113 IMPACT OF DELIVERY ROOM CARDIOPULMONARY RESUSCITATION ON AGE AT THE TIME OF DEATH IN INFANTS < 1,200 GRAMS.

2006 
Background Delayed mortality may be associated with prolonged suffering and also with emotional, economic, and resource costs. The age at the time of death in extremely low birth weight infants (ELBW) is widely variable. The influence on this variability of delivery room cardiopulmonary resuscitation (DR-CPR) has not been investigated. Objective To analyze if the age at the time of death in infants Design/Methods Analysis of all infants Results A total of 87 infants 28 d of age. The DR-CPR group was similar to the no DR-CPR group in birth weight (726 6 160 vs 731 6 176) and gestational age (24.8 6 1.9 vs 25.3 6 2.2). The average length of stay (ALOS) was widely variable (21.8 6 47 vs 30.7 6 56.9; p = .669). Death in the DR (27% vs 0%; p = .000), in the first 12 hours of life (38% vs 7%; p = .001) and in the first day (42% vs 20%; p = .047) was more frequent in the DR-CPR group. Death after 28 d was 11.5% in DR-CPR vs 26.6% in no DR-CPR infants (p = .2); and the median length of stay for these infants was 156.00 d vs 41.00 d, respectively. Conclusion A large proportion of the infants 28 days die after a prolonged length of stay. It remains to be determined if criteria can be identified to avoid delaying the inevitable.
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