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Intraventricular hemorrhage as a comorbid factor for intestinal obstruction in VLBWI.
MedLine Citation:
PMID:  25443271     Owner:  NLM     Status:  Publisher    
BACKGROUND: In very low birth weight infants (VLBWI), intestinal obstruction (IO) tends to increase in severity due to the immaturity of the intestine and perinatal events. We examined the clinical comorbid factors related to IO in VLBWI.
METHODS: Clinical data of 160 VLBWI admitted to our neonatal intensive care unit from 2006-2011 were retrospectively reviewed. Patients were divided into 2 groups: IO group (n=62) and Non-IO group (n=98). IO was defined as bile excretion via the mouth or nasogastric tube within 30 days after birth. The relation between clinical factors and the incidence of IO was analyzed.
RESULTS: The univariate analysis showed that gestational age, birth weight, and the incidence of chronic lung disease, patent ductus arteriosus, intraventricular hemorrhage (IVH), retinopathy of prematurity, and the postnatal use of mechanical ventilation, catecholamines, steroids, and sedatives were associated with IO. The multivariate analysis showed that only IVH strongly associated with IO (odds ratio 4.74; p<0.01).
CONCLUSIONS: IVH is a significant comorbid factor of IO in VLBWI.
Chieko Hisamatsu; Ichiro Morioka; Kiyomi Matsuo; Kazumoto Iijima; Eiji Nishijima
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-12-2
Journal Detail:
Title:  Pediatrics international : official journal of the Japan Pediatric Society     Volume:  -     ISSN:  1442-200X     ISO Abbreviation:  Pediatr Int     Publication Date:  2014 Dec 
Date Detail:
Created Date:  2014-12-2     Completed Date:  -     Revised Date:  2014-12-3    
Medline Journal Info:
Nlm Unique ID:  100886002     Medline TA:  Pediatr Int     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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This article is protected by copyright. All rights reserved.
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