UMMS Affiliation
Department of Pediatrics, Division of Pediatric Neonatalogy; Department of Radiology
Publication Date
2021-05-19
Document Type
Article
Disciplines
Maternal and Child Health | Pediatrics | Radiology
Abstract
Very preterm infants are at risk for germinal matrix hemorrhage- intraventricular hemorrhage (GH-IVH). Severe GH-IVH may cause death or severe neurodevelopmental disability while mild GH-IVH is considered a static, non-progressive disease. This retrospective study aimed to determine if infants with no GH-IVH or mild GH-IVH on initial screening head ultrasound (HUS) advanced to severe GH-IVH. A total of 353 eligible infants with birth gestational age < /=32 0/7 weeks who received a HUS during hospitalization were identified. Of the 343 (97%) infants who had mild GH-IVH (grade II or less) on initial screening, only 4 (1.2%) progressed to severe (grade III or IV). Each of these infants required mechanical ventilation for at least 40 days. Therefore, premature infants who have no GH-IVH or mild GH-IVH on initial routine screening HUS without other risk factors may not require follow-up HUSs. Infants with prolonged mechanical ventilation may require further screening despite reassuring initial HUS findings.
Keywords
head ultrasound, intraventricular hemorrhage, preterm birth
Rights and Permissions
Copyright © The Author(s) 2021. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
DOI of Published Version
10.1177/2333794X211010729
Source
Daigneault J, White H, Dube A, Shi Q, Gauguet JM, Rhein L. Lack of Progression of Intraventricular Hemorrhage in Premature Infants: Implications for Head Ultrasound Screening. Glob Pediatr Health. 2021 May 19;8:2333794X211010729. doi: 10.1177/2333794X211010729. PMID: 34046517; PMCID: PMC8138291. Link to article on publisher's site
Journal/Book/Conference Title
Global pediatric health
Related Resources
PubMed ID
34046517
Repository Citation
Daigneault J, White H, Dube A, Shi Q, Gauguet J, Rhein LM. (2021). Lack of Progression of Intraventricular Hemorrhage in Premature Infants: Implications for Head Ultrasound Screening. Radiology Publications. https://doi.org/10.1177/2333794X211010729. Retrieved from https://escholarship.umassmed.edu/radiology_pubs/621
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License