PERI-INTRAVENTRICULAR HEMORRHAGE IN PRETERM INFANTS: THE IMPORTANCE OF SCREENING BY TRANSFONTANELLAR ULTRASOUND
Objectives. In preterm babies, peri-intraventricular hemorrahges (PIVH) might cause various degrees of neuropsycho-motor impairment. A 4-year prospective study (2009-2012) performed in the IOMC, was aimed to determine the prevalence of different degrees of PIVH diagnosed by head ultrasound (HUS) am...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Amaltea Medical Publishing House
2013-12-01
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| Series: | Romanian Journal of Pediatrics |
| Subjects: | |
| Online Access: | https://revistemedicale.amaltea.ro/Romanian_Journal_of_PEDIATRICS/Revista_Romana_de_PEDIATRIE-2013-Nr.4/EN/RJP_2013_4_EN_Art-11.pdf |
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| author | Mirela Elena Ritivoiu Florin Nicolaie Brezan Cosmina Cristea Ioana Codreanu Diana Goran Lucica Ghita Ioana Alina Anca |
| author_facet | Mirela Elena Ritivoiu Florin Nicolaie Brezan Cosmina Cristea Ioana Codreanu Diana Goran Lucica Ghita Ioana Alina Anca |
| author_sort | Mirela Elena Ritivoiu |
| collection | DOAJ |
| description | Objectives. In preterm babies, peri-intraventricular hemorrahges (PIVH) might cause various degrees of neuropsycho-motor impairment. A 4-year prospective study (2009-2012) performed in the IOMC, was aimed to
determine the prevalence of different degrees of PIVH diagnosed by head ultrasound (HUS) among 160 admitted preterm babies, the associated risk factors, along with the neuro-developmental effects on a 12-month follow-up period.
Material and methods. In the above-mentioned period all admitted preterms were examined by transfontanelar ultrasound according to a standardized protocol based on Papile’s PIVH classifi cation. For those preterms
included in the study a 12-month systematic neurologic follow-up was performed.
Results. PIVH grade I (45%) and II (37,5%) were the most prevalent types. Grade IV PIVH represented 4,4%
from all PIVH cases. The good neurological outcome of grade I and II PIVH, was found to be statistically signifi cant (p < 0.01) for both types. Severe neurological sequelae were associated with grade III and IV and a
statistically signifi cant correlation (p<0.01) was found only for grade IV hemorrhages.
Conclusion. Systematic HUS screenings for all preterm babies is useful for early diagnosis and PIVH staging,
for neurologic outcome prediction, providing the appropriate management strategy and a well-suited parental counseling. |
| first_indexed | 2024-12-14T06:55:55Z |
| format | Article |
| id | doaj.art-beeb7f33d8e7490a933010dd94a05f86 |
| institution | Directory Open Access Journal |
| issn | 1454-0398 2069-6175 |
| language | English |
| last_indexed | 2024-12-14T06:55:55Z |
| publishDate | 2013-12-01 |
| publisher | Amaltea Medical Publishing House |
| record_format | Article |
| series | Romanian Journal of Pediatrics |
| spelling | doaj.art-beeb7f33d8e7490a933010dd94a05f862022-12-21T23:12:42ZengAmaltea Medical Publishing HouseRomanian Journal of Pediatrics1454-03982069-61752013-12-0162438238510.37897/RJP.2013.4.11PERI-INTRAVENTRICULAR HEMORRHAGE IN PRETERM INFANTS: THE IMPORTANCE OF SCREENING BY TRANSFONTANELLAR ULTRASOUNDMirela Elena Ritivoiu0Florin Nicolaie Brezan1Cosmina Cristea2Ioana Codreanu3Diana Goran4Lucica Ghita5Ioana Alina Anca61st Pediatric Clinic Prof. Dr. “A. Rusescu”, University of Medicine and Pharmacy “Carol Davila”, Bucharest1st Pediatric Clinic Prof. Dr. “A. Rusescu”, University of Medicine and Pharmacy “Carol Davila”, Bucharest2nd Pediatric Clinic Prof. Dr. “A. Rusescu”, University of Medicine and Pharmacy “Carol Davila”, Bucharest1st Pediatric Clinic Prof. Dr. “A. Rusescu”, University of Medicine and Pharmacy “Carol Davila”, Bucharest1st Pediatric Clinic Prof. Dr. “A. Rusescu”, University of Medicine and Pharmacy “Carol Davila”, BucharestInstitute for Mother and Child Care Prof. Dr. “A. Rusescu”. Bucharest1st Pediatric Clinic Prof. Dr. “A. Rusescu”, University of Medicine and Pharmacy “Carol Davila”, BucharestObjectives. In preterm babies, peri-intraventricular hemorrahges (PIVH) might cause various degrees of neuropsycho-motor impairment. A 4-year prospective study (2009-2012) performed in the IOMC, was aimed to determine the prevalence of different degrees of PIVH diagnosed by head ultrasound (HUS) among 160 admitted preterm babies, the associated risk factors, along with the neuro-developmental effects on a 12-month follow-up period. Material and methods. In the above-mentioned period all admitted preterms were examined by transfontanelar ultrasound according to a standardized protocol based on Papile’s PIVH classifi cation. For those preterms included in the study a 12-month systematic neurologic follow-up was performed. Results. PIVH grade I (45%) and II (37,5%) were the most prevalent types. Grade IV PIVH represented 4,4% from all PIVH cases. The good neurological outcome of grade I and II PIVH, was found to be statistically signifi cant (p < 0.01) for both types. Severe neurological sequelae were associated with grade III and IV and a statistically signifi cant correlation (p<0.01) was found only for grade IV hemorrhages. Conclusion. Systematic HUS screenings for all preterm babies is useful for early diagnosis and PIVH staging, for neurologic outcome prediction, providing the appropriate management strategy and a well-suited parental counseling.https://revistemedicale.amaltea.ro/Romanian_Journal_of_PEDIATRICS/Revista_Romana_de_PEDIATRIE-2013-Nr.4/EN/RJP_2013_4_EN_Art-11.pdfpretermtransfontanelar ultrasoundperi-intraventricular hemorrhageneurological outcome |
| spellingShingle | Mirela Elena Ritivoiu Florin Nicolaie Brezan Cosmina Cristea Ioana Codreanu Diana Goran Lucica Ghita Ioana Alina Anca PERI-INTRAVENTRICULAR HEMORRHAGE IN PRETERM INFANTS: THE IMPORTANCE OF SCREENING BY TRANSFONTANELLAR ULTRASOUND Romanian Journal of Pediatrics preterm transfontanelar ultrasound peri-intraventricular hemorrhage neurological outcome |
| title | PERI-INTRAVENTRICULAR HEMORRHAGE IN PRETERM INFANTS: THE IMPORTANCE OF SCREENING BY TRANSFONTANELLAR ULTRASOUND |
| title_full | PERI-INTRAVENTRICULAR HEMORRHAGE IN PRETERM INFANTS: THE IMPORTANCE OF SCREENING BY TRANSFONTANELLAR ULTRASOUND |
| title_fullStr | PERI-INTRAVENTRICULAR HEMORRHAGE IN PRETERM INFANTS: THE IMPORTANCE OF SCREENING BY TRANSFONTANELLAR ULTRASOUND |
| title_full_unstemmed | PERI-INTRAVENTRICULAR HEMORRHAGE IN PRETERM INFANTS: THE IMPORTANCE OF SCREENING BY TRANSFONTANELLAR ULTRASOUND |
| title_short | PERI-INTRAVENTRICULAR HEMORRHAGE IN PRETERM INFANTS: THE IMPORTANCE OF SCREENING BY TRANSFONTANELLAR ULTRASOUND |
| title_sort | peri intraventricular hemorrhage in preterm infants the importance of screening by transfontanellar ultrasound |
| topic | preterm transfontanelar ultrasound peri-intraventricular hemorrhage neurological outcome |
| url | https://revistemedicale.amaltea.ro/Romanian_Journal_of_PEDIATRICS/Revista_Romana_de_PEDIATRIE-2013-Nr.4/EN/RJP_2013_4_EN_Art-11.pdf |
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