Analysis of Prenatal and Postnatal Factors Associated with Complications and Prognosis in Premature Infants with Leukemoid Reaction
Journal of the Korean Society of Neonatology
;
: 151-159, 2008.
Artigo
em Coreano
| WPRIM
| ID: wpr-194180
ABSTRACT
PURPOSE:
This study determined the prenatal and postnatal factors associated with complications and prognosis in premature infants with leukemoid reaction.METHODS:
We retrospectively reviewed the medical records of premature infants with gestational ages 30,000/mm3. The infants who had leukemoid reaction comprised the study group, while the remainder of infants made up the control group. The relationships between maternal and neonatal variables and ANC were studied.RESULTS:
Leukemoid reaction was detected in 3.1% of the study infants (8 of 252). Factors more frequently associated with infants with leukemoid reaction were as follows maternal chorioamnionitis, high levels of maternal and infant C-reactive protein, gestational age <37 weeks, birth weight <2,500 g, low Apgar score, prolonged ventilator support, and a high incidence of bronchopulmonary dysplasia (BPD). However, there were no significant differences with respect to the antenatal usage of steroids, the incidences of patent ductus arteriosus, necrotizing enterocolitis, intraventricular hemorrhage, retinopathy of prematurity, and mortality between the two groups.CONCLUSION:
Leukemoid reaction in premature infants was associated with chorioamnionitis and high levels of serum C-reactive protein in mothers and infants, and BPD in infants. These findings suggest that leukemoid reaction is secondary to inflammation caused by infection.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Índice de Apgar
/
Prognóstico
/
Esteroides
/
Peso ao Nascer
/
Retinopatia da Prematuridade
/
Displasia Broncopulmonar
/
Proteína C-Reativa
/
Recém-Nascido de Baixo Peso
/
Recém-Nascido Prematuro
/
Ventiladores Mecânicos
Tipo de estudo:
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Feminino
/
Humanos
/
Lactente
/
Recém-Nascido
/
Gravidez
Idioma:
Coreano
Revista:
Journal of the Korean Society of Neonatology
Ano de publicação:
2008
Tipo de documento:
Artigo
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