Prediction of neonatal respiratory distress syndrome via pulmonary artery Doppler examination

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dc.contributor.authorBuke, Baris
dc.contributor.authorDestegul, Emre
dc.contributor.authorAkkaya, Hatice
dc.contributor.authorSimsek, Deniz
dc.contributor.authorKazandi, Mert
dc.date.accessioned2019-10-27T09:44:19Z
dc.date.available2019-10-27T09:44:19Z
dc.date.issued2019
dc.departmentEge Üniversitesien_US
dc.description.abstractObjective: We aimed with this study to evaluate the role of pulmonary artery acceleration time to ejection time ratio (PATET) in the prediction of respiratory distress syndrome (RDS) in preterm neonates. Materials and methods: In this prospective cohort study, 105 singleton pregnant women with no congenital abnormalities and pregnancy complications who delivered before 37 weeks of gestational age were included. All the patients underwent ultrasound examination to obtain fetal pulmonary artery Doppler. 15 patients were excluded from the study as they did not give birth within 3 days subsequent to ultrasound examination, or inadequate Doppler measurements. After delivery the neonates were grouped according to diagnosis of RDS as RDS + and RDS-. Results: One hundred five women met the inclusion criteria. Regarding the Doppler findings; only the PATET ratio was significantly different between the groups (0.2965 +/- 0.042 versus 0.386 +/- 0.068 p < .001, Z = -5.206). There was an inverse correlation between the diagnosis of RDS in the neonates and the PATET values, even after adjusted for gestational age estimated fetal weight and fetal gender (r = -0.52 and p = .0017). A cut-off value of 0.327 provided optimal specificity of 77.1%, a sensitivity of 90.9%, a negative predictive value of 95.4%, and a positive predictive value 52.7%. Conclusions: In consideration of these results fetal PATET ratio is a promising noninvasive tool to predict RDS in cases of preterm deliveries.en_US
dc.identifier.doi10.1080/14767058.2017.1413549
dc.identifier.endpage1645en_US
dc.identifier.issn1476-7058
dc.identifier.issn1476-4954
dc.identifier.issn1476-7058en_US
dc.identifier.issn1476-4954en_US
dc.identifier.issue10en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1640en_US
dc.identifier.urihttps://doi.org/10.1080/14767058.2017.1413549
dc.identifier.urihttps://hdl.handle.net/11454/28983
dc.identifier.volume32en_US
dc.identifier.wosWOS:000457737200010en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofJournal of Maternal-Fetal & Neonatal Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDoppler ultrasounden_US
dc.subjectPATETen_US
dc.subjectprenatal diagnosisen_US
dc.subjectpulmonary artery acceleration to ejection time ratioen_US
dc.subjectrespiratory distress syndromeen_US
dc.titlePrediction of neonatal respiratory distress syndrome via pulmonary artery Doppler examinationen_US
dc.typeArticleen_US

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