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?
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DOI：
10.1080/14767058.2016.1210597
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发表时间：
2017-06-01
影响因子：
1.8
通讯作者：
Mosca, Fabio
中科院分区：
文献类型：
--
作者：
Condo, Valentina;Cipriani, Sonia;Mosca, Fabio
目的：分析呼吸窘迫综合征（RDS）的发病率和危险因素，在不同的孕龄。方法：我们考虑的数据来自321 327名婴儿出生在伦巴第，意大利北方地区。我们计算了多变量分析，以确定危险因素RDS分为早期和中度早产，晚期早产和足月儿。结果：低出生体重是RDS的主要危险因素，在足月分娩的优势比较高。对于所有胎龄，剖宫产分娩的婴儿和男性的风险更高。病理性妊娠过程仅在晚期早产儿和足月儿中导致风险增加。在任何组中，母亲年龄和多胞胎与风险增加无关。辅助受孕后足月出生的婴儿发生RDS的风险较高。结论：我们的分析表明，在不同的胎龄，一些危险因素并不以相同的方式影响RDS的发病率。
Objective: To analyze respiratory distress syndrome (RDS) incidence and risk factors at different gestational age.Methods: We considered data from 321 327 infants born in Lombardy, a Northern Italian Region. We computed multivariate analysis to identify risk factors for RDS by dividing infants in early-and moderate-preterm, late-preterm and term infants.Results: Low-birth weight is the main risk factor for RDS, with higher odds ratio in term births. The risk was higher in infants delivered by cesarean section and in male, for all gestational age. Pathological course of pregnancy resulted in increased risk only in late-preterm and term infants. Maternal age and multiple birth were not associated with increased risk in any group. Babies born at term after assisted conception were at higher risk of RDS.Conclusion: Our analysis suggests as some risk factors do not influence RDS incidence in the same way at different gestational age.