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NeoVitaA试验最新进展:障碍、挑战、前景及本地经验

Up-date on the NeoVitaA Trial: Obstacles, challenges, perspectives, and local experiences.

作者信息

Meyer Sascha, Gortner Ludwig

机构信息

Neonatal Unit, University Hospital of Saarland, Building 9, 66421, Homburg, Germany.

出版信息

Wien Med Wochenschr. 2017 Sep;167(11-12):264-270. doi: 10.1007/s10354-016-0500-z. Epub 2016 Sep 26.

DOI:10.1007/s10354-016-0500-z
PMID:27671007
Abstract

The aim of the NeoVitaA Trial is to assess the role of postnatal additional high-dose oral vitamin A supplementation for 28 days in reducing Bronchopulmonary dysplasia (BPD) or death in extremely low birth weight (ELBW) infants at 36 weeks postmenstrual age (PMA). All infants (both intervention and control group) will be provided with basic vitamin A (1000 IU/kg/day) in addition to trial intervention.In this short communication, we will give an up-date on obstacles, challenges as well as perspectives and potential solutions when putting into place a multicenter, double-blind, randomized trial in this cohort of extremely susceptible infants.

摘要

NeoVitaA试验的目的是评估产后额外补充高剂量口服维生素A 28天对降低极低出生体重(ELBW)婴儿在孕龄36周时支气管肺发育不良(BPD)或死亡的作用。除试验干预措施外,所有婴儿(干预组和对照组)都将补充基本量的维生素A(1000国际单位/千克/天)。在这篇简短的通讯中,我们将介绍在这一极易受影响的婴儿群体中开展一项多中心、双盲、随机试验时遇到的障碍、挑战以及前景和潜在的解决方案。

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Up-date on the NeoVitaA Trial: Obstacles, challenges, perspectives, and local experiences.NeoVitaA试验最新进展:障碍、挑战、前景及本地经验
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Early Vitamin A Supplementation for Prevention of Short-Term Morbidity and Mortality in Very-Low-Birth-Weight Infants: A Systematic Review and Meta-Analysis.早期补充维生素A预防极低出生体重儿短期发病和死亡:一项系统评价和荟萃分析
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本文引用的文献

1
Early postnatal additional high-dose oral vitamin A supplementation versus placebo for 28 days for preventing bronchopulmonary dysplasia or death in extremely low birth weight infants.早期产后额外高剂量口服维生素 A 补充剂与安慰剂 28 天比较,预防极低出生体重儿支气管肺发育不良或死亡。
Neonatology. 2014;105(3):182-8. doi: 10.1159/000357212. Epub 2014 Jan 14.
2
Effects of early inhaled nitric oxide therapy and vitamin A supplementation on the risk for bronchopulmonary dysplasia in premature newborns with respiratory failure.早期吸入一氧化氮治疗和维生素 A 补充对呼吸衰竭早产儿支气管肺发育不良风险的影响。
J Pediatr. 2014 Apr;164(4):744-8. doi: 10.1016/j.jpeds.2013.11.040. Epub 2013 Dec 31.
3
Supplemental Oxygen in the Newborn: Historical Perspective and Current Trends.
新生儿补充氧气:历史回顾与当前趋势
Antioxidants (Basel). 2021 Nov 25;10(12):1879. doi: 10.3390/antiox10121879.
4
Evidence for the Management of Bronchopulmonary Dysplasia in Very Preterm Infants.极早产儿支气管肺发育不良管理的证据
Children (Basel). 2021 Apr 13;8(4):298. doi: 10.3390/children8040298.
5
Intramuscular Followed by Oral Vitamin A Supplementation in Neonates with Birth Weight from 750 to 1250 g: A Randomized Controlled Trial.出生体重750至1250克新生儿肌肉注射后口服维生素A补充剂:一项随机对照试验
Indian J Clin Biochem. 2020 Apr;35(2):197-204. doi: 10.1007/s12291-018-0807-1. Epub 2019 Jan 3.
6
Role of Vitamin A in Mammary Gland Development and Lactation.维生素 A 在乳腺发育和泌乳中的作用。
Nutrients. 2019 Dec 27;12(1):80. doi: 10.3390/nu12010080.
7
Bronchopulmonary Dysplasia: An Update on Experimental Therapeutics.支气管肺发育不良:实验性治疗的最新进展
Eur Med J (Chelmsf). 2019 Mar;4(1):20-29. Epub 2019 Mar 14.
8
Vitamin A to prevent bronchopulmonary dysplasia in extremely low birth weight infants: a systematic review and meta-analysis.维生素 A 预防极低出生体重儿支气管肺发育不良:系统评价和荟萃分析。
PLoS One. 2018 Nov 29;13(11):e0207730. doi: 10.1371/journal.pone.0207730. eCollection 2018.
9
Bronchopulmonary Dysplasia: Chronic Lung Disease of Infancy and Long-Term Pulmonary Outcomes.支气管肺发育不良:婴儿期慢性肺病及长期肺部结局
J Clin Med. 2017 Jan 6;6(1):4. doi: 10.3390/jcm6010004.
Cardiovascular and metabolic side effects associated with hydrocortisone and dexamethasone use in VLBW infants: a single-centre experience.
极低出生体重儿使用氢化可的松和地塞米松相关的心血管和代谢副作用:单中心经验
Acta Paediatr. 2013 Oct;102(10):e436. doi: 10.1111/apa.12338. Epub 2013 Aug 8.
4
Major contributors to hospital mortality in very-low-birth-weight infants: data of the birth year 2010 cohort of the German Neonatal Network.极低出生体重儿医院死亡率的主要影响因素:德国新生儿网络2010年出生队列的数据
Klin Padiatr. 2012 Jul;224(4):276-81. doi: 10.1055/s-0032-1306344. Epub 2012 Mar 22.
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Vitamin A supplementation to prevent mortality and short- and long-term morbidity in very low birthweight infants.补充维生素A预防极低出生体重儿的死亡及短期和长期发病情况。
Cochrane Database Syst Rev. 2011 Oct 5(10):CD000501. doi: 10.1002/14651858.CD000501.pub3.
6
Policy statement--postnatal corticosteroids to prevent or treat bronchopulmonary dysplasia.政策声明——产后皮质类固醇预防或治疗支气管肺发育不良。
Pediatrics. 2010 Oct;126(4):800-8. doi: 10.1542/peds.2010-1534. Epub 2010 Sep 6.
7
Does bronchopulmonary dysplasia contribute to the occurrence of cerebral palsy among infants born before 28 weeks of gestation?支气管肺发育不良是否会导致 28 周前出生的婴儿脑瘫?
Arch Dis Child Fetal Neonatal Ed. 2011 Jan;96(1):F20-9. doi: 10.1136/adc.2010.183012. Epub 2010 Aug 24.
8
Rates of bronchopulmonary dysplasia in very preterm neonates in Europe: results from the MOSAIC cohort.欧洲极早产儿支气管肺发育不良的发生率:MOSAIC 队列研究结果。
Neonatology. 2011;99(2):112-7. doi: 10.1159/000313024. Epub 2010 Aug 23.
9
Inhaled nitric oxide for prevention of bronchopulmonary dysplasia in premature babies (EUNO): a randomised controlled trial.吸入一氧化氮预防早产儿支气管肺发育不良(EUNO):一项随机对照试验。
Lancet. 2010 Jul 31;376(9738):346-54. doi: 10.1016/S0140-6736(10)60664-2. Epub 2010 Jul 23.
10
Understanding variation in vitamin A supplementation among NICUs.了解新生儿重症监护病房(NICUs)中维生素 A 补充的差异。
Pediatrics. 2010 Aug;126(2):e367-73. doi: 10.1542/peds.2009-3085. Epub 2010 Jul 5.