Comparison of respiratory morbidity in late preterm infants and intrauterine growth retarded infants at school-age

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL

Marmara Medical Journal Pub Date : 2022-10-31 DOI:10.5472/marumj.1195309

M. Us, U. Vatansever, R. Duran, B. Acunaş

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Abstract

Objective: We aimed to determine respiratory morbidity of late preterm infants versus infants with intrauterine growth retardation (IUGR) at school-age. Patients and Methods: Late preterm appropriate for gestational age (AGA) infants (34-36, 6/7 weeks) (Group 1), IUGR infants (Group 2), extremely preterm AGA (Group 3) and term AGA infants (Group 4) born between 2004 and 2008 were included in this casecontrol study and assessed for respiratory morbidity at school-age. We evaluated the impact of late preterm compared with IUGR and term gestation on respiratory morbidity by using validated American Thoracic Society – Division of Lung Diseases (ATS-DLD-78-C) and the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaires. Questionnaires on wheezing, infectious respiratory morbidity, and physician-diagnosed asthma panels were constituted and groups were compared. Results: A total of 160 patients were enrolled in the study and 97 (60.6%) of them were boys. Respiratory morbidities at schoolage were found to be significantly higher in both late preterm and IUGR groups when compared to term controls. Each weekly increase in gestational age reduced the risk for wheezing episodes (OR perGW:0.82,95%CI:0.71-0.97, p:0.02). Regarding infectious respiratory morbidities, there was a significant increase when the number of people living at home increased (OR perperson:1.79,95%CI:1.12-2.87, p:0.01), and a decrease in female gender (OR:0.41,95%CI:0.17-0.99, p:0.04) and in the week of gestation (OR perGW:0.84,95%CI:0.71-1.00, p:0.04). Atopic dermatitis (OR:5.26,95%CI:1.57-17.69, p

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学龄期晚期早产儿与宫内发育迟缓儿呼吸道疾病的比较

目的:我们旨在确定晚期早产儿与学龄期宫内生长迟缓(IUGR)婴儿的呼吸系统发病率。患者和方法:本病例对照研究纳入了2004年至2008年出生的适龄晚期早产儿(AGA)(34- 36,6 /7周)(1组)、IUGR婴儿(2组)、极早产儿AGA(3组)和足月AGA婴儿(4组)，并对学龄期呼吸道疾病进行了评估。我们通过使用美国胸科学会肺病科(ATS-DLD-78-C)和国际儿童哮喘和过敏研究(ISAAC)问卷，评估晚期早产与IUGR和足月妊娠对呼吸道疾病的影响。对哮喘、传染性呼吸道疾病和医生诊断哮喘进行问卷调查，并进行分组比较。结果:共纳入160例患者，其中97例(60.6%)为男孩。与足月对照组相比，晚期早产组和IUGR组学龄期呼吸系统发病率均显著增高。孕周每增加一周可降低喘息发作的风险(OR perGW:0.82,95%CI:0.71-0.97, p:0.02)。在传染性呼吸道疾病发病率方面，随着家庭人数的增加(OR: 1.79,95%CI:1.12-2.87, p:0.01)，女性(OR:0.41,95%CI:0.17-0.99, p:0.04)和妊娠周(OR: 0.84,95%CI:0.71-1.00, p:0.04)减少。特应性皮炎(OR:5.26,95%CI:1.57-17.69, p

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来源期刊

Marmara Medical Journal MEDICINE, GENERAL & INTERNAL-

CiteScore

0.30

自引率

0.00%

发文量

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