Research Article

Impact of Changes in Perinatal Care on Neonatal Respiratory Outcome and Survival of Preterm Newborns: An Overview of 15 Years

Table 2

Demographic and clinical characteristics of the 304 surviving newborns according to BPD.

BPD 
Non-BPD 

Gender, (%)
 Male17 (73.9)125 (45.5)0.007*
 Female6 (26.1)156 (55.5)
Gestational age (weeks), median (min–max)27 (23–31)30 (24–36)<0.0001 ¥
Birth weight (grams), median (min–max)875 (550–1270)1220 (500–1500)<0.0001 ¥
Small for gestational age, (%)2 (8.7)83 (29.5)0.05
Less than 1000 g, (%)16 (69.6)67 (23.8)<0.0001
Complete cycle of antenatal steroids, (%)10 (43.5)177 (63)0.064*
Histological chorioamnionitis, (%)3 (13.0)15 (5.3)0.041
Delivery mode, (%)
 Vaginal11 (47.8)87 (31)0.096*
 C-section12 (52.2)194 (69)
Respiratory support in the delivery room, (%)
 Endotracheal intubation22 (95.7) 120 (42.7)<0.0001
 Spontaneous 0106 (37.7)<0.0001
 Early NCPAP1 (4.3)55 (19.6)0.091
Apgar score, (%)
1st minute
 ≤722 (95.7)172 (61.2)0.001
 ≥81 (4.3)109 (38.8)
5th minute
 ≤715 (65.2)64 (22.8)<0.0001*
 ≥88 (34.8)217 (77.2)
Respiratory distress syndrome, (%)22 (95.7)137 (48.8)<0.0001
Surfactant administration, (%)22 (95.7)114 (40.6)0.008
Invasive mechanical ventilation, (%)23 (100)137 (48.8)<0.0001
Invasive mechanical ventilation, median day (min–max)35 (4–140)4 (1–50)<0.0001 ¥
Nosocomial sepsis, (%)15 (65.2)59 (20.9)<0.001*
Necrotizing enterocolitis ≥ 2A, (%)1 (4.3)7 (2.5)0.175
Retinopathy of prematurity ≥ 2, (%)7 (30.4)3 (1.0)<0.0001
Intraventricular hemorrhage III-IV, (%)1 (4.3)3 (1.0)0.086
Cystic periventricular leukomalacia, (%)9 (39.1)19 (6.7)<0.0001*
Patent ductus arteriosus 5 (21.7)14 (4.9)0.001 *
NICU stay, median day (min–max)90 (49–147)46 (1–160)<0.0001 ¥

*Chi-squared test, ¥Mann-whitney U test, Fisher’s exact test; NCPAP: nasal continuous positive airway pressure; NICU: neonatal intensive care unit.