The some influential factors and causes of the intracranial haemorrhage among infants
- VernacularTitle:Бага насны хүүхдийн тархины цус харвалтын шалтгаан, нөлөөлж буй зарим хүчин зүйлс
- Author:
Baysgalantai B
1
;
Enhjargal U
;
Munhtuya L
;
Shurentsetseg D
;
Ayush S
;
Otgonbayar P
Author Information
1. State Maternal and Child Health Research Center of Mongolia
- Publication Type:Journal Article
- Keywords:
Infants;
intracranial haemorrhage;
hemorrhagic disorder;
birth asphyxia;
- From:Mongolian Medical Sciences
2011;168(1):31-36
- CountryMongolia
- Language:Mongolian
-
Abstract:
Background: The Incidence of Intracranial haemorrhage (ICH) in childhood compare to adulthood not very common. The multifactorial etiology ICH may involve coagulation disturbance, venousinfarction, infection, heart congenital abnormalities, birth asphyxia and trauma. ICH is a major cause of morbidity and mortality in neonates and it’s related to vitamin K deficiency. The previous studies have shown, that 37.8% of children with Cerebral Palsy and 31.2% of infants with hypoxic-ischemic encephalopathy had ICH and 48.2% of dead premature infants due to ICH. The number of infants with ICH are increasing year by year. Therefore, the aim of this study was to identify and explore influential factors and causes of ICH among infants in own country.Materials and Methods: The present study was conducted atseveral departments such as PICU, neurology, and cardiology of the State Maternal and Child Health Research of Mongolia. Sixty one patient with ICH involved in the case group and one hundred twenty two infants were involved in control group.Statistical methods. The Mann Whitney U and Fisher’sexact tests were used to compare clinical characteristics of thecontrol infants and infants with ICH. Ethics. The present study was approved by the ethics committee of the MoH and MCHRC. Informedparental consent was obtained for each patient before entry into the study.Results: Among children with ICH 95.1% were under one year and just 4.9% were aged 1-5 years. The following causes of ICH in infants aged under one year were identified: hemorrhagic disorder-39.7%; HIE-13.3%, trauma- 10.4%, unknown reason-12.1% and congenital heart abnormality- 3.4% and Intrauterine infection – 3.4%. However, most common cause of ICH among children aged 1-5 years was trauma – 66.7%, and 33.3% were related to infection.Conclusion:1. The incidence of ICH is high among infants.2. The most common cause of ICH among children were hemorrhagic disorder-37.7%; HIE-13.1%; trauma-13.1%; infection-sepsis -14.8%; intrauterine infection- 9.9%; congenital abnormality of the brain- 3.3% and congenital heart defect-3.3%.3. Influential factors of ICH are preeclampsia (OR=8.6), CS (OR=3.4), newborn asphyxia (OR=3.3) and pathological jaundice (OR=6.8).
