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The Incubator

#183 - [Journal Club Shorts] - πŸ“Œ Hydrocortisone in very preterm neonates for BPD prevention: meta-analysis and effect size modifiers.

Feb 11, 2024
07:54
Snipd AI
De Luca D, Ferraioli S, Watterberg KL, Baud O, Gualano MR discuss their meta-analysis on hydrocortisone use in very preterm neonates for BPD prevention. Hydrocortisone didn't reduce BPD, but reduced mortality and showed potential benefits on secondary outcomes. They also explore challenges and factors in treating babies with Corio, emphasizing the impact of inflammation on at-risk children.
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Quick takeaways

  • Hydrocortisone did not reduce bronchopulmonary dysplasia, but showed benefits in reducing mortality and necrotizing enterocolitis.
  • The effectiveness of hydrocortisone in reducing BPD varied based on treatment duration and neonatal chorioamnionitis, suggesting a case-by-case consideration for secondary outcomes.

Deep dives

Hydrocorrhizone does not reduce BPD, but has benefits on secondary outcomes

This meta-analysis of seven trials involving over 2,000 neonates found that hydrocorrhizone did not reduce bronchopulmonary dysplasia (BPD). However, the analysis revealed several secondary outcomes in which hydrocorrhizone showed benefits. It significantly reduced mortality and necrotizing enterocolitis (NEC). The effectiveness of hydrocorrhizone in reducing BPD was inversely associated with the duration of treatment, with a 10 to 12-day duration yielding better results. Neonates with chorioamnionitis showed greater response to hydrocorrhizone. These findings suggest that hydrocorrhizone could be considered on a case-by-case basis for certain secondary outcomes.

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