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Objective <p>Examine associations between postmenstrual age (PMA) at CPAP discontinuation, length of stay (LOS) and PMA at achievement of oral feeds in preterm infants.</p> Study design <p>Retrospective chart review of infants &lt;33 weeks gestational age was performed over a period of practice change (2017–2022) implementing extended CPAP use. Clinical interventions, outcomes and LOS were reviewed.</p> Results <p>The study population included 571 infants. Over the study period, PMA at CPAP discontinuation significantly increased as did PMA at full oral feeds but there were no significant differences in LOS. Linear regression modeling identified that older age at CPAP discontinuation was a predictor of longer LOS but effect size was small at 14 h per week of CPAP.</p> Conclusions <p>LOS was not prolonged in a clinically meaningful way following extended CPAP use, despite delayed oral feeding, in our study cohort.</p>

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Duration of continuous positive airway pressure: associations with length of stay and oral feeding patterns in a level IV neonatal intensive care unit

  • 期刊论文

  • 发表日期：

    2025年2月11日

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  • Caroline Massarelli,
  • Andrea Weintraub,
  • Douglas Bush,
  • Veniamin Ratner,
  • Courtney Juliano

摘要

Objective

Examine associations between postmenstrual age (PMA) at CPAP discontinuation, length of stay (LOS) and PMA at achievement of oral feeds in preterm infants.

Study design

Retrospective chart review of infants <33 weeks gestational age was performed over a period of practice change (2017–2022) implementing extended CPAP use. Clinical interventions, outcomes and LOS were reviewed.

Results

The study population included 571 infants. Over the study period, PMA at CPAP discontinuation significantly increased as did PMA at full oral feeds but there were no significant differences in LOS. Linear regression modeling identified that older age at CPAP discontinuation was a predictor of longer LOS but effect size was small at 14 h per week of CPAP.

Conclusions

LOS was not prolonged in a clinically meaningful way following extended CPAP use, despite delayed oral feeding, in our study cohort.