Outcomes of intraventricular Hemorrhage in preterm infants

Abstract

Back ground. Intraventricular hem or rhage (IVH) is the most com mon brain in jury in preterm in fants that can have sig nif i - cant long-term ef fects on chil dren’s de vel op ment there fore it is im por tant to care fully mon i tor the neu ro logic out come of these in fants. The aim of our study was to as sess the neuro - developmental out come in preterm in fants with IVH. Method. The ret ro spec tive anal y sis of med i cal re cords of 134 preterm infants with cranial ultrasound abnormali ties was per - formed. These in fants were un der ob ser va tion at fol low-up de part ment un til 12 months of cor rected age. Re sults. Their mean ges ta tional age was 29.31 weeks (range 23–36), mean birth weight 1398 g (range 603–3480). Ul tra - sound ex am i na tion in the neo na tal pe riod re vealed, that iso - lated IVH grade I–II ac counted for 22.4% and in com bi na tion with periventricular leukomalacia (PVL) – 9% of cases, iso - lated IVH grade III-IV – 6.7% and in com bi na tion with PVL – 2.2%, PVL alone – 35.8%. Dur ing in fancy, ven tric u lar di la ta - tion was found in 20% (5/24) of in fants with IVH grade I, 44% (8/18) with IVH grade II and 25% (3/12) with IVH grade III–IV. Post hemorrhagic hy dro ceph a lus was de tected in 11% (2/18) of in fants with IVH grade II and 75% (9/12) of in - fants with IVH grade III–IV (p<0.05), 5 of them (1 with IVH grade II and 4 with IVH grade III–IV) un der went a ventri culo - perito neal shunt ing. There were sta tis ti cally sig nif i cant dif fer - ences in the out comes among the groups with dif fer ent [...].