Elective high-frequency oscillatory versus conventional ventilation in preterm infants: a systematic review and meta-analysis of individual patients' data
Identifieur interne : 003994 ( PascalFrancis/Curation ); précédent : 003993; suivant : 003995Elective 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.
English descriptors
- KwdEn :
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.
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<author><name sortKey="Cools, Filip" sort="Cools, Filip" uniqKey="Cools F" first="Filip" last="Cools">Filip Cools</name>
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<author><name sortKey="Asselin, Jeanette M" sort="Asselin, Jeanette M" uniqKey="Asselin J" first="Jeanette M." last="Asselin">Jeanette M. Asselin</name>
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<author><name sortKey="Courtney, Sherry E" sort="Courtney, Sherry E" uniqKey="Courtney S" first="Sherry E." last="Courtney">Sherry E. Courtney</name>
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<author><name sortKey="Dani, Carlo" sort="Dani, Carlo" uniqKey="Dani C" first="Carlo" last="Dani">Carlo Dani</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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<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>
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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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<author><name sortKey="Peacock, Janet L" sort="Peacock, Janet L" uniqKey="Peacock J" first="Janet L." last="Peacock">Janet L. Peacock</name>
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<author><name sortKey="Pillow, J Jane" sort="Pillow, J Jane" uniqKey="Pillow J" first="J. Jane" last="Pillow">J. Jane Pillow</name>
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<author><name sortKey="Soll, Roger F" sort="Soll, Roger F" uniqKey="Soll R" first="Roger F." last="Soll">Roger F. Soll</name>
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<author><name sortKey="Schreiber, Michael D" sort="Schreiber, Michael D" uniqKey="Schreiber M" first="Michael D." last="Schreiber">Michael D. Schreiber</name>
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<author><name sortKey="Vendettuoli, Valentina" sort="Vendettuoli, Valentina" uniqKey="Vendettuoli V" first="Valentina" last="Vendettuoli">Valentina Vendettuoli</name>
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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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<s2>Rome</s2>
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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>
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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="Asselin, Jeanette M" sort="Asselin, Jeanette M" uniqKey="Asselin J" first="Jeanette M." last="Asselin">Jeanette M. Asselin</name>
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<s3>USA</s3>
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<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="1"><inist:fA14 i1="05"><s1>Neonatal Unit-Department of Child Health, St George's Hospital</s1>
<s2>London</s2>
<s3>GBR</s3>
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</inist:fA14>
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</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>
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</affiliation>
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<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>
</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>
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</affiliation>
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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>
<affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Neonatal Intensive Care Unit, Timpanogos Regional Hospital</s1>
<s2>Orem, UT</s2>
<s3>USA</s3>
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</inist:fA14>
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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>
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<s2>sydney</s2>
<s3>AUS</s3>
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</inist:fA14>
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</affiliation>
</author>
<author><name sortKey="Marlow, Neil" sort="Marlow, Neil" uniqKey="Marlow N" first="Neil" last="Marlow">Neil Marlow</name>
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<s2>London</s2>
<s3>GBR</s3>
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</inist:fA14>
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<author><name sortKey="Peacock, Janet L" sort="Peacock, Janet L" uniqKey="Peacock J" first="Janet L." last="Peacock">Janet L. Peacock</name>
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<s2>Southampton</s2>
<s3>GBR</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
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<author><name sortKey="Pillow, J Jane" sort="Pillow, J Jane" uniqKey="Pillow J" first="J. Jane" last="Pillow">J. Jane Pillow</name>
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<author><name sortKey="Soll, Roger F" sort="Soll, Roger F" uniqKey="Soll R" first="Roger F." last="Soll">Roger F. Soll</name>
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<s2>Burlington, VT</s2>
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<sZ>14 aut.</sZ>
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<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="1"><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>
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<author><name sortKey="Truffert, Patrick" sort="Truffert, Patrick" uniqKey="Truffert P" first="Patrick" last="Truffert">Patrick Truffert</name>
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<s2>Lille</s2>
<s3>FRA</s3>
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</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>
</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>
</affiliation>
</author>
<author><name sortKey="Vendettuoli, Valentina" sort="Vendettuoli, Valentina" uniqKey="Vendettuoli V" first="Valentina" last="Vendettuoli">Valentina Vendettuoli</name>
<affiliation wicri:level="1"><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>
</affiliation>
</author>
<author><name sortKey="Veneto, Giovanni" sort="Veneto, Giovanni" uniqKey="Veneto G" first="Giovanni" last="Veneto">Giovanni Veneto</name>
<affiliation wicri:level="1"><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>
</affiliation>
</author>
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<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>
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<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>
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<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>
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<fA11 i1="01" i2="1"><s1>COOLS (Filip)</s1>
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<fA11 i1="02" i2="1"><s1>ASKIE (Lisa M.)</s1>
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<fA11 i1="03" i2="1"><s1>OFFRINGA (Martin)</s1>
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<fA11 i1="04" i2="1"><s1>ASSELIN (Jeanette M.)</s1>
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<fA14 i1="01"><s1>Neonatal Intensive Care Unit, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel</s1>
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<fA14 i1="02"><s1>NHMRC Clinical Trials Centre, University of Sydney</s1>
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<sZ>2 aut.</sZ>
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<fA14 i1="03"><s1>Department of Neonatology, Academic Medical Centre, University of Amsterdam</s1>
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<fA14 i1="04"><s1>Division of Neonatology, Children's Hospital and Research Center Oakland</s1>
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<sZ>8 aut.</sZ>
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<fA14 i1="05"><s1>Neonatal Unit-Department of Child Health, St George's Hospital</s1>
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<sZ>5 aut.</sZ>
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<fA14 i1="06"><s1>Department of Neonatology, Stony Brook University Medical Center</s1>
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<s3>USA</s3>
<sZ>6 aut.</sZ>
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<fA14 i1="07"><s1>Department of Surgical and Medical Critical Care, Section of Neonatology, University of Florence</s1>
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<fA14 i1="12"><s1>School of Women's and Infants' Health, King Edward Memorial Hospital, University of Western Australia</s1>
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<sZ>14 aut.</sZ>
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<fA14 i1="14"><s1>Department of Neonatology, University Hospital for Children and Adolescents, Women's and Children's Hospital</s1>
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<s2>Chicago, IL</s2>
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<sZ>17 aut.</sZ>
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<fA14 i1="17"><s1>Department of Neonatology, University Hospital Antwerp</s1>
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<sZ>18 aut.</sZ>
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<fA14 i1="18"><s1>Division of Neonatology, Department of Maternal and Paediatric Sciences, University of Milan</s1>
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<s3>ITA</s3>
<sZ>19 aut.</sZ>
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<fA14 i1="19"><s1>Division of Neonatology-Department of Paediatrics, Catholic University of the Sacred Heart</s1>
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<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>
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