Turkish Neurosurgery 2024 , Vol 34 , Num 2
Intraventricular Hemorrhage and Related Hydrocephalus Patients Demographics in a University Hospital NICU: Single-Center Data
Gulden DEMIRCI OTLUOGLU1,Semra ISIK2,Berkay PAKER3,Orkun KOBAN1,Teyyub HASANOV4,Akin AKAKIN3,Zafer Orkun TOKTAS3,Baran YILMAZ3,Ali Haydar TURHAN5
1Okan University School of Medicine, Department of Neurosurgery, Istanbul, Türkiye
2Kanuni Sultan Suleyman Training Hospital, Istanbul, Türkiye
3Bahcesehir University School of Medicine, Department of Neurosurgery, Istanbul, Türkiye
4Bona DEA International Hospital, Department of Neurosurgery, Baku, Azerbaijan
5Bahcesehir University School of Medicine, Department of Pediatrics, Istanbul, Türkiye
DOI : 10.5137/1019-5149.JTN.43279-22.1 AIM: To analyze the demographic and clinical data of preterm or low birth weight newborns with periventricular hemorrhage.

MATERIAL and METHODS: This retrospective study analyzed patients admitted to the neonatal intensive care unit of a Bahcesehir University School of Medicine-Affiliated Hospital due to preterm birth or low birth weight between June 1, 2012, and April 30, 2021. Categorical values were evaluated by Pearson chi-square or Fisher?s exact test. The Mann-Whitney U test compared continuous values between the groups. Logistic regression was used to evaluate the factors that affected permanent cerebrospinal fluid (CSF) diversion.

RESULTS: The study finally evaluated 180 newborns. Ninety-one newborns (50.5%) had grade I, 18 (10%) had grade II, 22 (12.2%) had grade III, and 49 (27.2%) had grade IV hemorrhage. One hundred and forty-nine patients (82.8%) were delivered by cesarean section, and 31 (17.2%) were delivered vaginally. All patients with low-grade hemorrhage who needed temporary CSF diversion eventually required permanent CSF diversion. For high-grade hemorrhage, 15 (grade III, 1; grade IV, 14) of 51 (29.4%) patients with ventricular access device (VAD) insertion required permanent CSF diversion. Fifteen (grade III, 6; grade IV, 9) of these 51 (29.4%) patients did not need permanent CSF diversion; thus, their VADs were removed.

CONCLUSION: The permanent CSF diversion rate was significantly higher in the high-grade hemorrhage group, which had significantly lower weight and gestational age at birth. Moreover, only weight at VAD insertion had minimal effect on the need for permanent CSF diversion. Keywords : Germinal matrix hemorrhage, Posthemorrhagic hydrocephalus, Ventricular access device, Permanent CSF diversion

Corresponding author : Gulden DEMIRCI OTLUOGLU, guldendemirci@gmail.com