1. Thromboelastographic profiles of the premature infants with and without intracranial hemorrhage at birth: a pilot study.
- Author
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Radicioni, Maurizio, Bruni, Alessia, Bini, Vittorio, Villa, Alfredo, and Ferri, Carla
- Subjects
BLOOD coagulation disorders ,ANTICOAGULANTS ,INTRAVENTRICULAR hemorrhage ,HEMOSTASIS ,PREMATURE infants ,HEALTH - Abstract
Objective: To delineate thromboelastographic profiles of the premature infants with and without intracranial hemorrhage during the first 21 days of life. Methods: In this study, 49 premature infants (24 female; 25 male) were consecutively admitted at our neonatal intensive care unit during a 6 months period were subject to thromboelastography and standard coagulation assessments at birth and weekly up to 21 days. Sixteen out of 49 infants developed intracranial hemorrhage at birth. Results: The test results of 127/196 were considered eligible for analysis. Overall significant changes of the main thromboelastographic parameters were observed shortly after birth. Newborns with intracranial hemorrhage showed increased thromboelastogram-defined thrombin generation (shorter R and time to maximum amplitude times) from birth onward, suggesting a hypercoagulable state. No significant differences concerning thromboelastographic and coagulation assays parameters were found at birth between infants with and without intracranial hemorrhage, except for higher plasma D-Dimer concentration (p = 0.002) in the former infants. Finally, a positive correlation between clot lysis time and gestational age (Spearman's rho = 0.502,p = 0.002) was observed. Conclusions: Thromboelastographic profiles of the premature infants suggest an effective hemostatic function during the first post-natal weeks. Further study is needed to determine whether thromboelastography may be more useful than coagulation assays to reflect the bleeding risk of the premature infants. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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