Skip to main content
Top
Published in:

13-02-2024 | Research

Risk factors associated with intraventricular hemorrhage in very-low-birth-weight premature infants

Authors: Alejandra Guadalupe Puerta-Martínez, Esteban López-Garrido, José Miguel Guerrero-Nava, Rodrigo Vargas-Ruiz, Hadassa Yuef Martínez-Padrón

Published in: Child's Nervous System | Issue 6/2024

Login to get access

Abstract

Purpose

To analyze the association between risk factors and severe intraventricular hemorrhage (grade II–IV) in PNB under 1500 g.

Methods

Multicenter, retrospective, analytical, case–control study in PNB under 34 weeks and under 1500 g admitted to the NICU. Case: PNB with severe intraventricular hemorrhage (grade II–IV). Logistic regression analysis was used to adjust for IVH-associated variables and odds ratios (OR).

Results

A total of 90 PNB files were analyzed, 45 cases and 45 controls. The highest risk factors for severe IVH were lower gestational age (OR 1.3, p < 0.001), perinatal asphyxia (OR 12, p < 0.001), Apgar < 6 at minute 1 and 5 (OR 6.3, p < 0.001).

Conclusion

Lower gestational age, birth asphyxia, Apgar score lower of 6, and respiratory-type factors are associated with increased risk for severe IVH.
Literature
8.
go back to reference Segura-Roldán MÁ, Rivera-Rueda MA, Fernández-Carrocera LA, Sánchez-Méndez MD, Yescas-Buendía G, Cordero González G, Coronado-Zarco IA, Cardona-Pérez JA (2017) Factores de riesgo asociados para el desarrollo de hemorragia intraventricular en recién nacidos < 1500 g ingresados a una UCIN. Perinatol Reprod Hum 31(4):174–179. https://doi.org/10.1016/j.rprh.2018.03.010CrossRef Segura-Roldán MÁ, Rivera-Rueda MA, Fernández-Carrocera LA, Sánchez-Méndez MD, Yescas-Buendía G, Cordero González G, Coronado-Zarco IA, Cardona-Pérez JA (2017) Factores de riesgo asociados para el desarrollo de hemorragia intraventricular en recién nacidos < 1500 g ingresados a una UCIN. Perinatol Reprod Hum 31(4):174–179. https://​doi.​org/​10.​1016/​j.​rprh.​2018.​03.​010CrossRef
11.
go back to reference Rojas MC, Vidaña PD, Serna GMÁ, Martina M, Iglesias J, Bernández Z (2019) Factores perinatales asociados con el desarrollo de hemorragia intraventricular en recién nacidos. Acta Med 17(3):237–242 Rojas MC, Vidaña PD, Serna GMÁ, Martina M, Iglesias J, Bernández Z (2019) Factores perinatales asociados con el desarrollo de hemorragia intraventricular en recién nacidos. Acta Med 17(3):237–242
20.
go back to reference Ment LR, Bada HS, Barnes P, Grant PE, Hirtz D, Papile LA, Pinto-Martin J, Rivkin M, Slovis TL (2002) Practice parameter: neuroimaging of the neonate: report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society. Neurology 58(12):1726–1738. https://doi.org/10.1212/wnl.58.12.1726CrossRefPubMed Ment LR, Bada HS, Barnes P, Grant PE, Hirtz D, Papile LA, Pinto-Martin J, Rivkin M, Slovis TL (2002) Practice parameter: neuroimaging of the neonate: report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society. Neurology 58(12):1726–1738. https://​doi.​org/​10.​1212/​wnl.​58.​12.​1726CrossRefPubMed
21.
go back to reference Bassan H, Benson CB, Limperopoulos C, Feldman HA, Ringer SA, Veracruz E, Stewart JE, Soul JS, Disalvo DN, Volpe JJ, du Plessis AJ (2006) Ultrasonographic features and severity scoring of periventricular hemorrhagic infarction in relation to risk factors and outcome. Pediatrics 117(6):2111–2118. https://doi.org/10.1542/peds.2005-1570CrossRefPubMed Bassan H, Benson CB, Limperopoulos C, Feldman HA, Ringer SA, Veracruz E, Stewart JE, Soul JS, Disalvo DN, Volpe JJ, du Plessis AJ (2006) Ultrasonographic features and severity scoring of periventricular hemorrhagic infarction in relation to risk factors and outcome. Pediatrics 117(6):2111–2118. https://​doi.​org/​10.​1542/​peds.​2005-1570CrossRefPubMed
22.
go back to reference Fernández-Carrocera LA, González-Mora E (2004) Trastornos del neurodesarrollo en niños con antecedente de hemorragia subependimaria/intraventricular a los tres años de edad [Neurodevelopmental disorders in children with an antecedent of subependymal/intraventricular hemorrhage at 3 years of age]. Gac Med Mex 140(4):367–73 Spanish. PMID: 15456146PubMed Fernández-Carrocera LA, González-Mora E (2004) Trastornos del neurodesarrollo en niños con antecedente de hemorragia subependimaria/intraventricular a los tres años de edad [Neurodevelopmental disorders in children with an antecedent of subependymal/intraventricular hemorrhage at 3 years of age]. Gac Med Mex 140(4):367–73 Spanish. PMID: 15456146PubMed
24.
go back to reference Barragán Lee JR, Valenzuela García L, Guerra Tamez A, Rodríguez Balderrama I (2005) Factores de riesgo de hemorragia intraventricular en prematuros menores de 1,500 g en el Hospital Universitario Dr. José Eleuterio González UANL. Med Univer 7(28):116–22. ISSN:1665–5796 Barragán Lee JR, Valenzuela García L, Guerra Tamez A, Rodríguez Balderrama I (2005) Factores de riesgo de hemorragia intraventricular en prematuros menores de 1,500 g en el Hospital Universitario Dr. José Eleuterio González UANL. Med Univer 7(28):116–22. ISSN:1665–5796
25.
go back to reference Gracia SR, de la Cuesta Martín CR, Moisés VR, Pérez DR, Pisón RP, Montejo AR (2011) Corioamnionitis clínica y riesgo de hemorragia intraventricular grave en recién nacidos ⩽28 semanas de gestación. Acta Pediátr Esp 69(11):490–494 Gracia SR, de la Cuesta Martín CR, Moisés VR, Pérez DR, Pisón RP, Montejo AR (2011) Corioamnionitis clínica y riesgo de hemorragia intraventricular grave en recién nacidos ⩽28 semanas de gestación. Acta Pediátr Esp 69(11):490–494
29.
go back to reference Lizama O, Hernández H, Rivera F, Tori A (2014) Incidencia de la hemorragia intraventricular en prematuros de muy bajo peso y sus factores asociados en un hospital nacional de Lima. Perú. Rev Med Herediana 25(2):60–7. ISSN 1729–214XCrossRef Lizama O, Hernández H, Rivera F, Tori A (2014) Incidencia de la hemorragia intraventricular en prematuros de muy bajo peso y sus factores asociados en un hospital nacional de Lima. Perú. Rev Med Herediana 25(2):60–7. ISSN 1729–214XCrossRef
30.
go back to reference Shahid G, Jamal M, Nisar YB (2017) Risk factors of subependymal hemorrhage-intraventricular haemorrhage in preterm infants. Jour Rawalpindi Medl College 21(1):23–28 Shahid G, Jamal M, Nisar YB (2017) Risk factors of subependymal hemorrhage-intraventricular haemorrhage in preterm infants. Jour Rawalpindi Medl College 21(1):23–28
31.
go back to reference Inder TE, Pearlman JL, Volpe JJ (2018) “Preterm intraventricular hemorrhage/posthemorrhagic hydrocephalus”. In: Volpe’s neurology of the newborn, 6th, Volpe JJ (Ed), Philadelphia, Elsevier 637 Inder TE, Pearlman JL, Volpe JJ (2018) “Preterm intraventricular hemorrhage/posthemorrhagic hydrocephalus”. In: Volpe’s neurology of the newborn, 6th, Volpe JJ (Ed), Philadelphia, Elsevier 637
Metadata
Title
Risk factors associated with intraventricular hemorrhage in very-low-birth-weight premature infants
Authors
Alejandra Guadalupe Puerta-Martínez
Esteban López-Garrido
José Miguel Guerrero-Nava
Rodrigo Vargas-Ruiz
Hadassa Yuef Martínez-Padrón
Publication date
13-02-2024
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 6/2024
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-024-06310-1

Keynote series | Spotlight on menopause

Menopause can have a significant impact on the body, with effects ranging beyond the endocrine and reproductive systems. Learn about the systemic effects of menopause, so you can help patients in your clinics through the transition.   

Prof. Martha Hickey
Dr. Claudia Barth
Dr. Samar El Khoudary
Developed by: Springer Medicine
Watch now
Video

Advances in Alzheimer's

Alzheimer's research and care is changing rapidly. Keep up with the latest developments from key international conferences, together with expert insights on how to integrate these advances into practice.

This content is intended for healthcare professionals outside of the UK.

Supported by:
  • Lilly
Developed by: Springer Healthcare IME
Learn more