Association between early echocardiography screening of low systemic blood flow and intraventricular hemorrhage in preterm infants: a multicenter cohort study

Objective To determine whether early echocardiography screening of low systemic blood flow reduces intraventricular hemorrhage in preterm infants. Study design Prospective multicenter study in preterm infants below 33 weeks of gestational age at nine neonatal units. Five units performed early echoca...

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Veröffentlicht in:Journal of perinatology 2024-10, Vol.44 (10), p.1496-1503
Hauptverfasser: Terroba-Seara, Sandra, Oulego-Erroz, Ignacio, Palanca-Arias, Daniel, Galve-Pradel, Zenaida, Delgado-Nicolás, Sara, Pérez-Pérez, Alicia, Rodríguez-Ozcoidi, Jorge, Lavilla-Oíz, Ana, Bravo, María Carmen, La Banda-Montalvo, Leticia, Méndez-Abad, Paula, Zafra-Rodríguez, Pamela, Rodeño-Fernández, Lorena, Montero-Gato, Jon, Bustamante-Hervás, Carmen, Vega-Del-Val, Cristina, Rodríguez-Fanjul, Javier, Mayordomo-Colunga, Juan, Alegría-Echauri, Iosune, Pérez-Álvarez, Andrea
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container_end_page 1503
container_issue 10
container_start_page 1496
container_title Journal of perinatology
container_volume 44
creator Terroba-Seara, Sandra
Oulego-Erroz, Ignacio
Palanca-Arias, Daniel
Galve-Pradel, Zenaida
Delgado-Nicolás, Sara
Pérez-Pérez, Alicia
Rodríguez-Ozcoidi, Jorge
Lavilla-Oíz, Ana
Bravo, María Carmen
La Banda-Montalvo, Leticia
Méndez-Abad, Paula
Zafra-Rodríguez, Pamela
Rodeño-Fernández, Lorena
Montero-Gato, Jon
Bustamante-Hervás, Carmen
Vega-Del-Val, Cristina
Rodríguez-Fanjul, Javier
Mayordomo-Colunga, Juan
Alegría-Echauri, Iosune
Pérez-Álvarez, Andrea
description Objective To determine whether early echocardiography screening of low systemic blood flow reduces intraventricular hemorrhage in preterm infants. Study design Prospective multicenter study in preterm infants below 33 weeks of gestational age at nine neonatal units. Five units performed early echocardiography screening for low systemic blood flow and guided clinical management (exposure group) and 4 units did not (control group). Our main outcome was ≥grade II intraventricular hemorrhage or death within the first 7 days of life. The main analysis used the inverse probability of treatment weighting. Results Three hundred and thirty-two preterm infants (131 in the exposure group and 201 in the control group) were included. Exposure to early echocardiography screening was associated with a significant reduction in ≥grade II intraventricular hemorrhage or early death [odds ratio 0.285 (95% CI: 0.133–0.611); p  = 0.001]. Conclusions Early echocardiography screening for low systemic blood flow may reduce the incidence of intraventricular hemorrhage in preterm infants.
doi_str_mv 10.1038/s41372-024-01968-6
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Study design Prospective multicenter study in preterm infants below 33 weeks of gestational age at nine neonatal units. Five units performed early echocardiography screening for low systemic blood flow and guided clinical management (exposure group) and 4 units did not (control group). Our main outcome was ≥grade II intraventricular hemorrhage or death within the first 7 days of life. The main analysis used the inverse probability of treatment weighting. Results Three hundred and thirty-two preterm infants (131 in the exposure group and 201 in the control group) were included. Exposure to early echocardiography screening was associated with a significant reduction in ≥grade II intraventricular hemorrhage or early death [odds ratio 0.285 (95% CI: 0.133–0.611); p  = 0.001]. Conclusions Early echocardiography screening for low systemic blood flow may reduce the incidence of intraventricular hemorrhage in preterm infants.</description><identifier>ISSN: 0743-8346</identifier><identifier>ISSN: 1476-5543</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/s41372-024-01968-6</identifier><identifier>PMID: 38664495</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/308/409 ; 692/699/375/1345 ; Blood flow ; Echocardiography ; Exposure ; Gestational age ; Hemorrhage ; Infants ; Medicine ; Medicine &amp; Public Health ; Neonates ; Newborn babies ; Pediatric Surgery ; Pediatrics ; Premature babies</subject><ispartof>Journal of perinatology, 2024-10, Vol.44 (10), p.1496-1503</ispartof><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2024. 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The Author(s), under exclusive licence to Springer Nature America, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-cf0268cd912abfb94a0813b35d8d4df69e80a668dfafa898b463e2290e627dc33</cites><orcidid>0000-0002-0128-4215 ; 0000-0001-6327-3047 ; 0000-0002-9653-954X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41372-024-01968-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41372-024-01968-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38664495$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Terroba-Seara, Sandra</creatorcontrib><creatorcontrib>Oulego-Erroz, Ignacio</creatorcontrib><creatorcontrib>Palanca-Arias, Daniel</creatorcontrib><creatorcontrib>Galve-Pradel, Zenaida</creatorcontrib><creatorcontrib>Delgado-Nicolás, Sara</creatorcontrib><creatorcontrib>Pérez-Pérez, Alicia</creatorcontrib><creatorcontrib>Rodríguez-Ozcoidi, Jorge</creatorcontrib><creatorcontrib>Lavilla-Oíz, Ana</creatorcontrib><creatorcontrib>Bravo, María Carmen</creatorcontrib><creatorcontrib>La Banda-Montalvo, Leticia</creatorcontrib><creatorcontrib>Méndez-Abad, Paula</creatorcontrib><creatorcontrib>Zafra-Rodríguez, Pamela</creatorcontrib><creatorcontrib>Rodeño-Fernández, Lorena</creatorcontrib><creatorcontrib>Montero-Gato, Jon</creatorcontrib><creatorcontrib>Bustamante-Hervás, Carmen</creatorcontrib><creatorcontrib>Vega-Del-Val, Cristina</creatorcontrib><creatorcontrib>Rodríguez-Fanjul, Javier</creatorcontrib><creatorcontrib>Mayordomo-Colunga, Juan</creatorcontrib><creatorcontrib>Alegría-Echauri, Iosune</creatorcontrib><creatorcontrib>Pérez-Álvarez, Andrea</creatorcontrib><title>Association between early echocardiography screening of low systemic blood flow and intraventricular hemorrhage in preterm infants: a multicenter cohort study</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>Objective To determine whether early echocardiography screening of low systemic blood flow reduces intraventricular hemorrhage in preterm infants. Study design Prospective multicenter study in preterm infants below 33 weeks of gestational age at nine neonatal units. Five units performed early echocardiography screening for low systemic blood flow and guided clinical management (exposure group) and 4 units did not (control group). Our main outcome was ≥grade II intraventricular hemorrhage or death within the first 7 days of life. The main analysis used the inverse probability of treatment weighting. Results Three hundred and thirty-two preterm infants (131 in the exposure group and 201 in the control group) were included. Exposure to early echocardiography screening was associated with a significant reduction in ≥grade II intraventricular hemorrhage or early death [odds ratio 0.285 (95% CI: 0.133–0.611); p  = 0.001]. 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Study design Prospective multicenter study in preterm infants below 33 weeks of gestational age at nine neonatal units. Five units performed early echocardiography screening for low systemic blood flow and guided clinical management (exposure group) and 4 units did not (control group). Our main outcome was ≥grade II intraventricular hemorrhage or death within the first 7 days of life. The main analysis used the inverse probability of treatment weighting. Results Three hundred and thirty-two preterm infants (131 in the exposure group and 201 in the control group) were included. Exposure to early echocardiography screening was associated with a significant reduction in ≥grade II intraventricular hemorrhage or early death [odds ratio 0.285 (95% CI: 0.133–0.611); p  = 0.001]. 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subjects 692/308/409
692/699/375/1345
Blood flow
Echocardiography
Exposure
Gestational age
Hemorrhage
Infants
Medicine
Medicine & Public Health
Neonates
Newborn babies
Pediatric Surgery
Pediatrics
Premature babies
title Association between early echocardiography screening of low systemic blood flow and intraventricular hemorrhage in preterm infants: a multicenter cohort study
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