Saturday, February 12, 2011

Thrombocytopenia and Risk of IVH in neonates

Thrombocytopenia in neonates and the risk of intraventricular hemorrhage: a retrospective cohort study

Jeannette S. von Lindern email, Tjitske van den Bruele email, Enrico Lopriore email and Frans J. Walther email

BMC Pediatrics 2011, 11:16doi:10.1186/1471-2431-11-16

Published:11 February 2011

Abstract (provisional)

Background The overall prevalence of thrombocytopenia in neonates admitted to neonatal intensive care units ranges from 22 to 35%. There are only a few small studies that outline the relationship between the severity of thrombocytopenia and the risk of bleeding. This makes it difficult to form an evidence-based threshold for platelet transfusions in neonatal patients. The aim of this study was to determine the prevalence of thrombocytopenia in a tertiary neonatal intensive care unit and to study the relation between thrombocytopenia and the risk of intraventricular hemorrhage (IVH). Methods We performed a retrospective cohort study of all patients with thrombocytopenia admitted to our neonatal tertiary care nursery between January 2006 and December 2008. Patients were divided into 4 groups according to the severity of thrombocytopenia: mild (100-149x109/L), moderate (50-99x109/L), severe (30-49x109/L) or very severe (< p="0.3)." p="0.4)." p="0.7).">

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