The most surprising finding of this investigation was that most neonates with respiratory symptoms were not classifiable by standard diagnostic criteria for textbook pulmonary disorders, even applying the broadest definitions. To our knowledge, this is the first attempt to classify acute respiratory disorders in the newborn in three decades in North America. Interestingly, similar to [...]
During the one year enrollment period, there were 2805 live-born infants weighing at least 500 grams born without major anomalies in our hospital. We excluded 19 live-born infants from the study because of birth weights below 500 grams (15 infants) or congenital anomalies (four infants). Three were excluded for incomplete data. Of the study population, [...]
We prospectively studied all infants born at Cook County Hospital, a tertiary perinatal center serving a low-income population, over a 12-month period. About 50-60 % of deliveries had significant perinatal risk factors such as preterm labor, preeclampsia or other significant medical or social problems (E. Swift, MD, personal communication). The birth population was 58% African [...]
Experience suggests that many newborn infants with acute respiratory disorders do not fit classic diagnostic patterns. There also is considerable variation among authors about which particular diagnostic criteria should be relied upon to define common disorders, such as respiratory distress syndrome (RDS), also known as hyaline membrane disease (HMD). In 1962, Miller classified patients having [...]
