Infant, obstetrical and maternal characteristics associated with thromboembolism in infancy: a nationwide

Ruta Tuckuviene1, Anette Luther Christensen, Jon Helgested

  • 1Department of Clinical Biochemistry, Aarhus University Hospital, Aalborg Hospital, 9000, Aalborg, Denmark. rt@rn.dk

Insights

Infant, obstetrical, and maternal factors are linked to infant arterial ischaemic stroke (AIS) and venous thromboembolism (VTE). Identifying these risk factors can aid in early detection and prevention strategies for neonatal blood clots.

Area of Science:

  • Pediatrics
  • Neonatology
  • Thrombosis Research

Background:

  • Infantile arterial ischaemic stroke (AIS) and venous thromboembolism (VTE) are serious conditions.
  • Understanding associated risk factors is crucial for early diagnosis and intervention.

Purpose of the Study:

  • To identify infant, obstetrical, and maternal characteristics associated with AIS and VTE in infants under one year of age.

Main Methods:

  • A nationwide, population-based nested case-control study was conducted in Denmark from 1994 to 2006.
  • Infants with a first-time diagnosis of AIS, VTE, or both were identified, with 10 population controls selected for each case.

Main Results:

  • AIS in infancy was associated with primiparity, emergency cesarean delivery, and post-term birth.
  • Risk factors for VTE included preterm birth, low Apgar scores, and multiple births.
  • Male sex was linked to increased AIS risk in neonates.

Conclusions:

  • Several distinct infant, obstetrical, and maternal characteristics are associated with thromboembolic events in early life.
  • These findings highlight potential targets for risk assessment and preventative measures in newborns.
Abstract

Related Concept Videos

Pulmonary Embolism I: Introduction01:19

Pulmonary Embolism I: Introduction

A blood clot, or thrombus, is a semi-solid mass composed of fibrin, platelets, and red blood cells. When it forms within a vessel, it can obstruct blood flow, known as thrombosis. If part of the clot detaches, it becomes an embolus that can travel and block distant vessels. When this occurs in the pulmonary arteries, it causes a condition known as pulmonary embolism (PE).Origin and ImpactMost often, the embolus originates from a thrombus in the deep veins of the lower limbs, a condition called...
Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
Disorders of Hemostasis01:24

Disorders of Hemostasis

Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...