Cell population data in neonates: differences by age group and associations with perinatal factors. (5th May 2015)

• Record Type: Journal Article
• Authors: Lee, J.; Kim, S. Y.; Lee, W.; Han, K.; Sung, I. K.
• Is Part Of: International journal of laboratory hematology. Volume 37:Number 5(2015:Oct.)
• Page Start: 606
• Page End: 612
• Publication Date: 2015-05-05
• Subjects: Cell population data -- leukocyte -- neonate; Hematology -- Periodicals; Blood -- Diseases -- Periodicals; Hematology -- Periodicals; 616.15005
• DOI: 10.1111/ijlh.12366
• Languages: English
• ISSNs: 1751-5521

Abstract

Summary: Introduction: Cell population data (CPD) describe physical parameters of white blood cell subpopulations and are reported to be of some value in the diagnosis of sepsis in neonates. Before using the CPD for diagnosing sepsis, the baseline features of the CPD distribution in healthy neonates should be clarified. The aim of this study was to compare the CPD distributions of healthy neonates and other age groups and to identify perinatal factors that are associated with changes in the CPD distribution of healthy neonates. Methods: The CPD distribution of 69 samples from term neonates was compared with adolescents and adults. The CPD distribution of 163 samples from healthy neonates was analyzed in association with perinatal factors, including gestational age, chronologic age, birthweight, delivery mode, premature rupture of membranes, diabetes, and pregnancy‐induced hypertension. Results: The CPD distribution for term neonates was significantly different from those in adolescents and adults. The mean lymphocyte volume showed a negative correlation with gestational age at birth ( r = −0.305; P < 0.01). The mean neutrophil volume was smaller in the cesarean section group than in the normal delivery group. The small for gestational age (SGA) group had smaller mean neutrophil volume and mean monocyte volume than the appropriate for gestational age group. Conclusion: The CPD distribution of healthy neonates differed from those of adolescents or adults, and the differences were associated with gestational age, delivery mode, and being SGA.