Prediction of bronchopulmonary dysplasia by the chest radiographic thoracic area on day one in infants with exomphalos
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Authors
Krishnan, Mirna
Dassios, Theodore
Bothamley, Zoe
Haque, Saira
Watson, Callum
Davenport, Mark
Harris, Christopher
Greenough, Anne
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Issue Date
2024
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Article
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Abstract
OBJECTIVES: To determine if infants with exomphalos had abnormal antenatal lung growth as indicated by lower chest radiographic thoracic areas (CRTA) on day one compared to controls and whether the CRTA could predict the development of bronchopulmonary dysplasia (BPD). METHODS: Infants with exomphalos cared for between January 2004 and January 2023 were included. The controls were term, newborn infants ventilated for absent respiratory drive at birth, without lung disease and had no supplemental oxygen requirement by 6 h of age. The radiographs were imported as digital image files by Sectra PACS software (Sectra AB, Linköping, Sweden). Free-hand tracing of the perimeter of the thoracic area was undertaken and the CRTA calculated by the software. RESULTS: Sixty-four infants with exomphalos and 130 controls were included. Infants with exomphalos had a lower median (IQR) CRTA (1,983 [1,657-2,471] mm CONCLUSIONS: Lower CRTAs on day one in the exomphalos infants compared to the controls predicted BPD development.
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Journal
Journal of Perinatal Medicine
Volume
52
Issue
4