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Preclinical Detection of Non-catheter Related Late-onset Sepsis in Preterm Infants by Fecal Volatile Compounds Analysis: A Prospective, Multi-center Cohort Study.

Daniel J C Berkhout, Hendrik J Niemarkt, Peter Andriessen, Daniel C Vijlbrief, Marije K Bomers, Veerle Cossey, Christian V Hulzebos, Anton H van Kaam, Boris W Kramer, Richard A van Lingen, Alfian N Wicaksono, James A Covington, Mirjam M van Weissenbruch, Marc A Benninga, Nanne K H de Boer, Tim G J de Meij,

BACKGROUND:Late onset sepsis (LOS) in preterm infants is preceded by fecal volatile organic compound (VOC) alterations, suggesting an etiologic role of gut microbiota in LOS rather than being primarily caused by central venous catheters (CVC). To increase our knowledge about the involvement of the gut microbiota in LOS, we analyzed ... Read more >>

Pediatr. Infect. Dis. J. (The Pediatric infectious disease journal)
[2020, 39(4):330-335]

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Enantiomer specific pharmacokinetics of ibuprofen in preterm neonates with patent ductus arteriosus.

Aline G J Engbers, Robert B Flint, Swantje Völler, Johan C A de Klerk, Irwin K M Reiss, Peter Andriessen, Kian D Liem, Pieter L J Degraeuwe, Siska Croubels, Joske Millecam, Karel Allegaert, Sinno H P Simons, Catherijne A J Knibbe,

AIMS:Racemic ibuprofen is widely used for the treatment of preterm neonates with patent ductus arteriosus. Currently used bodyweight-based dosing guidelines are based on total ibuprofen, while only the S-enantiomer of ibuprofen is pharmacologically active. We aimed to optimize ibuprofen dosing for preterm neonates of different ages based on an enantiomer-specific ... Read more >>

Br J Clin Pharmacol (British journal of clinical pharmacology)
[2020, :]

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Propofol for endotracheal intubation in neonates: a dose-finding trial.

Ellen H M de Kort, Sandra A Prins, Irwin K M Reiss, Sten P Willemsen, Peter Andriessen, Mirjam M van Weissenbruch, Sinno H P Simons,

OBJECTIVE:To find propofol doses providing effective sedation without side effects in neonates of different gestational ages (GA) and postnatal ages (PNA). DESIGN AND SETTING:Prospective multicentere dose-finding study in 3 neonatal intensive care units. PATIENTS:Neonates with a PNA <28 days requiring non-emergency endotracheal intubation. INTERVENTIONS:Neonates were stratified into 8 groups based ... Read more >>

Arch. Dis. Child. Fetal Neonatal Ed. (Archives of disease in childhood. Fetal and neonatal edition)
[2020, :]

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Histological villous maturation in placentas of complicated pregnancies.

Philippe Vangrieken, Sizzle F Vanterpool, Frederik J van Schooten, Salwan Al-Nasiry, Peter Andriessen, Ellen Degreef, Joachim Alfer, Boris W Kramer, Ulrike von Rango,

Chorioamnionitis and preeclampsia account for the majority of preterm births worldwide. Thus far, adequate methods for early detection or prevention of these diseases are lacking. In preeclampsia, accelerated villous maturation is believed to compensate placental insufficiency. However, little is known about the effects of placental inflammation in chorioamnionitis on villous ... Read more >>

Histol. Histopathol. (Histology and histopathology)
[2020, :18205]

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Predictive Monitoring of Critical Cardiorespiratory Alarms in Neonates Under Intensive Care.

Rohan Joshi, Zheng Peng, Xi Long, Loe Feijs, Peter Andriessen, Carola Van Pul,

We aimed at reducing alarm fatigue in neonatal intensive care units by developing a model using machine learning for the early prediction of critical cardiorespiratory alarms. During this study in over 34,000 patient monitoring hours in 55 infants 278,000 advisory (yellow) and 70,000 critical (red) alarms occurred. Vital signs including ... Read more >>

IEEE J Transl Eng Health Med (IEEE Journal of Translational Engineering in Health and Medicine)
[2019, 7:2700310]

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Why -aVF can be used in STAN as a proxy for scalp electrode-derived signal; reply to comments by Kjellmer et al.

Tammo Delhaas, Peter Andriessen, Judith Oeh van Laar, Rik Vullings, Ben Jm Hermans, Hendrik J Niemarkt, Reint K Jellema, Daan Rmg Ophelders, Tim Gam Wolfs, Boris W Kramer, Alex Zwanenburg,

The conclusion of our recent paper that performance of the STAN device in clinical practice is potentially limited by high false-negative and high false-positive STAN-event rates and loss of ST waveform assessment capacity during severe hypoxemia, evoked comments by Kjellmer, Lindecrantz and Rosén. These comments can be summarized as follows: ... Read more >>

PLoS ONE (PloS one)
[2019, 14(8):e0221220]

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Quality assessment and response to less invasive surfactant administration (LISA) without sedation.

Ellen de Kort, Suzanne Kusters, Hendrik Niemarkt, Carola van Pul, Irwin Reiss, Sinno Simons, Peter Andriessen,

BACKGROUND:Although sedative premedication for endotracheal intubation is considered standard of care, less invasive surfactant administration (LISA) is often performed without sedative premedication. The aim of this study was to assess success rates, technical quality and vital parameters in LISA without sedative premedication. METHODS:Prospective observational study in 86 neonates <32 weeks' gestation. ... Read more >>

Pediatr. Res. (Pediatric research)
[2020, 87(1):125-130]

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Automated preterm infant sleep staging using capacitive electrocardiography.

Jan Werth, Aline Serteyn, Peter Andriessen, Ronald M Aarts, Xi Long,

OBJECTIVE:To date, mainly obtrusive methods (e.g. adhesive electrodes in electroencephalography or electrocardiography) have been necessary to determine the preterm infant sleep states. As any obtrusive measure should be avoided in preterm infants because of their immature skin development, we investigated the possibility of automated sleep staging using electrocardiograph signals from ... Read more >>

Physiol Meas (Physiological measurement)
[2019, 40(5):055003]

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Predicting Neonatal Sepsis Using Features of Heart Rate Variability, Respiratory Characteristics, and ECG-Derived Estimates of Infant Motion.

Rohan Joshi, Deedee Kommers, Laurien Oosterwijk, Loe Feijs, Carola van Pul, Peter Andriessen,

This study in preterm infants was designed to characterize the prognostic potential of several features of heart rate variability (HRV), respiration, and (infant) motion for the predictive monitoring of late-onset sepsis (LOS). In a neonatal intensive care setting, the cardiorespiratory waveforms of infants with blood-culture positive LOS were analyzed to ... Read more >>

IEEE J Biomed Health Inform (IEEE journal of biomedical and health informatics)
[2020, 24(3):681-692]

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Automatic and Continuous Discomfort Detection for Premature Infants in a NICU Using Video-Based Motion Analysis.

Yue Sun, Peter H N de With, Deedee Kommers, Wenjin Wang, Rohan Joshi, Caifeng Shan, Tao Tan, Ronald M Aarts, Carola van Pul, Peter Andriessen,

Frequent pain and discomfort in premature infants can lead to long-term adverse neurodevelopmental outcomes. Video-based monitoring is considered to be a promising contactless method for identification of discomfort moments. In this study, we propose a video-based method for automated detection of infant discomfort. The method is based on analyzing facial ... Read more >>

Conf Proc IEEE Eng Med Biol Soc (Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference)
[2019, 2019:5995-5999]

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Recently Registered Midazolam Doses for Preterm Neonates Do Not Lead to Equal Exposure: A Population Pharmacokinetic Model.

Swantje Völler, Robert B Flint, Fouzi Beggah, Irwin Reiss, Peter Andriessen, Luc J I Zimmermann, John N van den Anker, Kian D Liem, Birgit C P Koch, Saskia de Wildt, Catherijne A J Knibbe, Sinno H P Simons,

Although midazolam is a frequently used sedative in neonatal intensive care units, its use in preterm neonates has been off-label. Recently, a new dosing advice for midazolam for sedation on intensive care units has been included in the label (0.03 mg/[kg·h] for preterm neonates <32 weeks and 0.06 mg/[kg·h] for neonates >32 weeks). ... Read more >>

J Clin Pharmacol (Journal of clinical pharmacology)
[2019, 59(10):1300-1308]

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Artifacts in pulse transit time measurements using standard patient monitoring equipment.

Frank C Bennis, Carola van Pul, Jarno J L van den Bogaart, Peter Andriessen, Boris W Kramer, Tammo Delhaas,

OBJECTIVE:Pulse transit time (PTT) refers to the time it takes a pulse wave to travel between two arterial sites. PTT can be estimated, amongst others, using the electrocardiogram (ECG) and photoplethysmogram (PPG). Because we observed a sawtooth artifact in the PTT while using standard patient monitoring equipment for ECG and ... Read more >>

PLoS ONE (PloS one)
[2019, 14(6):e0218784]

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Statistical Modeling of Heart Rate Variability to Unravel the Factors Affecting Autonomic Regulation in Preterm Infants.

Rohan Joshi, Deedee Kommers, Chengcheng Guo, Jan-Willem Bikker, Loe Feijs, Carola van Pul, Peter Andriessen,

Analyzing heart rate variability (HRV) in preterm infants can help track maturational changes and subclinical signatures of disease. We conducted an observational study to characterize the effect of demographic and cardiorespiratory factors on three features of HRV using a linear mixed-effects model. HRV-features were tailored to capture the unique physiology ... Read more >>

Sci Rep (Scientific reports)
[2019, 9(1):7691]

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Development of Nationwide Recommendations to Support Prenatal Counseling in Extreme Prematurity.

Rosa Geurtzen, Arno F J van Heijst, Jos M T Draaisma, Lindie J M K Kuijpers, Mallory Woiski, Hubertina C J Scheepers, Anton H van Kaam, Martijn A Oudijk, Harrie N Lafeber, Caroline J Bax, Jan F Koper, Leonie K Duin, Marc A van der Hoeven, René F Kornelisse, Johannes J Duvekot, Peter Andriessen, Pieter J van Runnard Heimel, Marja van der Heide-Jalving, Mireille N Bekker, Susanne M Mulder-de Tollenaer, Jim van Eyck, Ellis Eshuis-Peters, Margo Graatsma, Rosella P M G Hermens, Marije Hogeveen,

OBJECTIVES:To develop a nationwide, evidence-based framework to support prenatal counseling in extreme prematurity, focusing on organization, decision-making, content, and style aspects. METHODS:A nationwide multicenter RAND-modified Delphi method study was performed between November 2016 and December 2017 in the Netherlands. Firstly, recommendations were extracted from literature and previous studies. Secondly, an ... Read more >>

Pediatrics (Pediatrics)
[2019, 143(6):]

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Necrotizing Enterocolitis, Gut Microbiota, and Brain Development: Role of the Brain-Gut Axis.

Hendrik J Niemarkt, Tim G De Meij, Christ-Jan van Ganzewinkel, Nanne K H de Boer, Peter Andriessen, Matthias C Hütten, Boris W Kramer,

Necrotizing enterocolitis (NEC) is a relatively common disease in very-low-birth-weight infants and is associated with high mortality and morbidity. In survivors, neurodevelopmental impairment is frequently seen. The exact etiology remains largely to be elucidated, but microbiota are considered to play a major role in the development of NEC. Furthermore, emerging ... Read more >>

Neonatology (Neonatology)
[2019, 115(4):423-431]

Cited: 3 times

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Minimally invasive surfactant therapy failure: risk factors and outcome.

Lobke Ce Janssen, Jooske Van Der Spil, Anton H van Kaam, Jeanne P Dieleman, Peter Andriessen, Wes Onland, Hendrik J Niemarkt,

OBJECTIVE:To evaluate incidence of minimally invasive surfactant therapy (MIST) failure, identify risk factors and assess the impact of MIST failure on neonatal outcome. DESIGN:Retrospective cohort study. MIST failure was defined as need for early mechanical ventilation (<72 hours of life). Multivariate logistic regression analysis was performed to identify risk factors for ... Read more >>

Arch. Dis. Child. Fetal Neonatal Ed. (Archives of disease in childhood. Fetal and neonatal edition)
[2019, 104(6):F636-F642]

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Monitoring the respiratory rate of preterm infants using an ultrathin film sensor embedded in the bedding: a comparative feasibility study.

Rohan Joshi, Bart Bierling, Loe Feijs, Carola van Pul, Peter Andriessen,

OBJECTIVE:To determine the feasibility of unobtrusively monitoring the respiratory rate (RR) in preterm infants by using a film-like pressure sensor placed between the mattress and the bedding. APPROACH:The RR was simultaneously measured by processing the chest impedance (CI) and the ballistographic (BSG) signal acquired from the pressure sensor in 10 ... Read more >>

Physiol Meas (Physiological measurement)
[2019, 40(4):045003]

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Dynamic prediction of bleeding risk in thrombocytopenic preterm neonates.

Susanna F Fustolo-Gunnink, Karin Fijnvandraat, Hein Putter, Isabelle M Ree, Camila Caram-Deelder, Peter Andriessen, Esther J d'Haens, Christian V Hulzebos, Wes Onland, André A Kroon, Daniël C Vijlbrief, Enrico Lopriore, Johanna G van der Bom,

Over 75% of severely thrombocytopenic neonates receive platelet transfusions, though little evidence supports this practice, and only 10% develop major bleeding. In a recent randomized trial, giving platelet transfusions at a threshold platelet count of 50x109/L compared to a threshold of 25x109/L was associated with an increased risk of major ... Read more >>

Haematologica (Haematologica)
[2019, 104(11):2300-2306]

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Rapidly maturing fentanyl clearance in preterm neonates.

Swantje Völler, Robert B Flint, Peter Andriessen, Karel Allegaert, Luc J I Zimmermann, Kian D Liem, Birgit C P Koch, Sinno H P Simons, Catherijne A J Knibbe, ,

BACKGROUND:Fentanyl is frequently used off-label in preterm newborns. Due to very limited pharmacokinetic and pharmacodynamic data, fentanyl dosing is mostly based on bodyweight. This study describes the maturation of the pharmacokinetics in preterm neonates born before 32 weeks of gestation. METHODS:442 plasma samples from 98 preterm neonates (median gestational age: ... Read more >>

Arch. Dis. Child. Fetal Neonatal Ed. (Archives of disease in childhood. Fetal and neonatal edition)
[2019, 104(6):F598-F603]

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Late-onset Sepsis in Preterm Infants Can Be Detected Preclinically by Fecal Volatile Organic Compound Analysis: A Prospective, Multicenter Cohort Study.

Daniel J C Berkhout, Britt J van Keulen, Hendrik J Niemarkt, Jet R Bessem, Willem P de Boode, Veerle Cossey, Neil Hoogenes, Christiaan V Hulzebos, Ellen Klaver, Peter Andriessen, Anton H van Kaam, Boris W Kramer, Richard A van Lingen, Aaron Schouten, Johannes B van Goudoever, Daniel C Vijlbrief, Mirjam M van Weissenbruch, Alfian N Wicaksono, James A Covington, Marc A Benninga, Nanne K H de Boer, Tim G J de Meij,

Background:The intestinal microbiota has increasingly been considered to play a role in the etiology of late-onset sepsis (LOS). We hypothesize that early alterations in fecal volatile organic compounds (VOCs), reflecting intestinal microbiota composition and function, allow for discrimination between infants developing LOS and controls in a preclinical stage. Methods:In 9 ... Read more >>

Clin. Infect. Dis. (Clinical infectious diseases : an official publication of the Infectious Diseases Society of America)
[2019, 68(1):70-77]

Cited: 4 times

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Cardiorespiratory coupling in preterm infants.

Rohan Joshi, Deedee Kommers, Xi Long, Loe Feijs, Sabine Van Huffel, Carola van Pul, Peter Andriessen,

In preterm infants, a better understanding and quantification of cardiorespiratory coupling may help improve caregiving by enabling the tracking of maturational changes and subclinical signatures of disease. Therefore, in a study of 20 preterm infants admitted to a neonatal intensive care unit, we analyzed the cardiac and respiratory regulatory mechanisms ... Read more >>

J. Appl. Physiol. (Journal of applied physiology (Bethesda, Md. : 1985))
[2019, 126(1):202-213]

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Evaluation of an Intubation Readiness Score to Assess Neonatal Sedation before Intubation.

Ellen H M de Kort, Peter Andriessen, Irwin K H Reiss, Monique van Dijk, Sinno H P Simons,

BACKGROUND:Premedication for neonatal intubation facilitates the procedure and reduces stress and physiological disturbances. However, no validated scoring system to assess the effect of premedication prior to intubation is available. OBJECTIVE:To evaluate the usefulness of an Intubation Readiness Score (IRS) to assess the effect of premedication prior to intubation in newborn ... Read more >>

Neonatology (Neonatology)
[2019, 115(1):43-48]

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A Ballistographic Approach for Continuous and Non-Obtrusive Monitoring of Movement in Neonates.

Rohan Joshi, Bart L Bierling, Xi Long, Janna Weijers, Loe Feijs, Carola Van Pul, Peter Andriessen,

Continuously monitoring body movement in preterm infants can have important clinical applications since changes in movement-patterns can be a significant marker for clinical deteriorations including the onset of sepsis, seizures, and apneas. This paper proposes a system and method to monitor body movement of preterm infants in a clinical environment ... Read more >>

IEEE J Transl Eng Health Med (IEEE Journal of Translational Engineering in Health and Medicine)
[2018, 6:2700809]

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Changes in autonomic regulation due to Kangaroo care remain unaffected by using a swaddling device.

Deedee R Kommers, Rohan Joshi, Carola van Pul, Loe Feijs, Sidarto Bambang Oetomo, Peter Andriessen,

AIM:To investigate the effects of a swaddling device known as the Hugsy (Hugsy, Eindhoven, the Netherlands) towards improving autonomic regulation. This device can be used both in the incubator and during Kangaroo care to absorb parental scent and warmth. After Kangaroo care, these stimuli can continue to be experienced by ... Read more >>

Acta Paediatr. (Acta paediatrica (Oslo, Norway : 1992))
[2019, 108(2):258-265]

Cited: 2 times

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Risk Factors for Necrotizing Enterocolitis: A Prospective Multicenter Case-Control Study.

Daniel J C Berkhout, Patrick Klaassen, Hendrik J Niemarkt, Willem P de Boode, Veerle Cossey, Johannes B van Goudoever, Christiaan V Hulzebos, Peter Andriessen, Anton H van Kaam, Boris W Kramer, Richard A van Lingen, Daniel C Vijlbrief, Mirjam M van Weissenbruch, Marc Benninga, Nanne K H de Boer, Tim G J de Meij,

BACKGROUND:The identification of independent clinical risk factors for necrotizing enterocolitis (NEC) may contribute to early selection of infants at risk, allowing for the development of targeted strategies aimed at the prevention of NEC. OBJECTIVE:The objective of this study was to identify independent risk factors contributing to the development of NEC ... Read more >>

Neonatology (Neonatology)
[2018, 114(3):277-284]

Cited: 6 times

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