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KMID : 0191120100250030418
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Journal of Korean Medical Science
2010 Volume.25 No. 3 p.418 ~ p.424
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Risk Factors for Periventricular-Intraventricular Hemorrhage in Premature Infants
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Lee Ju-Young
Kim Han-Suk
Jung Eui-Seok
Kim Eun-Sun
Shim Gyu-Hong
Lee Hyun-Ju
Lee Jin-A
Choi Chang-Won
Kim Ee-Kyung
Kim Beyong-Il
Choi Jung-Hwan
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Abstract
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Periventricular-intraventricular hemorrhage (PV-IVH) is a major cause of neurological disabilities in preterm newborns. This study aimed to determine the perinatal factors associated with PV-IVH. We conducted a retrospective case-control study from preterm infants born at ≤34 weeks of gestation and admitted to Neonatal Intensive Care Units of Seoul National University Children’s Hospital and Seoul National University Bundang Hospital between June 2003 and December 2007. Neonates with no cranial sonographic data or infants transferred from other centers after three days of age were excluded. Of 1,044 eligible subjects, 59 infants with PV-IVH grade 2, 3, and 4 were allocated to the case group. The control group consisted of 118 infants without PV-IVH who were matched for gestational age and birth weight to each case of PV-IVH. At the multivariate logistic regression model, metabolic acidosis (odds ratio [OR]: 6.94; 95% confidence interval [CI]: 1.12-43.23) and use of inotropes (OR: 3.70; 95% CI: 1.16-11.84) were associated with an increased risk of PV-IVH. Maternal use of antenatal corticosteroids decreases the risk of PV-IVH (OR: 0.36; 95% CI: 0.14-0.92).
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KEYWORD
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Intracranial Hemorrhages, Infant, Premature, Intensive Care, Neonatal, Risk Factors
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