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Published on: November 20, 2015
[APNEA OF PREMATURITY - PATHOPHYSIOLOGY, TREATMENT & PROGNOSIS]
Alex Gileles-Hillel1,2, Ira Erlichman3, Joel Reiter1
1Pediatric Pulmonology and Sleep Unit, Hadassah University Hospital and The Hebrew University Medical School.
Insights
Apnea of prematurity, common in preterm infants, can lead to serious complications. This review covers its causes, treatment, and care after neonatal intensive care unit discharge.
Area of Science:
- Neonatology
- Pediatric Pulmonology
Background:
- Apnea of prematurity affects most infants born before 34 weeks gestation.
- Recurrent apnea is linked to mortality and neurodevelopmental issues.
Purpose of the Study:
- To review advances in understanding apnea of prematurity.
- To address clinical questions for healthcare providers.
- To discuss post-discharge care and recommendations.
Main Methods:
- Literature review of recent advances.
- Synthesis of clinical information.
- Discussion of monitoring and discharge protocols.
Main Results:
- Updated understanding of pathophysiology.
- Guidance on clinical management.
- Recommendations for neonatal intensive care unit discharge and follow-up.
Conclusions:
- Effective management of apnea of prematurity is crucial.
- Continued research and updated guidelines are essential for improving outcomes.
Introduction:
Apnea of prematurity affects the majority of infants born before 34 weeks of complete gestation. Significant recurrent apnea of prematurity is associated with both short and long term complications and is a risk factor for increased mortality and neurodevelopmental disability. The current review discusses the recent advances in the understanding of the pathophysiology of apnea of prematurity, as well as the clinical questions relevant to physicians and staff treating infants with apnea of prematurity. Finally, we discuss monitoring and discharge decisions, and present recommendations following discharge from the neonatal intensive care unit.
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