Publications by authors named "Baswaraj Tandur"

Objective: To compare SNAPPE-II and STOPS admission severity scores in neonates admitted to neonatal intensive care unit (NICU) with a gestational age of ≥ 33 wk.

Methods: In this multicenter, prospective, observational study, the sickness scoring was done on all the neonates at 12 h after admission to the NICUs. The scoring systems were compared by the area under the curve (AUC) on the receiver operating characteristics (ROC) curve.

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Unlabelled: Various studies validated and compared Score for Neonatal Acute Physiology with Perinatal extension-II (SNAPPE-II) and Clinical Risk Index for Babies-II (CRIB-II) admission sickness severity scores for predicting survival, but very few studies compared them for predicting the morbidities in preterm infants. In this multicenter prospective observational study, SNAPPE-II and CRIB-II newborn illness severity scores were compared for predicting mortality and morbidities in infants with gestational age of ≤ 32 weeks. Major morbidities were classified as bronchopulmonary dysplasia, abnormal cranial ultrasound (presence of intraventricular hemorrhage grade III or more or periventricular leukomalacia grade II to IV), and retinopathy of prematurity requiring treatment.

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Article Synopsis
  • Hypoxic ischemic encephalopathy (HIE) is a major concern for term and late preterm infants, being a leading cause of death and neurological issues in survivors.
  • The study aimed to assess the survival rates of these infants with moderate or severe HIE, alongside exploring management variations and factors affecting survival.
  • Results revealed an 82% survival rate to discharge, with severe HIE, need for epinephrine during resuscitation, and persistent pulmonary hypertension significantly lowering survival chances.*
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Background: Limited evidence exists on perinatal transmission and outcomes of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection in neonates.

Objective: To describe clinical outcomes and risk factors for transmission in neonates born to mothers with perinatal SARS-CoV-2 infection.

Design: Prospective cohort of suspected and confirmed SARS-CoV-2 infected neonates entered in National Neonatology Forum (NNF) of India registry.

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Article Synopsis
  • - The study aims to identify factors affecting the length of stay (LOS) for preterm infants (25-33 weeks gestation) in Indian NICUs, which is crucial for healthcare planning and family counseling.
  • - Data from 3,095 infants showed that as gestational age decreases, the LOS increases significantly, with a weekly decrease in gestation correlating to an additional 9 days in hospital.
  • - Key influences on LOS included conditions like abnormal antenatal umbilical artery Doppler, severe small for gestational age, and various health complications, with the study noting that LOS in India was lower compared to similar cases in developed countries.
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Article Synopsis
  • Nasal continuous positive airway pressure (NCPAP) is being studied as a treatment for meconium aspiration syndrome (MAS) in newborns, potentially improving oxygen exchange and reducing lung complications.
  • The study aimed to compare the effectiveness of NCPAP against standard care in reducing the need for invasive ventilation in neonates with MAS-related respiratory failure.
  • Results showed that infants treated with NCPAP had a significantly lower need for mechanical ventilation within the first week of life compared to those receiving standard care, along with a lower requirement for surfactant treatment.
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Objective: To study whether disposable diapers decrease the incidence of neonatal infections compared with cloth diapers in a level II neonatal intensive care unit (NICU).

Method And Material: All neonates admitted to the NICU and having duration of stay >48 h were enrolled. Those babies with signs and symptoms of infection were screened with septic screen and/or blood culture.

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