The longitudinal effects of persistent periodic breathing on cerebral oxygenation in preterm infants.
Identifieur interne : 002D21 ( PubMed/Corpus ); précédent : 002D20; suivant : 002D22The longitudinal effects of persistent periodic breathing on cerebral oxygenation in preterm infants.
Auteurs : Pauline F F. Decima ; Karinna L. Fyfe ; Alexsandria Odoi ; Flora Y. Wong ; Rosemary S C. HorneSource :
- Sleep medicine [ 1878-5506 ] ; 2015.
English descriptors
- KwdEn :
- Brain (physiopathology), Cross-Sectional Studies, Female, Follow-Up Studies, Gestational Age, Heart Rate (physiology), Humans, Hypoxia, Brain (diagnosis), Hypoxia, Brain (epidemiology), Hypoxia, Brain (physiopathology), Infant, Infant, Newborn, Infant, Premature, Diseases (diagnosis), Infant, Premature, Diseases (epidemiology), Infant, Premature, Diseases (physiopathology), Longitudinal Studies, Male, Oxygen (blood), Oxygen Consumption (physiology), Polysomnography, Sleep Apnea, Central (diagnosis), Sleep Apnea, Central (epidemiology), Sleep Apnea, Central (physiopathology).
- MESH :
- chemical , blood : Oxygen.
- diagnosis : Hypoxia, Brain, Infant, Premature, Diseases, Sleep Apnea, Central.
- epidemiology : Hypoxia, Brain, Infant, Premature, Diseases, Sleep Apnea, Central.
- physiology : Heart Rate, Oxygen Consumption.
- physiopathology : Brain, Hypoxia, Brain, Infant, Premature, Diseases, Sleep Apnea, Central.
- Cross-Sectional Studies, Female, Follow-Up Studies, Gestational Age, Humans, Infant, Infant, Newborn, Longitudinal Studies, Male, Polysomnography.
Abstract
Periodic breathing is common in preterm infants, but is thought to be benign. The aim of our study was to assess the incidence and impact of periodic breathing on heart rate (HR), oxygen saturation (SpO2), and brain tissue oxygenation index (TOI) over the first six months after term-equivalent age.
DOI: 10.1016/j.sleep.2015.02.537
PubMed: 25959095
Links to Exploration step
pubmed:25959095Le document en format XML
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<author><name sortKey="Fyfe, Karinna L" sort="Fyfe, Karinna L" uniqKey="Fyfe K" first="Karinna L" last="Fyfe">Karinna L. Fyfe</name>
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<series><title level="j">Sleep medicine</title>
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<term>Gestational Age</term>
<term>Heart Rate (physiology)</term>
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<term>Hypoxia, Brain (diagnosis)</term>
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<term>Infant, Premature, Diseases (physiopathology)</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Oxygen (blood)</term>
<term>Oxygen Consumption (physiology)</term>
<term>Polysomnography</term>
<term>Sleep Apnea, Central (diagnosis)</term>
<term>Sleep Apnea, Central (epidemiology)</term>
<term>Sleep Apnea, Central (physiopathology)</term>
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<term>Infant, Premature, Diseases</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Heart Rate</term>
<term>Oxygen Consumption</term>
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<term>Hypoxia, Brain</term>
<term>Infant, Premature, Diseases</term>
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<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Longitudinal Studies</term>
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<front><div type="abstract" xml:lang="en">Periodic breathing is common in preterm infants, but is thought to be benign. The aim of our study was to assess the incidence and impact of periodic breathing on heart rate (HR), oxygen saturation (SpO2), and brain tissue oxygenation index (TOI) over the first six months after term-equivalent age.</div>
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<Month>05</Month>
<Day>29</Day>
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<JournalIssue CitedMedium="Internet"><Volume>16</Volume>
<Issue>6</Issue>
<PubDate><Year>2015</Year>
<Month>Jun</Month>
</PubDate>
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<Title>Sleep medicine</Title>
<ISOAbbreviation>Sleep Med.</ISOAbbreviation>
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<ArticleTitle>The longitudinal effects of persistent periodic breathing on cerebral oxygenation in preterm infants.</ArticleTitle>
<Pagination><MedlinePgn>729-35</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.sleep.2015.02.537</ELocationID>
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<Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Periodic breathing is common in preterm infants, but is thought to be benign. The aim of our study was to assess the incidence and impact of periodic breathing on heart rate (HR), oxygen saturation (SpO2), and brain tissue oxygenation index (TOI) over the first six months after term-equivalent age.</AbstractText>
<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Twenty-four preterm infants (27-36 weeks gestational age) were studied with daytime polysomnography in quiet sleep (QS) and active sleep (AS) and in both the prone and supine positions at 2-4 weeks, 2-3 months, and 5-6 months post-term corrected age. HR, SpO2, and TOI (NIRO-200 spectrophotometer) were recorded. Periodic breathing episodes were defined as greater than or equal to three sequential apneas each lasting ≥3 s.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total 164 individual episodes of periodic breathing were recorded in 19 infants at 2-4 weeks, 62 in 12 infants at 2-3 months, and 35 in 10 infants at 5-6 months. There was no effect of gestational age on periodic breathing frequency or duration. Falls in HR (-21.9 ± 2.7%) and TOI (-13.1 ± 1.5%) were significantly greater at 2-3 months of age compared to 2-4 weeks of age.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The majority of preterm infants discharged home without clinical respiratory problems had persistent periodic breathing. Although in most infants periodic breathing was not associated with significant falls in SpO2 or TOI, several infants had significant desaturations and reduced cerebral oxygenation especially during AS. The clinical significance of this on neurodevelopmental outcome is unknown and warrants further investigations.</AbstractText>
<CopyrightInformation>Crown Copyright © 2015. Published by Elsevier B.V. All rights reserved.</CopyrightInformation>
</Abstract>
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<ForeName>Pauline F F</ForeName>
<Initials>PF</Initials>
<AffiliationInfo><Affiliation>The Ritchie Centre, Monash Institute of Medical Research and Prince Henry's Institute, Monash University, Melbourne, VIC, Australia; Laboratoire PériTox, UMR-I 01 INERIS, Faculté de Médecine, Université de Picardie Jules Verne, Amiens, France.</Affiliation>
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<Author ValidYN="Y"><LastName>Fyfe</LastName>
<ForeName>Karinna L</ForeName>
<Initials>KL</Initials>
<AffiliationInfo><Affiliation>The Ritchie Centre, Monash Institute of Medical Research and Prince Henry's Institute, Monash University, Melbourne, VIC, Australia; Department of Paediatrics, Monash University, Melbourne, VIC, Australia.</Affiliation>
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<ForeName>Alexsandria</ForeName>
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<ForeName>Flora Y</ForeName>
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<AffiliationInfo><Affiliation>The Ritchie Centre, Monash Institute of Medical Research and Prince Henry's Institute, Monash University, Melbourne, VIC, Australia; Department of Paediatrics, Monash University, Melbourne, VIC, Australia.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Horne</LastName>
<ForeName>Rosemary S C</ForeName>
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<AffiliationInfo><Affiliation>The Ritchie Centre, Monash Institute of Medical Research and Prince Henry's Institute, Monash University, Melbourne, VIC, Australia; Department of Paediatrics, Monash University, Melbourne, VIC, Australia. Electronic address: rosemary.horne@monash.edu.</Affiliation>
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