Risk Factors, Diagnosis, and Current Practices in the Management of Intraventricular Hemorrhage in Preterm Infants: A Review

El-Atawi, Khaled

doi:10.19080/ajpn.2016.01.555561

Cited by 14 publications

(18 citation statements)

References 49 publications

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“…IVH is one of the major complications in premature infants, and an appropriate predictor of neuro-developmental outcomes in very low birth weight neonates. [ 15 16 ] The ratio of IVH in the present study was 8.7%. IVH grades 1, 2, 3, and 4 were found in 38.3%, 33.1%, 14.3%, and 14.3% of cases, respectively.…”

Section: Discussionsupporting

confidence: 42%

Clinical outcomes of high-risk infant follow-up program in a tertiary care centre

Mirnia

Akrami

Jodeiry

et al. 2017

Iranian J Nursing Midwifery Res

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Background:High-risk infant follow-up (HRIF) program is necessary for early detection, timely intervention, and promotion of health outcomes in vulnerable infants, ethically. The present study was carried out to assess the clinical outcomes of the HRIF Program in Alzahra hospital as a tertiary care centre, in Iran.Materials and Methods:In this cohort study, 5840 neonates were born at Alzahra hospital, from June 1, 2011 to 30th February 2012. Among those who were admitted to neonatal intensive care unit (NICU), 253 infants were recruited by census according to HRIs criteria. After doing necessary measurements and family education, information was recorded in HRI health certificate and then entered in the access database for analysis.Results:From 253 eligible HRIs registered, 241 (95%) infants attended the follow-up clinic after discharge. A total of180 cases were recalled for further visits, 110 of which attended the clinic. Anthropometric indices had an increasing trend in the first 6 months of life. There was no significant relation between ages and stages questionnaire (ASQ) results and infant birth weight, height, and head circumference. The ratios of intraventricular hemorrhage (IVH) and retinopathy of prematurity (ROP) were 8.7% and 3.1%, respectively. The incidence of congenital hypothyroidism was 2:341 in HRIs.Conclusions:Although some outcomes, such as ROP, improved in our study compared to similar studies, the findings indicate an impairment of the current follow-up processes and highlight the necessity to modify the current HRIF program. Ethically, we insist on integrating HRIF program in child health services to promote early childhood development.

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Section: Discussionsupporting

confidence: 42%

Clinical outcomes of high-risk infant follow-up program in a tertiary care centre

Mirnia

Akrami

Jodeiry

et al. 2017

Iranian J Nursing Midwifery Res

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“…In UAE, the rate of combined severe IVH and PVL among VLBW infants was found to be 8% [ 8 ]. Globally, the rates of severe IVH and PVL are decreasing since introduction of antenatal steroids, better resuscitation at birth, and more judicious use of ventilatory support [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Assessment and comparison of mortality and short-term outcomes among premature infants before and after 32-week gestation: A cross-sectional analysis

Khasawneh

Khriesat

2020

Annals of Medicine and Surgery

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Background Prematurity is a major cause of neonatal morbidity and mortality. The aim of this study is to assess the rate of prematurity and determine the mortality rate and short-term outcomes among premature infants admitted at King Abdullah University Hospital (KAUH) in Jordan. Materials and methods A retrospective cross-sectional review of all premature infants admitted at KAUH between August 2016 and August 2018 was conducted. Collected data include characteristics, medical interventions, morbidities, mortality, and discharge outcomes. Included infants were divided into two groups: less than 32-week gestation (group 1) and ≥32-week gestation (group 2). The outcomes were compared between both groups and reported accordingly. Results Out of 7020 newborns, 1102 were delivered before 37-week gestation, representing a prematurity rate of 15.7%. The mean gestational age and birth weight were 33.8 weeks and 2116 grams respectively. Group 1 comprised 13%. Late preterm infants (gestational age 34 to 36 6/7 weeks) accounted for 74%. The mortality rate was 4.6%. More infants died from group 1 (29% vs. 1.5%, p < 0.05). Group 1 infants had higher rates of respiratory distress syndrome (92% vs. 30%), bronchopulmonary dysplasia (28.4% vs. 1.1%), severe intraventricular hemorrhage (5.9% vs. 0.1%), high-stage retinopathy of prematurity (6.6% vs. 0.2%), necrotizing enterocolitis (9.2% vs. 0%), and sepsis (18.4% vs. 2.1%). At discharge, there was a significant difference in the length of stay, corrected gestational age, and weight in favor of group 2 (p < 0.05). Conclusions Although high rate of prematurity was observed, the majority were late preterm with reassuring outcomes. Compared with >32-week infants, the mortality and short-term complications were more frequent among those born before 32 weeks. Still, the overall mortality rate and risk of morbidities were reasonable. Population-based analysis of the risk factors among the more vulnerable very preterm and extremely premature infants is recommended to better understand the outcomes.

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“…Our results showed that the patients in NEC group were prone to develop PDA and IVH, even though the proportion of preterm births was similar between the NEC group and matched controls. PDA, hypoxia, and hypotension have been identified as risk factors for NEC and IVH (25,26), and these factors are commonly responsible for circulatory instability or ischemic and hypoxic injury. IVH is considered to be a predictor of neurodevelopmental outcomes in preterm infants (27).…”

Section: Discussionmentioning

confidence: 99%

The Risk of Developing Constipation After Neonatal Necrotizing Enterocolitis

Chen

Huang

et al. 2020

Front. Pediatr.

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Background: Neonatal necrotizing enterocolitis (NEC) is a complex and lethal inflammatory bowel necrosis that primarily affects premature infants. Gut dysbiosis has been implicated in the pathogenesis of NEC. We aim to assess the association between NEC and two other diseases in children, including allergic diseases and constipation, considered to be associated with the alterations in gut microbiota composition. Methods: This retrospective population-based cohort study was conducted using the Taiwan Birth Registration Database, Birth Certificate Application, and National Health Insurance Research Database to inter-link the medical claims of neonates and their mothers. A total of 2,650,634 delivery events were retrieved from 2005 to 2015. We identified a NEC cohort and selected a comparison cohort according to propensity score matching (1:1). Cox proportional hazard regression models were used to determine possible associations of predictors and to obtain adjusted hazard ratios (aHRs). Results: A total of 1,145 subjects in the NEC cohort and 1,145 subjects in the matched cohort were analyzed during the observation period. No significant difference was observed in the incidence of allergic diseases between the two groups. NEC patients had a significant 30.7% increased risk of developing constipation (aHR = 1.307; 95% CI 1.089-1.568). The cumulative incidence of constipation was significantly higher in the NEC cohort than in the matched cohort by the end of follow-up (log-rank test P = 0.003). Conclusion: Infants with NEC have a significantly higher incidence rate of developing constipation and FTT but no increased risk of allergic diseases.

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Risk Factors, Diagnosis, and Current Practices in the Management of Intraventricular Hemorrhage in Preterm Infants: A Review

Cited by 14 publications

References 49 publications

Clinical outcomes of high-risk infant follow-up program in a tertiary care centre

Clinical outcomes of high-risk infant follow-up program in a tertiary care centre

Assessment and comparison of mortality and short-term outcomes among premature infants before and after 32-week gestation: A cross-sectional analysis

The Risk of Developing Constipation After Neonatal Necrotizing Enterocolitis

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