Increased risk for respiratory distress among white, male, late preterm and term infants.
Increased risk for respiratory distress among white, male, late preterm and term infants.
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DOI：
10.1038/jp.2011.191
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发表时间：
2012-10
影响因子：
2.9
通讯作者：
Hamvas, A.
中科院分区：
文献类型：
--
作者：
Anadkat, J. S.;Kuzniewicz, M. W.;Chaudhari, B. P.;Cole, F. S.;Hamvas, A.
确定人种/种族和性别是否独立增加晚期早产儿和足月儿呼吸窘迫综合征（RDS）的风险。采用队列设计，我们研究了北方加州Kaiser Permanente医疗护理项目12家医院中2000年1月1日至2009年12月31日出生的胎龄（GA）为34 - 42周的婴儿（n = 286 454）与种族/种族和性别相关的RDS风险。男性性（校正比值比（aOR）1.68; 95%置信区间1.45 - 1.93）和白色人种/种族（与亚洲人（aOR 0.57; 95%置信区间0.47至0.70），黑人（aOR 0.66; 95%置信区间0.50 - 0.87）和西班牙裔（aOR 0.76; 95%置信区间0.64 - 0.90））独立增加RDS风险，与GA无关。GA <39周、手术分娩、母亲糖尿病和绒毛膜炎也增加了该队列中RDS的风险。男性和白色人种/种族独立增加晚期早产儿和足月儿RDS的风险。选择性分娩的时机应考虑到这些风险。
To determine whether race/ethnicity and sex independently increase risk of respiratory distress syndrome (RDS) in late preterm and term infants. Using a cohort design, we studied the risk of RDS associated with race/ethnicity and sex in infants with gestational age (GA) 34 to 42 weeks born between 1 January 2000 and 31 December 2009 (n=286 454) within 12 hospitals in the Northern California Kaiser Permanente Medical Care Program. Male sex (adjusted odds ratio (aOR) 1.68; 95% confidence interval 1.45 to 1.93) and White race/ethnicity (vs Asians (aOR 0.57; 95% confidence interval 0.47 to 0.70), Blacks (aOR 0.66; 95% confidence interval 0.50 to 0.87), and Hispanics (aOR 0.76; 95% confidence interval 0.64 to 0.90)) independently increase risk for RDS regardless of GA. A GA <39 weeks, operative delivery, maternal diabetes, and chorioamnionitis also increased RDS risk in this cohort. Male sex and White race/ethnicity independently increase risk for RDS in late preterm and term infants. Timing of elective delivery should acknowledge these risks.
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影响因子：
158.5
作者：
Newman, TB;Liljestrand, P;Escobar, GJ
通讯作者：
Escobar, GJ
影响因子：
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