Table 1:
Maternal and neonatal characteristics of all infants, Risk +, and PH+ infants
| Characteristics | All Infants Pre-Screen (n=513) | All Infants Post-Screen (n=544) | p-value | Risk+ Pre-Screen (n=270) | Risk+ Post-Screen (n=273) | p-value | PH+ Pre-Screen (n=59) | PH+ Post-Screen (n=90) | p-value |
|---|---|---|---|---|---|---|---|---|---|
| Maternal | |||||||||
| IUGR | 13 (2.5%) | 20 (3.7%) | 0.30 | 9 (3.33%) | 14 (5.13%) | 0.39 | 1 (1.7%) | 5 (5.6%) | 0.40 |
| Pre-eclampsia | 46 (9.0%) | 50 (9.2%) | 0.92 | 20 (7.41%) | 24 (8.79%) | 0.64 | 2 (3.4%) | 7 (7.8%) | 0.32 |
| Clinical Chorioamnionitis | 139 (27.1%) | 87 (16.0%) | <0.001** | 84 (31.11%) | 48 (17.58%) | <0.001** | 17 (28.8%) | 19 (21.1%) | 0.33 |
| Prenatal steroids (any) | 491 (100%) n=491 | 496 (95.4%) n=520 | <0.001** | 256 (100%) | 251 (96.54%) | 0.004** | 52 (100%) | 79 (95.2%) | 0.30 |
| Oligohydramnios* | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Neonatal | |||||||||
| GA, wk* | 28.6 (2.4) | 28.5 (2.5) | 0.97 | 27.4 (2.5) | 27.1 (2.5) | 0.22 | 26.0 (2.4) | 26.1 (2.2) | 0.84 |
| Birthweight, kg* | 1.16 (0.39) | 1.14 (0.40) | 0.46 | 0.981 (0.35) | 0.931 (0.35) | 0.10 | 0.84 (0.35) | 0.79 (0.24) | 0.35 |
| Sex (Female) | 245 (47.8%) | 273 (50.2%) | 0.43 | 133 (49.3%) | 136 (49.8%) | 0.93 | 21 (35.6%) | 43 (47.8%) | |
| Mechanical ventilation days | 2 (0–260) | 1 (0–433) | 0.01** | 9.5 (0–260) | 11 (0–433) | 0.61 | 51 (0–260) | 31 (0–433) | <0.001** |
| NRN 2019 BPD (mod-severe)* | 67 (13.1%) n=513 | 70 (12.9%) n=542 | 0.93 | 67 (24.81%) | 70 (25.8%) | 0.84 | 29 (49.2%) | 31 (34.4%) | 0.09 |
| IVH (≥ Grade 3) | 21 (4.1%) | 23 (4.2%) | 1.00 | 17 (6.3%) | 17 (6.23%) | 1.0 | 7 (11.9%) | 9 (10.0%) | 0.79 |
| Airway obstruction | 2 (0.4%) | 0 | 0.24 | 2 (0.74%) | 0 | 0.25 | 1 (1.69%) | 0 | 0.40 |
| GERD (requiring medication) | 46 (9.0%) | 60 (11.0%) | 0.31 | 30 (11.1%) | 44 (16.1%) | 0.10 | 12 (20.3%) | 16 (17.8%) | 0.83 |
| ROP (any stage) | 142 (27.7%) | 192 (35.3%) | 0.01** | 110 (40.7%) | 152 (55.7%) | <0.001** | 36 (61.0%) | 58 (64.4%) | 0.73 |
| PDA on problem list | 81 (15.8%) | 179 (32.9%) | <0.001** | 65 (24.1%) | 143 (52.4%) | <0.001** | 29 (49.2%) | 64 (71.1%) | 0.01** |
| PDA Ligation | 24 (4.7%) | 25 (4.6%) | 1 | 22 (8.2%) | 25 (9.2%) | 0.76 | 12 (20.3%) | 11 (12.2%) | 0.25 |
| Sepsis type | 0.51 | 0.65 | 0.22 | ||||||
| Late onset | 39 (7.6%) | 52 (9.6%) | 35 (13.0%) | 42 (15.4%) | 16 (27.1%) | 16 (17.8%) | |||
| Early onset | 4 (0.8%) | 5 (0.9%) | 2 (0.74%) | 3 (1.1%) | 0 | 2 (2.2%) | |||
| SGA* | 50 (9.8%) | 71 (13.1%) | 0.10 | 35 (13.0%) | 54 (19.8%) | 0.04** | 7 (11.9%) | 16 (17.8%) | 0.36 |
| Post Natal Growth Failure** | 39 (7.6%) | 32 (5.9%) | 0.27 | 36 (13.3%) | 29 (10.6%) | 0.36 | 16 (27.1%) | 9 (10.0%) | 0.01** |
| ASD/PFO* | 48 (9.4%) | 160 (29.4%) | <0.001** | 40 (14.8%) | 125 (45.8%) | <0.001** | 13 (22.0%) | 53 (58.9%) | <0.001** |
| NEC ≥ 2A* | 37 (7.2%) | 25 (4.6%) | 0.09 | 26 (9.6%) | 21 (7.7%) | 0.45 | 5 (8.5%) | 4 (4.4%) | 0.48 |
| > 1 Steroid course* | 10 (2.0%) | 3 (0.6%) | 0.05 | 10 (3.7%) | 2 (0.73%) | 0.02** | 7 (11.9%) | 1 (1.1%) | 0.01** |
| Culture positive sepsis* | 43 (8.4%) | 55 (10.1%) | 0.34 | 37 (13.7%) | 49 (18.0%) | 0.12 | 16 (27.1%) | 19 (21.1%) | 0.43 |
| NICU Medications | |||||||||
| Dexamethasone | 66 (12.9%) | 103 (18.9%) | 0.01 | 57 (21.1%) | 96 (35.2%) | <0.001** | 28 (47.5%) | 46 (51.1%) | 0.74 |
| Prednisolone | 0 | 20 (3.7%) | <0.001** | 0 | 20 (7.3%) | <0.001** | 0 | 10 (11.1%) | 0.01** |
| Inhaled steroid | 150 (29.2%) | 177 (32.5%) | 0.26 | 129 (47.8%) | 158 (57.9%) | 0.02** | 46 (78.0%) | 70 (77.8%) | 1 |
| Any PH med | 18 (3.5%) | 21 (3.1%) | 0.73 | 16 (5.9%) | 19 (5.9%) | 1 | 13 (22.0) | 14 (12.2%) | 0.11 |
| Sildenafil | 4 (0.8%) | 9 (1.7%) | 0.39 | 4 (1.5%) | 9 (3.3%) | 0.26 | 4 (6.8%) | 7 (7.8%) | 1 |
| Furosemide | 332 (64.7%) | 294 (54%) | <0.001** | 225 (83.3%) | 218 (79.9%) | 0.32 | 59 (100%) | 83 (92.2%) | 0.04** |
| Thiazide | 195 (38.0%) | 135 (24.8%) | <0.001** | 151 (55.9%) | 122 (44.7%) | 0.010** | 50 (84.8%) | 60 (66.7%) | 0.02** |
| Any Diuretic | 332 (64.7%) | 294 (54.0%) | <0.001** | 225 (83.3%) | 218 (79.9%) | 0.32 | 59 (100%) | 83 (92.2%) | 0.04** |
Data presented as n(%)
p < 0.05
PH risk factors included in URMC PH Screening Guideline (GA < 26 weeks, BW < 750 grams)
PH = pulmonary hypertension, IUGR = intrauterine growth restriction, GA = gestational age,, NRN = neonatal research network, BPD = bronchopulmonary dysplasia, IVH = intraventricular hemorrhage, GERD (requiring medication) = gastroesophageal reflux disease (requiring proton pump inhibitor or histamine -2 blocker at discharge), ROP = retinopathy of prematurity, PDA = patent ductus arteriosus, SGA = small for gestational age, ASD = atrial septal defect, PFO = patent foramen ovale, NEC = necrotizing enterocolitis
**problem list query: growth failure, failure to thrive, poor weight gain, weight loss