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Hyperglycemia in pregnancy did not worsen the short-term outcomes of very preterm infants: a propensity score matching study

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单位： [1]Department of Neonatology, Guangzhou Key Laboratory of Neonatal Intestinal Diseases, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China. [2]Department of Neonatology, Women and Children's Hospital, School of Medicine, Xiamen University, Xiamen, Fujian, China. [3]Xiamen Key Laboratory of Perinatal-Neonatal Infection, Xiamen, Fujian, China. [4]Department of Neonatology, Children's Hospital of Fudan University, Shanghai, China. [5]Department of Pediatrics, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China. [6]Department of Neonatology, Guiyang Maternal and Child Health Hospital,Guiyang Children's Hospital, Guiyang, Guizhou, China. [7]Department of Pediatrics, Peking University Third Hospital, Beijing, China. [8]Department of Neonatology, Guangdong Province Maternal and Children's Hospital, Guangzhou, Guangdong, China. [9]Department of Neonatology, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, China. [10]Department of Neonatology, Children's Hospital of Hebei Province, Shijiazhuang, Hebei, China. [11]Department of Neonatology, Children' Hospital of Nanjing Medical University, Nanjing, Jiangsu, China. [12]Department of Neonatology, The First Hospital of Jilin University, Changchun, Jilin, China. [13]Department of Neonatology, Quanzhou Maternity and Children's Hospital, Quanzhou, Fujian, China. [14]Department of Pediatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. [15]Department of Neonatology, Liaocheng People's Hospital, Liaocheng, Shandong, China. [16]Department of Neonatology, The Affiliate Hospital of Inner Mongolia Medical University, Hohhot, Inner Mongolia, China. [17]Department of Neonatology, Suzhou Municipal Hospital, Suzhou, Jiangsu, China. [18]Department of Neonatology, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China. [19]Department of Neonatology, Chengdu Women' and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, China. [20]Guangdong Provincial Key Laboratory of Major Obstetric Diseases, Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.

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关键词： hyperglycemia in pregnancy preterm infant outcomes complication growth retardation

摘要：

Hyperglycemia in pregnancy (HGP) has generally been considered a risk factor associated with adverse outcomes in offspring, but its impact on the short-term outcomes of very preterm infants remains unclear.A secondary analysis was performed based on clinical data collected prospectively from 28 hospitals in seven regions of China from September 2019 to December 2020. According to maternal HGP, all infants were divided into the HGP group or the non-HGP group. A propensity score matching analysis was used to adjust for confounding factors, including gestational age, twin or multiple births, sex, antenatal steroid administration, delivery mode and hypertensive disorders of pregnancy. The main complications and the short-term growth status during hospitalization were evaluated in the HGP and non-HGP groups.A total of 2,514 infants were eligible for analysis. After matching, there were 437 infants in the HGP group and 874 infants in the non-HGP group. There was no significant difference between the two groups in main complications including respiratory distress syndrome, bronchopulmonary dysplasia, necrotizing enterocolitis, retinopathy of prematurity, patent ductus arteriosus, culture positive sepsis, intraventricular hemorrhage, periventricular leukomalacia, anemia, feeding intolerance, metabolic bone disease of prematurity, or parenteral nutrition-associated cholestasis. The incidences of extrauterine growth retardation and increased growth retardation for weight and head circumference in the non-HGP group were all higher than those in the HGP group after matching (P < 0.05).HGP did not worsen the short-term outcomes of the surviving very preterm infants, as it did not lead to a higher risk of the main neonatal complications, and the infants' growth improved during hospitalization.© 2024 Li, Shen, Zhang, Mao, Liu, Chang, Ye, Qiu, Ma, Cheng, Wu, Chen, Chen, Xu, Mei, Wang, Xu, Ju, Tong, Lin and Wu.

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出版当年[2023]版：

大类 | 3 区医学

小类 | 3 区儿科

最新[2025]版：

大类 | 4 区医学

小类 | 3 区儿科

JCR分区：

出版当年[2022]版：

Q2 PEDIATRICS

最新[2023]版：

Q2 PEDIATRICS

影响因子： 2.1 最新[2023版] 2.5 最新五年平均 2.6 出版当年[2022版] 3.2 出版当年五年平均 3.569 出版前一年[2021版] 2.1 出版后一年[2023版]

第一作者：

第一作者单位： [1]Department of Neonatology, Guangzhou Key Laboratory of Neonatal Intestinal Diseases, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.

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通讯作者：

通讯机构： [1]Department of Neonatology, Guangzhou Key Laboratory of Neonatal Intestinal Diseases, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China. [2]Department of Neonatology, Women and Children's Hospital, School of Medicine, Xiamen University, Xiamen, Fujian, China. [3]Xiamen Key Laboratory of Perinatal-Neonatal Infection, Xiamen, Fujian, China. [20]Guangdong Provincial Key Laboratory of Major Obstetric Diseases, Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.

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Hyperglycemia in pregnancy did not worsen the short-term outcomes of very preterm infants: a propensity score matching study

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