National Survey Reveals Varied Management Practices for Neonatal Respiratory Distress Syndrome in Chinese Hospitals

Title and authors

A National Survey on the Management of Neonatal Respiratory Distress Syndrome: Insights from the MUNICH Survey in Chinese Hospitals

Abstract

Background: In China, premature infants suffering from respiratory distress syndrome RDS have higher mortality and morbidity rates compared to high-income countries. This nationwide survey assess the clinical management practices for neonatal RDS.

Methods: A cross-sectional national study was conducted to evaluate adherence to recommed guidelines in managing Neonatal Respiratory Distress Syndrome. One neonatology specialist per hospital was randomly selected as a representative participant. The primary outcome focused on key aspects of care delivery for RDS patients.

Results: Among the 394 participating hospitals, 88.3 were birthing centers. resource distribution showed that there was one doctor and nurse for every 27 beds 0.27 doctorsbeds, 0.72 nursesbeds. Antenatal corticosteroids administration at less than 34 weeks of gestation reached 90 90.0 inpatient vs. 50.0 outpatient, demonstrating significant difference between cases.

Respiratory support parameters varied across hospitals: the median fraction of inspired oxygen for initial resuscitation was 0.30 for infants born at ≤32 weeks and 0.25 for those 32 weeks gestational age. T-piece resuscitators were avlable in 77.8 of delivery rooms with tertiary hospitals showing a higher rate of avlability, i.e., 84.6, compared to secondary hospitals, which had rates at 71.1.

The use of pulmonary surfactants for neonatal care was also addressed, highlighting the importance of this intervention in preventing respiratory distress syndrome in preterm infants.

: The survey revealed significant differences among Chinese hospitals in managing neonatal RDS, underscoring the need for standardized guidelines and enhanced resources allocation to ensure optimal outcomes for newborns suffering from respiratory distress.

References:

1 Blencowe H, Cousens S, Oestergaard MZ, Chou D, Moller A-B, Narwal R, et al. National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trs since 1990 for selected countries: a systematic analysis and implications. Lancet. 2012;3799832:2162–72.

This version emphasizes clarity, consistency and coherence while mntning scientific rigor in the presentation of research findings related to neonatal RDS management across Chinese hospitals. The revised abstract succinctly outlines the background, methods, results, and with a focus on the key outcomes for ease of understanding by readers interested in this field.
This article is reproduced from: https://pubmed.ncbi.nlm.nih.gov/39244592/

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