AustralieFrV1, Main, Exploration, bibRecord, 007902

Elective high-frequency oscillatory versus conventional ventilation in preterm infants: a systematic review and meta-analysis of individual patients' data

Identifieur interne : 007902 ( Main/Exploration ); précédent : 007901; suivant : 007903

Elective high-frequency oscillatory versus conventional ventilation in preterm infants: a systematic review and meta-analysis of individual patients' data

Auteurs : Filip Cools [Belgique] ; Lisa M. Askie [Australie] ; Martin Offringa [Pays-Bas] ; Jeanette M. Asselin [États-Unis] ; Sandra A. Calvert [Royaume-Uni] ; Sherry E. Courtney [États-Unis] ; Carlo Dani [Italie] ; David J. Durand [États-Unis] ; Dale R. Gerstmann [États-Unis] ; David J. Henderson-Smart [Australie] ; Neil Marlow [Royaume-Uni] ; Janet L. Peacock [Royaume-Uni] ; J. Jane Pillow [Australie] ; Roger F. Soll [États-Unis] ; Ulrich H. Thome [Allemagne] ; Patrick Truffert [France] ; Michael D. Schreiber [États-Unis] ; Patrick Van Reempts [Belgique] ; Valentina Vendettuoli [Italie] ; Giovanni Veneto [Italie]

Source :

Lancet : (British edition) [ 0140-6736 ] ; 2010.

RBID : Pascal:10-0307348

Descripteurs français

Pascal (Inist)
- Ventilation haute fréquence, Etude comparative, Prématuré, Prématurité, Revue systématique, Métaanalyse, Donnée médicale, Médecine.
Wicri :
- topic : Médecine.

English descriptors

KwdEn :
- Comparative study, High frequency ventilation, Medical data, Medicine, Metaanalysis, Premature, Prematurity, Systematic review.

Abstract

Background Population and study design heterogeneity has confounded previous meta-analyses, leading to uncertainty about effectiveness and safety of elective high-frequency oscillatory ventilation (HFOV) in preterm infants. We assessed effectiveness of elective HFOV versus conventional ventilation in this group. Methods We did a systematic review and meta-analysis of individual patients' data from 3229 participants in ten randomised controlled trials, with the primary outcomes of death or bronchopulmonary dysplasia at 36 weeks' postmenstrual age, death or severe adverse neurological event, or any of these outcomes. Findings For infants ventilated with HFOV, the relative risk of death or bronchopulmonary dysplasia at 36 weeks' postmenstrual age was 0.95 (95% CI 0.88-1.03), of death or severe adverse neurological event 1.00 (0.88-1.13), or any of these outcomes 0.98 (0.91-1.05). No subgroup of infants (eg, gestational age, birthweight for gestation, initial lung disease severity, or exposure to antenatal corticosteroids) benefited more or less from HFOV. Ventilator type or ventilation strategy did not change the overall treatment effect. Interpretation HFOV seems equally effective to conventional ventilation in preterm infants. Our results do not support selection of preterm infants for HFOV on the basis of gestational age, birthweight for gestation, initial lung disease severity, or exposure to antenatal corticosteroids.

Affiliations:

Links toward previous steps (curation, corpus...)

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Le document en format XML

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<author><name sortKey="Veneto, Giovanni" sort="Veneto, Giovanni" uniqKey="Veneto G" first="Giovanni" last="Veneto">Giovanni Veneto</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Elective high-frequency oscillatory versus conventional ventilation in preterm infants: a systematic review and meta-analysis of individual patients' data</title>
<author><name sortKey="Cools, Filip" sort="Cools, Filip" uniqKey="Cools F" first="Filip" last="Cools">Filip Cools</name>
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<s2>Brussels</s2>
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<placeName><settlement type="city">Bruxelles</settlement>
<region nuts="2">Région de Bruxelles-Capitale</region>
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</affiliation>
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<author><name sortKey="Askie, Lisa M" sort="Askie, Lisa M" uniqKey="Askie L" first="Lisa M." last="Askie">Lisa M. Askie</name>
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<author><name sortKey="Durand, David J" sort="Durand, David J" uniqKey="Durand D" first="David J." last="Durand">David J. Durand</name>
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<author><name sortKey="Gerstmann, Dale R" sort="Gerstmann, Dale R" uniqKey="Gerstmann D" first="Dale R." last="Gerstmann">Dale R. Gerstmann</name>
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<wicri:noRegion>Orem, UT</wicri:noRegion>
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<author><name sortKey="Henderson Smart, David J" sort="Henderson Smart, David J" uniqKey="Henderson Smart D" first="David J." last="Henderson-Smart">David J. Henderson-Smart</name>
<affiliation wicri:level="4"><inist:fA14 i1="09"><s1>Centre for Perinatal Health Services Research, University of sydney</s1>
<s2>sydney</s2>
<s3>AUS</s3>
<sZ>10 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName><settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
<orgName type="university">Université de Sydney</orgName>
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<author><name sortKey="Marlow, Neil" sort="Marlow, Neil" uniqKey="Marlow N" first="Neil" last="Marlow">Neil Marlow</name>
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<s3>GBR</s3>
<sZ>11 aut.</sZ>
</inist:fA14>
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<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
<settlement type="city">Londres</settlement>
</placeName>
<orgName type="university">University College de Londres</orgName>
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</author>
<author><name sortKey="Peacock, Janet L" sort="Peacock, Janet L" uniqKey="Peacock J" first="Janet L." last="Peacock">Janet L. Peacock</name>
<affiliation wicri:level="1"><inist:fA14 i1="11"><s1>Public Health Sciences and Medical Statistics, University of Southampton School of Medicine, Southampton General Hospital</s1>
<s2>Southampton</s2>
<s3>GBR</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
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<wicri:noRegion>Southampton</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Pillow, J Jane" sort="Pillow, J Jane" uniqKey="Pillow J" first="J. Jane" last="Pillow">J. Jane Pillow</name>
<affiliation wicri:level="1"><inist:fA14 i1="12"><s1>School of Women's and Infants' Health, King Edward Memorial Hospital, University of Western Australia</s1>
<s2>Subiaco</s2>
<s3>AUS</s3>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<wicri:noRegion>Subiaco</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Soll, Roger F" sort="Soll, Roger F" uniqKey="Soll R" first="Roger F." last="Soll">Roger F. Soll</name>
<affiliation wicri:level="1"><inist:fA14 i1="13"><s1>Division of Neonatal Perinatal Medicine, Fletcher Allen Health Care</s1>
<s2>Burlington, VT</s2>
<s3>USA</s3>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Burlington, VT</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Thome, Ulrich H" sort="Thome, Ulrich H" uniqKey="Thome U" first="Ulrich H." last="Thome">Ulrich H. Thome</name>
<affiliation wicri:level="3"><inist:fA14 i1="14"><s1>Department of Neonatology, University Hospital for Children and Adolescents, Women's and Children's Hospital</s1>
<s2>Leipzig</s2>
<s3>DEU</s3>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<placeName><region type="land" nuts="1">Saxe (Land)</region>
<region type="district" nuts="2">District de Leipzig</region>
<settlement type="city">Leipzig</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Truffert, Patrick" sort="Truffert, Patrick" uniqKey="Truffert P" first="Patrick" last="Truffert">Patrick Truffert</name>
<affiliation wicri:level="3"><inist:fA14 i1="15"><s1>Jeanne of Flanders Hospital, Regional Hospital Centre, University of Lille</s1>
<s2>Lille</s2>
<s3>FRA</s3>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><region type="region">Hauts-de-France</region>
<region type="old region">Nord-Pas-de-Calais</region>
<settlement type="city">Lille</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Schreiber, Michael D" sort="Schreiber, Michael D" uniqKey="Schreiber M" first="Michael D." last="Schreiber">Michael D. Schreiber</name>
<affiliation wicri:level="1"><inist:fA14 i1="16"><s1>Department of Pediatrics, University of Chicago Medical Center</s1>
<s2>Chicago, IL</s2>
<s3>USA</s3>
<sZ>17 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Chicago, IL</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Van Reempts, Patrick" sort="Van Reempts, Patrick" uniqKey="Van Reempts P" first="Patrick" last="Van Reempts">Patrick Van Reempts</name>
<affiliation wicri:level="1"><inist:fA14 i1="17"><s1>Department of Neonatology, University Hospital Antwerp</s1>
<s2>Antwerp</s2>
<s3>BEL</s3>
<sZ>18 aut.</sZ>
</inist:fA14>
<country>Belgique</country>
<wicri:noRegion>Antwerp</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Vendettuoli, Valentina" sort="Vendettuoli, Valentina" uniqKey="Vendettuoli V" first="Valentina" last="Vendettuoli">Valentina Vendettuoli</name>
<affiliation wicri:level="3"><inist:fA14 i1="18"><s1>Division of Neonatology, Department of Maternal and Paediatric Sciences, University of Milan</s1>
<s2>Milan</s2>
<s3>ITA</s3>
<sZ>19 aut.</sZ>
</inist:fA14>
<country>Italie</country>
<placeName><settlement type="city">Milan</settlement>
<region nuts="2">Lombardie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Veneto, Giovanni" sort="Veneto, Giovanni" uniqKey="Veneto G" first="Giovanni" last="Veneto">Giovanni Veneto</name>
<affiliation wicri:level="3"><inist:fA14 i1="19"><s1>Division of Neonatology-Department of Paediatrics, Catholic University of the Sacred Heart</s1>
<s2>Rome</s2>
<s3>ITA</s3>
<sZ>20 aut.</sZ>
</inist:fA14>
<country>Italie</country>
<placeName><settlement type="city">Rome</settlement>
<region nuts="2">Latium</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Lancet : (British edition)</title>
<title level="j" type="abbreviated">Lancet : (Br. ed.)</title>
<idno type="ISSN">0140-6736</idno>
<imprint><date when="2010">2010</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Lancet : (British edition)</title>
<title level="j" type="abbreviated">Lancet : (Br. ed.)</title>
<idno type="ISSN">0140-6736</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Comparative study</term>
<term>High frequency ventilation</term>
<term>Medical data</term>
<term>Medicine</term>
<term>Metaanalysis</term>
<term>Premature</term>
<term>Prematurity</term>
<term>Systematic review</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Ventilation haute fréquence</term>
<term>Etude comparative</term>
<term>Prématuré</term>
<term>Prématurité</term>
<term>Revue systématique</term>
<term>Métaanalyse</term>
<term>Donnée médicale</term>
<term>Médecine</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Médecine</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Background Population and study design heterogeneity has confounded previous meta-analyses, leading to uncertainty about effectiveness and safety of elective high-frequency oscillatory ventilation (HFOV) in preterm infants. We assessed effectiveness of elective HFOV versus conventional ventilation in this group. Methods We did a systematic review and meta-analysis of individual patients' data from 3229 participants in ten randomised controlled trials, with the primary outcomes of death or bronchopulmonary dysplasia at 36 weeks' postmenstrual age, death or severe adverse neurological event, or any of these outcomes. Findings For infants ventilated with HFOV, the relative risk of death or bronchopulmonary dysplasia at 36 weeks' postmenstrual age was 0.95 (95% CI 0.88-1.03), of death or severe adverse neurological event 1.00 (0.88-1.13), or any of these outcomes 0.98 (0.91-1.05). No subgroup of infants (eg, gestational age, birthweight for gestation, initial lung disease severity, or exposure to antenatal corticosteroids) benefited more or less from HFOV. Ventilator type or ventilation strategy did not change the overall treatment effect. Interpretation HFOV seems equally effective to conventional ventilation in preterm infants. Our results do not support selection of preterm infants for HFOV on the basis of gestational age, birthweight for gestation, initial lung disease severity, or exposure to antenatal corticosteroids.</div>
</front>
</TEI>
<affiliations><list><country><li>Allemagne</li>
<li>Australie</li>
<li>Belgique</li>
<li>France</li>
<li>Italie</li>
<li>Pays-Bas</li>
<li>Royaume-Uni</li>
<li>États-Unis</li>
</country>
<region><li>Angleterre</li>
<li>District de Leipzig</li>
<li>Grand Londres</li>
<li>Hauts-de-France</li>
<li>Hollande-Septentrionale</li>
<li>Latium</li>
<li>Lombardie</li>
<li>Nord-Pas-de-Calais</li>
<li>Nouvelle-Galles du Sud</li>
<li>Région de Bruxelles-Capitale</li>
<li>Saxe (Land)</li>
</region>
<settlement><li>Amsterdam</li>
<li>Bruxelles</li>
<li>Leipzig</li>
<li>Lille</li>
<li>Londres</li>
<li>Milan</li>
<li>Rome</li>
<li>Sydney</li>
</settlement>
<orgName><li>University College de Londres</li>
<li>Université d'Amsterdam</li>
<li>Université de Sydney</li>
</orgName>
</list>
<tree><country name="Belgique"><region name="Région de Bruxelles-Capitale"><name sortKey="Cools, Filip" sort="Cools, Filip" uniqKey="Cools F" first="Filip" last="Cools">Filip Cools</name>
</region>
<name sortKey="Van Reempts, Patrick" sort="Van Reempts, Patrick" uniqKey="Van Reempts P" first="Patrick" last="Van Reempts">Patrick Van Reempts</name>
</country>
<country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Askie, Lisa M" sort="Askie, Lisa M" uniqKey="Askie L" first="Lisa M." last="Askie">Lisa M. Askie</name>
</region>
<name sortKey="Henderson Smart, David J" sort="Henderson Smart, David J" uniqKey="Henderson Smart D" first="David J." last="Henderson-Smart">David J. Henderson-Smart</name>
<name sortKey="Pillow, J Jane" sort="Pillow, J Jane" uniqKey="Pillow J" first="J. Jane" last="Pillow">J. Jane Pillow</name>
</country>
<country name="Pays-Bas"><region name="Hollande-Septentrionale"><name sortKey="Offringa, Martin" sort="Offringa, Martin" uniqKey="Offringa M" first="Martin" last="Offringa">Martin Offringa</name>
</region>
</country>
<country name="États-Unis"><noRegion><name sortKey="Asselin, Jeanette M" sort="Asselin, Jeanette M" uniqKey="Asselin J" first="Jeanette M." last="Asselin">Jeanette M. Asselin</name>
</noRegion>
<name sortKey="Courtney, Sherry E" sort="Courtney, Sherry E" uniqKey="Courtney S" first="Sherry E." last="Courtney">Sherry E. Courtney</name>
<name sortKey="Durand, David J" sort="Durand, David J" uniqKey="Durand D" first="David J." last="Durand">David J. Durand</name>
<name sortKey="Gerstmann, Dale R" sort="Gerstmann, Dale R" uniqKey="Gerstmann D" first="Dale R." last="Gerstmann">Dale R. Gerstmann</name>
<name sortKey="Schreiber, Michael D" sort="Schreiber, Michael D" uniqKey="Schreiber M" first="Michael D." last="Schreiber">Michael D. Schreiber</name>
<name sortKey="Soll, Roger F" sort="Soll, Roger F" uniqKey="Soll R" first="Roger F." last="Soll">Roger F. Soll</name>
</country>
<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Calvert, Sandra A" sort="Calvert, Sandra A" uniqKey="Calvert S" first="Sandra A." last="Calvert">Sandra A. Calvert</name>
</region>
<name sortKey="Marlow, Neil" sort="Marlow, Neil" uniqKey="Marlow N" first="Neil" last="Marlow">Neil Marlow</name>
<name sortKey="Peacock, Janet L" sort="Peacock, Janet L" uniqKey="Peacock J" first="Janet L." last="Peacock">Janet L. Peacock</name>
</country>
<country name="Italie"><noRegion><name sortKey="Dani, Carlo" sort="Dani, Carlo" uniqKey="Dani C" first="Carlo" last="Dani">Carlo Dani</name>
</noRegion>
<name sortKey="Vendettuoli, Valentina" sort="Vendettuoli, Valentina" uniqKey="Vendettuoli V" first="Valentina" last="Vendettuoli">Valentina Vendettuoli</name>
<name sortKey="Veneto, Giovanni" sort="Veneto, Giovanni" uniqKey="Veneto G" first="Giovanni" last="Veneto">Giovanni Veneto</name>
</country>
<country name="Allemagne"><region name="Saxe (Land)"><name sortKey="Thome, Ulrich H" sort="Thome, Ulrich H" uniqKey="Thome U" first="Ulrich H." last="Thome">Ulrich H. Thome</name>
</region>
</country>
<country name="France"><region name="Hauts-de-France"><name sortKey="Truffert, Patrick" sort="Truffert, Patrick" uniqKey="Truffert P" first="Patrick" last="Truffert">Patrick Truffert</name>
</region>
</country>
</tree>
</affiliations>
</record>

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Elective high-frequency oscillatory versus conventional ventilation in preterm infants: a systematic review and meta-analysis of individual patients' data

Elective high-frequency oscillatory versus conventional ventilation in preterm infants: a systematic review and meta-analysis of individual patients' data

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