Table 3.
Clinical predictors of CPAP Failure
| Study | Infants studied | Clinical characteristics as predictors of CPAP failure | Odds ratio (95% CI) |
|---|---|---|---|
|
| |||
| Ammari16 | 261 infants ≤ 1250 g | Severe RDS on initial CXR | 6.42 (2.75, 15.0) |
| PPV at delivery | 2.37 (1.02, 5.52) | ||
| A-a DO2 > 180 mmHg | 6.42 (2.75, 15.0) | ||
|
| |||
| Pillai 68 | 62 infants ≤ 1500 g | Product of CPAP and FiO2 ≥1.28 | 3.9 (1.0, 15.5) |
| PPROM | 5.3 (1.2, 24.5) | ||
| GA < 28 weeks | 6.5 (1.5, 28.3) | ||
|
| |||
| Dargaville14 | 66 infants 25–28 wks | FiO2 by 2 hr | 1.19 (1.06, 1.33) |
| GA | Caesarean delivery | 14.77 (1.47, 148.55) | |
|
| |||
| Tagliaferro66 | 235 infants ≤ 1000 g | GA ≤ 26 weeks | 6.19 (2.79, 13.73) |
| A-a DO2 > 180 mmHg | 2.18 (1.06, 4.47) | ||
| pH ≤ 7.27 | 2.69 (1.27, 5.69) | ||
| Severe RDS on initial radiograph | 10.81 (3.5, 33.3) | ||
Abbreviations: CPAP, continuous positive airway pressure; PPV, positive pressure ventilation; FiO2, fraction of inspired oxygen; GA, gestational age; PPROM, prolonged premature rupture of membranes; A-a DO2, alveolar-arterial oxygen difference; g, grams; RDS, respiratory distress syndrome; CXR, chest x-ray; CI, confidence interval