A retrospective analysis of complications during hospitalization in twins with birth weight discordance
10.3760/cma.j.issn.2096-2932.2023.11.004
- VernacularTitle:出生体重不一致双胎儿住院期间并发症回顾性分析
- Author:
Xue LI
1
;
Xiaohua TAN
;
Bijun SHI
;
Qian CHEN
;
Yong ZHANG
;
Zhen PAN
;
Zicong CAI
;
Chunhong JIA
;
Qiliang CUI
Author Information
1. 广州医科大学附属第三医院新生儿科，广州 510150
- Keywords:
Twins;
Birth weight-discordant;
Neonate;
Complications;
Morbidity
- From:Chinese Journal of Neonatology
2023;38(11):655-659
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the incidences of complications in twins with birth weight discordance (BWD) during hospitalization.Methods:From January 2011 to December 2020, twins born in the Department of Obstetrics and hospitalized in NICU of our hospital were retrospectively studied. Twins with BWD>15% were assigned into BWDT group and BWD≤15% into twins with birth weight concordant (BWCT) group. Complications during hospitalization were compared between the two groups.Results:A total of 1 546 pairs of twins were enrolled, including 486 (31.4%) in BWDT group and 1 060 (68.6%) in BWCT group. Compared with BWCT group, BWDT group had significantly higher incidences of pulmonary surfactant (PS) utilization (47.7% vs. 42.2%), continuous positive airway pressure ≥ 24 h (40.5% vs. 35.0%), high-flow nasal cannula ≥ 24 h (22.8% vs. 16.3%), neonatal respiratory distress syndrome (52.9% vs. 47.1%), bronchopulmonary dysplasia (BPD) (15.6% vs. 11.1%), persistent pulmonary hypertension of the newborn (3.1% vs. 1.4%) and anemia (79.6% vs. 70.1%) (all P<0.05). After adjusting for confounding factors, the risks of pulmonary hemorrhage ( OR=2.036, 95% CI 1.119-3.703, P=0.020) and BPD ( OR=2.960, 95% CI 1.656-5.219, P=0.010) in BWDT group were higher than BWCT group. Conclusions:BWD twins has higher incidences of complications during hospitalization than BWC twins.
