Resuscitation of Preterm Infants in the Philippines Results_ORA Excel Sheet

Name: Resuscitation of Preterm Infants in the Philippines Results_ORA Excel Sheet
Published: 2019-01-01T00:00:00Z
License: https://opendatacommons.org/licenses/by/1-0/index.html

Wilkinson, D

Documentation:: Dataset for survey Hayden D, Villanueva-Uy ME, Mendoza MK, et al Resuscitation of preterm infants in the Philippines: a national survey of resources and practice Archives of Disease in Childhood - Fetal and Neonatal Edition Published Online First: 14 June 2019. doi: 10.1136/archdischild-2019-316951

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APA Style

Wilkinson, D. (2019). Resuscitation of Preterm Infants in the Philippines Results_ORA Excel Sheet. University of Oxford.

MLA Style

Wilkinson, D. Resuscitation of Preterm Infants in the Philippines Results_ORA Excel Sheet. University of Oxford, 2019.

Chicago Style

Wilkinson, D. 2019. Resuscitation of Preterm Infants in the Philippines Results_ORA Excel Sheet. University of Oxford.
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Files:: Resuscitation of Preterm Infants in the Philippines Results_OR...

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Authors/Creators

+ Wilkinson, D More by this author/creator

Department:: Philosophy
Role:: Creator

+ Wellcome Trust More from this funder

Grant:: WT106587/Z/14/Z

Publisher:: University of Oxford
Publication date:: 2019

Pubs id:: 1480054
UUID:: uuid:5f3f0b75-530b-4f3a-8c84-f7bad61d6e70
Local pid:: pubs:1480054
Deposit date:: 2019-07-10
ARK identifier:: ark:/29072/ora_5f3f0b75530b4f3a8c84f7bad61d6e70

Related item:: Resuscitation of preterm infants in the Philippines: a national survey of resources and practice
Description:: Objective There is a high incidence of preterm birth in low-income and middle-income countries where healthcare resources are often limited and may influence decision making. We aimed to explore the interplay between resource limitations and resuscitation practices for extremely preterm infants (EPIs) in neonatal intensive care units (NICUs) across the Philippines. Methods We conducted a national survey of NICUs in the Philippines. Institutions were classified according to sector (private/public), region and level. Respondents were asked about unit capacity, availability of ventilators and surfactant, resuscitation practices and estimated survival rates for EPIs of different gestational ages. Results Respondents from 103/228 hospitals completed the survey (response rate 45%). Public hospitals reported more commonly experiencing shortages of ventilators than private hospitals (85%vs23%, p<0.001). Surfactant was more likely to be available in city hospitals than regional/district hospitals (p<0.05) and in hospitals classified as Level III/IV than I/II (p<0.05). The financial capacity of parents was a major factor influencing treatment options. Survival rates for EPIs were estimated to be higher in private than public institutions. Resuscitation practice varied; active treatment was generally considered optional for EPIs from 25 weeks’ gestation and usually provided after 27–28 weeks’ gestation. Conclusion Our survey revealed considerable disparities in NICU resource availability between different types of hospitals in the Philippines. Variation was observed between hospitals as to when resuscitation would be provided for EPIs. National guidelines may generate greater consistency of care yet would need to reflect the variable context for decisions in the Philippines.

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