RT Journal A1 WISWELL TE T1 ISchemic injury and necrotizing tracheobronchitis JF American Journal of Diseases of Children JO American Journal of Diseases of Children YR 1989 FD November 1 VO 143 IS 11 SP 1259 OP 1260 DO 10.1001/archpedi.1989.02150230017005 UL http://dx.doi.org/10.1001/archpedi.1989.02150230017005 AB Sir.—The article by Hanson et all in the October 1988 issue of AJDC somewhat supported a personal belief that ischemic injury is involved in the propagation of necrotizing tracheobronchitis (NTB). However, I do not believe that their data justify a causal relationship, as the title of the article would imply. Although 58 infants with NTB had either profound hypotension or low 5-minute Apgar scores (the "ischemia" factors that differentiated them from the controls), the remaining 64 affected infants (54%) had neither of these factors. Furthermore, the authors state that their data were analyzed with "a two-tailed t test."1 I suspect that they actually meant that X2 analysis was used. Simplistically, the t distribution is a method of com= paring two group means, while the X2 statistic compares rates or frequencies of discrete findings. The P values presented in the tables are actually those that one would