Document Detail

Prevalence and Characteristics of Rib Fractures in Ex-preterm Infants.
MedLine Citation:
PMID:  23166339     Owner:  NLM     Status:  Publisher    
OBJECTIVES:This study aimed to identify the prevalence and characteristics of rib fractures in ex-preterm infants.METHODS:Infants born at <37 weeks' gestation and admitted before 2011 to 3 regional neonatal units were identified from admission registers. For 2 centers, these data were available from 2000 onward and, for another center, from 2005. Electronic records were searched to identify chest radiographs performed up to age 1 year. Chest radiograph reports were then reviewed for evidence of rib fractures, and the case notes of all affected individuals were scrutinized.RESULTS:Of the 3318 eligible preterm infants, 1446 had a total of 9386 chest radiographs. Of these infants, 26 (1.8%) were identified as having a total of 62 rib fractures. Their median (range) gestation at birth was 26 weeks (23-34). The median chronological age of these infants at the time of the radiograph was 14 weeks (5 weeks to 8 months). The median corrected gestational age at the time of the radiograph was 39 weeks (34 weeks to 4 months). Of the 62 fractures, 27 (36%) were sited posteriorly, and 15 (53%) of the infants with posterior rib fractures were diagnosed with osteopathy of prematurity. Classic risk including conjugated hyperbilirubinemia and diuretics, were present in 23 of 26 (88%) infants. A full skeletal survey was performed in 8 of 26 (31%). Investigations for nonaccidental injury occurred in 4 of 26 (15%) cases.CONCLUSIONS:Evidence of rib fractures is present in ∼2% of ex-preterm infants. The evaluation of these fractures in infancy requires a detailed neonatal history irrespective of the site of rib fracture.
Angela Lucas-Herald; Sandra Butler; Helen Mactier; Helen McDevitt; David Young; Syed Faisal Ahmed
Related Documents :
18677329 - Changes in cause of neonatal death over a decade.
24179419 - Improper use of child restraint seats as a sleeping environment: two cases of childhood...
15759559 - Supplemental analyses of recent trends in infant mortality.
22792479 - Assessing modeled co(2) retention and rebreathing of a facemask designed for efficient ...
15615149 - Trends in mrsa in england and wales: analysis of morbidity and mortality data for 1993-...
10444319 - Who dies from what? determining cause of death in south africa's rural north-east.
24161089 - Exploring the health consequences of majority-minority neighborhoods: minority diversit...
23559329 - Neural conduction abnormality in the brain stem and prevalence of the abnormality in la...
3960619 - Zinc and copper balances in preterm infants.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-19
Journal Detail:
Title:  Pediatrics     Volume:  -     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Section of Child Health and.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Cerebral Palsy and Neonatal Death in Term Singletons Born Small for Gestational Age.
Next Document:  Age, academic performance, and stimulant prescribing for ADHD: a nationwide cohort study.