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Risk factors associated with intraventricular hemorrhage in very-low-birth-weight premature infants
Alejandra Guadalupe Puerta-Martínez1, Esteban López-Garrido2, José Miguel Guerrero-Nava3
1Residente de Pediatría de La Universidad Autónoma de Tamaulipas, Matamoros, Tamaulipas, México.
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.
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