Elective high-frequency oscillatory versus conventional ventilation in preterm infants: a systematic review and meta-analysis of individual patients' data
Identifieur interne : 002452 ( PascalFrancis/Checkpoint ); précédent : 002451; suivant : 002453Elective 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.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Médecine.
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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:
- Allemagne, Australie, Belgique, France, Italie, Pays-Bas, Royaume-Uni, États-Unis
- Angleterre, District de Leipzig, Grand Londres, Hauts-de-France, Hollande-Septentrionale, Latium, Lombardie, Nord-Pas-de-Calais, Nouvelle-Galles du Sud, Région de Bruxelles-Capitale, Saxe (Land)
- Amsterdam, Bruxelles, Leipzig, Lille, Londres, Milan, Rome, Sydney
- University College de Londres, Université d'Amsterdam, Université de Sydney
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Courtney</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Department of Neonatology, Stony Brook University Medical Center</s1><s2>Stony Brook, NY</s2><s3>USA</s3><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Stony Brook, NY</wicri:noRegion></affiliation></author><author><name sortKey="Dani, Carlo" sort="Dani, Carlo" uniqKey="Dani C" first="Carlo" last="Dani">Carlo Dani</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Department of Surgical and Medical Critical Care, Section of Neonatology, University of Florence</s1><s2>Florence</s2><s3>ITA</s3><sZ>7 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Florence</wicri:noRegion></affiliation></author><author><name sortKey="Durand, David J" sort="Durand, David J" uniqKey="Durand D" first="David J." last="Durand">David J. Durand</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Division of Neonatology, Children's Hospital and Research Center Oakland</s1><s2>Oakland, CA</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Oakland, CA</wicri:noRegion></affiliation></author><author><name sortKey="Gerstmann, Dale R" sort="Gerstmann, Dale R" uniqKey="Gerstmann D" first="Dale R." last="Gerstmann">Dale R. Gerstmann</name><affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Neonatal Intensive Care Unit, Timpanogos Regional Hospital</s1><s2>Orem, UT</s2><s3>USA</s3><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Orem, UT</wicri:noRegion></affiliation></author><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></affiliation></author><author><name sortKey="Marlow, Neil" sort="Marlow, Neil" uniqKey="Marlow N" first="Neil" last="Marlow">Neil Marlow</name><affiliation wicri:level="4"><inist:fA14 i1="10"><s1>Department of Academic Neonatology, University College London, Elizabeth Garrett Anderson Institute for Women's Health</s1><s2>London</s2><s3>GBR</s3><sZ>11 aut.</sZ></inist:fA14><country>Royaume-Uni</country><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></affiliation></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><country>Royaume-Uni</country><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></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">10-0307348</idno><date when="2010">2010</date><idno type="stanalyst">PASCAL 10-0307348 INIST</idno><idno type="RBID">Pascal:10-0307348</idno><idno type="wicri:Area/PascalFrancis/Corpus">002592</idno><idno type="wicri:Area/PascalFrancis/Curation">003994</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">002452</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">002452</idno></publicationStmt><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><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Neonatal Intensive Care Unit, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel</s1><s2>Brussels</s2><s3>BEL</s3><sZ>1 aut.</sZ></inist:fA14><country>Belgique</country><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Askie, Lisa M" sort="Askie, Lisa M" uniqKey="Askie L" first="Lisa M." last="Askie">Lisa M. Askie</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>NHMRC Clinical Trials Centre, University of Sydney</s1><s2>Sydney</s2><s3>AUS</s3><sZ>2 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region><settlement type="city">Sydney</settlement></placeName><orgName type="university">Université de Sydney</orgName></affiliation></author><author><name sortKey="Offringa, Martin" sort="Offringa, Martin" uniqKey="Offringa M" first="Martin" last="Offringa">Martin Offringa</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Department of Neonatology, Academic Medical Centre, University of Amsterdam</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>3 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region><settlement type="city">Amsterdam</settlement></placeName><orgName type="university">Université d'Amsterdam</orgName></affiliation></author><author><name sortKey="Asselin, Jeanette M" sort="Asselin, Jeanette M" uniqKey="Asselin J" first="Jeanette M." last="Asselin">Jeanette M. Asselin</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Division of Neonatology, Children's Hospital and Research Center Oakland</s1><s2>Oakland, CA</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Oakland, CA</wicri:noRegion></affiliation></author><author><name sortKey="Calvert, Sandra A" sort="Calvert, Sandra A" uniqKey="Calvert S" first="Sandra A." last="Calvert">Sandra A. Calvert</name><affiliation wicri:level="3"><inist:fA14 i1="05"><s1>Neonatal Unit-Department of Child Health, St George's Hospital</s1><s2>London</s2><s3>GBR</s3><sZ>5 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Courtney, Sherry E" sort="Courtney, Sherry E" uniqKey="Courtney S" first="Sherry E." last="Courtney">Sherry E. Courtney</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Department of Neonatology, Stony Brook University Medical Center</s1><s2>Stony Brook, NY</s2><s3>USA</s3><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Stony Brook, NY</wicri:noRegion></affiliation></author><author><name sortKey="Dani, Carlo" sort="Dani, Carlo" uniqKey="Dani C" first="Carlo" last="Dani">Carlo Dani</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Department of Surgical and Medical Critical Care, Section of Neonatology, University of Florence</s1><s2>Florence</s2><s3>ITA</s3><sZ>7 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Florence</wicri:noRegion></affiliation></author><author><name sortKey="Durand, David J" sort="Durand, David J" uniqKey="Durand D" first="David J." last="Durand">David J. Durand</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Division of Neonatology, Children's Hospital and Research Center Oakland</s1><s2>Oakland, CA</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Oakland, CA</wicri:noRegion></affiliation></author><author><name sortKey="Gerstmann, Dale R" sort="Gerstmann, Dale R" uniqKey="Gerstmann D" first="Dale R." last="Gerstmann">Dale R. Gerstmann</name><affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Neonatal Intensive Care Unit, Timpanogos Regional Hospital</s1><s2>Orem, UT</s2><s3>USA</s3><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Orem, UT</wicri:noRegion></affiliation></author><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></affiliation></author><author><name sortKey="Marlow, Neil" sort="Marlow, Neil" uniqKey="Marlow N" first="Neil" last="Marlow">Neil Marlow</name><affiliation wicri:level="4"><inist:fA14 i1="10"><s1>Department of Academic Neonatology, University College London, Elizabeth Garrett Anderson Institute for Women's Health</s1><s2>London</s2><s3>GBR</s3><sZ>11 aut.</sZ></inist:fA14><country>Royaume-Uni</country><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></affiliation></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><country>Royaume-Uni</country><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><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0140-6736</s0></fA01><fA02 i1="01"><s0>LANCAO</s0></fA02><fA03 i2="1"><s0>Lancet : (Br. ed.)</s0></fA03><fA05><s2>375</s2></fA05><fA06><s2>9731</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Elective high-frequency oscillatory versus conventional ventilation in preterm infants: a systematic review and meta-analysis of individual patients' data</s1></fA08><fA11 i1="01" i2="1"><s1>COOLS (Filip)</s1></fA11><fA11 i1="02" i2="1"><s1>ASKIE (Lisa M.)</s1></fA11><fA11 i1="03" i2="1"><s1>OFFRINGA (Martin)</s1></fA11><fA11 i1="04" i2="1"><s1>ASSELIN (Jeanette M.)</s1></fA11><fA11 i1="05" i2="1"><s1>CALVERT (Sandra A.)</s1></fA11><fA11 i1="06" i2="1"><s1>COURTNEY (Sherry E.)</s1></fA11><fA11 i1="07" i2="1"><s1>DANI (Carlo)</s1></fA11><fA11 i1="08" i2="1"><s1>DURAND (David J.)</s1></fA11><fA11 i1="09" i2="1"><s1>GERSTMANN (Dale R.)</s1></fA11><fA11 i1="10" i2="1"><s1>HENDERSON-SMART (David J.)</s1></fA11><fA11 i1="11" i2="1"><s1>MARLOW (Neil)</s1></fA11><fA11 i1="12" i2="1"><s1>PEACOCK (Janet L.)</s1></fA11><fA11 i1="13" i2="1"><s1>PILLOW (J. Jane)</s1></fA11><fA11 i1="14" i2="1"><s1>SOLL (Roger F.)</s1></fA11><fA11 i1="15" i2="1"><s1>THOME (Ulrich H.)</s1></fA11><fA11 i1="16" i2="1"><s1>TRUFFERT (Patrick)</s1></fA11><fA11 i1="17" i2="1"><s1>SCHREIBER (Michael D.)</s1></fA11><fA11 i1="18" i2="1"><s1>VAN REEMPTS (Patrick)</s1></fA11><fA11 i1="19" i2="1"><s1>VENDETTUOLI (Valentina)</s1></fA11><fA11 i1="20" i2="1"><s1>VENETO (Giovanni)</s1></fA11><fA14 i1="01"><s1>Neonatal Intensive Care Unit, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel</s1><s2>Brussels</s2><s3>BEL</s3><sZ>1 aut.</sZ></fA14><fA14 i1="02"><s1>NHMRC Clinical Trials Centre, University of Sydney</s1><s2>Sydney</s2><s3>AUS</s3><sZ>2 aut.</sZ></fA14><fA14 i1="03"><s1>Department of Neonatology, Academic Medical Centre, University of Amsterdam</s1><s2>Amsterdam</s2><s3>NLD</s3><sZ>3 aut.</sZ></fA14><fA14 i1="04"><s1>Division of Neonatology, Children's Hospital and Research Center Oakland</s1><s2>Oakland, CA</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>8 aut.</sZ></fA14><fA14 i1="05"><s1>Neonatal Unit-Department of Child Health, St George's Hospital</s1><s2>London</s2><s3>GBR</s3><sZ>5 aut.</sZ></fA14><fA14 i1="06"><s1>Department of Neonatology, Stony Brook University Medical Center</s1><s2>Stony Brook, NY</s2><s3>USA</s3><sZ>6 aut.</sZ></fA14><fA14 i1="07"><s1>Department of Surgical and Medical Critical Care, Section of Neonatology, University of Florence</s1><s2>Florence</s2><s3>ITA</s3><sZ>7 aut.</sZ></fA14><fA14 i1="08"><s1>Neonatal Intensive Care Unit, Timpanogos Regional Hospital</s1><s2>Orem, UT</s2><s3>USA</s3><sZ>9 aut.</sZ></fA14><fA14 i1="09"><s1>Centre for Perinatal Health Services Research, University of sydney</s1><s2>sydney</s2><s3>AUS</s3><sZ>10 aut.</sZ></fA14><fA14 i1="10"><s1>Department of Academic Neonatology, University College London, Elizabeth Garrett Anderson Institute for Women's Health</s1><s2>London</s2><s3>GBR</s3><sZ>11 aut.</sZ></fA14><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></fA14><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></fA14><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></fA14><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></fA14><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></fA14><fA14 i1="16"><s1>Department of Pediatrics, University of Chicago Medical Center</s1><s2>Chicago, IL</s2><s3>USA</s3><sZ>17 aut.</sZ></fA14><fA14 i1="17"><s1>Department of Neonatology, University Hospital Antwerp</s1><s2>Antwerp</s2><s3>BEL</s3><sZ>18 aut.</sZ></fA14><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></fA14><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></fA14><fA17 i1="01" i2="1"><s1>PreVILIG collaboration</s1><s3>INC</s3></fA17><fA20><s1>2082-2091</s1></fA20><fA21><s1>2010</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>5004</s2><s5>354000193090470140</s5></fA43><fA44><s0>0000</s0><s1>© 2010 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>38 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>10-0307348</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Lancet : (British edition)</s0></fA64><fA66 i1="01"><s0>GBR</s0></fA66><fC01 i1="01" l="ENG"><s0>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.</s0></fC01><fC02 i1="01" i2="X"><s0>002B01</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Ventilation haute fréquence</s0><s5>02</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>High frequency ventilation</s0><s5>02</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Ventilación alta frecuencia</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Etude comparative</s0><s5>03</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Comparative study</s0><s5>03</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Estudio comparativo</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Prématuré</s0><s5>05</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Premature</s0><s5>05</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Prematuro</s0><s5>05</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Prématurité</s0><s5>06</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Prematurity</s0><s5>06</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Prematuridad</s0><s5>06</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Revue systématique</s0><s2>FM</s2><s5>08</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Systematic review</s0><s2>FM</s2><s5>08</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Revisión sistemática</s0><s2>FM</s2><s5>08</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Métaanalyse</s0><s5>09</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Metaanalysis</s0><s5>09</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Meta-análisis</s0><s5>09</s5></fC03><fC03 i1="07" i2="X" l="FRE"><s0>Donnée médicale</s0><s5>11</s5></fC03><fC03 i1="07" i2="X" l="ENG"><s0>Medical data</s0><s5>11</s5></fC03><fC03 i1="07" i2="X" l="SPA"><s0>Datos Médicos</s0><s5>11</s5></fC03><fC03 i1="08" i2="X" l="FRE"><s0>Médecine</s0><s5>12</s5></fC03><fC03 i1="08" i2="X" l="ENG"><s0>Medicine</s0><s5>12</s5></fC03><fC03 i1="08" i2="X" l="SPA"><s0>Medicina</s0><s5>12</s5></fC03><fN21><s1>193</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard></inist><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>Pour manipuler ce document sous Unix (Dilib)
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