Author Of 1 Presentation
DEVELOPMENT OF NONINVASIVE MEAN BLOOD PRESSURE REFERENCE VALUES IN NEONATAL PATIENTS AT A DUTCH TERTIARY NEONATAL INTENSIVE CARE UNIT.
Abstract
Background
At present, mean blood pressure (MBP) ranges for children are based on American reference tables. However, these reference values are based on a mixture of invasive and non-invasive blood pressure measurements in a small sample, irrespective of postconceptional age, weight and medications.
Objectives
Therefore, we aim to define non-invasive MBP reference values for neonates in various age groups.
Methods
In a retrospective database study, we selected all neonates admitted to a Dutch tertiary pediatric hospital between 2016-2018 with exclusion of severe comorbidities (major cardiac malformations, intracerebral hemorrhage, and intubation longer than 6h). We defined the median (P50) for the first week of life for MBP sorted per GA group and analyzed using the statistical package Generalized Additive Models for Location, Scale and Shape (GAMLSS) in the R.
Results
A total of 736 patients (61%), with 7128 measurements, fulfilled the inclusion criteria. 133 neonates were born below 29 weeks, 233 between 30-33 weeks, 187 between 34-37 weeks and 172 between 38-41 weeks. The P50 in the first weeks after birth increased from 30 mm Hg to 40 mm Hg in the youngest and from 49 mm Hg to 58 mm Hg in the oldest age group. Figures with reference values (P5, P50, P95) for age groups will be presented at the conference.
Conclusion
The presented reference values for non-invasive MBP in neonates at various age groups can be used to guide clinical decision making in healthy and diseased neonates at various age groups.
Presenter of 1 Presentation
DEVELOPMENT OF NONINVASIVE MEAN BLOOD PRESSURE REFERENCE VALUES IN NEONATAL PATIENTS AT A DUTCH TERTIARY NEONATAL INTENSIVE CARE UNIT.
Abstract
Background
At present, mean blood pressure (MBP) ranges for children are based on American reference tables. However, these reference values are based on a mixture of invasive and non-invasive blood pressure measurements in a small sample, irrespective of postconceptional age, weight and medications.
Objectives
Therefore, we aim to define non-invasive MBP reference values for neonates in various age groups.
Methods
In a retrospective database study, we selected all neonates admitted to a Dutch tertiary pediatric hospital between 2016-2018 with exclusion of severe comorbidities (major cardiac malformations, intracerebral hemorrhage, and intubation longer than 6h). We defined the median (P50) for the first week of life for MBP sorted per GA group and analyzed using the statistical package Generalized Additive Models for Location, Scale and Shape (GAMLSS) in the R.
Results
A total of 736 patients (61%), with 7128 measurements, fulfilled the inclusion criteria. 133 neonates were born below 29 weeks, 233 between 30-33 weeks, 187 between 34-37 weeks and 172 between 38-41 weeks. The P50 in the first weeks after birth increased from 30 mm Hg to 40 mm Hg in the youngest and from 49 mm Hg to 58 mm Hg in the oldest age group. Figures with reference values (P5, P50, P95) for age groups will be presented at the conference.
Conclusion
The presented reference values for non-invasive MBP in neonates at various age groups can be used to guide clinical decision making in healthy and diseased neonates at various age groups.