Cortisol production in preterm infants with or without late-onset adrenal insufficiency of prematurity: A prospective observational study

Bibliographic Details
Title: Cortisol production in preterm infants with or without late-onset adrenal insufficiency of prematurity: A prospective observational study
Authors: Kenichi Masumoto, Noriko Tagawa, Yoshiharu Kobayashi, Satoshi Kusuda
Source: Pediatrics and Neonatology, Vol 60, Iss 5, Pp 504-511 (2019)
Publisher Information: Elsevier, 2019.
Publication Year: 2019
Collection: LCC:Pediatrics
Subject Terms: Pediatrics, RJ1-570
More Details: Background: Immature adrenocortical function in preterm infants may cause inadequate production of cortisol under stress, resulting in adrenal insufficiency of prematurity (AOP). The objective of this study is to compare cortisol production in preterm infants with and without late-onset AOP. Methods: Of 27 preterm infants born at less than 32 weeks gestation, cortisol production was analyzed in those who did (patients, group P) and did not (controls, group C) eventually develop late-onset AOP. Blood samples were prospectively collected every two weeks after birth, and steroid hormone concentrations in the pathway to cortisol production were measured retrospectively. Results: We restricted the initial subjects to infants with gestation less than 29 weeks to adjust for confounding factors, culminating in matched infants in groups P (n = 8) and C (n = 11). The cortisol concentrations did not differ between the groups before AOP onset (P = 0.20), but the total concentrations of precursors for cortisol were higher in group P (P
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1875-9572
Relation: http://www.sciencedirect.com/science/article/pii/S1875957218302754; https://doaj.org/toc/1875-9572
DOI: 10.1016/j.pedneo.2018.12.001
Access URL: https://doaj.org/article/976821befef143589a623d584a780e43
Accession Number: edsdoj.976821befef143589a623d584a780e43
Database: Directory of Open Access Journals
More Details
ISSN:18759572
DOI:10.1016/j.pedneo.2018.12.001
Published in:Pediatrics and Neonatology
Language:English