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[The dynamics of the incidence of intraventricular hemorrhages and their outcomes among prematurely born children of the poltava region in 2007-2016].
INTRODUCTION: Over the past decade, with the increase in the number of prematurely born babies with very-low-body-weight (VLBW) at birth, the number of intraventricular hemorrhages (IVH), including severe, increases, which leads to an increase in mortality and an increase in the number of posthemorrhagic hydrocephalus (PHH).
AIM: To establish epidemiological trends in the IVH frequency, as well as their outcomes (PHH, mortality), among prematurely born children of the Poltava region during 2007-2016.
MATERIALS AND METHODS: Information base of the research is formed from materials of statistical reporting of health indicators of newborns for 2007-2016. The morbidity and mortality rates in prematurely born children with severe IVH (grade III-IV) and the incidence of PHH were studied.
RESULTS: For 2007-2014 the average frequency of the IVH among children with VLBW was 7.0%, and among children with extremely-low-body-weight (ELBW) - 19.3%. There are stable high, with a tendency to increase, indices of the incidence of IVH among children with VLBW (from 5.4% in 2008 to 14.1% in 2014) and among children with ELBW (from 7.8% in 2008 to 45.2% in 2015). The average fatality rate among children with VLBW was 46.0%, and among children with ELBW - 63.2%. There is an increase in the mortality rate among children with ELBW and stable indicators among children with VLBW at birth. The incidence of PHH is 32.8% (20 of 61). This indicator remained stable throughout the study period.
CONCLUSIONS: During the 2007-2016 biennium, in the Poltava region there is an increase in the incidence of IVH among prematurely born children, stable values of the mortality rate among children with VLBW and its increase among children with ELBW at birth.
AIM: To establish epidemiological trends in the IVH frequency, as well as their outcomes (PHH, mortality), among prematurely born children of the Poltava region during 2007-2016.
MATERIALS AND METHODS: Information base of the research is formed from materials of statistical reporting of health indicators of newborns for 2007-2016. The morbidity and mortality rates in prematurely born children with severe IVH (grade III-IV) and the incidence of PHH were studied.
RESULTS: For 2007-2014 the average frequency of the IVH among children with VLBW was 7.0%, and among children with extremely-low-body-weight (ELBW) - 19.3%. There are stable high, with a tendency to increase, indices of the incidence of IVH among children with VLBW (from 5.4% in 2008 to 14.1% in 2014) and among children with ELBW (from 7.8% in 2008 to 45.2% in 2015). The average fatality rate among children with VLBW was 46.0%, and among children with ELBW - 63.2%. There is an increase in the mortality rate among children with ELBW and stable indicators among children with VLBW at birth. The incidence of PHH is 32.8% (20 of 61). This indicator remained stable throughout the study period.
CONCLUSIONS: During the 2007-2016 biennium, in the Poltava region there is an increase in the incidence of IVH among prematurely born children, stable values of the mortality rate among children with VLBW and its increase among children with ELBW at birth.
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