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顯示具有 Prematurity 標籤的文章。 顯示所有文章
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2011年2月7日 星期一

Caffeine therapy for Sleep Apnea of Prematurity in infants is financially attractive

An investigation concluded recently in order to determine the cost-effectiveness of treatment with caffeine compared with placebo for Sleep Apnea of prematurity in infants with birth weight less than 1250 g, from birth through corrected age 18 to 21 months.

The researchers took a retrospective economic evaluation of cost-per-survivor without someone neurodevelopmental impairment by using data-patient from caffeine for Sleep Apnea Prematurity clinical trial (N = 1869).

Researchers include direct medical expenses or claims payer or hospital but excluding costs for parents and society, such as loss of productivity. Our price $ 0.00/mg of caffeine citrate generic for our base-case analysis. All expenditure shall be expressed in dollars Canada 2008 and discounted at 3%. The time horizon for the analysis is extended through 18 and 21 months corrected age to match the clinical trial.

The average cost per infant was $ 124 466 in caffeine and $ 133 505 in the placebo group (difference: $ 9039 [–14 749 to – 375] corrected P =. 014).

Cost-effectiveness analysis showed that caffeine is a dominant position or "win-win" therapies: > 99% of 1000 bootstrap propagation analysis, caffeine-treated infants had lower average costs and simultaneously better results. These results were strong in 1000% increase in elements of individual resource, including the price of caffeine citrate.

Compared with placebo therapies caffeine for Sleep Apnea of prematurity in infants weighing less than 1250 g financially attractive for infants up to 18 and 21 months corrected age.

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Tagged with: ‧ ‧ direct cost medical ‧ Sleep Apnea babies ‧ ‧ Sleep Apnea Kids ' ‧ ‧ Sleep Apnea Sleep Apnea in children

Filed under:clinical research sleep ‧ ‧ ‧ Sleep Apnea ‧ ‧ Sleep Apnea research Sleep Apnea treatment ‧ ‧ Sleep Apnea in children who sleep problems clinical trials

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2010年12月26日 星期日

Apnea of Prematurity is linked

Potentially life-threatening breathing pauses in the challenge, characterised by that last longer than 20 seconds, apnea prematurity (PDO) affects more than 50% of premature infants and is almost universal in the smallest preemies. Partly due to the underdeveloped spinal cannot adequately regulate breathing while outside of, in particular during the sleep, the PDO is not yet fully not understood by scientists and remains a serious concern among neonatologists and parents.

New research published in the October edition of the University of Massachusetts and the Medical School that heredity may play in the determination of infant susceptibility to PDO strong role and may lead to the development of more effective treatment and screening methods of clinical scientists.

Elisabeth b. Salisbury, PhD, Professor of Neurology, David Paydarfar, MD, Professor of Neurology and Physiology at the University of Massachusetts Medical School and colleagues compared the rates of PDO 217 pairs of the same pair, the brethren, and to determine whether the inheritance played a role in the condition. Using advanced statistical models, the calculation of the correlation in the twins born to establish a PDO before 36 weeks gestational age to determine whether the components are responsible. To discover that, in the cases of the twin of the same sex, where one of the brethren OF THE PDO, the other pair has had 62% probability of a pair with PDO. In identical twins, was significantly higher correlation between two PDO diagnostic identical pairs-87%.

These findings indicate that genetic influences shared by identical twins have played a significant part in the development of PDO. "While the actors, including the environment, to contribute to PDO, our study suggests that the surprisingly strong genetic predispozice for PDO. Further research is needed to confirm our results and find a gene or group of genes that are linked to this common respiratory disorders, "said Paydarfar.

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flagged: PDO ‧ PDO Diagnostics ‧ Apnea apnea of prematurity ‧ ‧ genetics ‧ pause breathing

Below: Clinical research ‧ obstructive sleep Apnea sleep Apnea

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