A Prospective Study of Neonates with Persistent Pulmonary Hypertension of the Newborn: Prevalence, Clinical Outcomes, and Risk Factors

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KAVEH MAHBOD; Mahboobipour Amir Ali; Bitaraf Ali; Shojaei Maryam; MOHAMMADPOUR AHRANJANI BEHZAD; Majidi Nejad Baharak; KAJI YAZDI MOHAMMAD

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Journal: IRANIAN JOURNAL OF NEONATOLOGY Year:2022 | Volume:13 | Issue:2 Page(s): 112-119

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Title

A Prospective Study of Neonates with Persistent Pulmonary Hypertension of the Newborn: Prevalence, Clinical Outcomes, and Risk Factors

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Keywords

Developmental disorder

Mortality

Persistent pulmonary hypertension of the newborn

PPHN

Prevalence

Risk factor

Abstract

Background: Persistent pulmonary hypertension of the newborn (PPHN) is caused by the inability of the pulmonary arteries to dilate at birth, which leads to severe hypoxemia. Several Risk factors have been identified in association with its occurrence and prognosis. The present study aimed to determine the incidence of PPHN, describe neonates’ characteristics, and evaluate the etiology, as well as Mortality Risk factors in newborns hospitalized due to PPHN at Bahrami Children’ s Hospital, Tehran, Iran, from 2017 to 2020. Methods: A total of 49 neonates were included in the present study. The PPHN diagnosis was based on clinical criteria and echocardiography provided by neonatologists. Therefore, a complete history, physical examination, and laboratory data were gathered. Afterward, PPHN etiology was determined, and the patients were followed up for six months. Finally, PPHN Prevalence was calculated and probable Risk factors for its complications were investigated by using logistic regression analysis. Results: The findings revealed that the Prevalence of PPHN was 3. 5% in the center under study, and the Mortality rate, as well as complete recovery, were 24. 5% and 63%, respectively. It was also found that factors, such as male gender, abnormal Apgar score at birth, and cesarean delivery, were high in a percentage of PPHN patients; however, they were not associated with PPHN Mortality and morbidity. The only variable that had a significant association with Mortality and morbidity was an abnormal white blood cell count. Conclusion: The need for inotropic support was associated with poor outcomes. From the aspect of etiology, there exists higher Mortality rates, complications, and poor prognosis among PPHN patients with underdevelopment, compared to the ones with maldevelopment.

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APA: Copy

KAVEH, MAHBOD, Mahboobipour, Amir Ali, Bitaraf, Ali, Shojaei, Maryam, MOHAMMADPOUR AHRANJANI, BEHZAD, Majidi Nejad, Baharak, & KAJI YAZDI, MOHAMMAD. (2022). A Prospective Study of Neonates with Persistent Pulmonary Hypertension of the Newborn: Prevalence, Clinical Outcomes, and Risk Factors. IRANIAN JOURNAL OF NEONATOLOGY, 13(2), 112-119. SID. https://sid.ir/paper/990417/en

Vancouver: Copy

KAVEH MAHBOD, Mahboobipour Amir Ali, Bitaraf Ali, Shojaei Maryam, MOHAMMADPOUR AHRANJANI BEHZAD, Majidi Nejad Baharak, KAJI YAZDI MOHAMMAD. A Prospective Study of Neonates with Persistent Pulmonary Hypertension of the Newborn: Prevalence, Clinical Outcomes, and Risk Factors. IRANIAN JOURNAL OF NEONATOLOGY[Internet]. 2022;13(2):112-119. Available from: https://sid.ir/paper/990417/en

IEEE: Copy

MAHBOD KAVEH, Amir Ali Mahboobipour, Ali Bitaraf, Maryam Shojaei, BEHZAD MOHAMMADPOUR AHRANJANI, Baharak Majidi Nejad, and MOHAMMAD KAJI YAZDI, “A Prospective Study of Neonates with Persistent Pulmonary Hypertension of the Newborn: Prevalence, Clinical Outcomes, and Risk Factors,” IRANIAN JOURNAL OF NEONATOLOGY, vol. 13, no. 2, pp. 112–119, 2022, [Online]. Available: https://sid.ir/paper/990417/en

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