CRANIAL ULTRASOUND: EFFICIENT SCREENING TOOL FOR EARLY DETECTION OF BRAIN INJURY IN PRETERM INFANTS

Background: Cranial ultrasound becomes an important diagnostic tool to evaluate brain injury in infants. Brain injury is a major complication for preterm birth. The brain injury of preterm infants differs from that of a term infant. Brain injury has correlation with gestational age and mode of deliv...

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Autores principales: Dini Rachma Erawati1, Yuyun Yueniwati
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Publicado: University of Brawijaya 2021
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Acceso en línea:https://doaj.org/article/dee2fd3cc4664792a5ce7cf3f46ed4a8
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spelling oai:doaj.org-article:dee2fd3cc4664792a5ce7cf3f46ed4a82021-11-23T02:47:44Z CRANIAL ULTRASOUND: EFFICIENT SCREENING TOOL FOR EARLY DETECTION OF BRAIN INJURY IN PRETERM INFANTS10.21776/ub.mnj.2021.007.01.22407-67242442-5001https://doaj.org/article/dee2fd3cc4664792a5ce7cf3f46ed4a82021-01-01T00:00:00Zhttps://mnj.ub.ac.id/index.php/mnj/article/view/438https://doaj.org/toc/2407-6724https://doaj.org/toc/2442-5001Background: Cranial ultrasound becomes an important diagnostic tool to evaluate brain injury in infants. Brain injury is a major complication for preterm birth. The brain injury of preterm infants differs from that of a term infant. Brain injury has correlation with gestational age and mode of delivery. Objective: To analyze the correlation between cranial ultrasound findings with gestational age and mode of delivery and to reveal if cranial ultrasound can be used to detect brain injury in premature infants. Methods: An observational analytic study using cross-sectional design took place in Saiful Anwar Hospital Malang, Indonesia. 38 healthy preterm infants underwent cranial ultrasound examination within the first four day of life. Fisher Exact test was used to analyze the correlation between cranial ultrasound findings with gestational age and mode of delivery. Results: Most of the healthy preterm infants (89.5%) were ≥ 32 weeks gestational age, and 52.6% of samples had caesarean section as their mode of delivery. There were three abnormal findings in cranial ultrasound; increased periventricular echogenic (5.3%), increased parenchym echogenic (5.3%), and indistinguishable of gray-white matter differentiation (5.3%). There was no significant correlation between abnormal cranial ultrasound findings with gestational age and mode of delivery (p= 0.202; p= 0.218). Conclusion: There were abnormal cranial ultrasound findings in some healthy preterm infants despite no significant correlation between ultrasound findings with gestational age and mode of delivery. Cranial ultrasound in preterm infants could become a screening tool for early detection of brain injury.Dini Rachma Erawati1Yuyun YueniwatiUniversity of Brawijayaarticlebrain injurycranial ultrasoundhealthy preterm infantsgestational agemode of deliveryMedicineRNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENIDMalang Neurology Journal, Vol 7, Iss 1, Pp 7-11 (2021)
institution DOAJ
collection DOAJ
language EN
ID
topic brain injury
cranial ultrasound
healthy preterm infants
gestational age
mode of delivery
Medicine
R
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
spellingShingle brain injury
cranial ultrasound
healthy preterm infants
gestational age
mode of delivery
Medicine
R
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Dini Rachma Erawati1
Yuyun Yueniwati
CRANIAL ULTRASOUND: EFFICIENT SCREENING TOOL FOR EARLY DETECTION OF BRAIN INJURY IN PRETERM INFANTS
description Background: Cranial ultrasound becomes an important diagnostic tool to evaluate brain injury in infants. Brain injury is a major complication for preterm birth. The brain injury of preterm infants differs from that of a term infant. Brain injury has correlation with gestational age and mode of delivery. Objective: To analyze the correlation between cranial ultrasound findings with gestational age and mode of delivery and to reveal if cranial ultrasound can be used to detect brain injury in premature infants. Methods: An observational analytic study using cross-sectional design took place in Saiful Anwar Hospital Malang, Indonesia. 38 healthy preterm infants underwent cranial ultrasound examination within the first four day of life. Fisher Exact test was used to analyze the correlation between cranial ultrasound findings with gestational age and mode of delivery. Results: Most of the healthy preterm infants (89.5%) were ≥ 32 weeks gestational age, and 52.6% of samples had caesarean section as their mode of delivery. There were three abnormal findings in cranial ultrasound; increased periventricular echogenic (5.3%), increased parenchym echogenic (5.3%), and indistinguishable of gray-white matter differentiation (5.3%). There was no significant correlation between abnormal cranial ultrasound findings with gestational age and mode of delivery (p= 0.202; p= 0.218). Conclusion: There were abnormal cranial ultrasound findings in some healthy preterm infants despite no significant correlation between ultrasound findings with gestational age and mode of delivery. Cranial ultrasound in preterm infants could become a screening tool for early detection of brain injury.
format article
author Dini Rachma Erawati1
Yuyun Yueniwati
author_facet Dini Rachma Erawati1
Yuyun Yueniwati
author_sort Dini Rachma Erawati1
title CRANIAL ULTRASOUND: EFFICIENT SCREENING TOOL FOR EARLY DETECTION OF BRAIN INJURY IN PRETERM INFANTS
title_short CRANIAL ULTRASOUND: EFFICIENT SCREENING TOOL FOR EARLY DETECTION OF BRAIN INJURY IN PRETERM INFANTS
title_full CRANIAL ULTRASOUND: EFFICIENT SCREENING TOOL FOR EARLY DETECTION OF BRAIN INJURY IN PRETERM INFANTS
title_fullStr CRANIAL ULTRASOUND: EFFICIENT SCREENING TOOL FOR EARLY DETECTION OF BRAIN INJURY IN PRETERM INFANTS
title_full_unstemmed CRANIAL ULTRASOUND: EFFICIENT SCREENING TOOL FOR EARLY DETECTION OF BRAIN INJURY IN PRETERM INFANTS
title_sort cranial ultrasound: efficient screening tool for early detection of brain injury in preterm infants
publisher University of Brawijaya
publishDate 2021
url https://doaj.org/article/dee2fd3cc4664792a5ce7cf3f46ed4a8
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AT yuyunyueniwati cranialultrasoundefficientscreeningtoolforearlydetectionofbraininjuryinpreterminfants
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