Document Detail


Association of transient tachypnea of the newborn and childhood asthma.
MedLine Citation:
PMID:  16871596     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine if transient tachypnea of the newborn (TTN) is independently associated with childhood asthma. METHODS: The sampling frame was a computerized database on 18,379 term infants born between January 1, 1996 and December 31, 2000 in an urban tertiary care hospital. This was a case-control study nested in a cohort of all term newborns who were subsequently diagnosed with asthma (n = 2137) and a similar number of birthday-matched controls. The International Classification of Diseases, Ninth Revision code was used to identify the infants with TTN and those who developed asthma. Logistic regression was used to adjust for potentially confounding variables. Stratified multivariate analysis was undertaken on subgroups to assess possible effect modification by factors known to influence the incidence of asthma: race, gender, domicile, and maternal asthma. RESULTS: After adjustment for potential confounding, TTN was significantly associated with the diagnosis of childhood asthma (adjusted OR = 1.50, 95% CI: 1.13-1.99; P = 0.0052). The association of TTN and asthma was statistically strongest among male infants, especially among males whose mothers lived at an urban address, males of non-white race, and males whose mothers did not have asthma. The pattern of association of TTN and asthma was similar for infants diagnosed with asthma once compared with those diagnosed with asthma recurrently. CONCLUSION: TTN was independently and significantly associated with the subsequent diagnosis of childhood asthma, especially among male infants. TTN may be a marker of deficient pulmonary function reflecting inherited susceptibility to asthma.
Authors:
David J Birnkrant; Charlene Picone; Wendy Markowitz; Mohammed El Khwad; Wen Hsin Shen; Nebiat Tafari
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric pulmonology     Volume:  41     ISSN:  8755-6863     ISO Abbreviation:  Pediatr. Pulmonol.     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-09-04     Completed Date:  2007-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8510590     Medline TA:  Pediatr Pulmonol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  978-84     Citation Subset:  IM    
Copyright Information:
(c) 2006 Wiley-Liss, Inc.
Affiliation:
Department of Pediatrics, MetroHealth Medical Center and Case Western Reserve University School of Medicine, Cleveland, Ohio 44109, USA. dbirnkrant@metrohealth.org
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MeSH Terms
Descriptor/Qualifier:
Asthma / diagnosis,  etiology*
Case-Control Studies
Cesarean Section
Child
Child, Preschool
Female
Follow-Up Studies
Humans
Infant, Newborn
Logistic Models
Male
Multivariate Analysis
Pregnancy
Pregnancy Complications
Respiration Disorders / complications*
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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