Lung Ultrasound Score Predicts the Extravascular Lung Water Content in Low-Birth-Weight Neonates with Patent Ductus Arteriosus
| Autor: | Wei-Xing Ni, Min Zhao, Zhi-Qun Zhang, Lin Niu, Xian-Mei Huang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty congenital hereditary and neonatal diseases and abnormalities Heart malformation Birth weight Hemodynamics 030204 cardiovascular system & hematology Low-Birth-Weight Neonates 03 medical and health sciences 0302 clinical medicine Clinical Research Internal medicine Ductus arteriosus medicine Humans Lung Ultrasound Score Ductus Arteriosus Patent Lung Ultrasonography Ejection fraction business.industry Infant Newborn Gestational age General Medicine Infant Low Birth Weight Pulmonary edema medicine.disease Prognosis Patent Ductus Arteriosus Low birth weight medicine.anatomical_structure 030220 oncology & carcinogenesis Case-Control Studies Infant Extremely Premature Extravascular Lung Water Cardiology Female medicine.symptom business Infant Premature |
| Zdroj: | Medical Science Monitor : International Medical Journal of Experimental and Clinical Research |
| ISSN: | 1643-3750 1234-1010 |
| Popis: | BACKGROUND Patent ductus arteriosus (PDA) is a common congenital cardiac abnormality in premature infants. In low-birth-weight infants weighing less than 2500 g, if the PDA continues to open, abnormal circulation hemodynamics and pulmonary edema may occur. This study aimed to investigate the role of lung ultrasound score in the assessment of pulmonary edema in low-weight neonates with PDA. MATERIAL AND METHODS Two hundred and twenty-one neonates with low birth weight were selected as the subjects, children with PDA as the observation group, and children with closed ductus arteriosus as the control group. On the fourth postnatal day, lung ultrasound examination and 6-segment lung ultrasound scoring were performed. RESULTS All 221 infants (94 in the observation group, 127 controls) underwent ultrasound examinations of the lungs. Intergroup differences in gestational age, birth weight, length of hospital stay, and left ventricular ejection fraction were not statistically significant. There was a significant difference in lung ultrasound score (t=0.005, P=0.000) and aortic root ratio to left atrial (t=0.085, P=0.000), which was negatively correlated with gestational age (r=-0.235, P=0.000) and positively correlated with PDA diameter (r=0.261, P=0.011). CONCLUSIONS Low-birth-weight children often have PDA. Its continued opening changes the circulation hemodynamics in children. Lung ultrasound score can semi-quantitatively evaluate the extravascular lung water content, identifying the need to intervene and follow up the hemodynamic significance of PDA over time. |
| Databáze: | OpenAIRE |
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