國家衛生研究院 NHRI:Item 3990099045/13274

NHRI > National Institute of Environmental Health Sciences > Pau-Chung Chen > Periodical Articles > Item 3990099045/13274

Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/13274

Title:	Histological chorioamnionitis and its impact on respiratory outcome in very-low-birth-weight preterm infants
Authors:	Liu, PC;Hung, YL;Shen, CM;Chen, PC;Hsieh, WS
Contributors:	National Institute of Environmental Health Sciences
Abstract:	Background: The role of intrauterine infection in the development of neonatal pulmonary disease is unclear and the impact of histological chorioamnionitis (HCAM) on respiratory outcomes in preterm infants remains controversial. The aim of this study was to explore the association between HCAM and neonatal respiratory outcomes in very-low-birth-weight (VLBW) preterm infants and evaluate the stepwise difference in the stage and severity of HCAM among neonatal respiratory outcomes. Methods: We retrospectively enrolled 129 VLBW preterm infants with placenta histopathology examinations in this study. HCAM was subdivided into 3 stages (early, intermediate, and advanced) according to the progression of the maternal inflammatory response. The perinatal characteristics, placental histopathology, and neonatal morbidities, including respiratory outcomes (respiratory distress syndrome (RDS), Wilson-Mikity syndrome (WMS) and bronchopulmonary dysplasia (BPD)), were collected for comparison. Results: A total of 52.7% (68/129) of the infants had HCAM, including 23 early (stage 1), 30 intermediate (stage 2), and 15 advanced (stage 3) stage. There was no significant difference in the gestational age, birth body weight or mortality rate between the HCAM and non-HCAM groups. Mothers with HCAM had a significantly lower incidence of pre-eclampsia but a higher rate of premature rupture of membrane. They also had higher WBC counts and C-reactive protein levels before delivery. Neonates with HCAM had a lower incidence of RDS but were at a higher risk for developing WMS and BPD. After multivariate analysis adjustment, HCAM was still negatively associated with RDS (aOR =.069, p <.001) but without correlation with BPD. However, neonates with intermediate to advanced-stage HCAM had a higher risk of developing WMS and increased home oxygen usage rate compared to those with early-stage HCAM. Conclusion: HCAM has a protective effect from RDS in preterm neonates. Additionally, VLBW neonates with intermediate to advanced-stage HCAM are at risk for WMS.
Date:	2021-05
Relation:	Pediatrics and Neonatology. 2021 May;62(3):258-264.
Link to:	http://dx.doi.org/10.1016/j.pedneo.2020.11.009
JIF/Ranking 2023:	http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=1875-9572&DestApp=IC2JCR
Cited Times(WOS):	https://www.webofscience.com/wos/woscc/full-record/WOS:000647177900005
Cited Times(Scopus):	https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85100455544
Appears in Collections:	[Pau-Chung Chen] Periodical Articles

Files in This Item:

File	Description	Size	Format
SCP85100455544.pdf		310Kb	Adobe PDF	197	View/Open

Loading...