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Record W4406272780 · doi:10.1186/s12887-024-05354-1

Home oxygen therapy for Thai preterm infants with bronchopulmonary dysplasia. What are the predictive factors for successful weaning: a 20-year review

2025· review· en· W4406272780 on OpenAlexaff
Vipada Grajangdara, Anchalee Limrungsikul, Allan L. Coates, Harutai Kamalaporn

Bibliographic record

VenueBMC Pediatrics · 2025
Typereview
Languageen
FieldMedicine
TopicNeonatal Respiratory Health Research
Canadian institutionsSickKids FoundationHospital for Sick ChildrenUniversity of Toronto
FundersMahidol University
KeywordsBronchopulmonary dysplasiaMedicineDiscontinuationWeaningOxygen therapyPediatricsRetrospective cohort studyBirth weightGestational ageAnesthesiaSurgeryInternal medicinePregnancy

Abstract

fetched live from OpenAlex

BACKGROUND: Consequences of lung injury and inflammation in preterm infants with bronchopulmonary dysplasia (BPD) contribute to prolonged oxygen requirements. Home oxygen therapy (HOT) is an alternative way of respiratory support in infant with BPD. However, there is no consensus on weaning guidelines. Our objective is to identify the median age of HOT discontinuation and the factors that might predict the duration of HOT in a resource poor country. METHODS: All preterm (≤ 36 weeks' gestation) infants diagnosed with BPD who required HOT after discharged from Ramathibodi Hospital during January 2000 - December 2019 comprised this retrospective study. Timing of HOT withdrawal was identified. Demographic data, severity of BPD, maternal condition, respiratory support, comorbidities, complications, and growth were recorded and analyzed as factors associated of home oxygen withdrawal. RESULTS: Of 8581 preterm infants born during the 20-year period, 563 (6.6%) had BPD. Among 40 infants treated with HOT, 18 (45%) were successfully weaned from oxygen within 12 months. The median corrected age (CA) of oxygen withdrawal was 13.8 months (8.5, 22.1). Longer duration of total respiratory support, longer length of hospital stay and poor growth determined by weight, length and head circumference were associated with longer duration of HOT. Greater weight gain was associated with a shorter duration of HOT at 12 months CA (adjusted OR, 1.97; 95% CI, 1.13-3.23; p = 0.015). CONCLUSIONS: The median corrected age of oxygen withdrawal in Thai BPD infants was 13.8 months. Severe BPD and poor linear growth were associated with prolonged HOT.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.003
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.904
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.003
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0030.001
Bibliometrics0.0010.002
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.071
GPT teacher head0.389
Teacher spread0.318 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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