Cord Blood Cortisol Level - A Possible Predictor for Respiratory Distress Syndrome in Preterm Neonates.

IF 1.3 Q3 PEDIATRICS Current Pediatric Reviews Pub Date : 2024-01-08 DOI:10.2174/0115733963246135231228100531
Anup John Thomas, Dhandapany Gunasekaran, Chandrasekaran Venkatesh, Nanda Chhavi, Soundararajan Palanisamy
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Abstract

Background: Respiratory Distress Syndrome (RDS) is a leading cause of death in premature infants. There are different clinical/ biochemical markers associated with the RDS. One of the potential biochemical markers is cortisol in cord blood.

Purpose: This study aims to correlate cortisol levels in preterm neonates with RDS and to establish whether cord blood cortisol is a reliable predictor for RDS.

Materials and methods: This prospective analytical study was conducted in a tertiary care hospital over nine months among fifty preterm neonates. Data were collected using proforma, and cord blood was collected at the time of delivery. Cortisol levels were compared and correlated to the development of RDS.

Results and discussion: The mean ± SD cord blood cortisol level among preterm neonates was 5.97 ± 2.74 (SD) μg/dl. The levels were higher in neonates whose mothers received antenatal steroids and were significantly lower (2.86 ± 1.66 μg/dl) in those who developed RDS. Association between cord blood cortisol level and RDS was found with an odds ratio of 57.4, which was statistically significant. The percentage of babies developing RDS in mothers not covered with antenatal steroids was significantly higher than those covered (p-value is 0.000). The mean cord blood cortisol levels were exceptionally low (1.89 μg/dl) in neonates who expired compared to those who survived (7.02 μg/dl).

Conclusion: There is an association between cord blood cortisol levels and RDS. Hence, Cord blood cortisol levels may be used to predict RDS and help initiate early treatment, thus preventing mortality and morbidity.

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脐带血皮质醇水平--早产新生儿呼吸窘迫综合征的可能预测因子
背景:呼吸窘迫综合征(RDS)是早产儿死亡的主要原因。与 RDS 相关的临床/生化指标各不相同。目的:本研究旨在分析早产新生儿皮质醇水平与 RDS 的相关性,并确定脐带血皮质醇是否是预测 RDS 的可靠指标:这项前瞻性分析研究在一家三级医院进行,历时九个月,共对五十名早产新生儿进行了研究。研究人员使用表格收集数据,并在分娩时采集脐带血。研究比较了皮质醇水平,并将其与 RDS 的发生相关联:早产新生儿脐带血皮质醇水平的平均值(± SD)为 5.97 ± 2.74 (SD) μg/dl。母亲接受产前类固醇治疗的新生儿脐血皮质醇水平较高,而发生 RDS 的新生儿脐血皮质醇水平明显较低(2.86 ± 1.66 μg/dl)。脐带血皮质醇水平与 RDS 的相关性为 57.4,具有统计学意义。未使用产前类固醇的母亲患 RDS 的婴儿比例明显高于使用产前类固醇的母亲(P 值为 0.000)。与存活的新生儿(7.02 μg/dl)相比,死亡新生儿的脐带血皮质醇平均水平特别低(1.89 μg/dl):结论:脐带血皮质醇水平与 RDS 存在关联。结论:脐带血皮质醇水平与 RDS 存在关联,因此,脐带血皮质醇水平可用于预测 RDS 并帮助启动早期治疗,从而预防死亡和发病。
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来源期刊
CiteScore
4.30
自引率
0.00%
发文量
66
期刊介绍: Current Pediatric Reviews publishes frontier reviews on all the latest advances in pediatric medicine. The journal’s aim is to publish the highest quality review articles dedicated to clinical research in the field. The journal is essential reading for all researchers and clinicians in pediatric medicine.
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