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Volume 14
Issue 7
10.3390/jpm14070672
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Open AccessArticle
by Manuela Pantea SciProfiles Scilit Preprints.org Google Scholar Chaitanya Kalapala SciProfiles Scilit Preprints.org Google Scholar Barkha Rani Thakur SciProfiles Scilit Preprints.org Google Scholar Daniela Iacob SciProfiles Scilit Preprints.org Google Scholar Claudia Ioana Borțea SciProfiles Scilit Preprints.org Google Scholar Alexandra Herlo SciProfiles Scilit Preprints.org Google Scholar Felicia Marc SciProfiles Scilit Preprints.org Google Scholar Sonia Tanasescu SciProfiles Scilit Preprints.org Google Scholar Adina Bucur SciProfiles Scilit Preprints.org Google Scholar Manuela Pantea
,
Chaitanya Kalapala
Barkha Rani Thakur
Daniela Iacob
,
Claudia Ioana Borțea
Alexandra Herlo
Felicia Marc
Sonia Tanasescu
Adina Bucur
1
Department of Neonatology, “Victor Babes” University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania
2
Doctoral School, “Victor Babes” University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania
4
Department of Obstetrics and Gynecology, MediCiti Institute of Medical Sciences, Hyderabad 501401, India
5
Department of Infectious Diseases, “Victor Babes” University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania
6
Department of Medical Sciences, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania
7
Department of Pediatrics, “Victor Babes” University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania
8
Department of Functional Sciences, Discipline of Public Health, Center for Translational Research and Systems Medicine, “Victor Babes” University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania
*
Author to whom correspondence should be addressed.
J. Pers. Med. 2024, 14(7), 672; https://doi.org/10.3390/jpm14070672 (registeringDOI)
Submission received: 31 May 2024 / Revised: 19 June 2024 / Accepted: 20 June 2024 / Published: 22 June 2024
(This article belongs to the Special Issue Personalized Approaches to Prenatal Screening and Diagnosis)
Abstract
The incidence of Neonatal Systemic Inflammatory Response Syndrome (SIRS) is a critical concern in neonatal care. This study aimed to identify maternal laboratory parameters predictive of SIRS in newborns, focusing on the establishment of diagnostic cutoffs and evaluating the predictive power of these biomarkers. This prospective cohort study was conducted from January 2023 to January 2024 across several regional hospitals specializing in neonatal care. It included 207 mother-newborn pairs, divided into groups based on the neonatal development of SIRS (66 cases) or its absence (141 controls). Key maternal parameters measured included inflammatory markers and liver enzymes, analyzed using standard biochemical methods. The study applied receiver operating characteristic (ROC) analysis to establish optimal cutoff values and conducted multivariate logistic regression to determine hazard ratios (HRs) for SIRS prediction, with adjustments for potential confounders. The study identified significant ROC/AUC values for several biomarkers. The neutrophil-to-lymphocyte ratio (NLR) demonstrated an AUC of 0.926, with a cutoff value of 3.64, achieving 81.8% sensitivity and 90.9% specificity (p < 0.001). The systemic immune–inflammation index (SII) showed an AUC of 0.819 and a cutoff of 769.12, with 75.8% sensitivity and 81.8% specificity (p < 0.001). Multivariate regression analysis highlighted that neonates with maternal SII values above this cutoff were three times more likely to develop SIRS (HR 3.09, 95% CI 2.21–4.17, p < 0.0001). Other notable biomarkers included dNLR and ALRI, with respective HRs of 1.88 (p = 0.018) and 1.75 (p = 0.032). These findings confirm the significant predictive value of specific maternal inflammatory markers for neonatal SIRS. These findings support the utility of these biomarkers in prenatal screening to identify neonates at increased risk of SIRS, potentially guiding preemptive clinical interventions.
Keywords: neonatology; obstetrics; inflammation; diagnostics
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MDPI and ACS Style
Pantea, M.; Kalapala, C.; Thakur, B.R.; Iacob, D.; Borțea, C.I.; Herlo, A.; Marc, F.; Tanasescu, S.; Bucur, A. Predictive Role of Maternal Laboratory Parameters and Inflammatory Scores in Determining Systemic Inflammatory Response Syndrome in Newborns at Birth. J. Pers. Med. 2024, 14, 672. https://doi.org/10.3390/jpm14070672
AMA Style
Pantea M, Kalapala C, Thakur BR, Iacob D, Borțea CI, Herlo A, Marc F, Tanasescu S, Bucur A. Predictive Role of Maternal Laboratory Parameters and Inflammatory Scores in Determining Systemic Inflammatory Response Syndrome in Newborns at Birth. Journal of Personalized Medicine. 2024; 14(7):672. https://doi.org/10.3390/jpm14070672
Chicago/Turabian Style
Pantea, Manuela, Chaitanya Kalapala, Barkha Rani Thakur, Daniela Iacob, Claudia Ioana Borțea, Alexandra Herlo, Felicia Marc, Sonia Tanasescu, and Adina Bucur. 2024. "Predictive Role of Maternal Laboratory Parameters and Inflammatory Scores in Determining Systemic Inflammatory Response Syndrome in Newborns at Birth" Journal of Personalized Medicine 14, no. 7: 672. https://doi.org/10.3390/jpm14070672
Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.
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MDPI and ACS Style
Pantea, M.; Kalapala, C.; Thakur, B.R.; Iacob, D.; Borțea, C.I.; Herlo, A.; Marc, F.; Tanasescu, S.; Bucur, A. Predictive Role of Maternal Laboratory Parameters and Inflammatory Scores in Determining Systemic Inflammatory Response Syndrome in Newborns at Birth. J. Pers. Med. 2024, 14, 672. https://doi.org/10.3390/jpm14070672
AMA Style
Pantea M, Kalapala C, Thakur BR, Iacob D, Borțea CI, Herlo A, Marc F, Tanasescu S, Bucur A. Predictive Role of Maternal Laboratory Parameters and Inflammatory Scores in Determining Systemic Inflammatory Response Syndrome in Newborns at Birth. Journal of Personalized Medicine. 2024; 14(7):672. https://doi.org/10.3390/jpm14070672
Chicago/Turabian Style
Pantea, Manuela, Chaitanya Kalapala, Barkha Rani Thakur, Daniela Iacob, Claudia Ioana Borțea, Alexandra Herlo, Felicia Marc, Sonia Tanasescu, and Adina Bucur. 2024. "Predictive Role of Maternal Laboratory Parameters and Inflammatory Scores in Determining Systemic Inflammatory Response Syndrome in Newborns at Birth" Journal of Personalized Medicine 14, no. 7: 672. https://doi.org/10.3390/jpm14070672
Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.
J. Pers. Med., EISSN 2075-4426, Published by MDPI
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