archdischild-2016-310863.395

Abstracts
Abstract G404(P) Table 1 Main results
significantly lower compared to females. This pattern was consistent across all gestation groups. After adjustment for confounding variables, gestation at birth, duration of ventilation and
postnatal steroids remained independent factors that significantly
affected z-score at discharge.
Conclusion The longitudinal weight profile of preterm infants in
Wales is significantly below predicted standards as per the
B1990R. While suboptimal nutrition is multifactorial with scope
for further improvement, we speculate that the observed growth
failure is significantly contributed by an unrealistic expectation
of postnatal growth. A large population based longitudinal
growth chart may be more representative of appropriate growth
in this population.
G405(P) TO EVALUATE AND COMPARE THE EFFICACY OF
COMBINED SUCROSE AND NON-NUTRITIVE SUCKING
FOR ANALGESIA IN NEWBORNS UNDERGOING MINOR
PAINFUL PROCEDURE: A RANDOMISED CONTROLLED
TRIAL
P Thakkar, 2K Arora, 2K Goyal, 3R Das. 1Pediatrics, Baroda Medical College, Baroda, India;
2
Pediatrics, Dayanand Medical College and Hopital, Ludhiana, India; 3Pediatrics, All India
Institute of Medical Sciences, Bhubneshwar, India
group IV. Group III had significant decrease in the mean PIPP
score compared to other groups (p = 0.001). Mean PIPP score
also decreased significantly with any intervention as compared to
no intervention (p = 0.001).
Conclusions Sucrose and NNS in combination are effective in
providing analgesia in full term neonates undergoing minor painful procedure, with the combined intervention being more effective than single intervention.
G406(P) AN AUDIT OF RESPIRATORY SUPPORT PRACTICE AND
OUTCOMES IN THE LESS THAN 27 WEEK GESTATION
POPULATION ACROSS THREE TERTIARY NEONATAL
CENTRES IN LONDON
1
A Mintoft, 1C Harris, 2R Gandhi, 1L De Rooy, 3N Sim, 3L Tyszczuk, 2M Sellwood.
Neonatology, St George’s NHS Trust, London, UK; 2Neonatology, University College
Hospitals NHS Trust, London, UK; 3Neonatology, Queen Charlotte’s and Chelsea Hospitals
NHS Trust, London, UK
1
10.1136/archdischild-2016-310863.396
1
10.1136/archdischild-2016-310863.395
Aim Neonates frequently undergo minor painful procedures for
which they are often not offered any analgesia. Sucrose and
Non-nutritive sucking (NNS) can be effective non-pharmacological methods for pain relief in neonates. Aim of the study was to
evaluate and compare the efficacy of combined sucrose and nonnutritive sucking for analgesia in newborn infants undergoing
minor painful procedure.
Methods This randomised control trial (RCT) was conducted in
the neonatal intensive care unit of a tertiary care hospital over a
period of one year. 180 full term neonates with birth-weight
>2200 g and age >24 h were randomised to one of four interventions administered two min before the procedure: 2 ml of
30% sucrose (group I, n = 45) or non-nutritive sucking (NNS)
(group II, n = 45) or both (group III, n = 45) or none (group
IV, n = 45). Primary outcome was composite score based on Premature Infant Pain Profile (PIPP) score.
Results Baseline variables were comparable among the groups.
Mean (±SD) PIPP score was 3.42 ± 1.6 in group III, 7.47 ±
1.6 in group I, 8.42 ± 2.5 in group II, and 12.49 ± 2.9 in
archdischild 2016;101(Suppl 1):A1–A374
Despite advances in neonatal intensive care, respiratory morbidities for very low birth weight babies have remained the same.1,2
This is associated with high costs, both to infants and families
and in financial terms to the NHS.(Phibbs 2006) There is considerable variation in respiratory management of this vulnerable population across neonatal units. The majority of neonatal units in
the United Kingdom contribute neonatal data to a common platform ‘Badger.net’. In this study we aim to pilot extraction of respiratory data from Badger.net from three tertiary units in
London to examine the applicability and feasibility of auditing
and bench marking routinely collected data.
Methods Data were collected for all babies <27 weeks gestational age (GA) for 2013 (January-December). The information
was collected from Badger.net, the medical notes were checked
for missing data. Data were compared using the Mann Whitney
U test.
Results The median GA and birth weight (BW) were similar in
all units. Only inborn babies from Unit A (a surgical centre)
were considered (Table 1). There was a significant difference in
the invasive ventilation days in units A and B compared to unit
C (p = 0.006 and 0.009 respectively) (Fig 1). The percentage of
babies with chronic lung disease at 36 weeks GA did not differ
(84%, 88% and 82%, units A, B and C respectively). Babies in
A237