Prevalence and Characteristics of Rib Fractures in Ex-preterm Infants
| Autor: | Sandra Butler, David Young, Helen McDevitt, Helen Mactier, Syed Faisal Ahmed, Angela K Lucas-Herald |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Rib Fractures Conjugated hyperbilirubinemia Skeletal survey Radiography Gestational Age Infant Premature Diseases Diagnosis Differential Corrected Gestational Age Bone Density Risk Factors Intensive Care Units Neonatal Humans Mass Screening Medicine Child Abuse Metabolic disease business.industry Incidence Infant Newborn Chronological age Surgery Bone Diseases Metabolic Cross-Sectional Studies Scotland Osteopathy Pediatrics Perinatology and Child Health Gestation Female business |
| Zdroj: | Pediatrics. 130:1116-1119 |
| ISSN: | 1098-4275 0031-4005 |
| DOI: | 10.1542/peds.2012-0462 |
| Popis: | OBJECTIVES: This study aimed to identify the prevalence and characteristics of rib fractures in ex-preterm infants. METHODS: Infants born at RESULTS: Of the 3318 eligible preterm infants, 1446 had a total of 9386 chest radiographs. Of these infants, 26 (1.8%) were identified as having a total of 62 rib fractures. Their median (range) gestation at birth was 26 weeks (23–34). The median chronological age of these infants at the time of the radiograph was 14 weeks (5 weeks to 8 months). The median corrected gestational age at the time of the radiograph was 39 weeks (34 weeks to 4 months). Of the 62 fractures, 27 (36%) were sited posteriorly, and 15 (53%) of the infants with posterior rib fractures were diagnosed with osteopathy of prematurity. Classic risk including conjugated hyperbilirubinemia and diuretics, were present in 23 of 26 (88%) infants. A full skeletal survey was performed in 8 of 26 (31%). Investigations for nonaccidental injury occurred in 4 of 26 (15%) cases. CONCLUSIONS: Evidence of rib fractures is present in ∼2% of ex-preterm infants. The evaluation of these fractures in infancy requires a detailed neonatal history irrespective of the site of rib fracture. |
| Databáze: | OpenAIRE |
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