Elective high-frequency oscillatory versus conventional ventilation in preterm infants: a systematic review and meta-analysis of individual patients' data

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• 作者：Filip Cools ; Lisa M Askie ; Martin Offringa ; Jeanette M Asselin ; S ; ra A Calvert ; Sherry E Courtney ; Carlo Dani ; David J Dur ; Dale R Gerstmann ; David J Henderson-Smart ; Neil Marlow ; Janet L Peacock ; J
• 刊名：The Lancet
• 出版年：2010
• 出版时间：12 June 2010-18 June 2010
• 年：2010
• 卷：375
• 期：9731
• 页码：2082-2091
• 全文大小：285 K

文摘

Summary

Background

Population and study design heterogeneity has confounded previous meta-analyses, leading to uncertainty about effectiveness and safety of elective high-frequency oscillatory ventilation (HFOV) in preterm infants. We assessed effectiveness of elective HFOV versus conventional ventilation in this group.

Methods

We did a systematic review and meta-analysis of individual patients' data from 3229 participants in ten randomised controlled trials, with the primary outcomes of death or bronchopulmonary dysplasia at 36 weeks' postmenstrual age, death or severe adverse neurological event, or any of these outcomes.

Findings

For infants ventilated with HFOV, the relative risk of death or bronchopulmonary dysplasia at 36 weeks' postmenstrual age was 0·95 (95 % CI 0·88–1·03), of death or severe adverse neurological event 1·00 (0·88–1·13), or any of these outcomes 0·98 (0·91–1·05). No subgroup of infants (eg, gestational age, birthweight for gestation, initial lung disease severity, or exposure to antenatal corticosteroids) benefited more or less from HFOV. Ventilator type or ventilation strategy did not change the overall treatment effect.

Interpretation

HFOV seems equally effective to conventional ventilation in preterm infants. Our results do not support selection of preterm infants for HFOV on the basis of gestational age, birthweight for gestation, initial lung disease severity, or exposure to antenatal corticosteroids.

Funding

Nestlé Belgium, Belgian Red Cross, and Dräger International.