Research Article

Postnatal Changes in Humerus Cortical Bone Thickness Reflect the Development of Metabolic Bone Disease in Preterm Infants

Table 2

Comparison of demographic data of preterm infants with and without decreasing cortical bone thickness at 36–44 weeks of postmenstrual age.

CharacteristicDecreasing cortical
bone thickness
()
Nondecreasing
cortical bone thickness
()
p value

Cortical bone thickness at birth (mm)0.96 (0.62–1.15)0.96 (0.73–1.33)0.95
Cortical bone thickness at 36–44 weeks of PMA 0.53 (0.40–0.67)1.05 (0.87–1.39)<0.01
Male sex, (%)3 (50.0)11 (57.9)>0.99
Gestational age (weeks)23 (22–27)28 (25–31)<0.01
Birth weight (g)545 (412–568)1064 (552–1474)<0.01
SGA (<tenth percentile), (%)1 (16.7)4 (21.0)>0.99
Days of enteral feeding > 100 mL/kg/day (day)24 (11–32)16 (7–55)0.19
Calcium administration (mg/kg/day)28.0 (20.7–50.0)45.9 (20.7–57.5)0.48
Phosphorus administration (mg/kg/day)29.1 (14.5–39.6)33.1 (15.5–61.3)0.34
Vitamin D administration (IU/kg/day)166.5 (29.2–212.0)137.5 (13.3–211.2)0.80
Total dosage of hydrocortisone (mg/kg)28.7 (12.0–45.4)20.5 (0.0–56.8)0.14
Diuretic drug use, (%)5 (83.3)8 (42.1)0.16
Duration of mechanical ventilation (days)82 (39–90)31 (1–80)<0.01
Duration of intravenous sedation (days)16 (1–72)10 (0–55)0.80
PDA, (%)3 (50.0)6 (31.9)0.63
NEC, (%)1 (16.7)0 (0)0.24
Sepsis (hemoculture positive), (%)1 (16.7)0 (0)0.24
BPD (oxygen at 28 days of life), (%)6 (100)14 (73.7)0.30
Fracture, (%)2 (33.3%)0 (0)0.05

BPD, bronchopulmonary dysplasia; cPVL, cystic periventricular leukomalacia; IVH, intraventricular hemorrhage; NEC, necrotizing enterocolitis; PDA, patent ductus arteriosus; PMA, postmenstrual age; RDS, respiratory distress syndrome; ROP, retinopathy of prematurity; SGA, small for gestational age.
Values are expressed as median (range) or number (%).