Pulmonary hypertension among preterm infants born at 22 through 32 weeks gestation in France: Prevalence, survival, morbidity and management in the EPIPAGE-2 cohort study.

EPIPAGE-2 Inhaled nitric oxide (iNO) Mortality Neonatal morbidity Preterm neonates Prevalence Prognosis Pulmonary hypertension

Journal

Early human development
ISSN: 1872-6232
Titre abrégé: Early Hum Dev
Pays: Ireland
ID NLM: 7708381

Informations de publication

Date de publication:
Sep 2023
Historique:
received: 09 05 2023
revised: 16 07 2023
accepted: 30 07 2023
pubmed: 19 8 2023
medline: 19 8 2023
entrez: 18 8 2023
Statut: ppublish

Résumé

To determine the prevalence, short-term prognosis and pharmacologic management of pulmonary hypertension (PH) among very preterm infants born before 32 weeks gestation (WG). In the EPIPAGE-2 French national prospective population-based cohort of preterm infants born in 2011, those presenting with PH were identified and prevalence was estimated using multiple imputation. The primary outcome was survival without severe morbidity at discharge and was compared between infants with or without PH after adjusting for confounders, using generalized estimating equations models. Subgroup analysis was performed according to gestational age (GA) groups. Among 3383 eligible infants, 3222 were analyzed. The prevalence of PH was 6.0 % (95 % CI, 5.2-6.9), 14.5 % in infants born at 22-27 In this population-based cohort of very preterm infants, the prevalence of PH was 6 %. PH was associated with a significant decrease of survival without severe morbidity in this population.

Identifiants

pubmed: 37595540
pii: S0378-3782(23)00133-0
doi: 10.1016/j.earlhumdev.2023.105837
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

105837

Informations de copyright

Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest None of the authors have any conflict of interest.

Auteurs

Sophie Breinig (S)

Neonatal and Pediatric Intensive Care Unit, Children's Hospital, 330 Avenue de Grande-Bretagne, Toulouse Cedex 9, France; Center for Epidemiology and Research in POPulation health (CERPOP), UMR1295, Toulouse University, Inserm, Toulouse, France. Electronic address: s.breinig@orange.fr.

Virginie Ehlinger (V)

Center for Epidemiology and Research in POPulation health (CERPOP), UMR1295, Toulouse University, Inserm, Toulouse, France.

Jean-Christophe Rozé (JC)

Neonatal Intensive Care Unit, Nantes University Hospital, Nantes, France.

Laurent Storme (L)

Neonatal Intensive Care Unit, Lille University Hospital, Lille, France.

Heloise Torchin (H)

Neonatal Intensive Care Unit, Maternité Cochin-Port Royal, Assistance Publique-Hôpitaux de Paris, Paris, France.

Xavier Durrmeyer (X)

Neonatal Intensive Care Unit, CHI Créteil, Créteil, France.

Gilles Cambonie (G)

Neonatal and Pediatric Intensive Care Unit, Montpellier University Hospital, Montpellier, France.

Christophe Delacourt (C)

Department of Pediatric Pneumology, Necker Children's Hospital, Paris University Hospital, Paris, France.

Pierre-Henri Jarreau (PH)

Neonatal Intensive Care Unit, Maternité Cochin-Port Royal, Assistance Publique-Hôpitaux de Paris, Paris, France.

Lionel Berthomieu (L)

Neonatal and Pediatric Intensive Care Unit, Children's Hospital, 330 Avenue de Grande-Bretagne, Toulouse Cedex 9, France.

Olivier Brissaud (O)

Neonatal and Pediatric Intensive Care Unit, Bordeaux University Hospital, Bordeaux, France.

Valérie Benhammou (V)

INSERM, U1153, Obstetrical, Perinatal and Pediatric Epidemiology Team, Epidemiology and Biostatistics Sorbonne, Paris, France.

Geraldine Gascoin (G)

Center for Epidemiology and Research in POPulation health (CERPOP), UMR1295, Toulouse University, Inserm, Toulouse, France; Neonatal Intensive Care Unit, Children's Hospital, Toulouse University Hospital, Toulouse, France.

Catherine Arnaud (C)

Center for Epidemiology and Research in POPulation health (CERPOP), UMR1295, Toulouse University, Inserm, Toulouse, France; Clinical Epidemiology Unit, Toulouse University Hospital, Toulouse, France.

Pierre-Yves Ancel (PY)

INSERM, U1153, Obstetrical, Perinatal and Pediatric Epidemiology Team, Epidemiology and Biostatistics Sorbonne, Paris, France.

Classifications MeSH