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Lung Ultrasonography Score as a Respiratory Parameter of Respiratory Distress Syndrome in Very Preterm Infants: A Single Center Experience

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Author(s)
So Young SinJae Hyun ParkChun Soo KimSang Lak Lee
Keimyung Author(s)
Shin, So YoungPark, Jae HyunKim, Chun SooLee, Sang Lak
Department
Dept. of Nursing (간호학)
Dept. of Pediatrics (소아청소년학)
Journal Title
Neonatal medicine
Issued Date
2019
Volume
26
Issue
3
Keyword
UltrasonographyRespiratory distress syndromenewbornInfantpremature
Abstract
Purpose:
Comparison between lung ultrasound (LUS) score and indices of respiratory severity in very preterm infants born at 28 to 31 weeks’ gestation.

Methods:
We retrospectively reviewed medical records of 32 very preterm infants born at 28 to 31 weeks’ gestation at Keimyung University Dongsan Medical Center. Before surfactant administration, bedside LUS in the neonatal intensive care unit was recorded within the first hour of life. Partial pressure of capillary oxygen to fraction of inspired oxygen ratio (PcO2)/FiO2, alveolar-arterial gradient (A-aO2), modified oxygenation index (OI), and arterial to alveolar ratio were calculated. Correlation between LUS score and indices of respiratory severity were analyzed between the intubation and nasal continuous positive airway pressure (NCPAP) groups depending on the presence or absence of endotracheal intubation.

Results:
Mean LUS scores, A-aO2, and modified OI in the intubation group were significantly higher than those in the NCPAP group. Conversely, PcO2/FiO2 and arterial to alveolar ratios in the intubation group were significantly lower than those in the NCPAP group. LUS score was found to be significantly correlated with A-aO2 (r=0.448, P<0.05) and modified OI (r=0.453, P<0.05), but not with PcO2/FiO2 ratio (r=–0.205, P> 0.05) and arterial to alveolar ratio (r=–0.190, P>0.05).

Conclusion:
The LUS score is well correlated with indices of respiratory severity in very preterm infants born at 28 to 31 weeks’ gestation. Further investigation is needed to use LUS as an alternative tool in infants with respiratory distress.
Keimyung Author(s)(Kor)
신소영
박재현
김천수
이상락
Publisher
College of Nursing (간호대학)
School of Medicine (의과대학)
Citation
So Young Sin et al. (2019). Lung Ultrasonography Score as a Respiratory Parameter of Respiratory Distress Syndrome in Very Preterm Infants: A Single Center Experience. Neonatal medicine, 26(3), 162–168. doi: 10.5385/nm.2019.26.3.162
Type
Article
ISSN
2287-9803
Source
http://www.neo-med.org/journal/view.php?number=977
DOI
10.5385/nm.2019.26.3.162
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42461
Appears in Collections:
2. College of Nursing (간호대학) > Dept. of Nursing (간호학)
1. School of Medicine (의과대학) > Dept. of Pediatrics (소아청소년학)
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