Effectiveness and safety of early versus late caffeine therapy in managing apnoea of prematurity among preterm infants: a retrospective cohort ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2022-08-01

AUTHORS

Won Zi Yun, Yaman Walid Kassab, Liew Mei Yao, Norliyana Khairuddin, Long Chiau Ming, Muhammad Abdul Hadi

ABSTRACT

BackgroundEarly administration of intravenous (IV) caffeine (initiation within 2 days of life) is an effective treatment strategy for the management of apnoea of prematurity among infants. However, the safety and effectiveness of early administration of oral caffeine treatment is not be fully established.AimWe aimed to compare the effectiveness and safety of early versus late caffeine therapy on preterm infants’ clinical outcomes.Method A retrospective matched cohort study was conducted using data of patients admitted to neonatal intensive care units of two tertiary care hospitals between January 2016 and December 2018. The clinical outcomes and mortality risk between early caffeine (initiation within 2 days of life) and late caffeine (initiation ≥ 3 days of life) were compared. ResultsNinety-five pairs matched based on gestational age were included in the study. Compared to late initiation, preterm infants with early caffeine therapy had: a shorter duration of non-invasive mechanical ventilation (median 5 days vs. 12 days; p < 0.001); shorter length of hospital stay (median 26 days vs. 44 days; p < 0.001); shorter duration to achieve full enteral feeding (median 5 days vs. 11 days; p < 0.001); and lower frequency of bronchopulmonary dysplasia (BPD) (4.5% vs. 12.9%; p = 0.045). They also had a reduced risk of osteopenia of prematurity (OP) (OR 0.209; 95% CI 0.085–0.509; p = 0.001). ConclusionEarly oral caffeine therapy can potentially improve respiratory outcomes among infants with apnoea of prematurity. However, an increase in mortality associated with early caffeine therapy requires further investigation. More... »

PAGES

1140-1148

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11096-022-01437-0

DOI

http://dx.doi.org/10.1007/s11096-022-01437-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1149897884

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/35915341


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