Alexandra D Beier1, Kelsey Hayward1, Diana C Halloran2 and Hector E James1*
1Division of Pediatric Neurosurgery, University of Florida College of Medicine - Jacksonville, Lucy Gooding Pediatric Neurosurgery Center at Wolfson Children’s Hospital, USA 2Department of Pediatric Neurosurgery, University of Florida College of Medicine, Gainesville, Florida, USAFulltext PDF
Objectives: Significance of grade III Intraventricular Hemorrhage (IVH) versus grade IV in premature newborns in reference to neurosurgical management is not well known. We compared whether IVH grading could predict neurosurgical intervention and mortality rate. Study Design: A retrospective chart study of 186 premature newborns with grade III or IV (IVH) from January 1, 2008 to December 31, 2012 was conducted to review neurosurgical contact/ intervention and mortality occurrence. Results: The 186 newborns were identified, 83 with grade III IVH, and 103 grade IV. Neurosurgery contact/interventions occurred in 44 patients, with significant increase in grade IV (32) than grade III patients (12) (p=0.008). Grade IV IVH patients also required shunts more than grade III (p=0.049), and multivariate analysis confirmed mortality rates also higher with grade IV diagnosis. Conclusion: Grade IV IVH patients experienced increased neurosurgical involvement, rates of shunt insertion and revision, as well as mortality rates.
Intraventricular hemorrhage; Prematurity; Neurosurgery; CSF
Beier AD, Hayward K, Halloran DC, James HE. The Burden of Pediatric Neurosurgery Contact/Interventions in Preterm Newborns with Grade III-IV Intraventricular Hemorrhage during NICU Stay. Ann Pediatr Res. 2020;4(2):1036..