The relationship between probiotics and retinopathy of prematurity in preterm infants: A population-based retrospective study in China.

BackgroundRetinopathy of prematurity (ROP) is a retinal vascular disease with a high incidence in premature infants and is a leading cause of childhood blindness worldwide. The purpose of our study was to analyze the association between the use of probiotics and retinopathy of prematurity.MethodsThi...

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Main Authors: Wen Hua Bai, Dan Feng Gu, Yun Dai, Yu Hong Chen, Zu Ming Yang, Li Jun Lu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2023.1055992/full
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author Wen Hua Bai
Dan Feng Gu
Yun Dai
Yu Hong Chen
Zu Ming Yang
Li Jun Lu
author_facet Wen Hua Bai
Dan Feng Gu
Yun Dai
Yu Hong Chen
Zu Ming Yang
Li Jun Lu
author_sort Wen Hua Bai
collection DOAJ
description BackgroundRetinopathy of prematurity (ROP) is a retinal vascular disease with a high incidence in premature infants and is a leading cause of childhood blindness worldwide. The purpose of our study was to analyze the association between the use of probiotics and retinopathy of prematurity.MethodsThis study retrospectively collected clinical data of premature infants with gestational age <32 weeks and birth weight <1500 g admitted to the neonatal intensive care unit from January 1, 2019 to December 31, 2021 in Suzhou Municipal Hospital, China. Demographic and clinical data of the inclusion population were collected. The outcome was the occurrence of ROP. The chi-square test was used to compare categorical variables, while the t-test and the nonparametric Mann-Whitney U rank-sum test were used for continuous variables. Univariate and multivariate logistic regression were used to analyze the relationship between probiotics and ROP.ResultsA total of 443 preterm infants met the inclusion criteria, of which 264 didn't receive probiotics and 179 were supplemented with probiotics. There were 121 newborns with ROP in the included population. The results of univariate analysis showed that the preterm infants with and without probiotics were significantly different in the gestational age, the birth weight, the one-minute Apgar score, the oxygen inhalation time, the acceptance rate of invasive mechanical ventilation, the prevalence of bronchopulmonary dysplasia, ROP and severe intraventricular hemorrhage and periventricular leukomalacia (P < 0.05). Unadjusted univariate logistic regression model result showed that probiotics (OR 0.383, 95% CI 0.240∼0.611) were the factors affecting ROP in preterm infants (P < 0.01). Multivariate logistic regression result (OR 0.575, 95% CI 0.333∼0.994) was consistent with univariate analysis (P < 0.05).ConclusionThis study showed that probiotic was associated with a reduced risk of ROP in preterm infants with gestational age of <32 weeks and birth weight of <1500 g, but more large-scale prospective studies are still needed.
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spelling doaj.art-9d69768d65bd4bf9bfe44a8f6f4b53b12023-02-21T05:42:09ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-02-011110.3389/fped.2023.10559921055992The relationship between probiotics and retinopathy of prematurity in preterm infants: A population-based retrospective study in China.Wen Hua BaiDan Feng GuYun DaiYu Hong ChenZu Ming YangLi Jun LuBackgroundRetinopathy of prematurity (ROP) is a retinal vascular disease with a high incidence in premature infants and is a leading cause of childhood blindness worldwide. The purpose of our study was to analyze the association between the use of probiotics and retinopathy of prematurity.MethodsThis study retrospectively collected clinical data of premature infants with gestational age <32 weeks and birth weight <1500 g admitted to the neonatal intensive care unit from January 1, 2019 to December 31, 2021 in Suzhou Municipal Hospital, China. Demographic and clinical data of the inclusion population were collected. The outcome was the occurrence of ROP. The chi-square test was used to compare categorical variables, while the t-test and the nonparametric Mann-Whitney U rank-sum test were used for continuous variables. Univariate and multivariate logistic regression were used to analyze the relationship between probiotics and ROP.ResultsA total of 443 preterm infants met the inclusion criteria, of which 264 didn't receive probiotics and 179 were supplemented with probiotics. There were 121 newborns with ROP in the included population. The results of univariate analysis showed that the preterm infants with and without probiotics were significantly different in the gestational age, the birth weight, the one-minute Apgar score, the oxygen inhalation time, the acceptance rate of invasive mechanical ventilation, the prevalence of bronchopulmonary dysplasia, ROP and severe intraventricular hemorrhage and periventricular leukomalacia (P < 0.05). Unadjusted univariate logistic regression model result showed that probiotics (OR 0.383, 95% CI 0.240∼0.611) were the factors affecting ROP in preterm infants (P < 0.01). Multivariate logistic regression result (OR 0.575, 95% CI 0.333∼0.994) was consistent with univariate analysis (P < 0.05).ConclusionThis study showed that probiotic was associated with a reduced risk of ROP in preterm infants with gestational age of <32 weeks and birth weight of <1500 g, but more large-scale prospective studies are still needed.https://www.frontiersin.org/articles/10.3389/fped.2023.1055992/fullprobioticsretinopathy of prematuritypreterm infantsbronchopulmonary dysplasiasevere intraventricular hemorrhage
spellingShingle Wen Hua Bai
Dan Feng Gu
Yun Dai
Yu Hong Chen
Zu Ming Yang
Li Jun Lu
The relationship between probiotics and retinopathy of prematurity in preterm infants: A population-based retrospective study in China.
Frontiers in Pediatrics
probiotics
retinopathy of prematurity
preterm infants
bronchopulmonary dysplasia
severe intraventricular hemorrhage
title The relationship between probiotics and retinopathy of prematurity in preterm infants: A population-based retrospective study in China.
title_full The relationship between probiotics and retinopathy of prematurity in preterm infants: A population-based retrospective study in China.
title_fullStr The relationship between probiotics and retinopathy of prematurity in preterm infants: A population-based retrospective study in China.
title_full_unstemmed The relationship between probiotics and retinopathy of prematurity in preterm infants: A population-based retrospective study in China.
title_short The relationship between probiotics and retinopathy of prematurity in preterm infants: A population-based retrospective study in China.
title_sort relationship between probiotics and retinopathy of prematurity in preterm infants a population based retrospective study in china
topic probiotics
retinopathy of prematurity
preterm infants
bronchopulmonary dysplasia
severe intraventricular hemorrhage
url https://www.frontiersin.org/articles/10.3389/fped.2023.1055992/full
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