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    <responseDate>2026-10-15T15:31:18Z</responseDate>
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            <header>
                <identifier>oai:data.mendeley.com/66gc4zb37c.2</identifier>
                <datestamp>2025-07-15T18:01:40Z</datestamp>
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            <metadata><oai_dc:dc xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
    <dc:creator>Zhu, Xingwang</dc:creator>
    <dc:title>NHFOV as Primary Support in Very Preterm Infants With RDS</dc:title>
    <dc:publisher>Mendeley Data</dc:publisher>
    <dc:description>Study Design
This was a prospective, multicenter, superiority-design RCT conducted in China (Aug 2022–Aug 2024) comparing NHFOV vs. nCPAP as primary NIV for RDS in infants &lt;28 weeks’ GA.

Primary Outcome
Respiratory support failure (need for IMV within 72h), defined by:

Severe respiratory acidosis (PaCO₂ &gt;60 mmHg + pH &lt;7.2, ≥1h)

Refractory hypoxia (SpO₂ &lt;90% at FiO₂ 0.4, ≥1h post-surfactant)

Severe apnea (&gt;3 episodes/hr with HR &lt;100/min or bag-mask rescue)

Clinician-determined urgent intubation

Secondary Outcomes
IMV need within 7 days

BPD at 36 weeks, hsPDA, ROP &gt;stage 2, NEC ≥stage 2, IVH ≥grade 3

Composite mortality/BPD, weight gain, respiratory/O₂ support duration

Safety &amp; Adverse Events
Death, pneumothorax, airway obstruction, severe nasal injury (grade III–IV)

No protocol modifications or treatment-related SAEs observed

Participants
Screened: 729 → Eligible: 405 → Randomized: 360 → Final cohort: 342 (18 excluded due to consent withdrawal)

Balanced baseline characteristics

Key Finding
NHFOV significantly reduced early treatment failure vs. nCPAP, with comparable safety.

Dataset
Includes patient/center IDs, baseline characteristics, primary/secondary outcomes, and SAEs.</dc:description>
    <dc:subject>Intensive Care Medicine</dc:subject>
    <dc:subject>Neonatology</dc:subject>
    <dc:subject>Respiratory Distress Syndrome</dc:subject>
    <dc:subject>Non-Invasive Mechanical Ventilation</dc:subject>
    <dc:type>Dataset</dc:type>
    <dc:identifier>doi:10.17632/66gc4zb37c.2</dc:identifier>
    <dc:identifier>oai:data.mendeley.com/66gc4zb37c.2</dc:identifier>
    <dc:rights>Creative Commons Attribution 4.0 International</dc:rights>
    <dc:rights>http://creativecommons.org/licenses/by/4.0</dc:rights>
    <dc:relation>https://data.mendeley.com/datasets/66gc4zb37c</dc:relation>
    <dc:date>2025-07-15T18:01:40Z</dc:date>
</oai_dc:dc></metadata>
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