Prognostic factors of hydrops fetalis with pleural effusion

Atsushi Nakayama; Makoto Oshiro; Yasumasa Yamada; Tetsuo Hattori; Yasuhiro Wakano; Seiji Hayashi; Minoru Kokubo; Koji Takemoto; Shigeru Honda; Kuniko Ieda; Hikaru Yamamoto; Masanori Kouwaki; Kyoko Yokoi; Osamu Shinohara; Takenori Kato; Masafumi Miyata; Taihei Tanaka; Masahiro Hayakawa

doi:10.1111/ped.13357

Prognostic factors of hydrops fetalis with pleural effusion

Atsushi Nakayama, Makoto Oshiro, Yasumasa Yamada, Tetsuo Hattori, Yasuhiro Wakano, Seiji Hayashi, Minoru Kokubo, Koji Takemoto, Shigeru Honda, Kuniko Ieda, Hikaru Yamamoto, Masanori Kouwaki, Kyoko Yokoi, Osamu Shinohara, Takenori Kato, Masafumi Miyata, Taihei Tanaka, Masahiro Hayakawa

Pediatrics

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

Background: Hydrops fetalis (HF) has a low survival rate, particularly in the case of preterm birth. In addition, the severity index of HF has not been fully investigated yet. The aim of this study was to clarify the prognostic factors of HF with pleural effusion. Methods: All live-born HF patients with pleural effusion, except for chromosomal abnormality or complex congenital heart disease, born from 2009 to 2013 in Aichi Prefecture in Japan were included. Prenatal, perinatal, and postnatal information was obtained from the medical records and was retrospectively analyzed. Results: Forty-one HF patients with pleural effusion were included, and 28 patients (68%) survived. On multivariate logistic stepwise analysis, gestational birth week (OR, 0.71; 95% CI: 0.52–0.96, P = 0.027) and standard deviation (SD) score of the birthweight (OR, 1.74; 95% CI: 1.01–2.99, P = 0.045) were significant factors for postnatal death. All patients with both ≥32 gestational weeks and <3.0 birthweight SD score survived. Conclusions: Combined with the gestational weeks data, birthweight SD score may be useful to estimate the prognosis of HF with pleural effusion.

Original language	English
Pages (from-to)	1053-1057
Number of pages	5
Journal	Pediatrics International
Volume	59
Issue number	10
DOIs	https://doi.org/10.1111/ped.13357
Publication status	Published - 10-2017

All Science Journal Classification (ASJC) codes

Pediatrics, Perinatology, and Child Health

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10.1111/ped.13357

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Nakayama, A., Oshiro, M., Yamada, Y., Hattori, T., Wakano, Y., Hayashi, S., Kokubo, M., Takemoto, K., Honda, S., Ieda, K., Yamamoto, H., Kouwaki, M., Yokoi, K., Shinohara, O., Kato, T., Miyata, M., Tanaka, T., & Hayakawa, M. (2017). Prognostic factors of hydrops fetalis with pleural effusion. Pediatrics International, 59(10), 1053-1057. https://doi.org/10.1111/ped.13357

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title = "Prognostic factors of hydrops fetalis with pleural effusion",

abstract = "Background: Hydrops fetalis (HF) has a low survival rate, particularly in the case of preterm birth. In addition, the severity index of HF has not been fully investigated yet. The aim of this study was to clarify the prognostic factors of HF with pleural effusion. Methods: All live-born HF patients with pleural effusion, except for chromosomal abnormality or complex congenital heart disease, born from 2009 to 2013 in Aichi Prefecture in Japan were included. Prenatal, perinatal, and postnatal information was obtained from the medical records and was retrospectively analyzed. Results: Forty-one HF patients with pleural effusion were included, and 28 patients (68%) survived. On multivariate logistic stepwise analysis, gestational birth week (OR, 0.71; 95% CI: 0.52–0.96, P = 0.027) and standard deviation (SD) score of the birthweight (OR, 1.74; 95% CI: 1.01–2.99, P = 0.045) were significant factors for postnatal death. All patients with both ≥32 gestational weeks and <3.0 birthweight SD score survived. Conclusions: Combined with the gestational weeks data, birthweight SD score may be useful to estimate the prognosis of HF with pleural effusion.",

author = "Atsushi Nakayama and Makoto Oshiro and Yasumasa Yamada and Tetsuo Hattori and Yasuhiro Wakano and Seiji Hayashi and Minoru Kokubo and Koji Takemoto and Shigeru Honda and Kuniko Ieda and Hikaru Yamamoto and Masanori Kouwaki and Kyoko Yokoi and Osamu Shinohara and Takenori Kato and Masafumi Miyata and Taihei Tanaka and Masahiro Hayakawa",

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year = "2017",

month = oct,

doi = "10.1111/ped.13357",

language = "English",

volume = "59",

pages = "1053--1057",

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T1 - Prognostic factors of hydrops fetalis with pleural effusion

AU - Nakayama, Atsushi

AU - Oshiro, Makoto

AU - Yamada, Yasumasa

AU - Hattori, Tetsuo

AU - Wakano, Yasuhiro

AU - Hayashi, Seiji

AU - Kokubo, Minoru

AU - Takemoto, Koji

AU - Honda, Shigeru

AU - Ieda, Kuniko

AU - Yamamoto, Hikaru

AU - Kouwaki, Masanori

AU - Yokoi, Kyoko

AU - Shinohara, Osamu

AU - Kato, Takenori

AU - Miyata, Masafumi

AU - Tanaka, Taihei

AU - Hayakawa, Masahiro

PY - 2017/10

Y1 - 2017/10

N2 - Background: Hydrops fetalis (HF) has a low survival rate, particularly in the case of preterm birth. In addition, the severity index of HF has not been fully investigated yet. The aim of this study was to clarify the prognostic factors of HF with pleural effusion. Methods: All live-born HF patients with pleural effusion, except for chromosomal abnormality or complex congenital heart disease, born from 2009 to 2013 in Aichi Prefecture in Japan were included. Prenatal, perinatal, and postnatal information was obtained from the medical records and was retrospectively analyzed. Results: Forty-one HF patients with pleural effusion were included, and 28 patients (68%) survived. On multivariate logistic stepwise analysis, gestational birth week (OR, 0.71; 95% CI: 0.52–0.96, P = 0.027) and standard deviation (SD) score of the birthweight (OR, 1.74; 95% CI: 1.01–2.99, P = 0.045) were significant factors for postnatal death. All patients with both ≥32 gestational weeks and <3.0 birthweight SD score survived. Conclusions: Combined with the gestational weeks data, birthweight SD score may be useful to estimate the prognosis of HF with pleural effusion.

AB - Background: Hydrops fetalis (HF) has a low survival rate, particularly in the case of preterm birth. In addition, the severity index of HF has not been fully investigated yet. The aim of this study was to clarify the prognostic factors of HF with pleural effusion. Methods: All live-born HF patients with pleural effusion, except for chromosomal abnormality or complex congenital heart disease, born from 2009 to 2013 in Aichi Prefecture in Japan were included. Prenatal, perinatal, and postnatal information was obtained from the medical records and was retrospectively analyzed. Results: Forty-one HF patients with pleural effusion were included, and 28 patients (68%) survived. On multivariate logistic stepwise analysis, gestational birth week (OR, 0.71; 95% CI: 0.52–0.96, P = 0.027) and standard deviation (SD) score of the birthweight (OR, 1.74; 95% CI: 1.01–2.99, P = 0.045) were significant factors for postnatal death. All patients with both ≥32 gestational weeks and <3.0 birthweight SD score survived. Conclusions: Combined with the gestational weeks data, birthweight SD score may be useful to estimate the prognosis of HF with pleural effusion.

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JO - Pediatrics International

JF - Pediatrics International

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ER -

Prognostic factors of hydrops fetalis with pleural effusion

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