Abstract

OBJECT Even with improved prenatal and neonatal care, intraventricular hemorrhage (IVH) occurs in approximately 25%–30% of preterm infants, with a subset of these patients developing hydrocephalus. This study was undertaken to describe current trends in hospitalization of preterm infants with posthemorrhagic hydrocephalus (PHH) using the Nationwide Inpatient Sample (NIS) and the Kids’ Inpatient Database (KID). METHODS The KID and NIS were combined to generate data for the years 2000–2010. All neonatal discharges with ICD-9-CM codes for preterm birth with IVH alone or with IVH and hydrocephalus were included. RESULTS There were 147,823 preterm neonates with IVH, and 9% of this group developed hydrocephalus during the same admission. Of patients with Grade 3 and 4 IVH, 25% and 28%, respectively, developed hydrocephalus in comparison with 1% and 4% of patients with Grade 1 and 2 IVH, respectively. Thirty-eight percent of patients with PHH had permanent ventricular shunts inserted. Mortality rates were 4%, 10...

Highlights

  • The Kids Inpatient Database (KID) and Nationwide Inpatient Sample (NIS) databases were combined to generate data for the years 2000 – 2010

  • The number of admissions of neonates with intraventricular hemorrhage (IVH) has increased despite a decrease in the number of preterm births

  • Incidence of hydrocephalus in preterm infants with IVH remained stable between 8-10%

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Summary

Introduction

Methods The KID and NIS databases were combined to generate data for the years 2000 – 2010. All neonatal discharges with ICD9-CM codes for preterm birth with IVH alone or with IVH and hydrocephalus were included. Conclusion The number of admissions of neonates with IVH has increased despite a decrease in the number of preterm births.

Results
Conclusion
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