EARLY VS LATE CAFFEINE THERAPY IN PRETERM INFANTS: ANALYSIS OF CLINICAL OUTCOME

Objective: To study clinical outcome of early versus late caffeine therapy in preterm infants. Study Design: Prospective comparative study. Place and Duration of Study: Neonatal Intensive Care Unit, Pak Emirates Military Hospital, Rawalpindi, from Jan to Jul 2018. Methodology: A total of 40...

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Autores principales: Hafsa Niaz, Jawad Jalil, Muhammad Adil, Faisal Basheer, Shahzad Akhtar, Naila Hamid
Formato: article
Lenguaje:EN
Publicado: Army Medical College Rawalpindi 2021
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Acceso en línea:https://doaj.org/article/136a22eafb1644c7801c632f48abc782
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spelling oai:doaj.org-article:136a22eafb1644c7801c632f48abc7822021-12-02T18:01:39ZEARLY VS LATE CAFFEINE THERAPY IN PRETERM INFANTS: ANALYSIS OF CLINICAL OUTCOME0030-96482411-884210.51253/pafmj.v71i2.3769https://doaj.org/article/136a22eafb1644c7801c632f48abc7822021-04-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/3769https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To study clinical outcome of early versus late caffeine therapy in preterm infants. Study Design: Prospective comparative study. Place and Duration of Study: Neonatal Intensive Care Unit, Pak Emirates Military Hospital, Rawalpindi, from Jan to Jul 2018. Methodology: A total of 40 preterm infants with gestational age <32 weeks and birth weight <1500 grams were randomly divided into two groups on the basis of initiation of caffeine therapy i.e. group A (early caffeine group) and group B (late caffeine group). Infant’s demographic data and clinical outcomes were compared between both groups using SPSS IBM software. Results: Mean gestational age was 29.9 ± 1.19 weeks with male to female ratio of 1.5:1 Mean birth weight was 1165.3 ± 316 grams. Half (50%) of the infants were delivered by cesarean section while surfactant was given in 29 (72.5%) infants. While comparing both groups we observed that early caffeine shortens duration of Neonatal Intensive Care Unit stay (p<0.05) whereas caffeine therapy initiation timings didn’t influence the risk of development of Respiratory Distress Syndrome or need of mechanical ventilation. Conclusion: Early caffeine therapy in preterm infants is associated with decrease duration of Neonatal Intensive Care Unit stay. However further work is needed in this regards to establish its efficacy and safety.Hafsa NiazJawad JalilMuhammad AdilFaisal BasheerShahzad AkhtarNaila HamidArmy Medical College Rawalpindiarticlecaffeine therapyneonatal intensive care unitpreterm infantsMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 2, Pp 503-06 (2021)
institution DOAJ
collection DOAJ
language EN
topic caffeine therapy
neonatal intensive care unit
preterm infants
Medicine
R
Medicine (General)
R5-920
spellingShingle caffeine therapy
neonatal intensive care unit
preterm infants
Medicine
R
Medicine (General)
R5-920
Hafsa Niaz
Jawad Jalil
Muhammad Adil
Faisal Basheer
Shahzad Akhtar
Naila Hamid
EARLY VS LATE CAFFEINE THERAPY IN PRETERM INFANTS: ANALYSIS OF CLINICAL OUTCOME
description Objective: To study clinical outcome of early versus late caffeine therapy in preterm infants. Study Design: Prospective comparative study. Place and Duration of Study: Neonatal Intensive Care Unit, Pak Emirates Military Hospital, Rawalpindi, from Jan to Jul 2018. Methodology: A total of 40 preterm infants with gestational age <32 weeks and birth weight <1500 grams were randomly divided into two groups on the basis of initiation of caffeine therapy i.e. group A (early caffeine group) and group B (late caffeine group). Infant’s demographic data and clinical outcomes were compared between both groups using SPSS IBM software. Results: Mean gestational age was 29.9 ± 1.19 weeks with male to female ratio of 1.5:1 Mean birth weight was 1165.3 ± 316 grams. Half (50%) of the infants were delivered by cesarean section while surfactant was given in 29 (72.5%) infants. While comparing both groups we observed that early caffeine shortens duration of Neonatal Intensive Care Unit stay (p<0.05) whereas caffeine therapy initiation timings didn’t influence the risk of development of Respiratory Distress Syndrome or need of mechanical ventilation. Conclusion: Early caffeine therapy in preterm infants is associated with decrease duration of Neonatal Intensive Care Unit stay. However further work is needed in this regards to establish its efficacy and safety.
format article
author Hafsa Niaz
Jawad Jalil
Muhammad Adil
Faisal Basheer
Shahzad Akhtar
Naila Hamid
author_facet Hafsa Niaz
Jawad Jalil
Muhammad Adil
Faisal Basheer
Shahzad Akhtar
Naila Hamid
author_sort Hafsa Niaz
title EARLY VS LATE CAFFEINE THERAPY IN PRETERM INFANTS: ANALYSIS OF CLINICAL OUTCOME
title_short EARLY VS LATE CAFFEINE THERAPY IN PRETERM INFANTS: ANALYSIS OF CLINICAL OUTCOME
title_full EARLY VS LATE CAFFEINE THERAPY IN PRETERM INFANTS: ANALYSIS OF CLINICAL OUTCOME
title_fullStr EARLY VS LATE CAFFEINE THERAPY IN PRETERM INFANTS: ANALYSIS OF CLINICAL OUTCOME
title_full_unstemmed EARLY VS LATE CAFFEINE THERAPY IN PRETERM INFANTS: ANALYSIS OF CLINICAL OUTCOME
title_sort early vs late caffeine therapy in preterm infants: analysis of clinical outcome
publisher Army Medical College Rawalpindi
publishDate 2021
url https://doaj.org/article/136a22eafb1644c7801c632f48abc782
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