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Table 2 Association between antenatal corticosteroids and neonatal outcomes among very preterm infants born to mothers with hypertensive disorders of pregnancy

From: Association between antenatal corticosteroids and neonatal outcomes among very preterm infants born to mothers with hypertensive disorders of pregnancy: a multicenter cohort study

 

ACS (n = 3806) N/(%)

No ACS (n = 776) N/(%)

P-value

Crude OR (95% CI)

aORa (95% CI)

Primary outcome

 Surfactant and/or IMV within 72 h of life

2579 (67.8)

595 (76.7)

< 0.0001

0.61 (0.50–0.74)

0.60 (0.49–0.74)

Secondary outcomes

 Death

347 (9.1)

114 (14.7)

< 0.0001

0.53 (0.42–0.68)

0.54 (0.42–0.70)

 Surfactant within 72 h of life

2335 (61.4)

509 (65.6)

0.026

0.77 (0.64–0.92)

0.77 (0.64–0.93)

 IMV within 72 h of life

1450 (38.1)

402 (51.8)

< 0.0001

0.58 (0.49–0.69)

0.59 (0.49–0.71)

 Combined surfactant and IMV use within 72 h of life

1206 (31.7)

316 (40.7)

< 0.0001

0.66 (0.55–0.78)

0.69 (0.57–0.82)

 Moderate or severe BPD

1402/3787 (37.0)

374/771 (48.5)

< 0.0001

0.61 (0.52–0.72)

0.61 (0.51–0.73)

 IVH (Grade III or IV)

184/3457 (5.3)

45/675 (6.7)

0.163

0.75 (0.52–1.08)

0.78 (0.53–1.14)

 PVL

96/3441 (2.8)

26/673 (3.9)

0.133

0.76 (0.46–1.24)

0.86 (0.51–1.45)

 NEC (Stage II or above)

183 (4.8)

34 (4.4)

0.610

1.10 (0.73–1.66)

1.06 (0.70–1.62)

 Early-onset sepsis

29 (0.8)

7 (0.9)

0.687

0.69 (0.30–1.60)

0.58 (0.24–1.38)

 Sepsis

335 (8.8)

73 (9.4)

0.590

0.92 (0.69–1.22)

0.95 (0.70–1.27)

  1. aAdjusted for GA, infant gender, SGA, multiple birth, gestational diabetes mellitus, premature rupture of membranes, prenatal visit, cesarean section, chorioamnionitis, inborn, magnesium sulfate and hospital site
  2. IMV invasive mechanical ventilation, BPD bronchopulmonary dysplasia, IVH intraventricular haemorrhage, PVL periventricular leukomalacia, NEC necrotizing enterocolitis, ACS antenatal corticosteroids