Luo Hao, Liu Yibo, Yan Chongbing, Weng Bowen, Zhao Laxiu, Cai Cheng
Department of Neonatology, Shanghai Children's Hospital, School of medicine, Shanghai Jiao Tong University, No. 355, Luding Road, Shanghai, 200062, China.
Obstetrical department, Shanghai Putuo District Women and Child Health Hospital, Shanghai, 200062, China.
Ital J Pediatr. 2025 Aug 6;51(1):248. doi: 10.1186/s13052-025-02100-w.
BACKGROUND: To evaluate the correlation between patent ductus arteriosus (PDA) and bronchopulmonary dysplasia (BPD) in premature infants. METHODS: Retrospective analysis was performed on preterm infants with a gestational age(GA) of less than 32 weeks from 2019 to 2021. PDA premature infants with BPD ( N = 70 ) or not ( N = 224) were enrolled for multivariate logistic regression exploring independent risk factors for BPD in PDA preterm infants. The nomogram model was employed for exhibiting risk factors and receiver operating characteristic curve (ROC) was used to evaluate model performance. RESULTS: (1) GA, birth weight (BW) and Apgar (5 min) score in BPD group were significantly lower than non-BPD group (p < 0.0001). (2) BPD group had a higher utilization rate of pulmonary surfactant, more infants receiving oxygen therapy through nasal catheters, and a longer oxygen therapy duration (p < 0.0001). (3) The proportion of haemodynamically significant patent ductus arteriosus(hsPDA)in BPD group was significantly higher than that in non-BPD group (p < 0.05). (4) The incidence of anemia and pulmonary hypertension in BPD group infants was significantly higher than that in non-BPD group (100% and > 50% in BPD, respectively, p < 0.05). (5) The goodness of fit test of calibration curve showed χ2 = 7.136, p = 0.522, and area under curve (AUC) was 0.799. CONCLUSIONS: GA, BW and PDA diameter were independent risk factors for PDA merged with BPD. The smaller GA, the lower BW, the larger PDA diameter and the lower Apgar score (5 min), and the higher the risk of BPD in PDA infants.
背景:评估早产儿动脉导管未闭(PDA)与支气管肺发育不良(BPD)之间的相关性。 方法:对2019年至2021年胎龄(GA)小于32周的早产儿进行回顾性分析。纳入患有或未患有BPD的PDA早产儿(分别为N = 70例和N = 224例),进行多因素logistic回归分析,以探索PDA早产儿发生BPD的独立危险因素。采用列线图模型展示危险因素,并使用受试者工作特征曲线(ROC)评估模型性能。 结果:(1)BPD组的GA、出生体重(BW)和阿氏评分(5分钟)显著低于非BPD组(p < 0.0001)。(2)BPD组肺表面活性物质的使用率更高,更多婴儿通过鼻导管接受氧疗,且氧疗持续时间更长(p < 0.0001)。(3)BPD组血流动力学显著的动脉导管未闭(hsPDA)比例显著高于非BPD组(p < 0.05)。(4)BPD组婴儿贫血和肺动脉高压的发生率显著高于非BPD组(BPD组分别为100%和>50%,p < 0.05)。(5)校准曲线的拟合优度检验显示χ2 = 7.136,p = 0.522,曲线下面积(AUC)为0.799。 结论:GA、BW和PDA直径是PDA合并BPD的独立危险因素。GA越小、BW越低、PDA直径越大、阿氏评分(5分钟)越低,PDA婴儿发生BPD的风险越高。
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