Cerebral Hypoxia, Intracranial Hemorrhage, Intraventricular Hemorrhage
Conditions
Keywords
Premature infants, Intracranial hemorrhage, Intraventricular hemorrhage, Cerebral oxygenation, Brain function, Cerebral perfusion
Brief summary
Intracranial Hemorrhage (ICH) is an important morbidity affecting premature infants and can have considerable effects on neurodevelopmental outcome. The investigators showed that preterm infants with severe ICH have decreased cerebral oxygenation several weeks after the hemorrhage. The mechanisms involved in this state of decreased cerebral oxygenation in preterm infants and the effects on cerebral function are unknown. This longitudinal observation study will evaluate physiologic parameters to determine trends in cerebral oxygenation and function in preterm infants with ICH in comparison to infants without ICH.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Preterm infants born between 23 and 28 weeks of gestation * Diagnosed with ICH grades II or higher during the first week after birth * Matched control infants without ICH.
Exclusion criteria
* Major congenital malformations * Birth asphyxia * Not expected to survive
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in cerebral oxygenation | postnatal weeks 4 and 8 | Comparison of the progression of cerebral oxygenation measured non-invasively by near infrared spectroscopy over time in infants with ICH and non-ICH infants. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in cerebral perfusion and function | post natal weeks 4 and 8 | Comparisons of ultrasound measurements of superior vena cava flow and brain electrical activity by electroencephalography over time in infants with ICH and non-ICH infants. |
Countries
United States