 5 1  شماره 

صفحات  -

تاریخ انتشار 2002