Jing Liu1, Na Yang2, Ying Liu1. 1. Department of Neonatology, NICU, Bayi Children's Hospital Affiliated to Beijing Military General Hospital, Beijing, China. 2. Department of Neonatology, NICU, Bayi Children's Hospital Affiliated to Beijing Military General Hospital, Beijing, China ; Department of Neonatology, Maternal and Child Health Care Hospital of Hefei, Hefei City, China.
Abstract
BACKGROUND: Respiratory distress syndrome (RDS) is a common critical disease in term neonates, but reasons for the occurrence of RDS remains unclear. AIMS: This study aimed to investigate the cause of RDS in full-term neonates by a retrospective case-control study. STUDY DESIGN: Case-control study. METHODS: Among the patients admitted to Bayi Children's Hospital between January 2008 and December 2010, a total of 205 full-term neonates with RDS were assigned to the study group, and 410 full-term neonates without RDS were assigned to the control group. Clinical information, including the presence or absence of premature rupture of membranes (PROM), gender of the neonates, mode of delivery, birth weight, and any conditions suffered by the neonates were recorded. RESULTS: THE RESULTS OF LOGISTIC REGRESSION ANALYSIS SHOWED THAT THE FOLLOWING CAUSES WERE CLOSELY CORRELATED WITH TERM NEONATAL RDS: selective cesarean section (OR: 8.737; 95% CI: 5.232-14.588), severe birth asphyxia (OR: 6.988; 95% CI: 2.990-16.333), small gestational age (OR: 6.222; 95% CI: 2.001-8.993), maternal-fetal infection (OR: 5.337; 95% CI: 1.999-8.233), PROM (OR: 3.380; 95% CI: 1.986-5.754), male sex (OR: 2.641; 95% CI: 1.721-4.053), gestational glucose intolerance or diabetes (OR: 2.415; 95% CI:1.721-4.053), and low birth weight (OR: 2.323; 95% CI: 1.329-4.060). CONCLUSION: Several high-risk factors, such as selective cesarean section, severe birth asphyxia, maternal-fetal infection, PROM, and male sex are closely correlated with full-term neonatal RDS. These could provide a significant reference for the diagnosis and treatment of term neonatal RDS.
BACKGROUND:Respiratory distress syndrome (RDS) is a common critical disease in term neonates, but reasons for the occurrence of RDS remains unclear. AIMS: This study aimed to investigate the cause of RDS in full-term neonates by a retrospective case-control study. STUDY DESIGN: Case-control study. METHODS: Among the patients admitted to Bayi Children's Hospital between January 2008 and December 2010, a total of 205 full-term neonates with RDS were assigned to the study group, and 410 full-term neonates without RDS were assigned to the control group. Clinical information, including the presence or absence of premature rupture of membranes (PROM), gender of the neonates, mode of delivery, birth weight, and any conditions suffered by the neonates were recorded. RESULTS: THE RESULTS OF LOGISTIC REGRESSION ANALYSIS SHOWED THAT THE FOLLOWING CAUSES WERE CLOSELY CORRELATED WITH TERM NEONATAL RDS: selective cesarean section (OR: 8.737; 95% CI: 5.232-14.588), severe birth asphyxia (OR: 6.988; 95% CI: 2.990-16.333), small gestational age (OR: 6.222; 95% CI: 2.001-8.993), maternal-fetal infection (OR: 5.337; 95% CI: 1.999-8.233), PROM (OR: 3.380; 95% CI: 1.986-5.754), male sex (OR: 2.641; 95% CI: 1.721-4.053), gestational glucose intolerance or diabetes (OR: 2.415; 95% CI:1.721-4.053), and low birth weight (OR: 2.323; 95% CI: 1.329-4.060). CONCLUSION: Several high-risk factors, such as selective cesarean section, severe birth asphyxia, maternal-fetal infection, PROM, and male sex are closely correlated with full-term neonatal RDS. These could provide a significant reference for the diagnosis and treatment of term neonatal RDS.
Authors: Tommy Seaborn; Marc Simard; Pierre R Provost; Bruno Piedboeuf; Yves Tremblay Journal: Trends Endocrinol Metab Date: 2010-12 Impact factor: 12.015
Authors: Eva Bresson; Tommy Seaborn; Mélissa Côté; Geneviève Cormier; Pierre R Provost; Bruno Piedboeuf; Yves Tremblay Journal: Reprod Biol Endocrinol Date: 2010-01-08 Impact factor: 5.211
Authors: Anna Niesłuchowska-Hoxha; Wojciech Cnota; Bartosz Czuba; Aleksandra Ruci; Magdalena Ciaciura-Jarno; Agnieszka Jagielska; Dominik Wójtowicz; Rafał Kierach; Krzysztof Dąbrowski; Marcin Sidorowicz; Wioletta Skrzypulec-Plinta; Agata Wloch; Dariusz Borowski; Piotr Węgrzyn Journal: Biomed Res Int Date: 2018-10-04 Impact factor: 3.411