PREDICTIVE VALUE OF EOSINOPHILIA AND BASOPHILIA IN THE DIAGNOSIS OF BRONCHOPULMONARY DYSPLASIA IN PREMATURE INFANTS

Melek Büyükeren, H. Çelik, Ş. Yiğit, M. Yurdakök
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Abstract

OBJECTIVE: To compare the presence of eosinophilia and basophilia between two groups with and without bronchopulmonary dysplasia in preterm infants and, to investigate whether there was a correlation between the bronchopulmonary dysplasia severity and degree of eosinophilia. STUDY DESIGN: In this retrospective cohort study, we have evaluated premature babies who were admitted between 2007 and 2017 to the Neonatal Intensive Care Unit of Hacettepe Hospital. Hospital records were scanned and 85 preterm infants diagnosed with bronchopulmonary dysplasia formed the study group while 89 babies without bronchopulmonary dysplasia formed the control group. Necessary demographic, neonatal, and laboratory data were withdrawn from the electronic registry and patient files. RESULTS: In the study group, there was a statistically significant difference in the severity of eosinophilia and basophilia in the first day, first week, second week, third week, and fourth week compared to the control group (p<0.05). According to the mixed effect model, after adjusting results for gestational age and birth weight there was a statistically significant difference between groups in terms of eosinophil and basophil values (p<0.05). CONCLUSION: The number of eosinophils and basophils increased in patients with bronchopulmonary dysplasia without an increase in the number of leukocytes.
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嗜酸性粒细胞增多和嗜碱性粒细胞增多在早产儿支气管肺发育不良诊断中的预测价值
目的:比较支气管肺发育不良组和非支气管肺发育不良组早产儿嗜酸性粒细胞增多和嗜碱性粒细胞增多的情况,探讨支气管肺发育不良严重程度与嗜酸性粒细胞增多程度之间是否存在相关性。研究设计:在这项回顾性队列研究中,我们评估了2007年至2017年间入住Hacettepe医院新生儿重症监护病房的早产儿。扫描医院记录,85例诊断为支气管肺发育不良的早产儿为研究组,89例未诊断为支气管肺发育不良的早产儿为对照组。必要的人口统计、新生儿和实验室数据从电子登记和患者档案中删除。结果:研究组患者第1天、第1周、第2周、第3周、第4周嗜酸性粒细胞增多、嗜碱性粒细胞增多的严重程度与对照组比较,差异均有统计学意义(p<0.05)。根据混合效应模型,调整胎龄和出生体重后,各组间嗜酸性粒细胞和嗜碱性粒细胞值差异有统计学意义(p<0.05)。结论:支气管肺发育不良患者嗜酸性粒细胞和嗜碱性粒细胞数量增加,但白细胞数量未增加。
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