Thrombin Generation in Preterm Newborns With Intestinal Failure-Associated Liver Disease.

Abstract:

:Background and Aim: Intestinal failure-associated liver disease (IFALD) affects one-fifth of neonates receiving parenteral nutrition (PN) for more than 2 weeks. We aimed to define the effect of IFALD on hemostasis of preterm infants. Methods: This is an ancillary analysis of a prospective study aimed at defining coagulation in preterm infants. We included neonates exposed to PN (at least 14 days), in full-enteral feeding. We compared thrombin generation in the presence of thrombomodulin, defined as endogenous thrombin potential-ETP, PT, aPTT between infants with IFALD vs. those without (controls), at birth, and after 30 days. IFALD was defined as conjugated bilirubin ≥1 mg/dl. Results: We enrolled 92 preterm infants (32 IFALD; 60 controls). Cholestatic patients had a lower birthweight, longer exposure to PN, and longer hospitalization. Infants with IFALD showed longer median PT (12.8-vs.-12 sec; p = 0.02) and aPTT (39.2-vs.-36.5 sec; p = 0.04) than controls, with no difference in ETP. Conclusions: Despite prolonged PTs and aPTTs infants with IFALD had similar ETP than those without.

journal_name

Front Pediatr

journal_title

Frontiers in pediatrics

authors

Ghirardello S,Raffaeli G,Scalambrino E,Cortesi V,Roggero P,Peyvandi F,Mosca F,Tripodi A

doi

10.3389/fped.2020.00510

subject

Has Abstract

pub_date

2020-08-26 00:00:00

pages

510

issn

2296-2360

journal_volume

8

pub_type

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