PO-0752 Incidence And Clinical Impact Of Respiratory Disease In Premature Infants With Low Birth Weight

• Published in: Archives of disease in childhood 2014-10, Vol.99 (Suppl 2), p.A501-A501
• Main Authors: Muñoz-Garcia, M, Santiago-Gutiérrez, C, Martínez-Padilla, MC, Cubero-Sánchez, M, de la Cruz-Moreno, J
• Format: Article
• Language: English
• Subjects: Apnea; Birth weight; Body Weight; Caffeine; Dysplasia; Gestation; Hemorrhage; Infants; Low birth weight; Mechanical ventilation; Newborn babies; Pneumothorax; Pregnancy; Premature Infants; Respiratory diseases; Surfactants; Ventilation; Young Children
• ISSN: 0003-9888; 1468-2044
• DOI: 10.1136/archdischild-2014-307384.1391

Advances in perinatal care have made it possible to improve survival of infants with low birth weight. The aim of study was to analyse the clinical impact of respiratory disease in premature infants with low birth weight. Methods: Between January-2011 and November-2012 were included 81 preterm infants with low birth weight and ≤32 weeks gestation. Data are expressed in according to birth weight defined as: extremely low 28 weeks gestation. The incidence of morbidities such as bronchopulmonary dysplasia, pulmonary haemorrhage and pneumothorax was very low: 6.2%, 4.9% and 1.25%, respectively. The mean number of days requiring mechanical ventilation and treatment with caffeine for apnea was higher for ELBW compared to VLBW and LBW (6.7 ± 5.5 vs. 4.1 ± 4.7 vs. 3.38 ± 2.7, p = 0.023 and 38.1 ± 7.3 vs. 26.8 ± 15 vs. 12 ± 7.8, p = 0.01, respectively). The onset of bronchopulmonary dysplasia occurred in 5 preterm with ELBW. In all preterm infants who died required mechanical ventilation vs. who those survived 14 (100%) vs. 32 (47.8%), p = 0.001 and greater need of surfactant 10 (71.4%) vs. 24 (35.8%), p = 0.047. Conclusions: Although the most preterm with low birth weight require respiratory support, the incidence of complications in our series is low.