Document Detail

Restrictive Management of Neonatal Polycythemia.
MedLine Citation:
PMID:  21667428     Owner:  NLM     Status:  Publisher    
Partial exchange transfusion (PET) is traditionally suggested as treatment for neonates diagnosed with polycythemia. Nevertheless, justification of this treatment is controversial. We evaluated the risk for short-term complications associated with a restrictive treatment protocol for neonatal polycythemia. A retrospective cross-sectional analytical study was conducted. Three treatment groups were defined and managed according to their degree of polycythemia, defined by capillary tube filled with venous blood and manually centrifuged hematocrit: group 1, hematocrit 65 to 69% and no special treatment was recommended; group 2, hematocrit 70 to 75% and intravenous fluids were given and feedings were withheld until hematocrit decreased to <70%; and group 3, hematocrit ≥76% or symptomatic neonates and PET was recommended. During the study period, 190 neonates were diagnosed with polycythemia. The overall rate of short-term complications was 15% (28 neonates). Seizures, proven necrotizing enterocolitis, or thrombosis did not occur in any participating neonates. PET was performed in 31 (16%) neonates. The groups did not differ in their rate of early neonatal morbidities or length of hospitalization. Restrictive treatment for neonatal asymptomatic polycythemia is not associated with an increased risk of short-term complications.
Iris Morag; Tzipora Strauss; Daniel Lubin; Irit Schushan-Eisen; Gili Kenet; Jacob Kuint
Related Documents :
16085238 - The impact of the physician on the accrual to randomized clinical trials in patients wi...
16626978 - An integrated analysis of five double-blind, randomized controlled trials evaluating th...
16437508 - Surgery versus non-surgical treatment for femoral pseudoaneurysms.
11864918 - Subgroup interactions in the heart and estrogen/progestin replacement study: lessons le...
10516458 - The use of long-term defunctionalized bladder in renal transplantation: is it safe?
21359078 - Intravenous patient-controlled analgesia to manage the postoperative pain in patients u...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-6-10
Journal Detail:
Title:  American journal of perinatology     Volume:  -     ISSN:  1098-8785     ISO Abbreviation:  -     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-6-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© Thieme Medical Publishers.
Department of Neonatology, Mayanei HaYeshua Medical Center, Bnei Brak, Israel.
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:  Salivary Cortisol Increases After Bariatric Surgery in Women.
Next Document:  Treatment of Severe Nausea and Vomiting of Pregnancy with Subcutaneous Medications.