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Effect of Magnesium Sulfate and Nifedipine on the Risk of Developing Pulmonary Edema in Preterm Births by ChengWei Xiao; Mihnea Gangal; Haim A. Abenhaim is a Medicine article available to read on EtoBox.
What is Effect of Magnesium Sulfate and Nifedipine on the Risk of Developing Pulmonary Edema in Preterm Births about?
## Abstract Objective: To evaluate the risk of developing pulmonary edema in women exposed to nifedipine, magnesium sulfate (MgSO~4~), or both in a preterm setting. Study design: We carried out a retrospective case-control study at a large tertiary care center from 2007 to 2012. Cases of pulmonary edema were age, and gestational age matched to controls at a ratio of 1 case to 4 controls. Logistic regression analysis was used to estimate the effect of nifedipine and/or MgSO~4~ on the development of pulmonary edema while controlling for predetermined confounding variables. Stepwise logistic regression analysis was used to evaluate additional risk factors of pulmonary edema. Results: A total of 150 charts were reviewed (28 cases and 122 controls). Nifedipine did not increase the odds of developing pulmonary edema [adjusted odds ratio (OR)=1.22 (confidence interval (CI) 0.50, 3.01), P=0.67], whereas exposure to MgSO~4~, or both MgSO~4~ and nifedipine, significantly increased the risk of developing pulmonary edema [adjusted OR=3.91 (CI 1.44, 10.65), P=0.008 and adjusted OR=4.75 (CI 1.15, 19.71), P=0.032, respectively]. In the stratified analysis, this association persisted even in nonpr
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- Author
- ChengWei Xiao; Mihnea Gangal; Haim A. Abenhaim
- Publisher
- Walter de Gruyter GmbH
- Published
- 2014
- Language
- EN
- Field
- Medicine (Health Sciences)
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