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Table 1 Echocardiographic characteristics of infants with late pulmonary hypertension

From: Early characteristics of infants with pulmonary hypertension in a referral neonatal intensive care unit

Echocardiographic parameters

Infants with Late PH, n = 59

Infants without Late PH, n = 497

Odd ratio (95% CI)

p - value

Timing of final echo

Median (IQR)

77 (13–136)

41 (21–105)

1.0 (1.0–1.0)

0.39

Atrial septal defects

 None/PFO

43, 73%

434, 87%

ref

 

 PFO vs. ASD

4, 7%

24, 5%

1.7 (0.6–5.1)

0.68

 ASD

10, 17%

22, 4%

4.6 (2.0–10.3)

<0.01*

Atrial shunt direction (n, %)

 None or left-to-right

29, 57%

312, 87%

ref

 

 Bidirectional/Right-to-Left

22, 43%

47, 13%

5.0 (2.7–9.5)

<0.01*

Patent Ductus Arteriosus

 None

16, 36%

217, 54%

ref

 

 Small

11, 24%

69, 17%

2.2 (1.0–4.9)

0.28

 Moderate/Large

18, 40%

116, 29%

2.1 (1.0–4.3)

0.27

Patent ductus arteriosus shunt direction (n, %)

 None or left-to-right

12, 43%

177, 99%

ref

 

 Bidirectional/Right-to-Left

16, 57%

1, < 1%

236.0 (29–1933)

<0.01*

Tricuspid regurgitation jet velocity (n, %)

 Normal, < 32 mmHg

11, 19%

474, 98%

ref

 

 Mild, 32–44 mmHg

23, 39%

12, 2%

83.0 (33–207)

< 0.01*

 Mod, 45–60 mmHg

15, 25%

0, 0%

________

____

 Severe, > 60 mmHg

10, 17%

0, 0%

________

____

Septal flattening (n, %)

 None

1, 2%

96, 43%

ref

 

 Any

48, 98%

126, 57%

36.6 (5.0–269.7)

< 0.01*

Right ventricular dilation (n, %)

 None

25, 45%

436, 92%

ref

 

 Any

31, 55%

36, 8%

15.0 (8.0–28.1)

< 0.01*

Right ventricular hypertrophy (n, %)

 None

22, 44%

427, 90%

ref

 

 Any

28, 56%

50, 10%

10.9 (5.8–20.4)

< 0.01*

Right ventricular dysfunction (n, %)

 None

38, 67%

472, 97%

ref

 

 Any

19, 33%

14, 3%

16.9 (7.8–36.2)

< 0.01*

Ventricular Septal Defect

 None/Small

51, 96%

421, 97%

ref

 

 Mod/Large

2, 4%

11, 3%

1.5 (0.3–6.9)

0.60

Left ventricular dysfunction (n, %)

7, 12%

31, 6%

2 (0.8–4.8)

0.11

  1. Infants were categorized as having late pulmonary hypertension (late PH) if their final echocardiogram in the hospital showed PH. Echocardiograms were performed by clinical pediatric cardiologists and quantitative variables (tricuspid regurgitation jet velocity) and qualitative variables (shunt directions, septal flattening, degree of right ventricular dysfunction/dilation/hypertrophy) were measured. Odds ratios were defined using univariable logistic regression, *p < 0.05 is significant