Value of Serum miR-34a and Ang-1 in Severity Evaluation and Prognosis of Neonatal Respiratory Distress Syndrome

Objects. To analyze the value of serum microribonucleic acid-34a (miR-34a) and angiopoietin-1 (Ang-1) in severity evaluation and prognosis of neonatal respiratory distress syndrome (RDS). Methods. A total of 96 neonates with RDS admitted to the hospital from February 2020 to April 2021 were selected...

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Main Authors: Qiaoyu Li, Yongcun Chen, Liangfeng Lin
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Emergency Medicine International
Online Access:http://dx.doi.org/10.1155/2022/5480026
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author Qiaoyu Li
Yongcun Chen
Liangfeng Lin
author_facet Qiaoyu Li
Yongcun Chen
Liangfeng Lin
author_sort Qiaoyu Li
collection DOAJ
description Objects. To analyze the value of serum microribonucleic acid-34a (miR-34a) and angiopoietin-1 (Ang-1) in severity evaluation and prognosis of neonatal respiratory distress syndrome (RDS). Methods. A total of 96 neonates with RDS admitted to the hospital from February 2020 to April 2021 were selected as the research subjects. According to the neonatal critical illness score, the subjects were divided into non-critical group (n = 50), critical group (n = 27), and extremely critical group (n = 19). According to survival status, the subjects were divided into survival group (n = 76) and death group (n = 20). Serum miR-34a and Ang-1 levels and NCIS were compared between RDS neonates with different severity and prognosis. The predictive value of serum miR-34a, Ang-1, and NCIS for death was analyzed using the receiver operating characteristic (ROC) curve. Results. Serum miR-34a and Ang-1 levels and NCIS were significantly different in the 3 groups P<0.05. Serum miR-34a level decreased in order, while serum Ang-1 level and NCIS increased in order from the extremely critical group, the critical group to the non-critical group P<0.05. The survival group had lower serum miR-34a level and higher Ang-1 level and NCIS than the death group P<0.05. ROC curve analysis showed that the area under the curve (AUC) values of serum miR-34a, Ang-1, and NCIS to predict death of RDS neonates were 0.745, 0.7667, and 0.736. The cutoff values were 1.175, 6.815 ng/mL, and 85 points. The AUC of joint prediction with the three was 0.924, significantly larger than that of each index. The sensitivity and specificity were 94.70% and 90.00%. Conclusion. Serum miR-34a, Ang-1, and NCIS are closely related to the severity and prognosis of neonatal RDS. Combined detection of the three is helpful for prognosis of neonatal RDS.
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spelling doaj-art-e927e129ab1542e2b22df9a98297de842025-08-20T03:21:09ZengWileyEmergency Medicine International2090-28592022-01-01202210.1155/2022/5480026Value of Serum miR-34a and Ang-1 in Severity Evaluation and Prognosis of Neonatal Respiratory Distress SyndromeQiaoyu Li0Yongcun Chen1Liangfeng Lin2Department of PediatricsDepartment of PediatricsDepartment of PediatricsObjects. To analyze the value of serum microribonucleic acid-34a (miR-34a) and angiopoietin-1 (Ang-1) in severity evaluation and prognosis of neonatal respiratory distress syndrome (RDS). Methods. A total of 96 neonates with RDS admitted to the hospital from February 2020 to April 2021 were selected as the research subjects. According to the neonatal critical illness score, the subjects were divided into non-critical group (n = 50), critical group (n = 27), and extremely critical group (n = 19). According to survival status, the subjects were divided into survival group (n = 76) and death group (n = 20). Serum miR-34a and Ang-1 levels and NCIS were compared between RDS neonates with different severity and prognosis. The predictive value of serum miR-34a, Ang-1, and NCIS for death was analyzed using the receiver operating characteristic (ROC) curve. Results. Serum miR-34a and Ang-1 levels and NCIS were significantly different in the 3 groups P<0.05. Serum miR-34a level decreased in order, while serum Ang-1 level and NCIS increased in order from the extremely critical group, the critical group to the non-critical group P<0.05. The survival group had lower serum miR-34a level and higher Ang-1 level and NCIS than the death group P<0.05. ROC curve analysis showed that the area under the curve (AUC) values of serum miR-34a, Ang-1, and NCIS to predict death of RDS neonates were 0.745, 0.7667, and 0.736. The cutoff values were 1.175, 6.815 ng/mL, and 85 points. The AUC of joint prediction with the three was 0.924, significantly larger than that of each index. The sensitivity and specificity were 94.70% and 90.00%. Conclusion. Serum miR-34a, Ang-1, and NCIS are closely related to the severity and prognosis of neonatal RDS. Combined detection of the three is helpful for prognosis of neonatal RDS.http://dx.doi.org/10.1155/2022/5480026
spellingShingle Qiaoyu Li
Yongcun Chen
Liangfeng Lin
Value of Serum miR-34a and Ang-1 in Severity Evaluation and Prognosis of Neonatal Respiratory Distress Syndrome
Emergency Medicine International
title Value of Serum miR-34a and Ang-1 in Severity Evaluation and Prognosis of Neonatal Respiratory Distress Syndrome
title_full Value of Serum miR-34a and Ang-1 in Severity Evaluation and Prognosis of Neonatal Respiratory Distress Syndrome
title_fullStr Value of Serum miR-34a and Ang-1 in Severity Evaluation and Prognosis of Neonatal Respiratory Distress Syndrome
title_full_unstemmed Value of Serum miR-34a and Ang-1 in Severity Evaluation and Prognosis of Neonatal Respiratory Distress Syndrome
title_short Value of Serum miR-34a and Ang-1 in Severity Evaluation and Prognosis of Neonatal Respiratory Distress Syndrome
title_sort value of serum mir 34a and ang 1 in severity evaluation and prognosis of neonatal respiratory distress syndrome
url http://dx.doi.org/10.1155/2022/5480026
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AT yongcunchen valueofserummir34aandang1inseverityevaluationandprognosisofneonatalrespiratorydistresssyndrome
AT liangfenglin valueofserummir34aandang1inseverityevaluationandprognosisofneonatalrespiratorydistresssyndrome