A single-center retrospective study of neonatal acute respiratory distress syndrome based on the Montreux definition.
- Author:
Jing-Yu GUO
1
;
Long CHEN
1
;
Yuan SHI
1
Author Information
1. Department of Neonatology, Children's Hospital of Chongqing Medical University/National Clinical Research Center for Child Health and Disorders/Ministry of Education Key Laboratory of Child Development and Disorders/Chongqing Key Laboratory of Pediatrics Chongqing 400014, China.
- Publication Type:Journal Article
- MeSH:
Female;
Fetal Macrosomia;
Humans;
Infant, Low Birth Weight;
Infant, Newborn;
Pregnancy;
Pregnancy Complications, Infectious;
Premature Birth;
Pulmonary Surfactants;
Respiratory Distress Syndrome, Newborn/therapy*;
Retrospective Studies;
Risk Factors
- From:
Chinese Journal of Contemporary Pediatrics
2020;22(12):1267-1272
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the epidemiology, clinical features, treatment, and prognostic factors of neonatal acute respiratory distress syndrome (NARDS) through a retrospective study of NARDS based on the Montreux definition.
METHODS:A retrospective analysis was performed on the medical records of neonates who were hospitalized from January 2017 and July 2018, among whom 314 neonates who met the Montreux definition were enrolled as subjects. According to oxygen index, they were divided into a mild NARDS group with 130 neonates, a moderate NARDS group with 117 neonates, and a severe NARDS group with 67 neonates. The clinical features were compared among the three groups to investigate the influencing factors for the severities of NARDS and the length of hospital stay.
RESULTS:The neonates with NARDS accounted for 2.46% (314/12 789) of the neonates admitted to the neonatal ward during the same period of time and had a mortality rate of 9.6% (30/314). The multivariate ordinal logistic regression analysis showed that the neonates who used pulmonary surfactant (PS) or had a long duration of assisted ventilation tended to have a higher risk of severe NARDS (
CONCLUSIONS:Preterm birth, low birth weight/macrosomia, and perinatal infection may be associated with an increased risk of severe NARDS. The neonates requiring invasive ventilation, prolonged assisted ventilation, or PS therapy tend to have a poor prognosis.
