Journal of perinatology : official journal of the California Perinatal Association · 2015
Can fetal pulmonary artery Doppler indices predict neonatal respiratory distress syndrome?
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Moety G A F A, Gaafar H M, El Rifai N M
Аннотация
OBJECTIVE: To study whether fetal main pulmonary artery (MPA) Doppler indices can predict the development of neonatal respiratory distress syndrome (RDS).
STUDY DESIGN: This prospective cross-sectional study included pregnant women between 34 and 38+6 weeks gestation. The diagnostic accuracy of MPA Doppler measurements (systolic/diastolic (S/D) ratio, peak systolic velocity (PSV), pulsatility index (PI), resistance index (RI) and acceleration time/ejection time (At/Et)) for diagnosis of neonatal RDS was tested.
RESULT: Of the 698 eligible fetuses, 55 (7.87%) developed neonatal RDS. PSV, PI, RI and At/Et were positively correlated with gestational age. The strongest correlation was found with At/Et (r=0.602, P<0.001). PI and RI were significantly higher, whereas At/Et and PSV were significantly lower in fetuses that developed RDS. A cutoff value of 0.305 for At/Et predicted the development of RDS (sensitivity: 76.4%; specificity: 91.6%).
CONCLUSION: Development of neonatal RDS can be predicted using the MPA At/Et with high sensitivity and specificity.
STUDY DESIGN: This prospective cross-sectional study included pregnant women between 34 and 38+6 weeks gestation. The diagnostic accuracy of MPA Doppler measurements (systolic/diastolic (S/D) ratio, peak systolic velocity (PSV), pulsatility index (PI), resistance index (RI) and acceleration time/ejection time (At/Et)) for diagnosis of neonatal RDS was tested.
RESULT: Of the 698 eligible fetuses, 55 (7.87%) developed neonatal RDS. PSV, PI, RI and At/Et were positively correlated with gestational age. The strongest correlation was found with At/Et (r=0.602, P<0.001). PI and RI were significantly higher, whereas At/Et and PSV were significantly lower in fetuses that developed RDS. A cutoff value of 0.305 for At/Et predicted the development of RDS (sensitivity: 76.4%; specificity: 91.6%).
CONCLUSION: Development of neonatal RDS can be predicted using the MPA At/Et with high sensitivity and specificity.
Предметные рубрики MeSH
AdultBlood Flow VelocityCross-Sectional StudiesEgyptFemaleFetal Growth RetardationGestational AgeHumansInfant, NewbornLogistic ModelsMaleMultivariate AnalysisPregnancyProspective StudiesPulmonary ArteryROC CurveRespiratory Distress Syndrome, NewbornSensitivity and SpecificityUltrasonography, DopplerUltrasonography, PrenatalYoung Adult