Journal of the Korean Pediatric Society 1994;37(11):1500-1507.
Published online November 15, 1994.
Diagnostic Value of Stable Microbubble Rating Test and Shake Test for the Early Detection of Respiratory Distress Syndrome in Prematurity
Sung Eun Lee, Sang Lak Lee, Chin Moo Kang
Department of Pediatrics, Keimyung University, School of Medicine, Taegu, Korea
미숙아에서 호흡곤란증후군의 조기예견을 위한 Shake Test 와 Stable Microbubble Rating Test의 의의
이승은, 이상락, 강진무
계명대학교 의과대학 소아과학교실
Respiratory distress syndrome (RDS) of newborn is a disease revealed high morbidity and mortality rate, especially in premature infant. To evaluate the predictive value of Stable Microbubble Rating (SMR) and Shake test on RDS in premature infant, the anthors carried out the gastric aspirates Shake test and SMR test at birth, 3 and 6 hours after birth respectively on 124 premature infants who were born at the department of Pediatrics, Dong-San Hospital, Keimyung University during the period of 6 months from June 1993 to November 1993. The following results were obtained 1) Among the 124 premature infants, RDS was developed on 23 (18.5%). 2) The birth weight, gestational age and Apgar score were significantly lowered in RDS cases than non-RDS cases (p<0.005). 3) The sensitivity, specificty, postive-and negative-predictive values of Shake test were 87.0%, 79.2%, 48.8% and 96.4% and those of SMR test were 100%, 93.1%, 76.7%, 100% at birth, 95.7%, 88.1%, 64.7%, 98.9% at 3rd-hour of life, and 95.7%, 72.3%, 44%, 98.6% at 6th-hour of life. With the results of this study we concluded that SMR tests at birth and 3rd-hour of life were more useful in predicting the incidence of RDS than shake test or SMR test at 6th-hour of life.
Key Words: Premature, Respiratory distress syndrome (RDS), Stable Microbubble Rating (SMR) test, Shake test

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