Startseite Comparison of cortisol samples in the first two weeks of life in preterm infants
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Comparison of cortisol samples in the first two weeks of life in preterm infants

  • Tiffany A. Moore EMAIL logo , Kendra K. Schmid und Jeffrey A. French
Veröffentlicht/Copyright: 12. November 2014

Abstract

Background: Growing literature on negative childhood stress emphasizes the need to understand cortisol values from varying biomarker samples.

Objective: This work aimed to examine cortisol samples for usability, associations, and individual stability in neonates.

Subjects: The sample consisted of preterm infants (n=31).

Materials and methods: Analyses on cortisol collected from cord blood and from saliva and urine samples on days 1, 7, and 14 included Spearman correlations and paired t-tests.

Results: Usability rates were 80.6% (cord blood), 85.9% (saliva), and 93.5% (urine). Salivary and urinary cortisol levels had significant correlation on day 1 only (p=0.004). Significant differences in individual stability of cortisol concentrations existed except in urine on days 1 and 7 and in saliva on days 7 and 14.

Conclusions: Usability was highest for urine samples. We found little correlation between cortisol sample levels at each time; individual stability of cortisol concentrations was minimal. Interpretation of cortisol findings in all studies should be performed cautiously.


Corresponding author: Tiffany A. Moore, PhD, RN, College of Nursing, University of Nebraska Medical Center (UNMC), 985330 Nebraska Medical Center, Omaha, NE 68198-5330, USA, Phone: +402-559-6613, Fax: +402-559-4303, E-mail:

Acknowledgments

The authors wish to express gratitude to Andrew Birnie, MS and Ann M. Berger, PhD, APRN, AOCNS, FAAN for their contributions to this manuscript.

Funding support: The authors wish to acknowledge the support provided by the University of Nebraska Medical Center Clinical Research Center, the Foundation for Neonatal Research and Education, and the Sigma Theta Tau-Gamma Pi Chapter.

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Received: 2014-6-9
Accepted: 2014-9-29
Published Online: 2014-11-12
Published in Print: 2015-3-1

©2015 by De Gruyter

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