Andersen Stephanie Balslev, Eriksen Janne, Viuff Anne-Cathrine Finnemann, Pedersen Lia Mendes, Brix Ninna
Aalborg University Hospital, Aalborg, Denmark.
Aalborg University, Aalborg, Denmark.
Acta Paediatr. 2025 Aug;114(8):1945-1952. doi: 10.1111/apa.70062. Epub 2025 Mar 18.
Portable bedside nasal continuous positive airway pressure in the delivery room (bedside nCPAP) allows the newborn infant to remain with the mother in the delivery room while receiving nCPAP. This study aimed to evaluate the duration of nCPAP treatment and length of stay (LOS) in newborn infants with respiratory distress receiving bedside nCPAP compared to nCPAP in the neonatal intensive care unit (NICU).
This retrospective cohort study comprised newborn infants born at ≥ 35 weeks of gestation requiring nCPAP treatment within the first 2 h of life due to respiratory distress. Data were collected from October 2011 to October 2020 at Aalborg University Hospital, Denmark.
Bedside nCPAP was administered to 225 newborn infants, while 185 newborn infants received nCPAP at the NICU. Newborn infants receiving bedside nCPAP had a shorter duration of CPAP treatment (4.4 vs. 7.3 h, p < 0.001) and LOS (7.2 vs. 20.2 h, p < 0.001). Transfer to the NICU was avoided in 72% of newborn infants receiving bedside nCPAP.
Bedside nCPAP reduces the duration of CPAP treatment and LOS compared to nCPAP in the NICU. About 72% of newborn infants receiving bedside nCPAP avoided transfer to the NICU and avoided separation from their mothers.
产房便携式床边鼻持续气道正压通气（床边nCPAP）可使新生儿在接受nCPAP治疗时与母亲一起留在产房。本研究旨在评估与新生儿重症监护病房（NICU）的nCPAP相比，接受床边nCPAP治疗的呼吸窘迫新生儿的nCPAP治疗持续时间和住院时间（LOS）。
这项回顾性队列研究纳入了妊娠≥35周、因呼吸窘迫在出生后2小时内需要nCPAP治疗的新生儿。数据于2011年10月至2020年10月在丹麦奥尔堡大学医院收集。
225名新生儿接受了床边nCPAP治疗，而185名新生儿在NICU接受了nCPAP治疗。接受床边nCPAP治疗的新生儿CPAP治疗持续时间较短（4.4小时对7.3小时，p<0.001），住院时间也较短（7.2小时对20.2小时，p<0.001）。72%接受床边nCPAP治疗的新生儿避免了转入NICU。
与NICU的nCPAP相比，床边nCPAP缩短了CPAP治疗持续时间和住院时间。约72%接受床边nCPAP治疗的新生儿避免了转入NICU，避免了与母亲分离。
