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Epidemiology of thrombosis in Canadian neonatal intensive care units

by Mitra Souvik , da Silva Orlando , Afifi Jehier , Yoon, Eugene W , Lee, Shoo K , Shah, Prakesh S , Singh Balpreet , El-Naggar, Walid , McMillan, Douglas

in Anticoagulants / Arteries / Clinical trials / Epidemiology / Heparin / Hospitals / Infants / Intensive care / Intensive care units / Low molecular weights / Management / Molecular weight / Neonatal care / Neonates / Newborn babies / Portal vein / Premature babies / Risk analysis / Risk factors / Risk management / Thromboembolism / Thrombosis / Veins

2020

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Epidemiology of thrombosis in Canadian neonatal intensive care units

by Mitra Souvik , da Silva Orlando , Afifi Jehier , Yoon, Eugene W , Lee, Shoo K , Shah, Prakesh S , Singh Balpreet , El-Naggar, Walid , McMillan, Douglas

2020

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Epidemiology of thrombosis in Canadian neonatal intensive care units

by Mitra Souvik , da Silva Orlando , Afifi Jehier , Yoon, Eugene W , Lee, Shoo K , Shah, Prakesh S , Singh Balpreet , El-Naggar, Walid , McMillan, Douglas

2020

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Journal Article

Epidemiology of thrombosis in Canadian neonatal intensive care units

Mitra Souvik,

da Silva Orlando,

Afifi Jehier,

Yoon, Eugene W,

Lee, Shoo K,

Shah, Prakesh S,

Singh Balpreet,

El-Naggar, Walid,

McMillan, Douglas

2020

Overview

ObjectiveTo assess the rate, location, risk factors, management, and outcomes of neonatal thrombosis (NT).DesignA retrospective study investigating infants admitted to NICUs in Canadian Neonatal Network between January 2014 and December 2016 and diagnosed with NT. Each infant with NT was matched with an infant without NT.ResultsOf 39,971 infants, 587 (1.5%) were diagnosed with NT: 440 (75%) venous, 112 (19%) arterial, 29 (5%) both. NT rate was 1.4% in full-term and 1.7% in preterm infants. Venous thrombi occurred most commonly in the portal vein and arterial thrombi in the cerebral artery. Conservative management and low molecular weight heparin were the most common treatment modalities. Hospital stay was longer (p < 0.001) in the NT patients, but mortality was similar.ConclusionsNT was diagnosed in ~15/1000 NICU admissions and most commonly in the portal vein and cerebral arteries. Management varied based on the type and location of thrombi. Large multicenter trials are needed to address the best management strategies.

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Publisher

Nature Publishing Group

Subject

/ Heparin

/ Infants