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논문 기본 정보

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학술저널
저자정보
Seul Gi Park (Seoul National University College of Medicine) Hyo Ju Yang (Seoul National University) Soo Yeon Lim (Seoul National University) Seh Hyun Kim (Seoul National University) Seung Han Shin (Seoul National University) Ee Kyung Kim (Seoul National University College of Medicine) Han Suk Kim (Seoul National University) Han Suk Kim (Seoul National University)
저널정보
대한신생아학회 Neonatal medicine Neonatal medicine 제30권 제2호
발행연도
2023.5
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42 - 48 (7page)

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Purpose: Extremely preterm infants are prone to brain injury and underdevelopment. Intraventricular hemorrhage (IVH) is the most common cause of brain injury and a significant risk factor for neurodevelopmental delay in preterm infants. Severe IVH is known to have a poor outcome; however, the outcomes of low-grade IVH remain controversial. This study aimed to evaluate neurodevelopmental outcomes and brain segmental volumes of preterm infants with low-grade IVH. Methods: This retrospective cohort study included 109 extremely preterm infants who underwent term equivalent age-magnetic resonance imaging and neurodevelopmental evaluation at a corrected age of 18 to 24 months. We compared infants with and without low-grade IVH. Results: Among the 109 extremely preterm infants, 25 had low-grade IVH and 84 had no IVH. There were no significant differences in the neurodevelopmental outcomes between the low-grade and no IVH groups. In multivariate analysis, low-grade IVH was associated with a smaller medullary volume (adjusted odds ratio, 0.575; 95% confidence interval, 0.346 to 0.957; P=0.034). Conclusion: We found no significant differences in the neurodevelopmental outcomes of extremely preterm infants at a corrected age of 18 to 24 months between those with low-grade IVH and those without IVH. Low-grade IVH was associated with a smaller medullary volume.

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