Table 3.
Risks of neonatal morbidities during the Prophylactic and Conservative epochs
| Statistical Models | sIVH a | Death a | BPD a | BPD/Death a | NEC <10d a | Any NEC a | Treated ROP a | |||||||
| Unadjusted Model | Pro | Cons | Pro | Cons | Pro | Cons | Pro | Cons | Pro | Cons | Pro | Cons | Pro | Cons |
| Risk | 0.18 | 0.19 | 0.20 | 0.24 | 0.25 | 0.36 | 0.39 | 0.50 | 0.074 | 0.12 | 0.16 | 0.17 | 0.16 | 0.18 |
| Risk Ratio | 0.95 | 0.83 | 0.71 | 0.78 | 0.64 | 0.96 | 0.86 | |||||||
| 95% CI | 0.54–1.35 | 0.51–1.13 | 0.47–0.95 * | 0.55–0.97 * | 0.20–1.08 | 0.48–1.45 | 0.43–1.29 | |||||||
| Final Adjusted Model b | Pro | Cons | Pro | Cons | Pro | Cons | Pro | Cons | Pro | Cons | Pro | Cons | Pro | Cons |
| Risk | 0.18 | 0.20 | 0.21 | 0.24 | 0.25 | 0.37 | 0.40 | 0.51 | 0.08 | 0.10 | 0.17 | 0.15 | 0.17 | 0.16 |
| Risk Ratio | 0.93 | 0.88 | 0.68 | 0.78 | 0.75 | 1.09 | 1.04 | |||||||
| 95% CI | 0.55–1.32 | 0.58–1.18 | 0.46–0.89 * | 0.62–0.95 * | 0.21–1.30 | 0.53–1.65 | 0.54–1.54 | |||||||
| Final Adjusted Model plus PDA at 7 days | Pro | Cons | Pro | Cons | ||||||||||
| Risk | 0.28 | 0.32 | 0.34 | 0.39 | ||||||||||
| Risk Ratio | 0.87 | 0.86 | ||||||||||||
| 95% CI | 0.50–1.23 | 0.57–1.16 | ||||||||||||
| Final Adjusted Model plus Ligation | Pro | Cons | Pro | Cons | ||||||||||
| Risk | 0.24 | 0.38 | 0.40 | 0.51 | ||||||||||
| Risk Ratio | 0.64 | 0.78 | ||||||||||||
| 95% CI | 0.43–0.84 * | 0.62–0.94 * | ||||||||||||
p-value <0.05
Final Adjusted Models for each outcome (see Methods) were adjusted for:
sIVH = gestational age, respiratory severity score at 24 hours after birth, antenatal betamethasone, mechanical ventilation at 24 hours (n=380)
Death = gestational age, respiratory severity score at 24 hours after birth, antenatal betamethasone, fetal presentation and Fenton birth weight/age z-score (n =397)
BPD = gestational age, respiratory severity score at 24 hours after birth, antenatal betamethasone, chorioamnionitis, tracheal intubation during 1st 24 hours, and bacteremia or pneumonia (n=316)
BPD/Death = gestational age, respiratory severity score at 24 hours after birth, antenatal betamethasone, tracheal intubation during 1st 24 hours and bacteremia or pneumonia (n = 397)
NEC <10d = gestational age, respiratory severity score at 24 hours after birth, antenatal betamethasone, fetal presentation, maternal diabetes mellitus, 5 minute Apgar ≤5, and tracheal intubation during 1st 24 hours (n = 337)
Any NEC = gestational age, respiratory severity score at 24 hours after birth, antenatal betamethasone, chorioamnionitis, fetal presentation, Fenton birth weight/age z-score, and bacteremia or pneumonia (n = 331)
Treated ROP = gestational age, respiratory severity score at 24 hours after birth, antenatal betamethasone, outborn and chorioamnionitis (n = 315)