PMID: 11903834Mar 21, 2002Paper

Chest physiotherapy and porencephalic brain lesions in very preterm infants

Journal of Paediatrics and Child Health
D B KnightR S Rowley

Abstract

National Women's Hospital is one of two hospitals to report a destructive brain lesion, namely encephaloclastic porencephaly (ECPE), in extremely preterm infants. It has been associated with non-cephalic presentation, early hypotension and the number of chest physiotherapy treatments in the first month. The aim of the present study was to determine the temporal relationship between ECPE and chest physiotherapy use in very low-birth weight (VLBW) infants in our unit. Cerebral ultrasound scan reports, post-mortem reports, clinical and physiotherapy records and, if indicated, original ultrasound films were reviewed for all VLBW babies admitted between 1985 and 1998. Over the 14 year period in question, 2219 babies with a birth weight < or = 1500 g were admitted. Encephaloclastic porencephaly was found in only the 13 previously reported babies born between 1992 and 1994. Encephaloclastic porencephaly was excluded in 1564 (70%) babies. In 621 (28%) babies who did not have late ultrasound scans, ECPE was thought to be unlikely either because the babies never had any chest physiotherapy (n=479) or because they had chest physiotherapy but were known to be neurodevelopmentally normal on follow up (n=142). Data were incomplete for 21 bab...Continue Reading

Citations

Jan 10, 2006·Journal of Paediatrics and Child Health·C E BagleyA Lamont
Jul 2, 2002·Archives of Disease in Childhood. Fetal and Neonatal Edition·A N Williams, R Sunderland
Jan 2, 2003·Postgraduate Medical Journal·I Blumenthal
Sep 28, 2010·Italian Journal of Pediatrics·Carmen GiannantonioCostantino Romagnoli
Mar 11, 2011·Indian Journal of Pediatrics·Yesha Subhashchandra PandyaAmita Mehta
Nov 28, 2015·Revista paulista de pediatria : orgão oficial da Sociedade de Pediatria de São Paulo·Mariana Almada BassaniSérgio Tadeu Martins Marba
Nov 25, 2003·The Australian Journal of Physiotherapy·Robyn M Hudson, Robyn C Box
Apr 13, 2018·Journal of Veterinary Emergency and Critical Care·Céline Pouzot-NevoretKate Hopper
Feb 3, 2016·The Cochrane Database of Systematic Reviews·Marta Roqué i FigulsJordi Vilaró

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