Risk Factors of Germinal Matrix Intraventricular Hemorrhage in Premature Infants

AUTHORS

Yeliz Pekcevik 1 , * , Aynur Pasinli 2 , Esra Arun Ozer 3 , Nuri Erdogan 4

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How to Cite: Pekcevik Y, Pasinli A , Arun Ozer E, Erdogan N. Risk Factors of Germinal Matrix Intraventricular Hemorrhage in Premature Infants, Iran J Pediatr. 2014 ; 24(2):191-197.

ARTICLE INFORMATION

Iranian Journal of Pediatrics: 24 (2); 191-197
Published Online: January 29, 2014
Article Type: Research Article
Received: June 14, 2013
Accepted: January 10, 2014

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Abstract

Objective: To determine whether some clinical parameters can be used to predict the hemorrhage and whether the relationship between these clinical variables and the grades of hemorrhage is linear. Methods: A total of 230 premature infants, born at a gestational age less than 34 weeks were retrospectively reviewed. Germinal matrix-intraventricular hemorrhage (GM-IVH), the grade of the hemorrhage, and clinical data were assessed with a checklist. Variables were analyzed by using Mann Whitney U and Fisher's exact tests and then multiple logistic regression analysis was used to evaluate the independent risk factors. Findings: Resuscitation, gestational age, hypotension, multiple birth, and birth weight were found to be independent risk factors. We determined non-linear relationship between the grades of hemorrhage and the clinical parameters. But when we classified hemorrhages as grade 1, grade 2-3 and grade 4, the relationships were found linear. Conclusion: Premature infants who had resuscitation, low gestational age, hypotension, multiple birth, and low birth weight are more likely to have GM-IVH. The relationship between the clinical variables and the grades of GM-IVH does not seem to be linear.

 

Keywords

Ultrasonography Risk Factors Premature Infants Hemorrhage Germinal Matrix

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