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Chorioamnionitis and Patent Ductus Arteriosus: A Systematic Review and Meta-Analysis

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  • Hye Won Park
  • Yong-Sung Choi
  • Kyo Sun Kim
  • Soo-Nyung Kim

Abstract

Background: Chorioamnionitis has recently been reported as a risk factor for various neonatal diseases, including cerebral palsy, bronchopulmonary dysplasia, and necrotizing enterocolitis, but its effect on patent ductus arteriosus (PDA) is unclear. We performed a systematic review and meta-analysis to evaluate the effect of chorioamnionitis on PDA. Methods: We searched PubMed, EMBASE, Cochrane Library, and KoreaMed databases using the terms: “intrauterine infection” or “maternal infection” or “antenatal infection” or “chorioamnionitis” or “placenta inflammation” or “placenta pathology” or “neonatal outcome” or “neonatal morbidity” or “PDA or patent ductus arteriosus” or “ductus arteriosus,” and “prematurity” or “very low birth weight infant.” Studies were included if they were randomized controlled trials, case–control studies, or cohort studies that included information relating to chorioamnionitis and PDA. Results: Among 1,571 studies, a total of 23 studies (17,708 cases) were included in the meta-analysis to analyze the relationship between chorioamnionitis and PDA, except one study that only included PDA requiring surgical ligation. The association between chorioamnionitis and PDA was statistically significant (odds ratio [OR] 1.43; 95% confidence interval [CI] 1.19, 1.72; P

Suggested Citation

  • Hye Won Park & Yong-Sung Choi & Kyo Sun Kim & Soo-Nyung Kim, 2015. "Chorioamnionitis and Patent Ductus Arteriosus: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-14, September.
    • Handle: RePEc:plo:pone00:0138114
    DOI: 10.1371/journal.pone.0138114
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    References listed on IDEAS

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    1. Kim, Jaehoon & Kim, Sangsin, 2015. "2012년 국회법 개정의 효과 연구 [A Study on the Effect of the 2012 National Assembly Act Amendment]," KDI Research Monographs, Korea Development Institute (KDI), volume 127, number v:2015-03(k):y:2015:p:1-1.
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    1. Eduardo Villamor-Martinez & Giacomo Cavallaro & Genny Raffaeli & Owais M M Mohammed Rahim & Silvia Gulden & Amro M T Ghazi & Fabio Mosca & Pieter Degraeuwe & Eduardo Villamor, 2018. "Chorioamnionitis as a risk factor for retinopathy of prematurity: An updated systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-20, October.

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