Effects of mechanical ventilation on neurodevelopment at 12 months in preterm low birth weight pediatric patients: a systematic review.

IF 2.1 3区医学 Q2 PEDIATRICS Frontiers in Pediatrics Pub Date : 2024-10-21 eCollection Date: 2024-01-01 DOI:10.3389/fped.2024.1363472

Valerie Vargas Caicedo, Marta de la Plaza San Frutos, Maria Dolores Sosa Reina, Maria Garcia Arrabe, Federico Salniccia, Clara Reina Aguilar, Cecilia Estrada Barranco

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Abstract

Introduction: The objective of this review is to know the existing scientific evidence about the effects of mechanical ventilation (MV) on neurological development in low-birth-weight premature pediatric patients after 12 months of life, taking as background the direct impact that ventilation has on the central nervous system in the newborn during the first days of life.

Methods: A systematic search was carried out between 2003 and 2024 in the data bases of: PUBMED, Cochrane Library Plus, PEDro, CINAHL, and SciELO, and two investigators scored the articles according to the Newcastle-Ottawa Assessment scale.

Results: Were found 129 non-replicated articles, and 10 cohort and cross-sectional studies were selected that performed an assessment of neurodevelopment in the three spheres after 12 months of life in corrected age of premature infants exposed to ventilator support and related the two variables independently.

Conclusions: Mechanical ventilation is an independent neurodevelopmental risk factor in low-birth-weight preterm infants. The time of exposure and the type of ventilation were the variables with the most scientific evidence.

Systematic review registration: https://www.crd.york.ac.uk/, Identifier CRD42023446797.

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机械通气对早产低出生体重儿 12 个月后神经发育的影响：系统综述。

导言：本综述旨在了解有关机械通气（MV）对出生 12 个月后低体重早产儿神经系统发育影响的现有科学证据，并以通气对新生儿出生后最初几天中枢神经系统的直接影响为背景：方法：2003 年至 2024 年期间，在以下数据库中进行了系统性检索：方法：2003 年至 2024 年期间，在以下数据库中进行了系统检索：PUBMED、Cochrane Library Plus、PEDro、CINAHL 和 SciELO，两名研究人员根据纽卡斯尔-渥太华评估量表对文章进行了评分：结果：共找到 129 篇非重复文章，并筛选出 10 项队列研究和横断面研究，这些研究对使用呼吸机支持的早产儿出生 12 个月后三个领域的神经发育情况进行了评估，并将这两个变量独立联系起来：机械通气是低出生体重早产儿神经发育的一个独立风险因素。暴露时间和通气类型是最具科学证据的变量。系统综述注册：https://www.crd.york.ac.uk/，标识符为 CRD42023446797。

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来源期刊

Frontiers in Pediatrics Medicine-Pediatrics, Perinatology and Child Health

CiteScore

3.60

自引率

7.70%

发文量

2132

审稿时长

14 weeks

期刊介绍： Frontiers in Pediatrics (Impact Factor 2.33) publishes rigorously peer-reviewed research broadly across the field, from basic to clinical research that meets ongoing challenges in pediatric patient care and child health. Field Chief Editors Arjan Te Pas at Leiden University and Michael L. Moritz at the Children''s Hospital of Pittsburgh are supported by an outstanding Editorial Board of international experts. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Frontiers in Pediatrics also features Research Topics, Frontiers special theme-focused issues managed by Guest Associate Editors, addressing important areas in pediatrics. In this fashion, Frontiers serves as an outlet to publish the broadest aspects of pediatrics in both basic and clinical research, including high-quality reviews, case reports, editorials and commentaries related to all aspects of pediatrics.