A randomized clinical trial evaluating silicone earplugs for very low birth weight newborns in intensive care

被引：42

作者：

Abou Turk, C. ^{[2
]}

Williams, A. L. ^{[1
]}

Lasky, R. E. ^{[1
]}

机构：

[1] Univ Texas Med Sch Houston, Ctr Clin Res & Evidence Based Med, Houston, TX 77030 USA

[2] Pediat Grp Acadiana, New Iberia, LA USA

来源：

JOURNAL OF PERINATOLOGY | 2009年 / 29卷 / 05期

关键词：

noise reduction; neonatal intensive care units; growth and developmental outcomes; DEVELOPMENTAL INTERVENTION; NOISE; INFANTS; NURSERY;

D O I：

10.1038/jp.2008.236

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective: To determine whether very low birth weight (VLBW) newborns (< 1500 g) wearing silicone earplugs grow larger and perform better on developmental exams than controls. Study Design: VLBW newborns (n = 34) were randomized to wearing earplugs or not. Hospital outcomes were abstracted from medical charts by research staff masked to intervention status. Fourteen extremely low birth weight (ELBW) newborns (< 1000 g) were also evaluated at 18 to 22 months. Result: After adjusting for birth weight, 11 surviving newborns in the earplug group were 225 g (95% CI: 45, 405) heavier at 34 weeks post menstrual age than the 13 controls. Six ELBW earplug infants scored 15.53 points (95% CI: 3.03, 28.02) higher than six controls on the Bayley Mental Development Index. Their head circumferences were 2.59 cm (95% CI: 0.97, 4.21) larger. Conclusion: Earplugs may facilitate weight gain in VLBW newborns. Better outcomes may persist at 18 to 22 months at least in ELBW infants. Journal of Perinatology (2009) 29, 358-363; doi:10.1038/jp.2008.236; published online 5 February 2009

引用

页码：358 / 363

页数：6

共 18 条

[1] Developmental care does not alter sleep and development of premature infants [J].

Ariagno, RL ;

Thoman, EB ;

Boeddiker, MA ;

Kugener, B ;

Constantinou, JC ;

Mirmiran, M ;

Baldwin, RB .

PEDIATRICS, 1997, 100 (06)

[2] NOISE MEASUREMENTS DURING HIGH-FREQUENCY OSCILLATORY AND CONVENTIONAL MECHANICAL VENTILATION [J].

BERENS, RJ ;

WEIGLE, CGM .

CHEST, 1995, 108 (04) :1026-1029

[3] Noise and the premature infant: Physiological effects and practice implications [J].

Bremmer, P ;

Byers, JF ;

Kiehl, E .

JOGNN-JOURNAL OF OBSTETRIC GYNECOLOGIC AND NEONATAL NURSING, 2003, 32 (04) :447-454

[4] Noise levels in Johns Hopkins Hospital [J].

Busch-Vishniac, IJ ;

West, JE ;

Barnhill, C ;

Hunter, T ;

Orellana, D ;

Chivukula, R .

JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA, 2005, 118 (06) :3629-3645

[5]

DAGATI S, 1994, PEDIATR RES, V35, pA221

[6]

Etzel RA, 1997, PEDIATRICS, V100, P724

[7] EFFECT OF NURSERY ENVIRONMENT ON STATE-REGULATION IN VERY-LOW-BIRTH-WEIGHT PREMATURE-INFANTS [J].

FAJARDO, B ;

BROWNING, M ;

FISHER, D ;

PATON, J .

INFANT BEHAVIOR & DEVELOPMENT, 1990, 13 (03) :287-303

[8] INDIVIDUALIZED DEVELOPMENTAL CARE FOR VERY-LOW-BIRTH-WEIGHT PREMATURE-INFANTS [J].

FLEISHER, BE ;

VANDENBERG, K ;

CONSTANTINOU, J ;

HELLER, C ;

BENITZ, WE ;

JOHNSON, A ;

ROSENTHAL, A ;

STEVENSON, DK .

CLINICAL PEDIATRICS, 1995, 34 (10) :523-529

[9]

LASKY RE, PEDIATRICS IN PRESS

[10] EFFECT OF NIGHT AND DAY ON PRETERM INFANTS IN A NEWBORN NURSERY - RANDOMIZED TRIAL [J].

MANN, NP ;

HADDOW, R ;

STOKES, L ;

GOODLEY, S ;

RUTTER, N .

BRITISH MEDICAL JOURNAL, 1986, 293 (6557) :1265-1267

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