Prediction of chronic lung disease from the chest radiograph appearance at seven days of age
- 1 December 1993
- journal article
- Published by Wiley in Acta Paediatrica
- Vol. 82 (12), 944-947
- https://doi.org/10.1111/j.1651-2227.1993.tb12605.x
Abstract
The aim of this study was to assess if the chest radiograph appearance at seven days of age could be used to predict chronic lung disease (oxygen dependency at 28 days of age). Sixty preterm infants (median gestational age 28 weeks), who were ventilated and/or had supplementary oxygen at seven days of age and had a chest radiograph performed at that postnatal age, were prospectively recruited. These chest radiographs were scored according to lung volume, presence of opacification, haziness, interstitial changes and cystic elements (maximum scorc 18). Twenty‐eight infants subsequently developed chronic lung disease; their median chest radiograph score was 5.5 (range 2–14) which was significantly higher than that of the non‐chronic lung disease incants (median 3; range 0–6). A chest radiograph score of 4 had a 71%, sensitivity and 88% specificity in predicting chronic lung disease. We conclude that chest radiograph appearance at seven days of age is a sensitive and specific predictor of chronic lung disease and thus could be used to indicate the need for preventive therapy.Keywords
This publication has 20 references indexed in Scilit:
- Dexamethasone and hypertension in preterm infantsEuropean Journal of Pediatrics, 1992
- Chest radiograph scoring system for use in pre-term infantsThe British Journal of Radiology, 1991
- Dexamethasone therapy for chronic lung disease in ventilator- and oxygen-dependent infants: A controlled trialThe Journal of Pediatrics, 1989
- Potentially of early chest roentgen examination in ventilator treated newborn infants to predict future lung function and diseasePediatric Radiology, 1989
- A Controlled Trial of Dexamethasone in Preterm Infants at High Risk for Bronchopulmonary DysplasiaNew England Journal of Medicine, 1989
- The changing pattern of chronic lung disease of prematurity.Archives of Disease in Childhood, 1989
- Pulmonary compliance in sick low birthweight infants. How reliable is the measurement of oesophageal pressure?Archives of Disease in Childhood, 1983
- Early prediction of chronic lung disease by pulmonary function testingThe Journal of Pediatrics, 1983
- Glucocorticoid prophylaxis for respiratory distress syndrome: A review of potential toxicityThe Journal of Pediatrics, 1975
- The systematic evaluation of the chest radiograph in cystic fibrosisPediatric Radiology, 1974