Decreasing incidence of chronic lung disease despite the gradual reduction of postnatal dexamethasone use in very low birth weight infants

Dexamethasone has been widely used in very low birth weight infants (VLBWI) weighing less than 1,500 g at birth for the prevention or treatment of chronic lung disease (CLD). Recently, however the use of dexamethasone is being reduced, as its association with abnormal neurodevelopmental outcome is k...

Full description

Saved in:
Bibliographic Details
Published in:Journal of Korean medical science 2004, 19(4), , pp.514-518
Main Authors: Choi, Chang Won, Hwang, Jong Hee, Shim, Jae Won, Ko, Sun Young, Lee, Eun Kyung, Kim, Sung Shin, Chang, Yun Sil, Park, Won Soon, Shin, Son Moon
Format: Article
Language:English
Subjects:
Chronic Disease
Cohort Studies
Dexamethasone - therapeutic use
Gestational Age
Humans
Infant
Infant, Newborn
Infant, Very Low Birth Weight
Intensive Care Units, Neonatal
Lung Diseases - drug therapy
Lung Diseases - epidemiology
Male
Original
Retrospective Studies
의학일반
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Dexamethasone has been widely used in very low birth weight infants (VLBWI) weighing less than 1,500 g at birth for the prevention or treatment of chronic lung disease (CLD). Recently, however the use of dexamethasone is being reduced, as its association with abnormal neurodevelopmental outcome is known. On the other hand, there have been persistent concerns about the increased risk of CLD according to the reduction of postnatal dexamethasone use. Hence, we did a retrospective cohort study to delineate the change in the incidence of CLD according to the reduction of dexamethasone use in VLBWI. The medical records of 559 VLBWI admitted to neonatal intensive care unit at Samsung Medical Center between November 1994 and December 2002 were reviewed with a focus on the use of postnatal dexamethasone and the incidence of CLD. The use of postnatal dexamethasone has significantly decreased over the study period. Especially, the use of high-dose regimen has markedly decreased. The day when postnatal dexamethasone therapy was begun has also been significantly delayed. The incidence of CLD has significantly decreased over the same period. In conclusion, the incidence of CLD has not increased despite the decreased use of postnatal dexamethasone.
ISSN:1011-8934
1598-6357
DOI:10.3346/jkms.2004.19.4.514