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Contemporary fluid management, humidity, and patent ductus arteriosus management strategy for premature infants among 336 hospitals in Asia

Hsieh YC 1 , Jeng MJ 2 , Lin MC 1 , Lin YJ 3 , Rohsiswatmo R 4 , Dewi R 5 Show all authors , Chee SC 6 , Neoh SH 6 , Velasco BAE 7 , Imperial MLS 8 , Nuntnarumit P 9 , Ngerncham S 10 , Chang YS 11 , Kim SY 12 , Quek BH 13 , Amin Z 14 , Kusuda S 15 , Miyake F 16 , Isayama T 16

Affiliations 

  • 1 Children's Medical Center, Taichung Veterans General Hospital, Taichung, Taiwan
  • 2 Institute of Emergency and Critical Care Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
  • 3 Department of Pediatrics, National Cheng-Kung University Hospital, Tainan, Taiwan
  • 4 Department of Child Health, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
  • 5 Budhi Mulia Women and Children Hospital, Pekanbaru, Indonesia
  • 6 School of Medicine, Faculty of Health and Medical Sciences, Taylor's University, Subang Jaya, Malaysia
  • 7 Philippine Children's Medical Center, Manila, Philippines
  • 8 Dr. Jose Fabella Memorial Hospital, Manila, Philippines
  • 9 Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
  • 10 Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • 11 Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
  • 12 Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
  • 13 Department of Neonatology, KK Women's and Children's Hospital, Singapore, Singapore
  • 14 Department of Neonatology, Khoo Teck Puat-National University Children's Medical Institute, National University Hospital, Singapore, Singapore
  • 15 Neonatal Research Network of Japan, Tokyo, Japan
  • 16 Division of Neonatology, National Center for Child Health and Development, Tokyo, Japan
Front Pediatr, 2024;12:1336299.
PMID: 38487471 DOI: 10.3389/fped.2024.1336299

Abstract

OBJECTIVES: The management of patent ductus arteriosus (PDA) is a critical concern in premature infants, and different hospitals may have varying treatment policies, fluid management strategies, and incubator humidity. The Asian Neonatal Network Collaboration (AsianNeo) collected data on prematurity care details from hospitals across Asian countries. The aim of this study was to provide a survey of the current practices in the management of PDA in premature infants in Asian countries.

METHODS: AsianNeo performed a cross-sectional international questionnaire survey in 2022 to assess the human and physical resources of hospitals and clinical management of very preterm infants. The survey covered various aspects of hospitals resources and clinical management, and data were collected from 337 hospitals across Asia. The data collected were used to compare hospitals resources and clinical management of preterm infants between areas and economic status.

RESULTS: The policy of PDA management for preterm infants varied across Asian countries in AsianNeo. Hospitals in Northeast Asia were more likely to perform PDA ligation (p 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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