Decreased Cystatin C–Estimated Glomerular Filtration Rate Is Correlated with Prolonged Hospital Stay in Transient Tachypnea of Newborn Infants

Transient tachypnea of the newborn (TTN) is a benign disorder with a variable clinical course that often leads to hospitalization. The aim of this study was to assess and validate the relationship between the serum cystatin C level and symptom duration in infants with TTN. Methods: Forty newborns pr...

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Main Authors: Bo Bae Kim, Sung-Hoon Chung, Hoi-Soo Yoon, Won-Ho Hahn, Chong-Woo Bae, Yong-Sung Choi
Format: Article
Language:English
Published: Elsevier 2016-06-01
Series:Pediatrics and Neonatology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1875957215001412
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author Bo Bae Kim
Sung-Hoon Chung
Hoi-Soo Yoon
Won-Ho Hahn
Chong-Woo Bae
Yong-Sung Choi
author_facet Bo Bae Kim
Sung-Hoon Chung
Hoi-Soo Yoon
Won-Ho Hahn
Chong-Woo Bae
Yong-Sung Choi
author_sort Bo Bae Kim
collection DOAJ
description Transient tachypnea of the newborn (TTN) is a benign disorder with a variable clinical course that often leads to hospitalization. The aim of this study was to assess and validate the relationship between the serum cystatin C level and symptom duration in infants with TTN. Methods: Forty newborns presenting with TTN and who had undergone serum cystatin C (Cys C) tests on the first day of admission to the Kyung Hee University Hospital (Seoul, Korea) from 2009 to 2013 were included. The serum Cys C level, creatinine (Cr) level, estimated glomerular filtration rate (eGFR), and tachypnea duration were correlated retrospectively. Results: The median gestation period was 37.8 ± 3.8 weeks and the mean birth weight was 3.2 ± 0.4 kg. Tachypnea duration was 3.3 ± 2.0 days. Serum Cys C and Cr levels were 1.7 ± 0.2 mg/L and 0.8 ± 1.2 mg/dL, respectively. Tachypnea duration was significantly positively correlated with the serum levels of Cys C and significantly negatively correlated with Cys C-based eGFR (p = 0.016), but was not significantly correlated with the serum Cr level or Cr-based eGFR. When tachypnea duration was compared between infants with Cys C level <1.6 mg/L (n = 15; Group A) and infants with Cys C level ≥ 1.6 mg/L (n = 25; Group B), the symptom duration was significantly shorter in Group A infants (p = 0.011). Conclusion: Tachypnea duration was shorter with higher Cys C-based eGFR in infants with TTN.
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spelling doaj.art-46873078f4dc451d941168b28506125f2022-12-21T23:57:04ZengElsevierPediatrics and Neonatology1875-95722016-06-0157319520010.1016/j.pedneo.2015.08.006Decreased Cystatin C–Estimated Glomerular Filtration Rate Is Correlated with Prolonged Hospital Stay in Transient Tachypnea of Newborn InfantsBo Bae Kim0Sung-Hoon Chung1Hoi-Soo Yoon2Won-Ho Hahn3Chong-Woo Bae4Yong-Sung Choi5Department of Pediatrics, Kyung Hee University School of Medicine, Seoul, South KoreaDepartment of Pediatrics, Kyung Hee University School of Medicine, Seoul, South KoreaDepartment of Pediatrics, Kyung Hee University School of Medicine, Seoul, South KoreaDepartment of Pediatrics, School of Medicine, Seoul Hospital, Soon Chun Hyang University, Seoul, South KoreaDepartment of Pediatrics, Kyung Hee University School of Medicine, Seoul, South KoreaDepartment of Pediatrics, Kyung Hee University School of Medicine, Seoul, South KoreaTransient tachypnea of the newborn (TTN) is a benign disorder with a variable clinical course that often leads to hospitalization. The aim of this study was to assess and validate the relationship between the serum cystatin C level and symptom duration in infants with TTN. Methods: Forty newborns presenting with TTN and who had undergone serum cystatin C (Cys C) tests on the first day of admission to the Kyung Hee University Hospital (Seoul, Korea) from 2009 to 2013 were included. The serum Cys C level, creatinine (Cr) level, estimated glomerular filtration rate (eGFR), and tachypnea duration were correlated retrospectively. Results: The median gestation period was 37.8 ± 3.8 weeks and the mean birth weight was 3.2 ± 0.4 kg. Tachypnea duration was 3.3 ± 2.0 days. Serum Cys C and Cr levels were 1.7 ± 0.2 mg/L and 0.8 ± 1.2 mg/dL, respectively. Tachypnea duration was significantly positively correlated with the serum levels of Cys C and significantly negatively correlated with Cys C-based eGFR (p = 0.016), but was not significantly correlated with the serum Cr level or Cr-based eGFR. When tachypnea duration was compared between infants with Cys C level <1.6 mg/L (n = 15; Group A) and infants with Cys C level ≥ 1.6 mg/L (n = 25; Group B), the symptom duration was significantly shorter in Group A infants (p = 0.011). Conclusion: Tachypnea duration was shorter with higher Cys C-based eGFR in infants with TTN.http://www.sciencedirect.com/science/article/pii/S1875957215001412transient tachypnea of the newbornglomerular filtration ratecystatin C
spellingShingle Bo Bae Kim
Sung-Hoon Chung
Hoi-Soo Yoon
Won-Ho Hahn
Chong-Woo Bae
Yong-Sung Choi
Decreased Cystatin C–Estimated Glomerular Filtration Rate Is Correlated with Prolonged Hospital Stay in Transient Tachypnea of Newborn Infants
Pediatrics and Neonatology
transient tachypnea of the newborn
glomerular filtration rate
cystatin C
title Decreased Cystatin C–Estimated Glomerular Filtration Rate Is Correlated with Prolonged Hospital Stay in Transient Tachypnea of Newborn Infants
title_full Decreased Cystatin C–Estimated Glomerular Filtration Rate Is Correlated with Prolonged Hospital Stay in Transient Tachypnea of Newborn Infants
title_fullStr Decreased Cystatin C–Estimated Glomerular Filtration Rate Is Correlated with Prolonged Hospital Stay in Transient Tachypnea of Newborn Infants
title_full_unstemmed Decreased Cystatin C–Estimated Glomerular Filtration Rate Is Correlated with Prolonged Hospital Stay in Transient Tachypnea of Newborn Infants
title_short Decreased Cystatin C–Estimated Glomerular Filtration Rate Is Correlated with Prolonged Hospital Stay in Transient Tachypnea of Newborn Infants
title_sort decreased cystatin c estimated glomerular filtration rate is correlated with prolonged hospital stay in transient tachypnea of newborn infants
topic transient tachypnea of the newborn
glomerular filtration rate
cystatin C
url http://www.sciencedirect.com/science/article/pii/S1875957215001412
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