1. Prognostic factors of hydrops fetalis with pleural effusion
- Author
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Koji Takemoto, Osamu Shinohara, Yasuhiro Wakano, Kuniko Ieda, Masafumi Miyata, Seiji Hayashi, Tetsuo Hattori, Masanori Kouwaki, Masahiro Hayakawa, Taihei Tanaka, Kyoko Yokoi, Hikaru Yamamoto, Shigeru Honda, Makoto Oshiro, Takenori Kato, Yasumasa Yamada, Atsushi Nakayama, and Minoru Kokubo
- Subjects
Male ,medicine.medical_specialty ,Pleural effusion ,Birth weight ,Hydrops Fetalis ,Gestational Age ,Infant, Premature, Diseases ,Severity of Illness Index ,03 medical and health sciences ,0302 clinical medicine ,Hydrops fetalis ,Severity of illness ,medicine ,Humans ,030212 general & internal medicine ,Survival rate ,Retrospective Studies ,030219 obstetrics & reproductive medicine ,Obstetrics ,business.industry ,Infant, Newborn ,Gestational age ,Retrospective cohort study ,medicine.disease ,Prognosis ,Pleural Effusion ,Survival Rate ,Logistic Models ,Pediatrics, Perinatology and Child Health ,Multivariate Analysis ,Gestation ,Female ,business ,Infant, Premature - Abstract
Background Hydrops fetalis (HF) has low survival rate, particularly in cases of preterm birth. In addition, the severity index of HF has not been fully investigated yet. This study was aimed to clarify the prognostic factors of HF patients with pleural effusion. Methods All live-born HF patients with pleural effusion, except for chromosomal abnormality or complex congenital heart disease, born from 2009 to 2013 in Aichi Prefecture in Japan were included. The prenatal, perinatal, and postnatal information was obtained from their medical records and was retrospectively analyzed. Results Forty-one HF patients with pleural effusion were included, and twenty-eight patients (68%) survived. The multivariate logistic stepwise analysis revealed that the gestational birth week (OR 0.71, 95% CI 0.52–0.96, p = 0.027) and standard deviation (SD) score of the birth weight (OR 1.74, 95% CI 1.01–2.99, p = 0.045) were significant factors for postnatal death. All patients with both >32 gestational weeks and
- Published
- 2017