Stable microbubble test for predicting the occurrence of respiratory distress syndrome. Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi 1995;36(2):101-3
Date
03/01/1995Pubmed ID
7793273Scopus ID
2-s2.0-0029261782 (requires institutional sign-in at Scopus site) 4 CitationsAbstract
To predict the development of respiratory distress syndrome (RDS) in premature neonates who might benefit from early administration of surfactant, the clinical applicability of stable microbubble (SM) test was prospectively evaluated. Fifty-nine preterm neonates with the gestational ages of less than 37 weeks were studied. SM test was performed on gastric aspirates obtained within 30 minutes after birth. The number of microbubbles was correlated with later development of RDS. With a cut-off value of less than 10 microbubbles/mm2, the SM test showed a positive predictive value of 76.0% (19/25) and a negative predictive value of 97.1% (33/34), while sensitivity and specificity were 95.0% (19/20) and 84.6% (33/39), respectively. The overall accuracy was 88.1% (52/59). It was concluded that use of the SM test on gastric aspirates immediately after birth is a rapid, simple and reliable procedure for identifying those neonates with surfactant deficiency who may benefit from prophylactic surfactant therapy.
Author List
Wu TJ, Teng RJ, Yau KIAuthors
Ru-Jeng Teng MD Professor in the Pediatrics department at Medical College of WisconsinTzong-Jin Wu MD Associate Professor in the Pediatrics department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Gastric JuiceHumans
Infant, Newborn
Prospective Studies
Pulmonary Surfactants
Respiratory Distress Syndrome, Newborn