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Published in: Pediatric Nephrology 10/2023

Open Access 05-05-2023 | Blood Pressure Measurement | Original Article

Oscillometric arterial blood pressure in haemodynamically stable neonates in the first 2 weeks of life

Authors: Judit Klara Kiss, Anna Gajda, Judit Mari, Judit Nemeth, Csaba Bereczki

Published in: Pediatric Nephrology | Issue 10/2023

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Abstract

Background

We aimed to provide data on the normal blood pressure of haemodynamically stable neonates. Our study uses retrospective, real-life oscillometric blood pressure measurement values to determine the expected blood pressure in different gestational age, chronological age and birth weight groups. We also investigated the effect of antenatal steroid on neonatal blood pressure.

Methods

Our retrospective study (2019–2021) was carried out in the Neonatal Intensive Care Unit of the University of Szeged, Hungary. We involved 629 haemodynamically stable patients and analysed 134,938 blood pressure values. Data were collected from electronic hospital records of IntelliSpace Critical Care Anesthesia by Phillips. We used the PDAnalyser program for data handling and the IBM SPSS program for statistical analysis.

Results

We found a significant difference between the blood pressure of each gestational age group in the first 14 days of life. The systolic, diastolic and mean blood pressure rise are steeper in the preterm group than in the term group in the first 3 days of life. No significant blood pressure differences were found between the group with a complete antenatal steroid course and those who received incomplete steroid prophylaxis or did not receive antenatal steroids.

Conclusion

We determined the average blood pressure of stable neonates and obtained normative data by percentiles. Our study provides additional data on how blood pressure varies with gestational age and birth weight.

Graphical abstract

Appendix
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Metadata
Title
Oscillometric arterial blood pressure in haemodynamically stable neonates in the first 2 weeks of life
Authors
Judit Klara Kiss
Anna Gajda
Judit Mari
Judit Nemeth
Csaba Bereczki
Publication date
05-05-2023
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Nephrology / Issue 10/2023
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-023-05979-x

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