Systemic hypertension requiring treatment in the neonatal intensive care unit
| Autor: | Raj Sahu, Hariyadarshi Pannu, John T. Bricker, Monesha Gupta-Malhotra, Sanjay Shete, Robert Yu |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Neonatal intensive care unit Infant Premature Diseases Left ventricular hypertrophy Article Risk Factors Intensive care Ductus arteriosus Intensive Care Units Neonatal medicine Humans Retrospective Studies business.industry Incidence (epidemiology) Infant Newborn Retrospective cohort study medicine.disease medicine.anatomical_structure Blood pressure Bronchopulmonary dysplasia Pediatrics Perinatology and Child Health Hypertension Intensive Care Neonatal Female business Infant Premature |
| Zdroj: | The Journal of pediatrics. 163(1) |
| ISSN: | 1097-6833 |
| Popis: | To determine the difference in the risk factors for systemic hypertension in preterm and term infants in the neonatal intensive care unit (NICU).Data were collected from an existing database of NICU children and confirmed by chart review. Systemic hypertension was defined when 3 separate measurements of systolic and/or diastolic blood pressure were95th percentile and an antihypertensive medication was administered for2 weeks in the NICU.Of 4203 infants, we identified 53 (1.3%) with treated hypertension, of whom 74% were preterm, 11% required surgical intervention, and 85% required medications on discharge. The presence of a patent ductus arteriosus, umbilical catheterization, left ventricular hypertrophy, hypertensive medication at discharge, and mortality was similar between the term and preterm infants. The major risk factors for preterm infants, especially those28 weeks' gestation, were bronchopulmonary dysplasia and iatrogenic factors, but, in term infants, they were systemic diseases. Term infants were diagnosed with hypertension earlier during hospitalization, had a shorter duration of stay in the NICU, and had a higher incidence of hypertension needing3 medications than preterm infants.Perinatal risk factors are significant contributors to infantile hypertension. Term infants were diagnosed with hypertension earlier, had a shorter duration of stay, and had a higher incidence of resistant hypertension than preterm infants. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect