Cerebral haemorrhage in preterm neonates: does cerebral regional oxygen saturation during the immediate transition matter?
ObjectivesTo investigate the occurrence of peri/intraventricular haemorrhage (P/IVH) in preterm infants and its potential association with cerebral regional oxygen saturation (crSO2) during the immediate transition.MethodsIn this two-centre prospective observational cohort study, crSO2 was measured...
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| Veröffentlicht in: | Archives of disease in childhood. Fetal and neonatal edition 2015-09, Vol.100 (5), p.F422-F427 |
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| container_title | Archives of disease in childhood. Fetal and neonatal edition |
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| creator | Baik, Nariae Urlesberger, Berndt Schwaberger, Bernhard Schmölzer, Georg M Avian, Alexander Pichler, Gerhard |
| description | ObjectivesTo investigate the occurrence of peri/intraventricular haemorrhage (P/IVH) in preterm infants and its potential association with cerebral regional oxygen saturation (crSO2) during the immediate transition.MethodsIn this two-centre prospective observational cohort study, crSO2 was measured with near-infrared spectroscopy in preterm infants ( |
| doi_str_mv | 10.1136/archdischild-2014-307590 |
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| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1808682250</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1705733642</sourcerecordid><originalsourceid>FETCH-LOGICAL-b490t-31b746ab6d8eabd8a0f7653d3b3f9fd96de304fb0c73d8d784ae701ac8f027863</originalsourceid><addsrcrecordid>eNqNkUtv1DAUhS0Eog_4C8gSGzYp13ZiO90gNGoLUiU2sI6u45tJRnkMtiPR_vp6mLZCbGBl697vHMvnMMYFXAih9EcMbe-H2PbD6AsJoiwUmKqGF-xUlNrmUSVf5ruq6kLWtT1hZzHuAEAYY16zE6lBa6PlKbvfUCAXcOQ90rSE0OOW-DDzfaBEYeIzLTMmipfcLxR5-4QH2g55M_Ll192WZh4xrQFTnnG_hmHe8tRno2kiP2Q9TwHnOPzeT5iy9ac37FWHY6S3j-c5-3F99X3zpbj9dvN18_m2cGUNqVDCmVKj094SOm8ROqMr5ZVTXd35WntSUHYOWqO89caWSAYEtrYDaaxW5-zD0Xcflp8rxdRMOToaR8x_W2MjLFhtpazg36iByiilS5nR93-hu2UNOZADZaGsQCubKXuk2rDEGKhr9mGYMNw1AppDlc2fVTaHKptjlVn67vGB1eUQn4VP3WVAHQE37f7f9gEO3bCr</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1780450638</pqid></control><display><type>article</type><title>Cerebral haemorrhage in preterm neonates: does cerebral regional oxygen saturation during the immediate transition matter?</title><source>MEDLINE</source><source>BMJ Journals - NESLi2</source><creator>Baik, Nariae ; Urlesberger, Berndt ; Schwaberger, Bernhard ; Schmölzer, Georg M ; Avian, Alexander ; Pichler, Gerhard</creator><creatorcontrib>Baik, Nariae ; Urlesberger, Berndt ; Schwaberger, Bernhard ; Schmölzer, Georg M ; Avian, Alexander ; Pichler, Gerhard</creatorcontrib><description>ObjectivesTo investigate the occurrence of peri/intraventricular haemorrhage (P/IVH) in preterm infants and its potential association with cerebral regional oxygen saturation (crSO2) during the immediate transition.MethodsIn this two-centre prospective observational cohort study, crSO2 was measured with near-infrared spectroscopy in preterm infants (<32 weeks of gestational age) during the immediate neonatal transition (15 min). In addition, arterial oxygen saturation (SpO2) and heart rate (HR) were monitored with pulse oximetry. Cranial ultrasound scans were performed on day 4, day 7 and day 14 after birth and before discharge. Neonates with IVH of any grade (IVH group) were matched to the neonates without IVH (Non-IVH group) on gestational age (±1 week) and birth weight (±100 g). The duration and magnitude of deviation from the 10th centile in crSO2 during immediate transition was analysed and expressed in %minutes.ResultsIVH was found in 12 of the included neonates, who were matched to 12 neonates without IVH. There was no difference in SpO2 and HR between these two groups. The duration and magnitude of centiles-deviation of crSO2 was significantly pronounced in the IVH group compared with the Non-IVH group (1870%min vs 456%min).ConclusionsThe neonates of the IVH group showed significantly lower crSO2 values during the immediate transition, although there was no difference concerning SpO2 and HR. The additional monitoring of crSO2 during the immediate transition could reveal neonates with higher risk of developing an IVH later in the course.</description><identifier>ISSN: 1359-2998</identifier><identifier>EISSN: 1468-2052</identifier><identifier>DOI: 10.1136/archdischild-2014-307590</identifier><identifier>PMID: 26066762</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Birth weight ; Blood pressure ; Brain - metabolism ; Cerebral Hemorrhage - metabolism ; Cerebrovascular Circulation ; Heart Rate ; Humans ; Hypoxia ; Infant, Newborn ; Infant, Premature ; Infant, Premature, Diseases - metabolism ; Infants ; Infrared spectroscopy ; Intensive care ; Ischemia ; Monitoring, Physiologic - methods ; Neonates ; Observational studies ; Oximetry ; Oxygen ; Oxygen - blood ; Oxygen Consumption ; Premature birth ; Prospective Studies ; Spectroscopy, Near-Infrared ; Spectrum analysis ; Traumatic brain injury ; Ultrasonic imaging ; Ventilation</subject><ispartof>Archives of disease in childhood. Fetal and neonatal edition, 2015-09, Vol.100 (5), p.F422-F427</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>Copyright: 2015 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b490t-31b746ab6d8eabd8a0f7653d3b3f9fd96de304fb0c73d8d784ae701ac8f027863</citedby><cites>FETCH-LOGICAL-b490t-31b746ab6d8eabd8a0f7653d3b3f9fd96de304fb0c73d8d784ae701ac8f027863</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://fn.bmj.com/content/100/5/F422.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://fn.bmj.com/content/100/5/F422.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,777,781,3183,23552,27905,27906,77349,77380</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26066762$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baik, Nariae</creatorcontrib><creatorcontrib>Urlesberger, Berndt</creatorcontrib><creatorcontrib>Schwaberger, Bernhard</creatorcontrib><creatorcontrib>Schmölzer, Georg M</creatorcontrib><creatorcontrib>Avian, Alexander</creatorcontrib><creatorcontrib>Pichler, Gerhard</creatorcontrib><title>Cerebral haemorrhage in preterm neonates: does cerebral regional oxygen saturation during the immediate transition matter?</title><title>Archives of disease in childhood. Fetal and neonatal edition</title><addtitle>Arch Dis Child Fetal Neonatal Ed</addtitle><description>ObjectivesTo investigate the occurrence of peri/intraventricular haemorrhage (P/IVH) in preterm infants and its potential association with cerebral regional oxygen saturation (crSO2) during the immediate transition.MethodsIn this two-centre prospective observational cohort study, crSO2 was measured with near-infrared spectroscopy in preterm infants (<32 weeks of gestational age) during the immediate neonatal transition (15 min). In addition, arterial oxygen saturation (SpO2) and heart rate (HR) were monitored with pulse oximetry. Cranial ultrasound scans were performed on day 4, day 7 and day 14 after birth and before discharge. Neonates with IVH of any grade (IVH group) were matched to the neonates without IVH (Non-IVH group) on gestational age (±1 week) and birth weight (±100 g). The duration and magnitude of deviation from the 10th centile in crSO2 during immediate transition was analysed and expressed in %minutes.ResultsIVH was found in 12 of the included neonates, who were matched to 12 neonates without IVH. There was no difference in SpO2 and HR between these two groups. The duration and magnitude of centiles-deviation of crSO2 was significantly pronounced in the IVH group compared with the Non-IVH group (1870%min vs 456%min).ConclusionsThe neonates of the IVH group showed significantly lower crSO2 values during the immediate transition, although there was no difference concerning SpO2 and HR. The additional monitoring of crSO2 during the immediate transition could reveal neonates with higher risk of developing an IVH later in the course.</description><subject>Birth weight</subject><subject>Blood pressure</subject><subject>Brain - metabolism</subject><subject>Cerebral Hemorrhage - metabolism</subject><subject>Cerebrovascular Circulation</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Hypoxia</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infant, Premature, Diseases - metabolism</subject><subject>Infants</subject><subject>Infrared spectroscopy</subject><subject>Intensive care</subject><subject>Ischemia</subject><subject>Monitoring, Physiologic - methods</subject><subject>Neonates</subject><subject>Observational studies</subject><subject>Oximetry</subject><subject>Oxygen</subject><subject>Oxygen - blood</subject><subject>Oxygen Consumption</subject><subject>Premature birth</subject><subject>Prospective Studies</subject><subject>Spectroscopy, Near-Infrared</subject><subject>Spectrum analysis</subject><subject>Traumatic brain injury</subject><subject>Ultrasonic imaging</subject><subject>Ventilation</subject><issn>1359-2998</issn><issn>1468-2052</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkUtv1DAUhS0Eog_4C8gSGzYp13ZiO90gNGoLUiU2sI6u45tJRnkMtiPR_vp6mLZCbGBl697vHMvnMMYFXAih9EcMbe-H2PbD6AsJoiwUmKqGF-xUlNrmUSVf5ruq6kLWtT1hZzHuAEAYY16zE6lBa6PlKbvfUCAXcOQ90rSE0OOW-DDzfaBEYeIzLTMmipfcLxR5-4QH2g55M_Ll192WZh4xrQFTnnG_hmHe8tRno2kiP2Q9TwHnOPzeT5iy9ac37FWHY6S3j-c5-3F99X3zpbj9dvN18_m2cGUNqVDCmVKj094SOm8ROqMr5ZVTXd35WntSUHYOWqO89caWSAYEtrYDaaxW5-zD0Xcflp8rxdRMOToaR8x_W2MjLFhtpazg36iByiilS5nR93-hu2UNOZADZaGsQCubKXuk2rDEGKhr9mGYMNw1AppDlc2fVTaHKptjlVn67vGB1eUQn4VP3WVAHQE37f7f9gEO3bCr</recordid><startdate>20150901</startdate><enddate>20150901</enddate><creator>Baik, Nariae</creator><creator>Urlesberger, Berndt</creator><creator>Schwaberger, Bernhard</creator><creator>Schmölzer, Georg M</creator><creator>Avian, Alexander</creator><creator>Pichler, Gerhard</creator><general>BMJ Publishing Group LTD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>7T5</scope><scope>H94</scope></search><sort><creationdate>20150901</creationdate><title>Cerebral haemorrhage in preterm neonates: does cerebral regional oxygen saturation during the immediate transition matter?</title><author>Baik, Nariae ; Urlesberger, Berndt ; Schwaberger, Bernhard ; Schmölzer, Georg M ; Avian, Alexander ; Pichler, Gerhard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b490t-31b746ab6d8eabd8a0f7653d3b3f9fd96de304fb0c73d8d784ae701ac8f027863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Birth weight</topic><topic>Blood pressure</topic><topic>Brain - metabolism</topic><topic>Cerebral Hemorrhage - metabolism</topic><topic>Cerebrovascular Circulation</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>Hypoxia</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Infant, Premature, Diseases - metabolism</topic><topic>Infants</topic><topic>Infrared spectroscopy</topic><topic>Intensive care</topic><topic>Ischemia</topic><topic>Monitoring, Physiologic - methods</topic><topic>Neonates</topic><topic>Observational studies</topic><topic>Oximetry</topic><topic>Oxygen</topic><topic>Oxygen - blood</topic><topic>Oxygen Consumption</topic><topic>Premature birth</topic><topic>Prospective Studies</topic><topic>Spectroscopy, Near-Infrared</topic><topic>Spectrum analysis</topic><topic>Traumatic brain injury</topic><topic>Ultrasonic imaging</topic><topic>Ventilation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baik, Nariae</creatorcontrib><creatorcontrib>Urlesberger, Berndt</creatorcontrib><creatorcontrib>Schwaberger, Bernhard</creatorcontrib><creatorcontrib>Schmölzer, Georg M</creatorcontrib><creatorcontrib>Avian, Alexander</creatorcontrib><creatorcontrib>Pichler, Gerhard</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Archives of disease in childhood. Fetal and neonatal edition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baik, Nariae</au><au>Urlesberger, Berndt</au><au>Schwaberger, Bernhard</au><au>Schmölzer, Georg M</au><au>Avian, Alexander</au><au>Pichler, Gerhard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebral haemorrhage in preterm neonates: does cerebral regional oxygen saturation during the immediate transition matter?</atitle><jtitle>Archives of disease in childhood. Fetal and neonatal edition</jtitle><addtitle>Arch Dis Child Fetal Neonatal Ed</addtitle><date>2015-09-01</date><risdate>2015</risdate><volume>100</volume><issue>5</issue><spage>F422</spage><epage>F427</epage><pages>F422-F427</pages><issn>1359-2998</issn><eissn>1468-2052</eissn><abstract>ObjectivesTo investigate the occurrence of peri/intraventricular haemorrhage (P/IVH) in preterm infants and its potential association with cerebral regional oxygen saturation (crSO2) during the immediate transition.MethodsIn this two-centre prospective observational cohort study, crSO2 was measured with near-infrared spectroscopy in preterm infants (<32 weeks of gestational age) during the immediate neonatal transition (15 min). In addition, arterial oxygen saturation (SpO2) and heart rate (HR) were monitored with pulse oximetry. Cranial ultrasound scans were performed on day 4, day 7 and day 14 after birth and before discharge. Neonates with IVH of any grade (IVH group) were matched to the neonates without IVH (Non-IVH group) on gestational age (±1 week) and birth weight (±100 g). The duration and magnitude of deviation from the 10th centile in crSO2 during immediate transition was analysed and expressed in %minutes.ResultsIVH was found in 12 of the included neonates, who were matched to 12 neonates without IVH. There was no difference in SpO2 and HR between these two groups. The duration and magnitude of centiles-deviation of crSO2 was significantly pronounced in the IVH group compared with the Non-IVH group (1870%min vs 456%min).ConclusionsThe neonates of the IVH group showed significantly lower crSO2 values during the immediate transition, although there was no difference concerning SpO2 and HR. The additional monitoring of crSO2 during the immediate transition could reveal neonates with higher risk of developing an IVH later in the course.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>26066762</pmid><doi>10.1136/archdischild-2014-307590</doi></addata></record> |
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| ispartof | Archives of disease in childhood. Fetal and neonatal edition, 2015-09, Vol.100 (5), p.F422-F427 |
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| subjects | Birth weight Blood pressure Brain - metabolism Cerebral Hemorrhage - metabolism Cerebrovascular Circulation Heart Rate Humans Hypoxia Infant, Newborn Infant, Premature Infant, Premature, Diseases - metabolism Infants Infrared spectroscopy Intensive care Ischemia Monitoring, Physiologic - methods Neonates Observational studies Oximetry Oxygen Oxygen - blood Oxygen Consumption Premature birth Prospective Studies Spectroscopy, Near-Infrared Spectrum analysis Traumatic brain injury Ultrasonic imaging Ventilation |
| title | Cerebral haemorrhage in preterm neonates: does cerebral regional oxygen saturation during the immediate transition matter? |
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