Neonatal Thrombosis: Incidence and Risk Factors in a Tertiary Care Hospital in Iran

Authors

  • Arjmandi, Khadijeh Pediatric hematology and oncology ward, Ali Asghar hospital, Iran University of medical sciences, Tehran, Iran
  • Khosravi, Nastaran Neonatalogy and NICU ward, Ali Asghar hospital, Iran University of medical sciences, Tehran, Iran
  • Tootoonchi, Parichehr Pediatric hematology and oncology ward, Ali Asghar hospital, Iran University of medical sciences, Tehran, Iran
Abstract:

Background: Neonatal thrombosis is one of the most important challenges among patients admitted in Neonatal Intensive Care Unit (NICU), which can lead to an asymptomatic condition, limb loss or even death. This study was performed to determine the incidence and risk factors of neonatal thrombosis in a tertiary care hospital in Tehran, Iran. Material and Methods: In this historical cohort, all neonates admitted to Ali-Asghar children's hospital, Tehran, from Sep 2014 till Mar 2015 were enrolled. If thrombosis happened and proved with Color Doppler ultrasonography, the data about type and place of thrombosis, occurrence of complications, recurrence of thrombosis, and the swelling of the extremity distal to the thrombosis area were collected. The statistical significant level was set less than 0.05. SPSS (version 16) was used for data analysis. Results: The neonatal thrombosis incidence was 2.87% (14 cases out of 489). Most of cases (13, 92.9%) had venous thrombosis and one case (7.1%) had arterial thrombosis. Femoral vein thrombosis following catheter insertion has occurred in 9 cases (64.2%) of thrombosis. In multivariate analysis with multiple regression, a statistical significant relation was found between thrombosis and neonatal age at admission (P <0.0001), using central vein catheter (P <0.0001), history of exchange transfusion (P <0.015), and exclusive breast feeding (P <0.006) suggesting that lower age at admission, using of a central vein catheter or positive history of exchangetransfusion was an independent risk factor for thrombosis; using exclusive breast feeding had a protective effect on thrombosis. Conclusion: Most of our findings are in agreement with the results of other studies. Some interesting results included the significant relation between thrombosis and neonatal age at admission, history of exchange transfusion or exclusive breast feeding.

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

a framework for identifying and prioritizing factors affecting customers’ online shopping behavior in iran

the purpose of this study is identifying effective factors which make customers shop online in iran and investigating the importance of discovered factors in online customers’ decision. in the identifying phase, to discover the factors affecting online shopping behavior of customers in iran, the derived reference model summarizing antecedents of online shopping proposed by change et al. was us...

15 صفحه اول

ec adoption and critical success factors of ec in smes in iran

تجارت الکترونیکی شیوه اجرای مسئولیتها، تقابل با مشتریان و امور معمول عملیاتی در شرکتها را تغییر داده است. تجارت الکترونیکی در عمل تنها خرید و فروش کالاها را از طریق ابزار الکترونیک نمی باشد، بلکه تمام فعالیتهای لازم جهت انجام فرایند فروش را نیز در بر میگیرد. در اواخر دهه 1990 بسیاری از شرکتها فعالیتهای خود را به منظور دستیابی به مشتریان جدید و یا ارائه فرصتهای جدید به مشتریان موجود گسترش دادند...

Ventilator-associated pneumonia in a tertiary care hospital in India: incidence and risk factors.

BACKGROUND Knowledge of the incidence of ventilator-associated pneumonia (VAP) and its associated risk factors is imperative for the development and use of more effective preventive measures. METHODOLOGY We performed a prospective study over a period of 15 months to determine the incidence and the risk factors for development of VAP in critically ill adult patients admitted in different inten...

full text

Epidemiology of and risk factors for neonatal candidemia at a tertiary care hospital in western China

BACKGROUND The prevalence and clinical characteristics of neonatal candidemia are poorly understood in western China. The aim of our study was to evaluate the epidemiological features of neonatal candidemia in the Liuzhou Maternity and Child Healthcare Hospital. METHODS A retrospective case-control study was conducted between January 2012 and November 2015. Electronic databases were reviewed ...

full text

Analysis of Risk Factors and Prognosis for Neonatal Sepsis in a Tertiary Care Hospital of Tripura

Neonatal mortality is recognized as an important global public health problem, of which more than one-third is due to severe infections and a quarter due to the clinical syndrome of neonatal sepsis. The present study was undertaken to evaluate the risk factors associated with neonatal sepsis and formulate a proper guideline for management on analysis of the antimicrobial susceptibility patterni...

full text

Incidence and risk factors for central vascular catheter-related bloodstream infections in a tertiary care hospital.

This study evaluated the incidence of colonization and infection related to Central Vascular Catheters (CVC) in a tertiary care Greek hospital, as well as risk factors associated with catheter-related bloodstream infection (CRBSI). A total of 340 CVCs, were studied in relation to patient clinical and epidemiological data, CVC characteristics, and microbiological culture results. Risk factors we...

full text

My Resources

Save resource for easier access later

Save to my library Already added to my library

{@ msg_add @}


Journal title

volume 7  issue 2

pages  82- 89

publication date 2017-03

By following a journal you will be notified via email when a new issue of this journal is published.

Keywords

No Keywords

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023