Scoring Method for Early Prediction of Neonatal Chronic Lung Disease Using Modified Respiratory Parameters

Overview

Journal J Korean Med Sci

Specialty General Medicine

Date 2005 Jun 15

PMID 15953859

Citations 12

Authors

Young Don Kim

Ellen Ai-Rhan Kim

Ki Soo Kim

Soo Young Pi

Weechang Kang

Affiliations

Soon will be listed here.

Abstract

In our previous study, we have demonstrated that peak inspiratory pressure over birth weight (PIP/kg) and mean airway pressure over birth weight (MAP/kg) were more significant risk factors for the development of neonatal chronic lung disease (CLD) than PIP and MAP. We aimed to develop a scoring method using the modified respiratory variables (SMUMRV) to predict CLD at early postnatal period. From 1997 to 1999, a retrospective review was performed for 197 infants <1,500 g for the development of the SMUMRV based on statistical analysis. From 2000 to 2001, calculated scores on day 4, 7 and 10 of life were obtained prospectively for 107 infants <1,500 g. Predictive values and the area under the receiver operator characteristic curve (AUC) were determined and compared with the result of the previous regression model. Gestational age, birth weight, 5 min Apgar score, PIP/kg at 12 hr of age, fractional inspired oxygen (FiO2), MAP/kg, modified oxygenation index and ventilatory mode were selected as parameters of SMUMRV. No significant differences of AUCs were found between the SMUMRV and the Yoder model. It is likely that our scoring method provides reliable values for predicting the development of CLD in very low birth weight infants.

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References

Mariani G, CIFUENTES J, Carlo W . Randomized trial of permissive hypercapnia in preterm infants. Pediatrics. 1999; 104(5 Pt 1):1082-8. DOI: 10.1542/peds.104.5.1082. View

Yoder B, Anwar M, Clark R . Early prediction of neonatal chronic lung disease: a comparison of three scoring methods. Pediatr Pulmonol. 1999; 27(6):388-94. DOI: 10.1002/(sici)1099-0496(199906)27:6<388::aid-ppul5>3.0.co;2-n. View

Courtney S, Durand D, Asselin J, Hudak M, Aschner J, Shoemaker C . High-frequency oscillatory ventilation versus conventional mechanical ventilation for very-low-birth-weight infants. N Engl J Med. 2002; 347(9):643-52. DOI: 10.1056/NEJMoa012750. View

NORTHWAY Jr W, ROSAN R, Porter D . Pulmonary disease following respirator therapy of hyaline-membrane disease. Bronchopulmonary dysplasia. N Engl J Med. 1967; 276(7):357-68. DOI: 10.1056/NEJM196702162760701. View

Goldman S, Gerhardt T, Sonni R, FELLER R, Hehre D, Tapia J . Early prediction of chronic lung disease by pulmonary function testing. J Pediatr. 1983; 102(4):613-7. DOI: 10.1016/s0022-3476(83)80202-9. View

Avery M, TOOLEY W, Keller J, Hurd S, Bryan M, Cotton R . Is chronic lung disease in low birth weight infants preventable? A survey of eight centers. Pediatrics. 1987; 79(1):26-30. View

Shenai J, Kennedy K, Chytil F, STAHLMAN M . Clinical trial of vitamin A supplementation in infants susceptible to bronchopulmonary dysplasia. J Pediatr. 1987; 111(2):269-77. DOI: 10.1016/s0022-3476(87)80086-0. View

Shennan A, Dunn M, Ohlsson A, Lennox K, Hoskins E . Abnormal pulmonary outcomes in premature infants: prediction from oxygen requirement in the neonatal period. Pediatrics. 1988; 82(4):527-32. View

. High-frequency oscillatory ventilation compared with conventional mechanical ventilation in the treatment of respiratory failure in preterm infants: assessment of pulmonary function at 9 months of corrected age. HiFi Study Group. J Pediatr. 1990; 116(6):933-41. DOI: 10.1016/s0022-3476(05)80657-2. View

10.

Palta M, Gabbert D, Fryback D, Widjaja I, Peters M, Farrell P . Development and validation of an index for scoring baseline respiratory disease in the very low birth weight neonate. Severity Index Development and Validation Panels and Newborn Lung Project. Pediatrics. 1990; 86(5):714-21. View

11.

Sinkin R, Cox C, Phelps D . Predicting risk for bronchopulmonary dysplasia: selection criteria for clinical trials. Pediatrics. 1990; 86(5):728-36. View

12.

Bhutani V, Abbasi S . Relative likelihood of bronchopulmonary dysplasia based on pulmonary mechanics measured in preterm neonates during the first week of life. J Pediatr. 1992; 120(4 Pt 1):605-13. DOI: 10.1016/s0022-3476(05)82491-6. View

13.

Tammela O, Koivisto M . Fluid restriction for preventing bronchopulmonary dysplasia? Reduced fluid intake during the first weeks of life improves the outcome of low-birth-weight infants. Acta Paediatr. 1992; 81(3):207-12. DOI: 10.1111/j.1651-2227.1992.tb12205.x. View

14.

Corcoran J, Patterson C, Thomas P, Halliday H . Reduction in the risk of bronchopulmonary dysplasia from 1980-1990: results of a multivariate logistic regression analysis. Eur J Pediatr. 1993; 152(8):677-81. DOI: 10.1007/BF01955247. View

15.

Farstad T, Bratlid D . Incidence and prediction of bronchopulmonary dysplasia in a cohort of premature infants. Acta Paediatr. 1994; 83(1):19-24. DOI: 10.1111/j.1651-2227.1994.tb12946.x. View

16.

Ryan S, Wild N, Arthur R, Shaw B . Prediction of chronic neonatal lung disease in very low birthweight neonates using clinical and radiological variables. Arch Dis Child Fetal Neonatal Ed. 1994; 71(1):F36-9. PMC: 1061066. DOI: 10.1136/fn.71.1.f36. View

17.

Ryan S, Nycyk J, Shaw B . Prediction of chronic neonatal lung disease on day 4 of life. Eur J Pediatr. 1996; 155(8):668-71. DOI: 10.1007/BF01957150. View

18.

Hentschel J, Friedel C, Maier R, Bassir C, Obladen M . Predicting chronic lung disease in very low birthweight infants: comparison of 3 scores. J Perinat Med. 1999; 26(5):378-83. DOI: 10.1515/jpme.1998.26.5.378. View

19.

Banks B, Seri I, Ischiropoulos H, Merrill J, Rychik J, Ballard R . Changes in oxygenation with inhaled nitric oxide in severe bronchopulmonary dysplasia. Pediatrics. 1999; 103(3):610-8. DOI: 10.1542/peds.103.3.610. View

20.

Halliday H, Ehrenkranz R . Early postnatal (<96 hours) corticosteroids for preventing chronic lung disease in preterm infants. Cochrane Database Syst Rev. 2000; (2):CD001146. DOI: 10.1002/14651858.CD001146. View