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    "titulo" => "Chorioamnionitis and lung damage in the extremely low birth weight infant"
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        "titulo" => "Corioamnionite e les&#227;o pulmonar no rec&#233;m-nascido de extremo baixo peso"
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            0 => "Chorioamnionitis"
            1 => "bronchopulmonary dysplasia"
            2 => "respiratory distress syndrome"
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            0 => "Corioamnionite"
            1 => "displasia broncopulmonar"
            2 => "doen&#231;a das membranas hialinas"
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        "titulo" => "Abstract"
        "resumen" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Some experimental work suggests that exposure to intrauterine infection is associated&#44; not only&#44; with lung maturation and a reduced risk of respiratory distress syndrome&#44; but also&#44; with delayed alveolarization and increased risk of bronchopulmonary dysplasia&#46;</p> <span class="elsevierStyleSectionTitle">Aim</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">To evaluate the association between histological chorioamnionitis and lung disease in extremely low birth weight preterm infants&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A retrospective chart review of 63 less than 1000<span class="elsevierStyleHsp" style=""></span>g birthweight&#44; appropriated for gestational age neonates&#44; delivered at three tertiary medical centers in the north of Portugal&#44; between 2001 and 2002&#46; The association between histological chorioamnionitis and lung damage &#40;respiratory distress syndrome and bronchopulmonary dysplasia&#41; was evaluated through the calculation of crude and adjusted odds ratio&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">There were 32 newborns from mothers with histological chorioamnionitis and 31 without the condition&#46; The association between histological chorioamnionitis and respiratory distress syndrome was OR 0&#46;23 &#40;95&#37; CI 0&#46;01 &#8211; 2&#46;51&#41;&#46; The association between chorioamnionitis and bronchopulmonary dysplasia was OR 1&#46;61 &#40;95&#37; CI 0&#46;38 &#8211; 6&#46;97&#41;&#46; The association between histological chorioamnionitis and bronchopulmonary dysplasia when adjusted for gestational age&#44; multiple birth and C-section revealed no statistical significance&#58; OR 2&#46;66 &#40;95&#37; CI 0&#46;36 &#8211; 19&#46;60&#41; for chorioamnionitis without funisitis or vasculitis and OR 1&#46;68 &#40;95&#37; CI 0&#46;25 &#8211; 11&#46;18&#41; for funisitis and&#47;or vasculitis&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">In this study we could not confirm a decreased risk of respiratory distress syndrome nor an increased risk of bronchopulmonary dysplasia in extremely low birth weight preterm neonates with histological chorioamnionitis&#46;</p>"
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Alguns estudos experimentais sugerem que a exposi&#231;&#227;o a infec&#231;&#227;o intra-uterina associa-se&#44; n&#227;o s&#243;&#44; a matura&#231;&#227;o pulmonar e menor risco de doen&#231;a das membranas hialinas&#44; mas tamb&#233;m a atraso na forma&#231;&#227;o alveolar e maior risco de displasia broncopulmonar&#46;</p> <span class="elsevierStyleSectionTitle">Objectivo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Avaliar a associa&#231;&#227;o entre corioamnionite histol&#243;gica e les&#227;o pulmonar no rec&#233;m-nascido pr&#233;-termo de extremo baixo peso&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Estudo retrospectivo em 63 rec&#233;m-nascidos com peso ao nascimento inferior a 1000<span class="elsevierStyleHsp" style=""></span>g&#44; apropriados &#224; idade gestacional&#44; nascidos em tr&#234;s centros hospitalares do Norte de Portugal&#44; entre 2001 e 2002&#46; A associa&#231;&#227;o entre corioamnionite histol&#243;gica e les&#227;o pulmonar &#40;doen&#231;a das membranas hialinas e displasia broncopulmonar&#41; foi avaliada atrav&#233;s do c&#225;lculo de <span class="elsevierStyleItalic">odds ratio</span>&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Em 32 rec&#233;m-nascidos as m&#227;es apresentaram corioamnionite histol&#243;gica e em 31 a condi&#231;&#227;o n&#227;o estava presente&#46; A associa&#231;&#227;o entre corioamnionite histol&#243;gica e doen&#231;a das membranas hialinas foi OR 0&#44;23 &#40;IC 95&#37; 0&#44;01 &#8211; 2&#44;51&#41;&#46; A associa&#231;&#227;o entre corioamnionite histol&#243;gica e displasia broncopulmonar foi OR 1&#44;61 &#40;IC 95&#37; 0&#44;38 &#8211; 6&#44;97&#41;&#46; A associa&#231;&#227;o entre corioamnionite histol&#243;gica e displasia broncopulmonar ajustada para a idade gestacional&#44; gesta&#231;&#227;o m&#250;ltipla e parto por cesariana n&#227;o foi estatisticamente significativa&#58; OR 2&#44;66 &#40;IC 95&#37; 0&#44;36 &#8211; 19&#44;60&#41; para corioamnionite sem funisite ou vasculite e OR 1&#44;68 &#40;IC 95&#37; 0&#44;25 &#8211; 11&#44;18&#41; para corioamnionite com funisite e&#47;ou vasculite&#46;</p> <span class="elsevierStyleSectionTitle">Conclus&#227;o</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Este estudo n&#227;o nos permitiu confirmar a exist&#234;ncia de menor risco de doen&#231;a das membranas hialinas ou de maior risco de displasia broncopulmonar no rec&#233;m-nascido pr&#233;-termo de extremo baixo peso com corioamnionite histol&#243;gica&#46;</p>"
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Chorioamnionitis and lung damage in the extremely low birth weight infant
Corioamnionite e lesão pulmonar no recém-nascido de extremo baixo peso
Gustavo Rocha1,
Corresponding author
gusrocha@oninet.pt

Correspondence/Correspondência: Serviço de Neonatologia / Departamento de Pediatria, Hospital de São João – Piso 2, Alameda Prof. Hernâni Monteiro, 4202 – 451 Porto, Portugal. Tel.: +351 225095816 Fax: +351225512273.
, Elisa Proença2, Conceição Quintas3, Teresa Rodrigues4, Hercília Guimarães5
1 Assistente Hospitalar. Pediatric Department, Division of Neonatology, Hospital de São João, University Hospital
2 Assistente Hospitalar. Pediatric Department, Maternidade Júlio Dinis
3 Assistente Hospitalar. Pediatric Department, Division of Neonatology, Centro Hospitalar de Vila Nova de Gaia
4 Assistente Hospitalar. Obstetrics and Gynecology Department, Epidemiology Department, Hospital de São João, University Hospital
5 Chefe de Serviço. Pediatric Department, Division of Neonatology, Hospital de São João, University Hospital
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        "resumen" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Some experimental work suggests that exposure to intrauterine infection is associated&#44; not only&#44; with lung maturation and a reduced risk of respiratory distress syndrome&#44; but also&#44; with delayed alveolarization and increased risk of bronchopulmonary dysplasia&#46;</p> <span class="elsevierStyleSectionTitle">Aim</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">To evaluate the association between histological chorioamnionitis and lung disease in extremely low birth weight preterm infants&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A retrospective chart review of 63 less than 1000<span class="elsevierStyleHsp" style=""></span>g birthweight&#44; appropriated for gestational age neonates&#44; delivered at three tertiary medical centers in the north of Portugal&#44; between 2001 and 2002&#46; The association between histological chorioamnionitis and lung damage &#40;respiratory distress syndrome and bronchopulmonary dysplasia&#41; was evaluated through the calculation of crude and adjusted odds ratio&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">There were 32 newborns from mothers with histological chorioamnionitis and 31 without the condition&#46; The association between histological chorioamnionitis and respiratory distress syndrome was OR 0&#46;23 &#40;95&#37; CI 0&#46;01 &#8211; 2&#46;51&#41;&#46; The association between chorioamnionitis and bronchopulmonary dysplasia was OR 1&#46;61 &#40;95&#37; CI 0&#46;38 &#8211; 6&#46;97&#41;&#46; The association between histological chorioamnionitis and bronchopulmonary dysplasia when adjusted for gestational age&#44; multiple birth and C-section revealed no statistical significance&#58; OR 2&#46;66 &#40;95&#37; CI 0&#46;36 &#8211; 19&#46;60&#41; for chorioamnionitis without funisitis or vasculitis and OR 1&#46;68 &#40;95&#37; CI 0&#46;25 &#8211; 11&#46;18&#41; for funisitis and&#47;or vasculitis&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">In this study we could not confirm a decreased risk of respiratory distress syndrome nor an increased risk of bronchopulmonary dysplasia in extremely low birth weight preterm neonates with histological chorioamnionitis&#46;</p>"
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Alguns estudos experimentais sugerem que a exposi&#231;&#227;o a infec&#231;&#227;o intra-uterina associa-se&#44; n&#227;o s&#243;&#44; a matura&#231;&#227;o pulmonar e menor risco de doen&#231;a das membranas hialinas&#44; mas tamb&#233;m a atraso na forma&#231;&#227;o alveolar e maior risco de displasia broncopulmonar&#46;</p> <span class="elsevierStyleSectionTitle">Objectivo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Avaliar a associa&#231;&#227;o entre corioamnionite histol&#243;gica e les&#227;o pulmonar no rec&#233;m-nascido pr&#233;-termo de extremo baixo peso&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Estudo retrospectivo em 63 rec&#233;m-nascidos com peso ao nascimento inferior a 1000<span class="elsevierStyleHsp" style=""></span>g&#44; apropriados &#224; idade gestacional&#44; nascidos em tr&#234;s centros hospitalares do Norte de Portugal&#44; entre 2001 e 2002&#46; A associa&#231;&#227;o entre corioamnionite histol&#243;gica e les&#227;o pulmonar &#40;doen&#231;a das membranas hialinas e displasia broncopulmonar&#41; foi avaliada atrav&#233;s do c&#225;lculo de <span class="elsevierStyleItalic">odds ratio</span>&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Em 32 rec&#233;m-nascidos as m&#227;es apresentaram corioamnionite histol&#243;gica e em 31 a condi&#231;&#227;o n&#227;o estava presente&#46; A associa&#231;&#227;o entre corioamnionite histol&#243;gica e doen&#231;a das membranas hialinas foi OR 0&#44;23 &#40;IC 95&#37; 0&#44;01 &#8211; 2&#44;51&#41;&#46; A associa&#231;&#227;o entre corioamnionite histol&#243;gica e displasia broncopulmonar foi OR 1&#44;61 &#40;IC 95&#37; 0&#44;38 &#8211; 6&#44;97&#41;&#46; A associa&#231;&#227;o entre corioamnionite histol&#243;gica e displasia broncopulmonar ajustada para a idade gestacional&#44; gesta&#231;&#227;o m&#250;ltipla e parto por cesariana n&#227;o foi estatisticamente significativa&#58; OR 2&#44;66 &#40;IC 95&#37; 0&#44;36 &#8211; 19&#44;60&#41; para corioamnionite sem funisite ou vasculite e OR 1&#44;68 &#40;IC 95&#37; 0&#44;25 &#8211; 11&#44;18&#41; para corioamnionite com funisite e&#47;ou vasculite&#46;</p> <span class="elsevierStyleSectionTitle">Conclus&#227;o</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Este estudo n&#227;o nos permitiu confirmar a exist&#234;ncia de menor risco de doen&#231;a das membranas hialinas ou de maior risco de displasia broncopulmonar no rec&#233;m-nascido pr&#233;-termo de extremo baixo peso com corioamnionite histol&#243;gica&#46;</p>"
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Pulmonology

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