Intraventricular hemorrhage in very low birth weight infants: associated risk factors and outcome in the neonatal period

Mancini, Monique Catache; Barbosa, Naila Elias; Banwart, Débora; Silveira, Sérgio Roberto; Guerpelli, José L; Leone, Cléa Rodrigues

doi:10.1590/s0041-87811999000500004

Cited by 36 publications

(31 citation statements)

References 16 publications

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“…The prevalence of PIVH in our study is in accordance with the data reported in the literature, which vary from 15% to 37% in more recent years, with the higher frequency being associated with smaller birth weight and younger GA 3,7,13 . The frequency of PIVH was similar in both institutions, which was not expected, because there was a significant difference with regard to the weight of the newborns between these institutions.…”

Section: Discussionsupporting

confidence: 92%

Peri-intraventricular hemorrhage in newborns weighing less than 1500 grams: comparative analysis between 2 institutions

Ponte

Marba

2003

Rev. Hosp. Clin.

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PURPOSE:This study aims to characterize the peri-intraventricular hemorrhages in the neonatal period in very low birth weight newborns in 2 institutions that provide neonatal tertiary assistance.METHOD: This was a comparative and observational study in 2 neonatal intensive care units, the Maternity Hospital of Campinas and the "Centro de Atenção Integrada à Saúde da Mulher" of the State University of Campinas, from December 01, 1998 to November 30, 1999. We examined 187 newborns for peri-intraventricular hemorrhages, using transfontanel ultrasound (76 and 11 respectively at the first and second unit), and classified them into 4 grades. We observed their gender, intrauterine growth, weight, and gestational age at birth. RESULTS:We diagnosed 34 cases of peri-intraventricular hemorrhages (13 and 21, respectively), and both groups differed as to the birth weight and the adequacy of weight to the gestational age at birth. There was no difference in the prevalence or extent of peri-intraventricular hemorrhages among cases. There was a statistically significant occurrence of lower birth weight at gestational ages of less than 30 weeks.CONCLUSIONS: The prevalence of peri-intraventricular hemorrhages in our study was compared to that reported in the world literature. Although the cases of the second institution had a smaller mean birth weight, the prevalence of periintraventricular hemorrhages was similar to that at the first institution, probably because in the first one, 69% of the gestational ages of the neonates with hemorrhage were less than 30 weeks as compared to 48% in the second one. We stress the importance of the ultrasonographic method for diagnosing peri-intraventricular hemorrhages in very low birth weight newborns.

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Section: Discussionsupporting

confidence: 92%

Peri-intraventricular hemorrhage in newborns weighing less than 1500 grams: comparative analysis between 2 institutions

Ponte

Marba

2003

Rev. Hosp. Clin.

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“…Risk factors for IVH in this population include high fraction of inspired oxygen in the first 24 h of life, pneumothorax and early onset of sepsis, with lower arterial pressure of carbon dioxide and antenatal steroid administration serving as protective features [11]. Further demographic factors associated with lower incidence of IVH include African American race, utilization of prenatal care, older maternal age, delivery by cesarean section, increasing birth weight and gestational age, and female gender [11,12,13]. …”

Section: Introductionmentioning

confidence: 99%

Functional Outcomes among Premature Infants with Intraventricular Hemorrhage

et al. 2009

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Objective: This work evaluated the mortality and functional outcomes of premature infants sustaining intraventricular hemorrhage (IVH). These outcomes were analyzed for their association with IVH severity, development of hydrocephalus and need for ventriculoperitoneal (VP) shunt insertion. Methods: A retrospective review was performed of neonates at the Children’s Hospital of Eastern Ontario who sustained IVH (1989–2005). Logistic regression tested demographic predictors of IVH severity, development of hydrocephalus and mortality. χ² analysis differentiated functional outcomes and mortality by IVH grade, development of hydrocephalus and intervention for cerebrospinal fluid diversion. All analyses used the 0.05 significance level. Results: Data were available for 284 patients with an average follow-up of 5.1 years. These were distributed as grade I (n = 135), grade II (n = 52), grade III (n = 43) and grade IV (n = 54), with lower gestational age and birth weight predicting disease severity. Hydrocephalus developed in 21% of patients, of whom 39% required VP shunt insertion. Overall mortality of 20% depended on IVH grade and was highest for grade IV patients (59%). Functional independence diminished with IVH severity, and patients with hydrocephalus fared worse than those without this sequel. Outcomes of patients developing hydrocephalus were similar whether or not they eventually required VP shunt insertion. Conclusions: This study describes a large cohort of neonatal IVH, describing how disease severity affects mortality and functional outcome. The overall mortality of nearly 1 in 5 patients is primarily of grade IV patients, with no difference between grade II and grade III. Further, patients surviving their hydrocephalus exhibited no worse functional deterioration if they required surgical intervention.

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“…14 According to Dincsoy MY et al 82 low birth weight newborns showed higher incidence of ICH among hypothermic infants during 1 week of life (34/82 versus 20/82, p<0.02), but the study regarded hypothermia as a manifestation of ICH during subsequent follow up neonatal period. 6 So, the current study correlates of higher incidence of ICH associated with hypothermia comparison to normothermic infants.…”

Section: Hypohermia and Ichmentioning

confidence: 69%

“…6,7 Able HT et al reported 47 .4% of ICH among high-risk infants. 8 In the current study incidence of IVH was 19.5%.…”

Section: Incidence Of Ichmentioning

confidence: 99%

See 1 more Smart Citation

Incidence of intracranial haemorrhage in low-birth weight infants and its outcome: a hospital based prospective study

Debbarma

2016

Int J Res Med Sci

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Intraventricular hemorrhage in very low birth weight infants: associated risk factors and outcome in the neonatal period

Cited by 36 publications

References 16 publications

Peri-intraventricular hemorrhage in newborns weighing less than 1500 grams: comparative analysis between 2 institutions

Peri-intraventricular hemorrhage in newborns weighing less than 1500 grams: comparative analysis between 2 institutions

Functional Outcomes among Premature Infants with Intraventricular Hemorrhage

Incidence of intracranial haemorrhage in low-birth weight infants and its outcome: a hospital based prospective study

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