Identification of Characteristics and Risk Factors Associated with Mortality in Hydrops Fetalis
Journal of the Korean Society of Neonatology
; : 221-227, 2011.
Article
en Ko
| WPRIM
| ID: wpr-115982
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: The objectives were to identify the characteristics of neonates with hydrops fetalis, and to identify the risk factors associated with mortality. METHODS: A retrospective review of AMC (Asan Medical Center) dataset was performed from January 1990 to June 2009. The characteristics of 71 patients with hydrops fetalis were investigated and they were divided into two groups: the survived group and the expired group. Various perinatal and neonatal factors in two groups were compared to find out risk factors associated with mortality based on univariate analysis, followed by multiple regression analyses (SPSS version 18.0). RESULTS: Of those 71 neonates (average gestational age: 33 weeks, birth weight: 2.6 kg), 38 survived, 33 died, resulting in overall mortality rate of 46.5%. The most common etiology was idiopathic followed by chylothorax, cardiac anomalies, twin-to-twin transfusion, meconium peritonitis, cardiac arrythmias, and congenital infections. Factors that were associated independently with mortality in logistic regression analyses were low 5-minutes Apgar score, hyaline membrane disease and delayed in achieving 50th percentile ideal body weight for appropriate gestational age by 10 days. CONCLUSION: In this study, 5-minutes Apgar score, hyaline membrane disease and delayed in achieving 50th percentile ideal body weight for appropriate gestational age by 10 days were significant risk factors associated with mortality in hydrops fetalis. Therefore, the risk of death among neonates with hydrops fetalis depends on the illness immediately after birth and severity of hydrops fetalis. Informations from this study may prove useful in prediction of prognosis to neonates with hydrops fetalis.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Puntaje de Apgar
/
Peritonitis
/
Arritmias Cardíacas
/
Pronóstico
/
Hidropesía Fetal
/
Modelos Logísticos
/
Estudios Retrospectivos
/
Factores de Riesgo
/
Edad Gestacional
/
Quilotórax
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
/
Newborn
Idioma:
Ko
Revista:
Journal of the Korean Society of Neonatology
Año:
2011
Tipo del documento:
Article