title: Histological chorioamnionitis and bronchopulmonary dysplasia: a retrospective cohort study.
abstract: OBJECTIVE
  To examine the association between histological chorioamnionitis (HC) with or without fetal inflammatory response (FIR) and bronchopulmonary dysplasia (BPD) in preterm infants.
  
  
  METHODS
  We conducted a retrospective cohort study of infants born at <29 weeks gestation admitted to the neonatal intensive care unit from 2000 to 2006, who had placental histology. We compared the incidence of BPD among three groups: No HC group, HC without FIR group and HC with FIR group. The multivariable model based on generalized estimating equation was fitted to estimate the adjusted risk ratios (aRR) and 95% confidence intervals (CIs) for BPD and combined outcome of BPD or death.
  
  
  RESULTS
  Of 529 infants, 84 (16%) had HC without FIR, 186 (35%) had HC with FIR and 259 (49%) had no HC. Compared with the no HC group, HC with and without FIR group infants were of lower gestational age and singleton births. Multivariable modeling based on generalized estimating equation revealed that HC with FIR is associated with decreased risk of both BPD (aRR 0.88, 95% CI 0.81 to 0.95) and the combined outcome of BPD or death (aRR 0.91, 95% CI 0.86 to 0.97). HC without FIR showed a trend toward reduction in BPD (aRR 0.93, 95% CI 0.86 to 1.00).
  
  
  CONCLUSIONS
  HC with FIR is associated with decreased risk of both BPD and the combined outcome of BPD or death in preterm infants.
authors.affiliation: Department of Pediatrics and Alberta Children's Hospital Research Institute for Child and Maternal Health, University of Calgary, Calgary, AT, Canada.
authors.forename: N
authors.initials: N
authors.lastname: Plakkal
authors.forename: A Singh
authors.initials: AS
authors.lastname: Soraisham
authors.forename: C
authors.initials: C
authors.lastname: Trevenen
authors.forename: E A
authors.initials: EA
authors.lastname: Freiheit
authors.forename: R
authors.initials: R
authors.lastname: Sauve
mesh_terms: D000328:Adult; D000416:Alberta; D001724:Birth Weight; D001997:Bronchopulmonary Dysplasia / Q000453:epidemiology* / Q000473:pathology*; D002821:Chorioamnionitis / Q000453:epidemiology* / Q000473:pathology*; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D005260:Female; D005865:Gestational Age; D006801:Humans; D015994:Incidence; D015999:Multivariate Analysis; D016017:Odds Ratio; D010920:Placenta / Q000473:pathology; D011247:Pregnancy; D011379:Prognosis; D012189:Retrospective Studies; D016019:Survival Analysis; D018746:Systemic Inflammatory Response Syndrome / Q000453:epidemiology / Q000473:pathology