International Journal of Pediatrics

The Effect of Outpatient Management of Cystic Fibrosis Exacerbation on Pulmonary Function Tests: A Clinical Trial

Seyed Hossein Mirlohi; Alireza Daneshbakhtiar; Mehrnaz Olfat; Roholla Shirzadi; Niloufar Ghanbari; Seyed Javad Sayedi; Tina Loghmani; Mohammadreza Modaresi

Volume 10, Issue 6 , June 2022, , Pages 16121-16126

https://doi.org/10.22038/ijp.2022.62806.4795

Abstract

Background: Cystic fibrosis (CF) is an inherited disease which involves multiple organs including respiratory tract. It results in chronic respiratory signs and symptoms which exacerbate ... Read More

Inpatient vs. outpatient management of uncomplicated preterm premature rupture of membranes: a clinical trial

leila pourali; masoumeh Mirteimouri; samaneh akbarzadeh; Habibullah Esmayili; elahe hasanzadeh

Volume 9, Issue 11 , November 2021, , Pages 14821-14829

https://doi.org/10.22038/ijp.2021.57629.4522

Abstract

Background: Preterm premature rupture of membranes (PPROM) is spontaneous rupture of fetal membranes before 37 weeks of gestation. PPROM cases that are clinically stable with no sign ... Read More Background: Preterm premature rupture of membranes (PPROM) is spontaneous rupture of fetal membranes before 37 weeks of gestation. PPROM cases that are clinically stable with no sign or symptom of intrauterine infection and normal fetal assessment are usually managed expectantly in hospital settings or at home. This study aimed at comparing the inpatient and outpatient management among women with uncomplicated PPROM.Methods: This non-randomized clinical trial was performed in an academic hospital, Mashhad University of Medical Sciences in 2017-2018. Women with confirmed PPROM who received initial treatments during the primary 72 hours of hospitalization were assigned into inpatient (n=45) or outpatient (n=35) management groups according to the patient's decision. The obstetrical, maternal and neonatal outcomes under the focus of this study included latency period, gestational age at delivery, delivery route, delivery reason, WBC and neutrophil count, neonates’ weight, Apgar score, NICU admission, and death in the first 28 days after delivery. Data were analyzed by Statistical Package for Social Science (IBM SPSS) version 23. P<0.05 was considered statistically significant.Results: Among 120 patients assessed for eligibility criteria, 80 patients were enrolled and the data of 68 participants was analyzed. Women in outpatient group had significantly longer latency period than women in inpatient group (18.7±12.9 vs.7.1±5.8days, p<0.001). The rate of vaginal delivery was 77.5% (n=31) in inpatients group vs.57.1% (n=16) in the outpatient group (p=0.1), no significant difference was found regarding cesarean indications, pregnancy termination indication, GA at delivery and WBC or neutrophil count (p>0.05). Neonatal Apgar score, death, and NICU admission rate or period were not significantly different between the two groups (p>0.05).Conclusion: Homecare for the selected PPROM women could be a suitable expectant strategy without compromising neonatal or maternal outcomes.

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Keywords = outpatient

The Effect of Outpatient Management of Cystic Fibrosis Exacerbation on Pulmonary Function Tests: A Clinical Trial

Abstract

Inpatient vs. outpatient management of uncomplicated preterm premature rupture of membranes: a clinical trial

Abstract