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Prenatal predictors of neonatal intensive care unit admission due to respiratory distress
Author(s) -
Kitano Taito,
Takagi Kumiko,
Arai Ikuyo,
Yasuhara Hajime,
Ebisu Reiko,
Ohgitani Ayako,
Minowa Hideki
Publication year - 2018
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.13574
Subject(s) - medicine , neonatal intensive care unit , respiratory distress , obstetrics , gestational age , pediatrics , premature rupture of membranes , neonatal respiratory distress syndrome , logistic regression , pregnancy , surgery , biology , genetics
Background Admission to the neonatal intensive care unit ( NICU ) due to respiratory distress is determined according to subjective clinician judgement. We investigated prenatal factors predictive of NICU admission in neonates with respiratory distress. Methods This case–control study was conducted at Nara Prefecture General Medical Center, Nara, Japan, from February 2013 to April 2017 and included neonates with birthweight ≥2,000 g, ≥36 weeks of gestational age, who required oxygen due to respiratory distress at birth. The cases consisted of neonates admitted to the NICU , and the control group consisted of neonates who did not require NICU admission. Perinatal factors between the groups were compared, and multivariate logistic regression analysis carried out to evaluate predictive factors. Results The NICU group consisted of 94 neonates, and the control group, 417 neonates during the period reviewed. On multivariate analysis, maternal anemia ( OR , 2.97; 95% CI : 1.42–6.21), infertility treatment ( OR , 2.79; 95% CI : 1.36–5.71), threatened preterm labor ( OR , 2.16; 95% CI : 1.10–4.23), premature rupture of membranes ( OR , 5.30, 95% CI : 2.52–11.17), fibroids ( OR , 6.06; 95% CI : 1.57–23.41), history of uterine surgery ( OR , 3.53, 95% CI : 1.13–11.06), abruptio placentae ( OR , 10.21; 95% CI : 1.83–57.17), intrauterine growth restriction ( OR , 6.69; 95% CI : 1.96–22.85), and having twins ( OR , 0.23; 95% CI : 0.09–0.58) were significant prenatal predictors of NICU admission. Conclusion Factors that potentially predict NICU admission were identified. Clinicians may wish to consider these factors when treating neonates with respiratory distress.