Perfil clínico-epidemiológico de prematuros con leucomalacia periventricular y hemorragia peri-intraventricular en un programa de seguimiento.
DOI:
https://doi.org/10.47456/rbps.v26i1.51181Keywords:
Prematurity, Cerebral Intraventricular Hemorrhage, Leukomalacia, Periventricular, Neonatal intensive care unitAbstract
Introduction: Premature infants account for 10% of births, with a gradual reduction in their mortality due to improved care and technologies, but there is an increase in chronic morbidities. Neonatal brain alterations can contribute to worse neurodevelopmental outcomes, such as peri-intraventricular hemorrhage (PIVH) and periventricular leukomalacia (PVL), making it important to understand the profile aimed at quality of care. Objectives: To describe the clinical-epidemiological profile of premature infants with PIVH and PVL in the follow-up clinic for at-risk newborns (follow-up). Methods: Cross-sectional, retrospective and documentary study of premature infants in the follow-up program with HPIV and LPV diagnosed in the neonatal period, from October 2020 to September 2021. Results: Among 110 patients with neuroimaging, 47 had alterations (42.73%), with 11 (23.40%) being severe (PIVH grade III or IV or PVL). The average maternal age was 30.63 years (±7.21), with 53.19% having incomplete prenatal care, twins in 23.4%, and cesarean delivery in 53.19%. The gestational age at 28 to 31 weeks accounted for 59.67%, with a need for neonatal resuscitation in 46.81%. The average weight was 1394 grams (±438.37), appropriate for gestational age in 80.85%, with prolonged hospitalization greater than 60 days in 31.91% (average of 56.74 days), with invasive mechanical ventilation for an average of 8.57 days. Conclusion: Aproximately 40% of the patients in follow-up had some neonatal intracranial lesion, mostly moderate preterm infants, with incomplete prenatal care, non-twin, with very low birth weight but appropriate for gestational age. We emphasize the importance of performing neonatal neuroimaging in at-risk patients, which may be correlated with unfavorable neurodevelopmental outcomes.
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Brasil. Portaria nº 5.350, de 12 de setembro de 2024. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2024/prt5350_13_09_2024.html
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