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ORIGINAL ARTICLE
Korean J Pediatr 2009 August;52(8) :893-897.
doi:https://doi.org/10.3345/kjp.2009.52.8.893
The effects of neonatal ventilator care or maternal chorioamnionitis on the development of bronchopulmonary dysplasia
Ki Tae Yun (Yun KT), Whan Dong Lee (Lee WD), Sang Geel Lee (Lee SG)
Department of Pediatrics, Fatima Hospital, Daegu, Korea
Corresponding Author: Sang Geel Lee ,Email: sgleeped@korea.com
Copyright © 2009 by The Korean Pediatric Society
ABSTRACT
Purpose:Advances in neonatal intensive care have improved the survival rate of low-birth-weight infants, but mild bronchopulmonary dysplasia (BPD) with the accompanying need for prolonged oxygen supplement remains problematic. Maternal chorioamnionitis and neonatal ventilator care affect the development of BPD. This study aimed to examine whether maternal chorioamnionitis or neonatal ventilator care affect the development of BPD dependently or independently. Methods:We performed a retrospective study of 158 newborn infants below 36 weeks of gestational age and 1,500 gm birth weight admitted to the neonatal intensive care unit of Daegu Fatima Hospital between January 2000 and December 2006. We analyzed the incidence of BPD according to maternal chorioamnionitis and neonatal ventilator care. Result:Histologic chorioamnionitis was observed in 50 of 158 infants (31.6%). There were no significant differences in the development of BPD (P=0.735) between the chorioamnionitis (+) and chorioamnionitis (-) groups. In the multiple regression analysis, ventilator care (OR=7.409, 95% CI=2.532-21.681) and neonatal sepsis (OR=4.897, 95% CI=1.227-19.539) affected the development of BPD rather than maternal chorioamnionitis (OR=0.461, 95% CI=0.201-1.059). Conclusion:Ventilator care or neonatal sepsis may play a role in the development of BPD rather than maternal chorioamnionitis.
Keywords: Chorioamnionitis | Mechanical ventilators | Bronchopulmonary dysplasia
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