Respiratory distress syndrome of the preterm neonate - placenta and necropsy as witnesses

• Tipo: Artigo em Revista Científica Internacional
• Data: 2011

Autores

Rocha, G (Autor) Outra; Rodrigues, M (Autor) Outra; Guimarães H (Autor) FMUP

Revista

Título: Journal of Maternal-Fetal and Neonatal Medicine

Vol. 24

Páginas: 148-151

ISSN: 1476-7058

Editora: Taylor & Francis

Indexação

ISI Web of Knowledge - 11 Citações

Scopus - 13 Citações

Pubmed / Medline

Classificação Científica

FOS: Ciências médicas e da saúde > Outras ciências médicas

CORDIS: Ciências da Saúde > Ciências Médicas

Outras Informações

ID Authenticus: P-002-YZP

DOI: 10.3109/14767058.2010.482613

Abstract (EN): Aim. To assess the agreement between clinical diagnosis of hyaline membrane disease (HMD) and lung necropsy pathological findings of deceased neonates. Material and methods. Review of clinical files and necropsy studies of 40 newborn infants <= 37 weeks gestational age. Results. The concordance between clinics and necropsy for the diagnosis of HMD was 43% (n = 17). At the necropsy study of the lungs, 11 cases (28%) of clinically diagnosed HMD were associated to meconium aspiration, pneumonia, or pulmonary hemorrhage; 12 (30%) cases were pneumonia and/or meconium aspiration and pulmonary hemorrhage without hyaline membranes. Of the 17 pneumonias, 15 (88%) were associated to histological chorioamnionitis, RR 3.76 (95%CI: 1.9-4.2) (p < 0.001). Conclusions. The clinical diagnosis of HMD needs a cautious interpretation, as it may be mistaken, or HMD may occur in association with other pathological situations enhancing a more ominous prognosis.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 4