Premature newborn positionings and physiologic parameters – a randomized clinical study
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Fisioterapia em Movimento |
Texto Completo: | https://periodicos.pucpr.br/fisio/article/view/29866 |
Resumo: | Introduction: Multiple studies have shown the effects of prone (PP), supine (SP) and kangaroo (KP) positions on clinical and physiological outcomes in preterm newborns, but none compared these three types of positioning between them. Objective: To investigate the influence of these positionings on heart rate, respiratory rate, peripheral oxygen saturation (SpO2) and alertness status in clinically stable preterm newborns (NBs) admitted to a neonatal intensive care unit. Methods: In a randomized clinical trial, clinically stable NBs with gestational ages from 30 to 37 weeks who were breathing spontaneously were allocated in three positioning groups: PP, SP and KP. SpO2, heart rate, breathing frequency and alertness status were evaluated immediately before and after 30 minutes of positioning. Results: In all, 66 NBs were assessed (corrected age: 35.48 ± 1.94 weeks; weight: 1840.14 ± 361.09 g), (PP: n = 22; SP: n = 23; KP: n = 21). NBs in the PP group showed a significant improvement in peripheral SpO2 (97.18 ± 2.16 vs 95.47 ± 2.93 vs 95.57 ± 2.95, p = 0.03) compared with the SP and KP groups. Conclusion: In clinically stable preterm NBs, the PP was associated with better peripheral oxygen saturation than the SP or KP. In addition, there was a reduction in heart rate within prone position group and in the KP group there was an increase in the number of NBs in the deep sleep classification. |
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Premature newborn positionings and physiologic parameters – a randomized clinical studyPosicionamentos de recém-nascidos prematuros e parâmetros fisiológicos – um estudo clínico randomizadoIntroduction: Multiple studies have shown the effects of prone (PP), supine (SP) and kangaroo (KP) positions on clinical and physiological outcomes in preterm newborns, but none compared these three types of positioning between them. Objective: To investigate the influence of these positionings on heart rate, respiratory rate, peripheral oxygen saturation (SpO2) and alertness status in clinically stable preterm newborns (NBs) admitted to a neonatal intensive care unit. Methods: In a randomized clinical trial, clinically stable NBs with gestational ages from 30 to 37 weeks who were breathing spontaneously were allocated in three positioning groups: PP, SP and KP. SpO2, heart rate, breathing frequency and alertness status were evaluated immediately before and after 30 minutes of positioning. Results: In all, 66 NBs were assessed (corrected age: 35.48 ± 1.94 weeks; weight: 1840.14 ± 361.09 g), (PP: n = 22; SP: n = 23; KP: n = 21). NBs in the PP group showed a significant improvement in peripheral SpO2 (97.18 ± 2.16 vs 95.47 ± 2.93 vs 95.57 ± 2.95, p = 0.03) compared with the SP and KP groups. Conclusion: In clinically stable preterm NBs, the PP was associated with better peripheral oxygen saturation than the SP or KP. In addition, there was a reduction in heart rate within prone position group and in the KP group there was an increase in the number of NBs in the deep sleep classification.Introdução: Vários estudos têm demonstrado os efeitos das posições prona (PP), supina (SP) e canguru (KP) sobre os resultados clínicos e fisiológicos em recém-nascidos prematuros, mas nenhum comparou esses três tipos de posicionamento. Objetivo: Investigar a influência desses posicionamentos na frequência cardíaca, frequência respiratória, saturação periférica de oxigênio (SpO2) e estado de alerta em recém-nascidos pré-termo (RN) clinicamente estáveis internados em uma unidade de terapia intensiva neonatal. Métodos: Em um ensaio clínico randomizado, RN clinicamente estáveis com idade gestacional de 30 a 37 semanas e respirando espontaneamente foram alocados em três grupos de posicionamento: PP, SP e KP. SpO2, frequência cardíaca, frequência respiratória e estado de alerta foram avaliados imediatamente antes e após 30 minutos de posicionamento. Resultados: Ao todo, foram avaliados 66 RNs (idade corrigida: 35,48 ± 1,94 semanas; peso: 1840,14 ± 361,09 g), (PP: n = 22; SP: n = 23; KP: n = 21). Os RNs do grupo PP apresentaram melhora significativa na SpO2 periférica (97,18 ± 2,16 vs 95,47 ± 2,93 vs 95,57 ± 2,95, p = 0,03) em comparação com os grupos SP e KP. Conclusão: Em RN prematuros clinicamente estáveis, o PP foi associado à melhor saturação periférica de oxigênio do que o SP ou KP. Além disso, houve redução da frequência cardíaca no grupo de posição prona e no grupo KP houve aumento do número de RNs na classificação sono profundo.Editora PUCPRESS2023-01-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.pucpr.br/fisio/article/view/2986610.1590/fm.2023.36102Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 36 (2023): n. cont.Fisioterapia em Movimento; v. 36 (2023): n. cont.1980-5918reponame:Fisioterapia em Movimentoinstname:Pontifícia Universidade Católica do Paraná (PUC-PR)instacron:PUC_PRenghttps://periodicos.pucpr.br/fisio/article/view/29866/25941Castro, Estefani Santos Bacil, Leticia Furman de Almeida, Franciny de LimaAndreazza, Marimar Goretti Pedrão, Rodolfo Augusto Alves Valderramas, Silvia Regina info:eu-repo/semantics/openAccess2023-12-04T14:30:26Zoai:ojs.periodicos.pucpr.br:article/29866Revistahttps://periodicos.pucpr.br/fisioPRIhttps://periodicos.pucpr.br/fisio/oairubia.farias@pucpr.br||revista.fisioterapia@pucpr.br1980-59180103-5150opendoar:2023-12-04T14:30:26Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)false |
dc.title.none.fl_str_mv |
Premature newborn positionings and physiologic parameters – a randomized clinical study Posicionamentos de recém-nascidos prematuros e parâmetros fisiológicos – um estudo clínico randomizado |
title |
Premature newborn positionings and physiologic parameters – a randomized clinical study |
spellingShingle |
Premature newborn positionings and physiologic parameters – a randomized clinical study Castro, Estefani Santos |
title_short |
Premature newborn positionings and physiologic parameters – a randomized clinical study |
title_full |
Premature newborn positionings and physiologic parameters – a randomized clinical study |
title_fullStr |
Premature newborn positionings and physiologic parameters – a randomized clinical study |
title_full_unstemmed |
Premature newborn positionings and physiologic parameters – a randomized clinical study |
title_sort |
Premature newborn positionings and physiologic parameters – a randomized clinical study |
author |
Castro, Estefani Santos |
author_facet |
Castro, Estefani Santos Bacil, Leticia Furman de Almeida, Franciny de Lima Andreazza, Marimar Goretti Pedrão, Rodolfo Augusto Alves Valderramas, Silvia Regina |
author_role |
author |
author2 |
Bacil, Leticia Furman de Almeida, Franciny de Lima Andreazza, Marimar Goretti Pedrão, Rodolfo Augusto Alves Valderramas, Silvia Regina |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Castro, Estefani Santos Bacil, Leticia Furman de Almeida, Franciny de Lima Andreazza, Marimar Goretti Pedrão, Rodolfo Augusto Alves Valderramas, Silvia Regina |
description |
Introduction: Multiple studies have shown the effects of prone (PP), supine (SP) and kangaroo (KP) positions on clinical and physiological outcomes in preterm newborns, but none compared these three types of positioning between them. Objective: To investigate the influence of these positionings on heart rate, respiratory rate, peripheral oxygen saturation (SpO2) and alertness status in clinically stable preterm newborns (NBs) admitted to a neonatal intensive care unit. Methods: In a randomized clinical trial, clinically stable NBs with gestational ages from 30 to 37 weeks who were breathing spontaneously were allocated in three positioning groups: PP, SP and KP. SpO2, heart rate, breathing frequency and alertness status were evaluated immediately before and after 30 minutes of positioning. Results: In all, 66 NBs were assessed (corrected age: 35.48 ± 1.94 weeks; weight: 1840.14 ± 361.09 g), (PP: n = 22; SP: n = 23; KP: n = 21). NBs in the PP group showed a significant improvement in peripheral SpO2 (97.18 ± 2.16 vs 95.47 ± 2.93 vs 95.57 ± 2.95, p = 0.03) compared with the SP and KP groups. Conclusion: In clinically stable preterm NBs, the PP was associated with better peripheral oxygen saturation than the SP or KP. In addition, there was a reduction in heart rate within prone position group and in the KP group there was an increase in the number of NBs in the deep sleep classification. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-01-18 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/29866 10.1590/fm.2023.36102 |
url |
https://periodicos.pucpr.br/fisio/article/view/29866 |
identifier_str_mv |
10.1590/fm.2023.36102 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/29866/25941 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora PUCPRESS |
publisher.none.fl_str_mv |
Editora PUCPRESS |
dc.source.none.fl_str_mv |
Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 36 (2023): n. cont. Fisioterapia em Movimento; v. 36 (2023): n. cont. 1980-5918 reponame:Fisioterapia em Movimento instname:Pontifícia Universidade Católica do Paraná (PUC-PR) instacron:PUC_PR |
instname_str |
Pontifícia Universidade Católica do Paraná (PUC-PR) |
instacron_str |
PUC_PR |
institution |
PUC_PR |
reponame_str |
Fisioterapia em Movimento |
collection |
Fisioterapia em Movimento |
repository.name.fl_str_mv |
Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR) |
repository.mail.fl_str_mv |
rubia.farias@pucpr.br||revista.fisioterapia@pucpr.br |
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1799138749968285696 |