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Risk factors and short-term complications of high-grade intraventricular hemorrhages in preterm neonates in training hospitals of Alborz

OBJECTIVES: The aim of this study is to determine risk factors and short-term complications of high-grade intraventricular hemorrhages (IVHs) in preterm neonates. Other topics of investigation include the increase in complications of IVH with its severity and the effect of IVH risk factors on the se...

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Autores principales: JASHNI MOTLAGH, Alireza, ELSAGH, Azamolmolouk, SEDIGHIPOOR, Elham, QORBANI, Mostafa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Shahid Beheshti University of Medical Sciences 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7856434/
https://www.ncbi.nlm.nih.gov/pubmed/33558813
http://dx.doi.org/10.22037/ijcn.v15i1.20346
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author JASHNI MOTLAGH, Alireza
ELSAGH, Azamolmolouk
SEDIGHIPOOR, Elham
QORBANI, Mostafa
author_facet JASHNI MOTLAGH, Alireza
ELSAGH, Azamolmolouk
SEDIGHIPOOR, Elham
QORBANI, Mostafa
author_sort JASHNI MOTLAGH, Alireza
collection PubMed
description OBJECTIVES: The aim of this study is to determine risk factors and short-term complications of high-grade intraventricular hemorrhages (IVHs) in preterm neonates. Other topics of investigation include the increase in complications of IVH with its severity and the effect of IVH risk factors on the severity of IVH. MATERIALS & METHODS: We conducted a retrospective case-control study of 436 consecutive preterm neonates with high-grade (3, 4) IVHs admitted in training hospitals of Alborz University in Karaj, Iran, from 2012 to 2017. The risk factors and short-term complications were assessed and analyzed in the subjects by SPSS 19. RESULTS: Out of 10 000 eligible neonates, we identified 1203 premature infants with IVH. A total of 436 infants with IVH grades 3 and 4 were allocated to the case group. The control group consisted of 767 infants with IVH grades 1 and 2. This study revealed that the most common risk factors of IVH include lack of corticosteroid use in 67.2%, low Apgar score in 10%, and surfactant use in 5.7% of the patients. Ten percent (31 cases) had short-term complications (18 hydrocephalus and 13 death cases). Male gender (P = .006) and lower gestational age (P = .0001) contributed to higher grades of IVH. CONCLUSION: According to the results obtained in this study, it may be concluded that the lack of corticosteroid use is the most common risk factor for IVH, and short-term complications may be seen in one-tenth of the cases.
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spelling pubmed-78564342021-04-01 Risk factors and short-term complications of high-grade intraventricular hemorrhages in preterm neonates in training hospitals of Alborz JASHNI MOTLAGH, Alireza ELSAGH, Azamolmolouk SEDIGHIPOOR, Elham QORBANI, Mostafa Iran J Child Neurol Original Article OBJECTIVES: The aim of this study is to determine risk factors and short-term complications of high-grade intraventricular hemorrhages (IVHs) in preterm neonates. Other topics of investigation include the increase in complications of IVH with its severity and the effect of IVH risk factors on the severity of IVH. MATERIALS & METHODS: We conducted a retrospective case-control study of 436 consecutive preterm neonates with high-grade (3, 4) IVHs admitted in training hospitals of Alborz University in Karaj, Iran, from 2012 to 2017. The risk factors and short-term complications were assessed and analyzed in the subjects by SPSS 19. RESULTS: Out of 10 000 eligible neonates, we identified 1203 premature infants with IVH. A total of 436 infants with IVH grades 3 and 4 were allocated to the case group. The control group consisted of 767 infants with IVH grades 1 and 2. This study revealed that the most common risk factors of IVH include lack of corticosteroid use in 67.2%, low Apgar score in 10%, and surfactant use in 5.7% of the patients. Ten percent (31 cases) had short-term complications (18 hydrocephalus and 13 death cases). Male gender (P = .006) and lower gestational age (P = .0001) contributed to higher grades of IVH. CONCLUSION: According to the results obtained in this study, it may be concluded that the lack of corticosteroid use is the most common risk factor for IVH, and short-term complications may be seen in one-tenth of the cases. Shahid Beheshti University of Medical Sciences 2021 /pmc/articles/PMC7856434/ /pubmed/33558813 http://dx.doi.org/10.22037/ijcn.v15i1.20346 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
JASHNI MOTLAGH, Alireza
ELSAGH, Azamolmolouk
SEDIGHIPOOR, Elham
QORBANI, Mostafa
Risk factors and short-term complications of high-grade intraventricular hemorrhages in preterm neonates in training hospitals of Alborz
title Risk factors and short-term complications of high-grade intraventricular hemorrhages in preterm neonates in training hospitals of Alborz
title_full Risk factors and short-term complications of high-grade intraventricular hemorrhages in preterm neonates in training hospitals of Alborz
title_fullStr Risk factors and short-term complications of high-grade intraventricular hemorrhages in preterm neonates in training hospitals of Alborz
title_full_unstemmed Risk factors and short-term complications of high-grade intraventricular hemorrhages in preterm neonates in training hospitals of Alborz
title_short Risk factors and short-term complications of high-grade intraventricular hemorrhages in preterm neonates in training hospitals of Alborz
title_sort risk factors and short-term complications of high-grade intraventricular hemorrhages in preterm neonates in training hospitals of alborz
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7856434/
https://www.ncbi.nlm.nih.gov/pubmed/33558813
http://dx.doi.org/10.22037/ijcn.v15i1.20346
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