Duration and Consequences of Periodic Breathing in Infants Born Preterm Before and After Hospital Discharge - 19/04/23
Abstract |
Objective |
To investigate the amount of time spent in periodic breathing and its consequences in infants born preterm before and after hospital discharge.
Methods |
Infants born preterm between 28-32 weeks of gestational age were studied during daytime sleep in the supine position at 32-36 weeks of postmenstrual age (PMA), 36-40 weeks of PMA, and 3 months and 6 months of corrected age. The percentage of total sleep time spent in periodic breathing (% total sleep time periodic breathing) was calculated and infants were grouped into below and above the median (8.5% total sleep time periodic breathing) at 32-36 weeks and compared with 36-40 weeks, 3 and 6 months.
Results |
Percent total sleep time periodic breathing was not different between 32-36 weeks of PMA (8.5%; 1.5, 15.0) (median, IQR) and 36-40 weeks of PMA (6.6%; 0.9, 15.1) but decreased at 3 (0.4%; 0.0, 2.0) and 6 months of corrected age 0% (0.0, 1.1). Infants who spent above the median % total sleep time periodic breathing at 32-36 weeks of PMA spent more % total sleep time periodic breathing at 36-40 weeks of PMA (18.1%; 7.7, 23.9 vs 2.1%; 0.6, 6.4) and 6 months of corrected age 0.9% (0.0, 3.3) vs 0.0% (0.0, 0.0).
Conclusions |
Percentage sleep time spent in periodic breathing did not decrease as infants born preterm approached term corrected age, when they were to be discharged home. High amounts of periodic breathing at 32-36 weeks of PMA was associated with high amounts of periodic breathing at term corrected age (36-40 weeks of PMA), and persistence of periodic breathing at 6 months of corrected age.
Le texte complet de cet article est disponible en PDF.Keywords : respiratory control, intermittent hypoxia, cerebral oxygenation, oxygen saturation
Abbreviations : COVID-19, HR, NIV, PMA, SpO2, TOI
Plan
| Supported by funding from the Scottish Cot Death Trust and the Rebecca Cooper Foundation. A.Y. was supported by Monash University graduate scholarship. R.H. is supported by a National Health and Medical Research Council of Australia Investigator Grant (1195453). The authors declare no conflicts of interest. |
Vol 255
P. 112 - avril 2023 Retour au numéro
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