Document Detail


Low antithrombin III: accurate predictor of idiopathic respiratory distress syndrome in premature neonates.
MedLine Citation:
PMID:  2920753     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A prospective study was performed in premature neonates to determine the predictive values of antithrombin III (AT III) deficiency immediately after birth, for the subsequent development of idiopathic respiratory distress syndrome (IRDS), intraventricular haemorrhage (IVH) and death. Of the 81 premature infants studied, 24 developed IRDS (30%). Of these 24 premature infants, 8 also developed IVH and 9 infants died within the follow-up period of 7 days. The mean plasma AT III level was significantly lower in the infants developing IRDS (0.23 U/ml vs 0.35 U/ml, P less than 0.0005). Within this study group 33 neonates of less than 30 weeks' gestation showed a prevalence for IRDS of 48%. In this group, AT III activity levels below 0.30 U/ml were 8.5 times as likely to result from infants with IRDS than from infants without IRDS. The diagnostic accuracy indices of criteria for the development of IRDS were: a sensitivity of 100%, a specificity of 88%, a positive predictive value of 89% and a negative predictive value of 100%. The predictive values for the development of IVH and occurrence of death were insignificant. Therefore, in premature neonates the combination of less than 30 weeks' gestation and an AT III below 0.30 U/ml is highly suggestive of IRDS and may facilitate the evaluation of early treatment.
Authors:
W van den Berg; C Breederveld; J W ten Cate; M Peters; J J Borm
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of pediatrics     Volume:  148     ISSN:  0340-6199     ISO Abbreviation:  Eur. J. Pediatr.     Publication Date:  1989 Feb 
Date Detail:
Created Date:  1989-04-14     Completed Date:  1989-04-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7603873     Medline TA:  Eur J Pediatr     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  455-8     Citation Subset:  IM    
Affiliation:
Division of Haemostasis and Thrombosis, University of Amsterdam, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Antithrombin III / analysis*
Cerebral Hemorrhage / blood,  complications
Cerebral Ventricles
Humans
Infant, Newborn
Infant, Premature, Diseases / blood,  diagnosis*
Predictive Value of Tests
Prospective Studies
Respiratory Distress Syndrome, Newborn / blood,  complications,  diagnosis*
Chemical
Reg. No./Substance:
9000-94-6/Antithrombin III

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


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