Respiratory distress syndrome of newborn

Description

Respiratory distress syndrome (RDS) is an acute illness, usually of preterm infants, due to pulmonary surfactant deficiency, developing within 4-6 hours of birth, and is characterised by respiratory distress (tachypnoea, intercostal and sternal retractions, expiratory grunt, and cyanosis) with abnormal chest radiograph showing diffuse reticulogranular densities and air bronchograms, evidence of reduced lung compliance and functional residual capacity, evidence of abnormal gas exchange (hypoxaemia, hypercapnia, cyanosis) of sufficient severity to require oxygen and/or continuous or intermittent positive pressure ventilatory support for more than 24 hours.

Coding note from above levels

Conditions arising in the perinatal period, even though death or morbidity occurs later, should, as far as possible, be coded to chapter 19, which takes precedence over chapters containing codes for diseases by their anatomical site. For children less than 28 days old, assume that a reported condition developed in the perinatal period, unless the duration is stated and the onset was after the first completed week of life.

Exclusions from above levels

KB2D – Respiratory failure of newborn
01 – Certain infectious or parasitic diseases - acquired after birth
02 – Neoplasms

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05 – Endocrine, nutritional or metabolic diseases
08 – Certain congenital diseases of the nervous system
20 – Congenital malformations, deformations and chromosomal abnormalities
22 – Injury, poisoning or certain other consequences of external causes
3A10 – Hereditary haemolytic anaemia
4A01.03 – Transient hypogammaglobulinaemia of infancy
9B71.3 – Retinopathy of prematurity
BC43 – congenital cardiomyopathy
DA93.0 – Paralytic ileus
EA50.Z – Pemphigus neonatorum
EH40.00 – Cradle cap
http://id.who.int/icd/entity/588616678 – Gastroenteritis or colitis of infectious origin
http://id.who.int/icd/entity/609214049 – Congenital gonococcal infection

Child codes

KB23.00 – Respiratory distress syndrome of the newborn, altered by maternal corticosteroid therapy
KB23.01 – Respiratory distress syndrome of the newborn, altered by pulmonary surfactant replacement therapy
KB23.02 – Respiratory distress syndrome of the newborn, altered by maternal corticosteroid therapy or pulmonary surfactant replacement therapy
KB23.0Y – Other specified respiratory distress syndrome of newborn
KB23.0Z – Respiratory distress syndrome of newborn, unspecified

Sibling codes

KB23.1 – Transient tachypnoea of newborn
KB23.2 – Respiratory instability of prematurity
KB23.Y – Other specified respiratory distress of newborn
KB23.Z – Respiratory distress of newborn, unspecified

Foundation entity

Respiratory distress syndrome of newborn – http://id.who.int/icd/entity/343716587

Part of: KB23: Respiratory distress of newborn › 19: Certain conditions originating in the perinatal period