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Intraventricular hemorrhage in premature infants under 28 weeks in general hospital of Lima, 2013 - 2017

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dc.contributor.author Espíritu Rojas, Elizabeth
dc.contributor.author Zumba, Karin
dc.contributor.author Guillén Pinto, Daniel
dc.date.accessioned 2021-10-04T23:01:04Z
dc.date.available 2021-10-04T23:01:04Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/20.500.12866/9958
dc.description.abstract Objective: To determine the incidence and clinical characteristics of intraventricular hemorrhage in premature infants younger than 28 weeks, born in a general hospital. Material and methods: This is an observational, retrospective cohort study, which included premature infants under 28 weeks gestational, who survived the first day of life and who had a brain ultrasound, born in the Cayetano Heredia Hospital from 2013 to 2017. Neonates with brain malformations and those with incomplete perinatal data were excluded. Results: During the study period, 21 722 newborns were born, of whom 84 were under 28 weeks of age, 72 children from 24 to 27 gestational weeks were included. The male / female ratio was 1.6. The HIV frequency was 58.3% (42/72). 52.4% (22/42) were found in the early form and 47.6% (20/42) in the late form. The severe degrees corresponded to 64% (27/42). Post hemorrhagic hydrocephalus occurred in 26% (11/42) and venous hemorrhagic infarction 21.4% (9/42). 51 patients died, with a fatality rate of 76.1% (32/42). Conclusions: HIV was very frequent, severe and lethal in premature babies <28 weeks, half of the cases occurred in the first three days and the rest during the first two weeks of life. Associated factors were lower birth weight, labor, and pneumothorax en_US
dc.description.abstract Objetivo: Determinar la incidencia y características clínicas de la hemorragia intraventricular (HIV) en los prematuros menores de 28 semanas, nacidos en un hospital general. Material y Métodos: Estudio observacional, descriptivo, longitudinal, de cohorte retrospectiva, que incluyó a los prematuros menores de 28 semanas gestacionales (PT28), que sobrevivieron al primer día de vida, examinados con ecografía cerebral y atendidos en la unidad neonatal del Hospital Cayetano Heredia del 2013 al 2017. Se excluyeron los neonatos con malformaciones cerebrales, y aquellos con datos perinatales incompletos. Resultados: Se identificaron 84 PT28, de los cuales se incluyeron 72, doce fueron excluidos por malformaciones y falta de datos. La relación varón/mujer fue 1.6. La frecuencia de HIV fue de 58.3% (42/72). En la forma temprana se encontraron 52.4% (22/42) y en la tardía 47.6% (20/42). Los grados severos se presentaron en el 64% (27/42). La hidrocefalia posthemorrágica ocurrió en 26% (11/42) y el infarto hemorrágico venoso en 21.4% (9/42).Fallecieron 51 pacientes, con una tasa de letalidad del 76.1% (32/42). Conclusiones: La HIV fue muy frecuente, severa y letal en los PT28, la mitad de los casos ocurrieron en los primeros tres días y el resto durante las dos primeras semanas de vida. Los factores asociados fueron el menor peso de nacimiento, el trabajo de parto y el neumotórax es_PE
dc.language.iso spa
dc.publisher Colegio Médico del Perú
dc.relation.ispartofseries Acta Médica Peruana
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Prematurity en_US
dc.subject intraventricular hemorrhage en_US
dc.subject neonate. en_US
dc.subject prematuros es_PE
dc.subject hemorragia intraventricular es_PE
dc.subject neonato es_PE
dc.subject prematuridad extrema es_PE
dc.subject Perú es_PE
dc.title Intraventricular hemorrhage in premature infants under 28 weeks in general hospital of Lima, 2013 - 2017 es_PE
dc.title.alternative Intraventricular hemorrhage in premature infants under 28 weeks in general hospital of Lima, 2013 - 2017 en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.35663/amp.2021.381.1921
dc.relation.issn 1728-5917


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