PMID: 9544898Apr 17, 1998Paper

Chest physiotherapy may be associated with brain damage in extremely premature infants

The Journal of Pediatrics
J E HardingD B Knight

Abstract

To determine whether a characteristic form of brain damage (encephaloclastic porencephaly) was associated with chest physiotherapy treatment in preterm babies. A retrospective case-control study was undertaken among 454 infants of birth weight less than 1500 gm cared for during the 3-year period of 1992 to 1994. Thirteen babies of 24 to 27 weeks of gestation who weighed 680 to 1090 gm at birth had encephaloclastic porencephaly. Twenty-six control subjects were matched for birth weight and gestation. The patients received two to three times as many treatments with chest physiotherapy in the second, third, and fourth weeks of life as did control infants (median 79 vs 19 treatments in the first 4 weeks, p < 0.001). Patients also had more prolonged and severe hypotension in the first week than did control subjects (median duration of hypotension 4 vs 0.5 days, p < 0.01), and were less likely to have a cephalic presentation (31% vs 81%, p < 0.01). Since December 1994 no very low birth weight baby has received chest physiotherapy treatment in the first month of life in our nursery, and no further cases have occurred. Encephaloclastic porencephaly may be a previously unrecognized complication of chest physiotherapy in vulnerable extre...Continue Reading

References

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Citations

Aug 26, 1998·The Journal of Pediatrics·F H BloomfieldJ E Harding
Nov 21, 2002·Early Human Development·B C Hellerud, H Storm
Jul 2, 2002·Archives of Disease in Childhood. Fetal and Neonatal Edition·A N Williams, R Sunderland
Sep 28, 2010·Italian Journal of Pediatrics·Carmen GiannantonioCostantino Romagnoli
Dec 31, 2010·Saudi Journal of Anaesthesia·Punkaj GuptaNatan Noviski
Mar 11, 2011·Indian Journal of Pediatrics·Yesha Subhashchandra PandyaAmita Mehta
Feb 19, 2013·Journal of Pediatric Ophthalmology and Strabismus·Hassan A AzizAudina M Berrocal
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
Jul 7, 1999·The Journal of Pediatrics·C Vinçon
Jun 27, 2006·Paediatric Respiratory Reviews·Maggie McIlwaine
Feb 6, 2004·Revista do Hospital das Clínicas·Marinice Duarte da Ponte, S rgio Tadeu Martins Marba
Jun 22, 2002·The Cochrane Database of Systematic Reviews·V J Flenady, P H Gray
Jan 10, 2006·Journal of Paediatrics and Child Health·C E BagleyA Lamont
Nov 21, 2000·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·J M HascoetM J Boutroy
Jul 23, 2008·The Cochrane Database of Systematic Reviews·Judith L HoughPaul G Woodgate
Feb 3, 2016·The Cochrane Database of Systematic Reviews·Marta Roqué i FigulsJordi Vilaró
Oct 3, 2020·NeoReviews·David K StevensonWilliam W Hay
Jul 17, 2019·The South African Journal of Physiotherapy·Brenda M Morrow

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