Serum ferritin values in neonates <29 weeks' gestation are highly variable and do not correlate with reticulocyte hemoglobin content

被引:6
作者
Bahr, Timothy J. [1 ,2 ]
Tan, Sylvia [3 ]
Smith, Emily
Beauman, Sandra S. [4 ]
Schibler, Kurt R. [5 ]
Grisby, Cathy A. [5 ]
Lowe, Jean R. [4 ]
Bell, Edward F. [6 ]
Laptook, Abbot R. [7 ]
Shankaran, Seetha [8 ]
Carlton, David P. [9 ]
Rau, Carrie [1 ]
Baserga, Mariana C. [1 ]
Flibotte, John [10 ]
Zaterka-Baxter, Kristin [3 ]
Walsh, Michele C. [11 ]
Das, Abhik
Christensen, Robert D. [2 ]
Ohls, Robin K.
机构
[1] Univ Utah Hlth, Dept Pediat, Div Neonatol, Salt Lake City, UT 84112 USA
[2] Intermt Healthcare, Dept Neonatol, Murray, UT 84107 USA
[3] RTI Int, Social Stat & Environm Sci Unit, Washington, DC USA
[4] Univ New Mexico, Dept Pediat, Albuquerque, NM USA
[5] Cincinnati Childrens Hosp Med Ctr, Cincinnati, OH USA
[6] Univ Iowa, Dept Pediat, Iowa City, IA USA
[7] Brown Univ, Dept Pediat, Providence, RI USA
[8] Wayne State Univ, Dept Pediat, Detroit, MI USA
[9] Emory Univ, Dept Pediat, Atlanta, GA USA
[10] Univ Penn, Dept Pediat, Philadelphia, PA USA
[11] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, Div Extramural Res, Bethesda, MD USA
关键词
COULTER DXH 800; IRON-DEFICIENCY; REFERENCE INTERVALS; TERM INFANTS; BIRTH; EQUIVALENT; SAPPHIRE; CHILDREN; PRETERM; MARKER;
D O I
10.1038/s41372-023-01751-z
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
ObjectivesTo compare serum ferritin and RET-He values among extremely low gestational age neonates ELGANs with other markers of iron-deficient erythropoiesis.Study DesignThis is a secondary analysis of the NICHD Darbepoetin Trial. Study data from placebo recipients who had a serum ferritin, a RET-He, and a mean corpuscular volume (MCV) measurement within a 24-hour period were analyzed for correlation.ResultsMixed linear regression models showed no association between ferritin and RET-He at both early (& beta; = 0.0016, p = 0.40) and late (& beta; = -0.0001, p = 0.96) time points. Positive associations were observed between RET-He and MCV at baseline, early, and late time points (p < 0.01, =0.01, <0.001, respectively), while ferritin was not associated with MCV at any time point.ConclusionsOur study shows that RET-He is better correlated with MCV as a marker of iron-limited erythropoiesis than ferritin. The results suggest that ferritin is limited as a marker of iron sufficiency in premature infants.Study IdentificationFDA IND Number 100138; ClinicalTrials.gov number NCT03169881; NRN ID number NICHD-NRN-0058 (Darbe).
引用
收藏
页码:1368 / 1373
页数:6
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