Mortality risk after neonatal seizures in very preterm newborns.

Abstract:

:We analyzed clinical and instrumental data of 403 consecutive newborns with gestational age from 24 to 32 weeks, admitted to the University-Hospital of Parma between January 2000 and December 2007, to evaluate the possible relationship between neonatal mortality and occurrence of neonatal seizures in very preterm newborns. Seventy-four subjects died during hospital stay. Seizures were present in 35 neonates, in whom the mortality rate was 37.1%. Multivariate analysis revealed that birth-weight <1000 g (odds ratio: 4.48; 95% confidence interval: 1.47-13.68; P < .01), cardiopulmonary resuscitation (odds ratio: 5.35; 95% confidence interval: 1.19-23.98; P = .02), and moderately and severely abnormal cerebral ultrasound scan findings (odds ratio: 2.48; 95% confidence interval: 1.02-6.05; P < .04; odds ratio: 9.56; 95% confidence interval: 3.45-26.51; P < .01, respectively) were related to the in-hospital mortality but not the presence of neonatal seizures. Our study suggests that neonatal seizures alone are not an independent risk factor for early death in very preterm newborns.

journal_name

J Child Neurol

authors

Pisani F,Copioli C,Turco EC,Sisti L,Cossu G,Seri S

doi

10.1177/0883073811435244

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

1264-9

issue

10

eissn

0883-0738

issn

1708-8283

pii

0883073811435244

journal_volume

27

pub_type

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