Table 1 Characteristics of the study participants, stratified by response to surfactant. A good response to SRT was defined as either a ≥ 50% increase in the S/F ratio or an S/F ratio ≥428 at 6 h postadministration, along with no need for escalation from non-invasive ventilation to mechanical ventilation.
A. All (N = 350) | B. SRT responders N = 222 (63.6%) | C. SRT nonresponders N = 127 (36.4%) | p value B vs C | |
|---|---|---|---|---|
Perinatal characteristics | ||||
Sex (male) | 224 (64%) | 135 (60%) | 88 (69%) | 0.141 A |
Gestational age (weeks) | 35.8 ± 1.6 | 35.7 ± 1.6 | 35.9 ± 1.6 | 0.204B |
Cesarean delivery | 262 (75%) | 170 (77%) | 92 (72%) | 0.465 A |
Multiparity | 41 (12%) | 22 (10%) | 19 (15.0%) | 0.216 A |
Birth weight (g) | 2645 (2336–3000) | 2635 (2308–2995) | 2670 (2360–3015) | 0.504B |
Apgar 5 min | 9 (8–10) | 9 (7–9) | 9 (8–10) | 0.118B |
Maternal history | ||||
Antenatal corticosteroids | 70 (20%) | 44 (20%) | 26 (20%) | 0.994 A |
pPROM | 72 (21%) | 40 (18%) | 32 (25%) | 0.145 A |
Diabetes | 54 (15%) | 41 (18%) | 13 (10%) | 0.058 A |
Chorioamnionitis | 7 (2%) | 4 (1.8) | 3 (2.4%) | 0.708 C |
Fetal growth restriction | 28 (8%) | 18 (8.1%) | 10 (7.9%) | 1.000 A |
Pulmonary morbidityD | ||||
RDS with no comorbidity | 189 (54%) | 123 (55%) | 66 (52%) | 0.577 A |
Congenital pneumonia | 118 (34%) | 78 (35%) | 40 (31%) | 0.566 A |
Air leaks | 15 (4.3%) | 7 (3.2%) | 8 (6.3%) | 0.263 A |
Pneumothorax | 13 (3.7%) | 6 (2.8%) | 7 (5%) | − |
Pneumomediastinum | 2 (0.6%) | 1 (0.5%) | 1 (0.7%) | − |
Pulmonary hemorrhage | 7 (2%) | 2 (0.9%) | 5 (3.9%) | 0.104 C |
PPHN | 27 (7.7%) | 14 (6.3%) | 13 (10%) | 0.265 A |
TTN | 16 (4.6%) | 8 (3.6%) | 8 (6.3%) | 0.372 A |
MAS | 9 (2.6%) | 6 (2.7%) | 3 (2.4%) | 1.000 C |
Systemic oxygenation before treatment | ||||
SpO2 (S), % | 92 (88–95) | 92 (88–95) | 92 (89–95) | 0.220B |
FiO2 (F) | 0.40 (0.35–0.50) | 0.45 (0.40–0.60) | 0.36 (0.31–0.45) | < 0.001B |
S/F ratio | 220 (164–263) | 196 (147–237) | 245 (201–287) | < 0.001B |
Surfactant (SRT) | ||||
Time from birth to SRT (h) | 8.2 (3.5–24.9) | 7.2 (3.1–22.6) | 15.6 (3.8–28.3) | 0.003B |
SRT dosage (mg/kg BW) | 182 (150–198) | 182 (150–198) | 180 (151–198) | 0.832B |
Method of SRT administration | ||||
LISA | 148 (42%) | 86 (38.7%) | 62 (48.8%) | 0.085 A |
INSURE | 100 (28%) | 67 (30.2%) | 33 (26.0%) | 0.477 A |
SRT + MV | 99 (28%) | 69 (31.1%) | 30 (23.6%) | 0.173A |
SALSA | 2 (0.6%) | 0 (0%) | 2 (1.6%) | N/A |