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Table 5 Comparison by level of care (academic vs. non-academic clinic) in primary target values and parameter settings (absolute numbers and percent (%) in parenthesis)

From: Delivery room management of very low birth weight infants in Germany, Austria and Switzerland - a comparison of protocols

 

Academic Hospital

Non-Academic Hospital

Differences between institutions

 

N = 48

N = 142

p-value

Oxygen therapy

   

FiO2

   

   0.21

15/45 (33)

41/138 (30)

 

   0.22 - 0.5

26/45 (58)

79/138 (57)

0.728

   0.51 - 1.0

4/45 (9)

18/138 (13)

 

Target SpO2

   

   < 85%

12/47 (26)

18/129 (14)

 

   85-90%

34/47 (72)

92/129 (71)

0.023

   > 90%

1/47 (2)

19/129 (15)

 

High FiO2, taper down

7/48 (15)

31/140 (22)

 

Low FiO2, taper up

41/48 (85)

109/110 (78)

0.260

Non-invasive respiratory support

   

Prolonged inflations > 5 sec

11/46 (24)

36/138 (26)

0.770

Starting CPAP

   

   ≤ 3 cmH20

3/45 (7)

7/135 (5)

 

   4-5 cmH20

31/45 (69)

108/135 (80)

0.288

   > 5 cmH20

11/45 (24)

20/135 (15)

 

Invasive respiratory support

   

INSURE yes

12/47 (26)

39/123 (32)

0.432

Surfactant

   

   100 mg/kg

30/39 (77)

113/127 (89)

0.109

   150-200 mg/kg

9/39 (13)

14/127 (11)

 
  1. CPAP = continuous positive airway pressure
  2. FiO2 = fraction of inspired oxygen
  3. SpO2 = peripheral saturation of oxygen
  4. INSURE = in tubate, sur factant application, e xtubate immediately