Table 3:
Investigators (Respiratory Rate) |
Study N Site(s) |
Inclusion criteria | Results/Conclusions |
Hofstetter et al (98) | 33 Single center |
23 0/7 –27 6/7 weeks | Apnea/hypopnea, bradycardia and hypoxemia episodes decreased with age, but continued at term equivalent, and even after hospital discharge. Infection increased apnea/hypopnea and hypoxemia events. |
Fairchild et al (43) | 1211 Single center |
<35 weeks | Number and duration of apnea events decreased with increasing gestational age. ABD events has higher frequency in <31 weeks infants but not increased in infants with severe ROP, BPD and severe IVH after adjusting for GA. ABD events increased before the diagnosis of LOS and NEC. |
Tabacaru et al (101) | 302 Single center |
<32 weeks | Intermittent caffeine boluses and discontinuation at 33 weeks PMA were associated with small changes in ABD events. |
Patel et al (44) | 1211 Single center |
<35 weeks | Periodic breathing (PB) increases with gestational age and the highest amount was between 30–33 weeks and 2 weeks chronological age. Extreme PB is associated with infection, NEC, caffeine discontinuation and immunizations. |
Warburton et al (4) | 94 Single center |
<36 weeks | Tachypnea (RR>70) is associated with poor growth and respiratory support escalation. >30% tachypnea/day is associated with increased respiratory support in subsequent 3 days. |
Mohr et al (97) | 70 Single center |
All infants in the NICU | For 32 weeks gestation infants, PB peaked 7–14 days after birth (6.5%). Infant with death (SIDS) had 40% PB each day and her twin had 15% PB each day. |
Investigators (Blood Pressure) |
Study N Site(s) |
Inclusion criteria | Results/Conclusions |
Goldstein et al (119) | 191 Single center |
<1500 grams | Metabolic acidosis and respiratory acidosis are related to adverse cognitive, motor and neurologic outcome at 6 months of age, while only metabolic component is related to adverse outcomes at 24 months age. |
Miall- Allen et al (121) | 33 Single center |
<31 weeks | Hypotension (<30mm Hg) for over an hour was associated with IVH, ischemic cerebral lesions and death (within 48 hours). |
Miall- Allen et al (141) | 22 Single center |
<31 weeks | No association was found between blood pressure fluctuation and IVH in first 36 hours of life. |
Low et al (124) | 98 Single center |
<34 weeks | Combination of hypotension and hypoxemia in first 96 hours of life significantly increased the risk of brain damage and poor outcomes. |
Cunningham et al (102) | 232 Single center |
<1500 grams | IVH was associated with low or variable BP. PVL and ROP were not associated with BP. BP variability was associated with death. |
Bada et al (122) | 100 Single center |
<1500 grams | Infants with periventricular IVH had a greater minute to minute BP variability compared to infants with no periventricular IVH. |
Perlman et al (142) | 50 Single center |
<1500 grams | Fluctuating cerebral blood flow velocity in infants with RDS increases the risk of IVH. |
Soul et al (143) | 90 Two centers |
<1500 grams | Cerebral pressure passivity is associated with gestational age and low birth weight, systemic hypotension and maternal hemodynamic factors. |
Dacosta et al (144) | 44 Single center |
23 0/7–26 6/7 weeks | Defining the MAP with strongest cerebrovascular activity is feasible and deviations in that increased the risk of IVH and death. |
Semenova et al (145) | 25 Single center |
<32 weeks | Normal well-being is associated with non-linear association between EEG and BP. Presence of weak association with distinctive directionality of information flow is associated with increased mortality. |
Hoffman et al (138) | 61 Single center |
23 0/7–28 6/7 weeks | More time with impaired cerebral auto regulation and less time with cerebral reactivity was associated with grade 3–4 IVH. |
ABD, apnea bradycardia desaturation; BPD, bronchopulmonary dysplasia; ROP, retinopathy of prematurity; IVH, intraventricular hemorrhage; LOS, late onset sepsis; NEC, necrotizing enterocolitis; GA, gestational age; PMA, post menstrual age; MAP, mean arterial pressure; EEG, electroencephalogram; RDS, respiratory distress syndrome; PVL, periventricular leukomalacia; SIDS, sudden infant death syndrome