Publications by authors named "M ª Dolors Salvia-Roiges"

Article Synopsis
  • Pneumothorax is a significant complication for very preterm infants (under 32 weeks), with a 4.1% incidence rate observed from 1995 to 2019, which decreases with higher gestational age.
  • Infants with pneumothorax showed increased rates of severe intraventricular hemorrhage, bronchopulmonary dysplasia, and higher mortality rates, indicating severe health risks associated with this condition.
  • Despite overall improvements in the survival rates of very preterm infants, the mortality linked to pneumothorax has not decreased, highlighting the need for better prevention and early detection strategies.
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Introduction: Lung ultrasound (LUS) is useful for respiratory management in very preterm infants (VPI), but little is known about the echographic patterns in bronchopulmonary dysplasia (BPD), the relation between the image findings, and the severity of the disease and its long-term outcomes. We aimed to describe LUS patterns in BPD and analyze the accuracy of LUS to predict the need for respiratory support at 36 weeks postmenstrual age (PMA) in VPI.

Methods: Preterm infants ≤30.

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Background: Preterm infants born earlier than 32 weeks of gestational age (GA) often need red blood cell (RBC) transfusions, which have been associated with an increased incidence of complications of prematurity, due to changes in tissue oxygenation. Transfusion of umbilical cord blood (UCB) could be beneficial for this group. The aims of this study were: (i) to determine the RBC transfusion needs in infants <32 weeks in Hospital Clinic of Barcelona; (ii) to identify the target GA group that would benefit most from UCB transfusion; and (iii) to assess the current availability of UCB as a potential source of RBC transfusion for these premature infants in our tertiary referral blood bank.

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Aim: To develop and validate a feasible predictive model for early surfactant treatment in very preterm infants (VPI) admitted with respiratory distress syndrome (RDS).

Methods: Preterm infants less than 32 weeks of gestation with RDS and stabilized with noninvasive ventilation in delivery room were recruited (January 2018-April 2020). Clinical data, chest X-ray (CXR) score, respiratory support, oxygen saturation/fraction of inspired oxygen ratio (SF ratio), lung ultrasound (LUS) score, and diaphragmatic thickening fraction (DTF) were recorded at 60-120 min of life.

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