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Hemorragia intraventricular en niños pretérmino, incidencia y factores de riesgo. Un estudio de corte transversal
dc.contributor.author | Segovia Morales, Olga Lucía | spa |
dc.contributor.author | Latorre Latorre, José Fidel | spa |
dc.contributor.author | Rodríguez Hernández, Jairo | spa |
dc.contributor.author | Pérez Vera, Luis Alfonso | spa |
dc.date.accessioned | 2020-10-27T14:22:13Z | |
dc.date.available | 2020-10-27T14:22:13Z | |
dc.date.issued | 2003-08-08 | |
dc.identifier.issn | 2382-4603 | |
dc.identifier.issn | 0123-7047 | |
dc.identifier.uri | http://hdl.handle.net/20.500.12749/10507 | |
dc.description.abstract | La hemorragia intraventricular (IVH) es la más común de las hemorragias intracraneales neonatales. Ocurre principalmente en prematuros y se ha asociado en forma significativa a déficit neurológico. La patogénesis de la IVH es multifactorial. Nuestro objetivo fue determinar la frecuencia y severidad de los factores de riesgo asociados. Se realizó un estudio de corte trasversal en el Hospital Universitario Ramón González Valencia en el que se incluyeron todos los neonatos con pesos al nacer entre 500 y 1.500 gramos y con edad gestacional entre 25 y 32 semanas. Se describieron características sociodemográficas y clínicas tanto de las madres como de los neonatos. La ecografía transfontanelar fue realizada, como método diagnóstico, entre los días cinco y siete de vida o antes de ser necesario. La población de estudio fue de 101 niños pretérmino. La frecuencia de IVH fue del 22%. En un 55% de los casos fue clasificada como severa (grado III y IV). Los factores de riesgo asociados fueron: bajo peso al nacer (OR 6.83), intubación orotraqueal (OR 8.45), uso de infusión de derivados sanguíneos (OR 4.39), enfermedad de membrana hialina (OR 2,91), uso de bicarbonato (OR 3.43) y uso de dopamina (OR 3.21). El presente estudio plantea la necesidad de mejorar, hasta donde sea posible, el control prenatal y asegurar una atención óptima del recién nacido prematuro desde el momento de nacer. [Segovia OL, Latorre JF, Rodríguez J, Pérez LA. Hemorragia intraventricular en niños pretérmino, incidencia y factores de riesgo. Un estudio de corte transversal | spa |
dc.format.mimetype | application/pdf | spa |
dc.language.iso | spa | spa |
dc.publisher | Universidad Autónoma de Bucaramanga UNAB | |
dc.relation | https://revistas.unab.edu.co/index.php/medunab/article/view/252/235 | |
dc.relation.uri | https://revistas.unab.edu.co/index.php/medunab/article/view/252 | |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/2.5/co/ | |
dc.source | MedUNAB; Vol. 6 Núm. 17 (2003): Especial Pediatría; 57-62 | |
dc.subject | Ciencias biomédicas | |
dc.subject | Ciencias de la vida | |
dc.subject | Innovaciones en salud | |
dc.subject | Investigaciones | |
dc.title | Hemorragia intraventricular en niños pretérmino, incidencia y factores de riesgo. Un estudio de corte transversal | spa |
dc.title.translated | Intraventricular hemorrhage in preterm infants, incidence and risk factors. A cross-sectional study | eng |
dc.publisher.faculty | Facultad Ciencias de la Salud | spa |
dc.publisher.program | Pregrado Medicina | spa |
dc.type.driver | info:eu-repo/semantics/article | |
dc.type.local | Artículo | spa |
dc.type.coar | http://purl.org/coar/resource_type/c_6501 | |
dc.subject.keywords | Health Sciences | eng |
dc.subject.keywords | Medicine | eng |
dc.subject.keywords | Medical Sciences | eng |
dc.subject.keywords | Biomedical Sciences | eng |
dc.subject.keywords | Life Sciences | eng |
dc.subject.keywords | Innovations in health | eng |
dc.subject.keywords | Research | eng |
dc.subject.keywords | Intraventricular hemorrhage | eng |
dc.subject.keywords | Prematurity | eng |
dc.subject.keywords | Risk factors | eng |
dc.identifier.instname | instname:Universidad Autónoma de Bucaramanga UNAB | spa |
dc.type.hasversion | Info:eu-repo/semantics/publishedVersion | |
dc.type.hasversion | info:eu-repo/semantics/acceptedVersion | |
dc.rights.accessrights | info:eu-repo/semantics/openAccess | spa |
dc.relation.references | Ahamann P, Lazzara A, DykesF. Intraventricular hemorrhage in the high-risk. Ann Neurol 1980; 7: 118-24 | spa |
dc.relation.references | Floyd H, Leviton A, Jeffrey A. Groups of histopathologic abnormalities in brains of very low birth weigth infants. J Neuropath Exp Neurol 1998; 57: 1026–34 | spa |
dc.relation.references | Hernández Z, Palacio S, Espinosa E. Guía de manejo del recién nacido pretérmino con hemorragia intraventricular. Pediatría (Colomb) 2001; 36:248–51 | spa |
dc.relation.references | Verma U, Tejan N, Klein S, Reale MR, Beneck D, Figueroa E, et al. Obstetric antecedents of intraventricular hemorrhage and periventricular leukomalacia in the low-birth-weight neonate. Am J Obstet Gynecol 1997; 176:275–82 | spa |
dc.relation.references | Klimberlin D, Huth J. Indicate versus spontaneous preterm delivery: an evaluation of neonatal morbility among infants weighing 1000 grams at birth. Am J Obstet Gynecol 1999; 180:275-85 | spa |
dc.relation.references | Lou HC, Lassen NA, Friis-Hansen B. Impaired autorregulation of cerebral blood flow in the distressed newborn infant. J Pediatr 1979; 94:118-21 | spa |
dc.relation.references | Lou HC, Lassen NA, Friis-Hansen B. Impaired autorregulation of cerebral blood flow in the distressed newborn infant. J Pediatr 1979; 94:118-21 | spa |
dc.relation.references | Holmes P, Oppenheirmer LW, Gravelie A, Walker M, Blayney M. The effect of variable heart rate desecelerations on intraventricular hemorrhage and other perinatal outcomes in preterm infants. J Matern Fetal Med 2001; 10:34-42 | spa |
dc.relation.references | Tamisari L, Rigon F, Brusamento S, Scapoli C, Guerrine C. Prenatal steroids, cesarean section, a cerebral hemorrhage in newborns with birth weight under 1500g. Acta Biomed Ateneo Parmense 2000; 71:441–6 | spa |
dc.relation.references | Groneck P. Perinatal glucocorticosteroid therapy: time for reconsideration. Z Geburtshilfe Neonatol 2001; 205:231–5 | spa |
dc.subject.lemb | Ciencias médicas | spa |
dc.subject.lemb | Ciencias de la salud | spa |
dc.subject.lemb | Medicina | spa |
dc.identifier.repourl | repourl:https://repository.unab.edu.co | |
dc.description.abstractenglish | Intraventricular hemorrhage (IVH) is the most common neonatal intracranial hemorrhage. It occurs mainly in premature infants and has been significantly associated with neurological deficits. The pathogenesis of IVH is multifactorial. Our objective was to determine the frequency and severity of the associated risk factors. A cross-sectional study was carried out at the Ramón González Valencia University Hospital in which all neonates with birth weights between 500 and 1,500 grams and with gestational age between 25 and 32 weeks were included. Sociodemographic and clinical characteristics of both mothers and neonates were described. Transfontanellar ultrasound was performed, as a diagnostic method, between days five and seven of life or before necessary. The study population was 101 preterm children. The frequency of IVH was 22%. In 55% of cases it was classified as severe (grade III and IV). The associated risk factors were: low birth weight (OR 6.83), orotracheal intubation (OR 8.45), use of blood derivative infusion (OR 4.39), hyaline membrane disease (OR 2.91), use of bicarbonate (OR 3.43) and dopamine use (OR 3.21). The present study raises the need to improve, to the extent possible, prenatal control and ensure optimal care for premature newborns from the moment of birth. [Segovia OL, Latorre JF, Rodríguez J, Pérez LA. Intraventricular hemorrhage in preterm infants, incidence and risk factors. A cross-sectional study | eng |
dc.subject.proposal | Hemorragia intraventricular | spa |
dc.subject.proposal | Prematurez | spa |
dc.subject.proposal | Factores de riesgo | spa |
dc.type.redcol | http://purl.org/redcol/resource_type/ART | |
dc.rights.creativecommons | Atribución-NoComercial-SinDerivadas 2.5 Colombia | * |
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