Praveen Kumar1, Kathryn F Carroll2, Preetha Prazad3, Aarti Raghavan4, Wambui Waruingi5, Huaping Wang2. 1. Pediatrics, University of Illinois College of Medicine at Peoria, Peoria, IL, USA. pkumar14@uic.edu. 2. Pediatrics, University of Illinois College of Medicine at Peoria, Peoria, IL, USA. 3. Pediatrics, Advocate Children's Hospital-Park Ridge, Park Ridge, IL, USA. 4. Pediatrics, University of Illinois College of Medicine at Chicago, Chicago, IL, USA. 5. Pediatrics, St. Louis University, St. Louis, MO, USA.
Abstract
OBJECTIVE: To evaluate the impact of elevated supine midline head position on intraventricular hemorrhage (IVH) in very-low-birth-weight (VLBW) infants. STUDY DESIGN: We reviewed data from four Level III/IV units. Two of these units (mid-line group) cared for infants in midline position and the other two (routine care group) provided routine care. We compared incidence of any and severe IVH in two groups using multivariate logistic regression analyses. RESULTS: Of 2201 VLBW infants, 1041 were extremely-low-birth-weight (ELBW). Odds of any IVH were not different either for VLBW or ELBW infants. Odds of severe IVH were higher for VLBW infants in mid-line group (OR 1.43, 95% CI 1.007-2.02; p value 0.046) but not for ELBW infants (OR 0.9, 95% CI 0.6-1.4; p value 0.73). CONCLUSIONS: The incidence of any IVH was similar in the two groups but the incidence of severe IVH was higher in VLBW infants in mid-line group.
OBJECTIVE: To evaluate the impact of elevated supine midline head position on intraventricular hemorrhage (IVH) in very-low-birth-weight (VLBW) infants. STUDY DESIGN: We reviewed data from four Level III/IV units. Two of these units (mid-line group) cared for infants in midline position and the other two (routine care group) provided routine care. We compared incidence of any and severe IVH in two groups using multivariate logistic regression analyses. RESULTS: Of 2201 VLBW infants, 1041 were extremely-low-birth-weight (ELBW). Odds of any IVH were not different either for VLBW or ELBW infants. Odds of severe IVH were higher for VLBW infants in mid-line group (OR 1.43, 95% CI 1.007-2.02; p value 0.046) but not for ELBW infants (OR 0.9, 95% CI 0.6-1.4; p value 0.73). CONCLUSIONS: The incidence of any IVH was similar in the two groups but the incidence of severe IVH was higher in VLBW infants in mid-line group.
Authors: Patricia Carteaux; Howard Cohen; Jennifer Check; Jeffrey George; Pamela McKinley; William Lewis; Patricia Hegwood; Jonathan M Whitfield; Debra McLendon; Susan Okuno-Jones; Sharon Klein; Jim Moehring; Connie McConnell Journal: Pediatrics Date: 2003-04 Impact factor: 7.124
Authors: May Rivas-Fernandez; Marta Roqué I Figuls; Ana Diez-Izquierdo; Joaquin Escribano; Albert Balaguer Journal: Cochrane Database Syst Rev Date: 2016-11-07