Roberto Bellù
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View article: Assessing the Impact of Distance Traveled and Birth Volumes of Hospital Maternity Units on Newborn Outcomes: Population-Based Cohort Study
Assessing the Impact of Distance Traveled and Birth Volumes of Hospital Maternity Units on Newborn Outcomes: Population-Based Cohort Study Open
Background The centralization of childbirth and newborn care in large maternity units has become increasingly prevalent in Europe. While this trend offers potential benefits such as specialized care and improved outcomes, it can also lead …
View article: The Italian Perinatal Surveillance System SPItOSS: insights from Confidential Enquiries
The Italian Perinatal Surveillance System SPItOSS: insights from Confidential Enquiries Open
Background An effective strategy to reduce perinatal mortality requires an active surveillance system. This includes monitoring cases, organizing multidisciplinary local audits, conducting Confidential Enquiries, identifying avoidable fact…
View article: Opioids for newborn infants receiving mechanical ventilation
Opioids for newborn infants receiving mechanical ventilation Open
We are uncertain whether opioids have an effect on pain and neurodevelopmental outcomes at 18 to 24 months; the use of morphine or fentanyl probably has little or no effect in reducing the duration of mechanical ventilation and neonatal mo…
View article: Acute Rheumatic Fever: Where Do We Stand? An Epidemiological Study in Northern Italy
Acute Rheumatic Fever: Where Do We Stand? An Epidemiological Study in Northern Italy Open
Acute rheumatic fever (ARF) is a non-septic complication of group A β-hemolytic streptococcal (GAS) throat infection. Since 1944, ARF diagnosis relies on the Jones criteria, which were periodically revised. The 2015 revision of Jones crite…
View article: A machine learning approach to estimating preterm infants survival: development of the Preterm Infants Survival Assessment (PISA) predictor
A machine learning approach to estimating preterm infants survival: development of the Preterm Infants Survival Assessment (PISA) predictor Open
Estimation of mortality risk of very preterm neonates is carried out in clinical and research settings. We aimed at elaborating a prediction tool using machine learning methods. We developed models on a cohort of 23747 neonates <30 weeks g…
View article: Functional gastrointestinal disorders in newborns: nutritional perspectives
Functional gastrointestinal disorders in newborns: nutritional perspectives Open
Functional gastrointestinal disorders (FGIDs) definition in children has changed over the years trying to facilitate clinicians, because the diagnostic process is complicated by the interpretation variability of symptoms described by child…
View article: Breastfeeding promotion: evidence and problems
Breastfeeding promotion: evidence and problems Open
Although breastfeeding is associated with many health benefits in children and mothers, and World Health Organization (WHO) recommends exclusive breastfeeding until 6 months of age and continued breastfeeding until 2 years of age, overall …
View article: Extreme Prematurity Outcomes: Have We Really Reached the Limit?
Extreme Prematurity Outcomes: Have We Really Reached the Limit? Open
Health care professionals and laypeople alike are convinced that outcomes of very preterm infants have been steadily improving over the years. Yet in an interesting article published in this issue of Pediatrics, Stensvold et al1 challenge …
View article: Mother-To-Child Transmission of KPC Carbapenemase-Producing Klebsiella Pneumoniae at Birth
Mother-To-Child Transmission of KPC Carbapenemase-Producing Klebsiella Pneumoniae at Birth Open
We report on a mother-to-child transmission of KPC carbapenemase-producing Klebsiella pneumoniae at birth followed by subsequent cases in the neonatal intensive care unit. Molecular analysis of isolates showed production of KPC-3 enzyme. T…
View article: Neonatal respiratory distress syndrome: are risk factors the same in preterm and term infants?
Neonatal respiratory distress syndrome: are risk factors the same in preterm and term infants? Open
Our analysis suggests as some risk factors do not influence RDS incidence in the same way at different gestational age.
View article: What we talk about when we talk about NICUs: infants’ acuity and nurse staffing*
What we talk about when we talk about NICUs: infants’ acuity and nurse staffing* Open
Objective: Organizational features of neonatal intensive care influence the care of sick neonates. We estimated the acuity-adjusted nurse-to-patient ratio (NPR) in a national sample of Italian NICUs and factors influencing it. Methods: Twe…